Pathology EMQ

Name: Zain        

Theme: Porphyrias

 

OPTION LIST

 

A	Acute Intermittent Porphyria	I	X-linked dominant protoporphyria
B	ALA dehydratase deficiency	J	None of the Above
C	Erythropoietic protoporphyria (EPP)	K
D	Gunthers Disease	L
E	Guillian Barre	M
F	Hereditary Coproporphyria	N
G	Porphyria cutanea tarda (PCT)	O
H	Variegate porphyria	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 40 year old attractive female arrives in A&E with severe abdominal cramps. She is very attractive. Watson – Schwartz results are positive. A

 

2. A rather innocent looking infant 4 years of age was brought to the GP by his mother as he had red urine which fluoresced accompanied by bullous formation on sun exposed areas.  

 

 

3. A family returns from holiday from the beautiful city of Lahore. They had a wonderful time. Unusually there wasn’t much sun there and they stayed indoors anyway. On their return to sunny England the teenage son developed burning, itching and erythema on exposure to sunlight. However no bullae were present.

 

4. A 40 year old man unhappy with his marriage tried to overdose. He mistakenly took his wife’s OCP with alcohol. He woke up in the blazing sun and noticed he had skin lesions include erythema and bullae on his forehead, cheeks, ears and backs of hands.

 

5. A 39 year old muslim from South Africa develops hallucinations and anxiety in the month of Ramadan. This is also accompanied by increased sensitivity of the skin to sunlight.

 

ANSWERS

1. A

2. D

3. C

4. G

5. H