Pathology EMQ template.

Name: Rezwan Khandoker

Theme: Metabolic bone histopathology

 

OPTION LIST

 

A	1° Hyperparathyroidism	I	Osteoporosis
B	2° Hyperparathyroidism	J	Renal Osteodystrophy
C	Classical Paget’s Disease	K	Rickets
D	Familial Paget’s Disease	L
E	Osteoarthritis	M
F	Osteogenesis imperfecta	N
G	Osteomalacia	O
H	Osteomyelitis	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. Abnormal endochrondral ossification and bony prominence at costochrondral joints.

 

 

2. Patient with longstanding auto-immune disease treated with prednisolone presents with radiculopathy.

 

 

3. Normal bone mineralisation, density reduced.

 

 

4. Middle-aged patient with both lytic and sclerotic lesions. Mutation found in SQSTM1 gene on chromosome 5.

 

 

5. 50 year-old patient with ↓Ca, ↓PO4, ↑Alk Phos, ↑PTH and soft bones.

 

 

 

ANSWERS

1. K

2. I

3. I

4. C

5. G