Pathology EMQ template.

Name: Jeremy Lin

Candidate number:

Theme: Non-neoplastic bone and joint disease

 

OPTION LIST

 

A	Fracture	I	Pseudogout
B	Gout	J	Rheumatoid arthritis
C	Lyme disease	K
D	Osteoarthritis	L
E	Osteomalacia	M
F	Osteomyelitis	N
G	Osteoporosis	O
H	Paget’s disease	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. 40 year old obese male with ‘exquisite’ pain and swelling in his first metatarsophalangeal joint. Fluid microscopy shows negatively birefringent crystals under polarized light.

 

2. 38 year old female with symmetrical pain and swelling in her hands, wrists and feet. She experiences morning stiffness lasting over an hour. Patient is negative for rheumatoid factor and positive for anti-citrulline-containing peptide antibody. 

 

3. 54 year old female with pain in her hands, hips and knees. Also complains of morning stiffness which lasts around 20 minutes each day. Heberden’s nodes are present.

 

4. Disease associated with erythema chronicum migrans.

 

5. Commonly affects the long bones in children and the vertebrae, jaw and toes in adults.

 

 

ANSWERS

1. B

2. J

3. D

4. C

5. F