Pathology EMQ template.

Name: Bhavesh Patel

Theme: Renal Failure

 

OPTION LIST

 

A	Renal Artery Stenosis	I	Hypervolemia
B	Goodpasture’s Disease	J	NSAID use
C	Glomerulonephritis	K	Sepsis
D	Diabetes Mellitus	L	Polycystic Kidney Disease
E	Wilms Tumour	M	Alports Syndrome
F	Pyelonephritis	N	Renal Calculi
G	Urinary Tract Infection	O	Anaphylaxis
H	Renal cell Carcinoma	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 28 year old lawyer with a history of UTI’s complains of back pain. His urine showed blood in the urine. Further abdominal imaging showed bilateral enlarged kidneys.

 

 

2. A 35 year old Dad is anxious that his 8 year old son passing some blood in his urine. Urine dipsticks show protein. The dad also mentions that recently he has noticed some loss in his son’s hearing.

 

 

3. A 55 year old accountant complains of recent episodes of nausea, itching and oedema. He has a long history of hypertension and was recently started on ACE inhibitors.

 

 

4. A 22-year-old medical student presents to A+E unconscious. Her friends mention that they were having a house warming party and were sharing wine, snacks and funny stories when suddenly the patient developed swelling in her face and lips and rashes on her body. She is not producing any urine.

 

 

5. A 38 year old builder presents with recent haemoptysis and a ‘burning sensation’ while he urinates. Further tests find anti-glomerular basement membrane anti-bodies in his blood.

 

 

 

ANSWERS

1. L

2. M

3. A

4. O

5. B