Pathology EMQ template.

Name: Nisha Patel

Theme: Respiratory disease

A	Drug induced changes	I	Extrinsic allergic alveolitis
B	Pneumoconiosis	J	Acute asthma attack
C	Status asthmaticus	K	Emphysema
D	Lung agenesis	L	Sarcoidosis
E	Cryptogenic fibrosing alveolitis	M	Streptococcus Pneumoniae
F	Primary pulmonary hypertension	N	Congenital cystic adenomatoid malformation
G	Congenital lobar emphysema	O	Mesothelioma
H	Pneumothorax	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 fire extinguisher containing nuisance dust was released into a room with no ventilation where Mrs X inhaled it. She presents 3 days later in the A and E department with chest tightness, rapidly progressive shortness of breath, dry cough, and wheezing having taken oral steroids that she had left over from an exacerbation of her asthma earlier on in the year.

 

2. A 55 year old male presents with a worsening cough and SOB. Histology shows a pattern of usual interstitial pneumonia. The FY2 on call notices that the man’s fingers appear clubbed.

 

3. A peri-natal infant presents with rapid shallow breaths. CT reveals a mass in one of the lung lobes.

 

4. A tall athletic medical student has a three week history of a productive cough. He is giving a friend a piggy back and falls. He becomes rapidly short of breath and notes that his trachea is deviated.

 

5. A 70 year old man with progressive weight loss notes that he has become progressively breathless over the past year. O/E a widely split S2 heart sound is noted with peripheral oedema. He also mentions that his wife has noticed a mole that has increased in size on his abdomen.

 

 

 

ANSWERS

1. C

2. E

3. N

4. H

5. F