Pathology EMQ template.

Name: M Natarajan

Theme: Porphyias

 

OPTION LIST

 

A	Acute Intermittent Porphyria	I	None of the above
B	ALA dehydratase deficiency	J
C	Congenital erythropoietic porphyria (CEP)	K
D	Erythropoietic protoporphyria (EPP)	L
E	Hereditary Coproporphyria	M
F	Lead Poisoning	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.      Returning from a conference in Malaga sponsored by GlaxoSmithKline, a female registrar aged 40 visits her GP complaining of terrible stomach upset and fever. She comments also on her urine being ‘a funny colour’.

 

2.      A young, South African man who has recently moved to UK complains of a raised and itchy rash that he feels gets worse during summer.

 

3.      A car mechanic finds that he has increasingly been experiencing a tingling sensation in his fingertips and requires more help from his colleagues to do manual tasks.

 

 

4.      45 year old male of no-fixed-abode arrives at A and E with sudden onset of chest pain, vomiting and palpitations following 24 hours of ‘squeezing’ abdominal pain. His notes say he fell down the stairs last week; on examination there is some redness and swelling of his leg.  

 

5.      Mother brings in her 5 year old son. The family have recently returned from summer holiday in Japan. She is concerned about the burning, irritated skin that her son has developed and is enquiring about risk of skin cancer in children who have been sunburnt.

 

 

 

 

ANSWERS

1. A

2. H

3. F

4. G

5. D