Pathology EMQ template.

Name: Chang Park

Candidate number:

Theme: Reference Intervals

 

OPTION LIST

 

A	0.3	I	109
B	600	J	8.8
C	41	K	128
D	87	L
E	6.3	M
F	1.7	N
G	1924	O
H	770	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 woman attends A&E complaining for a 2 month history of pain in the bones of her arms and legs, and abdominal pains. Since yesterday she has had excruciating pain in her right flank. Her biochemistry showed her serum Calcium to be 2.34. What would you expect her PTH to be?

 

2. A woman in her 30’s attends clinic complaining of increased tiredness and the sensation of feeling cold all the time. Her potassium was raised at 6.2. What would you expect her plasma sodium to be?

 

3. A 47 year old man attends clinic complaining of yellowing of his eyes and a pain in his right chest. Ultrasound detects the presence of gallstones. On investigation what would his Alkaline Phosphatase show?

 

4. A 76 year old lady in recovering after her hip replacement. An over-enthusiastic FY2 has written up too much fluids and she is oedematous and short of breath. What would her urine osmolality be?

 

 

5. A 54 year old man with poorly controlled diabetes attends clinic and has been diagnosed with CRF.  His U&E shows a hyperkalaemia. His creatinine is raised at 200. What would you expect his urea t be?

 

 

 

ANSWERS

1.  E

2. K

3. G

4. C

5. J