Pathology EMQ template

 

YourName: Vafa Pirjamali

YourIdentifier:

Theme: Skin Pathology

 

OPTION LIST

 

A	Basal cell carcinoma	I	Malignant melanoma
B	Bowen's disease	J	Melanocytic naevi
C	Bullous disease	K	Pemphigoid
D	Dermatitis herpetiformis	L	Pemphigus
E	Erythema multiforme	M	Pityriasis rosea
F	Keratoacanthoma	N	Psoriasis
G	Lichen planus	O	Squamous carcinoma
H	Lupus erythematosus	P	Squamous tumour

 

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 19 year old woman presents with fever, malaise and a facial rash. Her monozygotic twin has been diagnosed with SLE.

 

 

2. A 21 year old man complains of itchy blisters on his elbows, knees and buttocks. He has been diagnosed with celiac disease but has failed to adopt a gluten-free diet.

 

 

3. A 45 year old Australian woman with freckles has observed a change in one of her numerous naevi. On examination you find lymphadenopathy and hepatomegaly.

 

 

4. A 32 year old woman presents with red and silver scaly lesions on her scalp and extensor surfaces. She claims that the condition is exacerbated by alcohol but improved by sun exposure. Your patient-centred approach to history-taking reveals increased stress at work and a recent acrimonious divorce.

 

 

5. An 18 year old African American woman presents with seizures, psychosis, renal disease and mouth ulcers. She is ANA positive.

 

 

ANSWERS

1. H

2. D

3. I

4. N

5. H