Pathology EMQ template.

Name: Punam Kukadia

Candidate number:

Theme: Multiple Myeloma

 

OPTION LIST

 

A	Amyloidosis	I	Lytic lesions
B	Anaemia	J	Neisseria infection
C	B12 deficiency	K	Osteomalacia
D	E. Coli infection	L	Osteoporosis
E	Hypercalcaemia	M	Polycythaemia
F	Hypernatraemia	N	Renal failure
G	Hypokalaemia	O	Streptococcal infection
H	Hyponatraemia	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. A 75 year old lady recently diagnosed with multiple myeloma complains of shortness of breath. Her blood film shows an MCV of 83 fL.

 

2. A 60 year old man with multiple myeloma complains of palpitations and patchy redness of the skin. Tissue from a renal biopsy turns a deep red colour when stained with a dye.

 

3. A 68 year old lady diagnosed with multiple myeloma presents to A&E with drowsiness, confusion and thirst. She is apyrexial and has not eaten much due to abdominal pains.

 

4. A 79 year old man with multiple myeloma complains of chest pain. A radiographic film indicates rib fracture and shows punched-out lesions of the bone.

 

5. A 65 year old lady undergoing chemotherapy for multiple myeloma is admitted to A&E with drowsiness and confusion. The FY1 on call notices an unpleasant smell.

 

 

 

ANSWERS

1. B

2. A

3. E

4. I

5. D