Pathology EMQ template.

Name: Amar Shah               

Candidate number:

Theme: Gout and Uric acid metabolism

 

OPTION LIST

 

A

Allopurinol

I

Saturnine gout

B

Aspirin

J

Septic Arthritis

C

Chronic renal Failure

K

Thiazide Diuretics

D

Chronic haemolytic anaemia

L

 

E

Fructose Intolerance

M

 

F

Lesch-Nyan syndrome

N

 

G

Primary Gout

O

 

H

Pseudo-gout

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 50 year old man presents with excruciating pain in his 1st metatarsophalangeal joint. The joint looks red and inflamed. An aspirate reveals crystals that appear blue when perpendicular to a red compensator.

 

 

2. An 18 year old man has a history of self-mutilation. On further investigation the doctor mentions he has high levels of uric acid in his urine. 

 

 

3. A 40 year old factory worker has been involved in making jet engines and ammunition for the army for the last 20 years. He presents with a swollen, red and painful ankle. He mentions that he has been feeling depressed recently. You carry out a full blood count and notice that he is anaemic.

 

 

4. A 70 year old woman presents with acute swelling of her wrist. The joint is extremely painful. On aspirate you find crystals that appear blue when parallel to a red compensator.

 

 

5. A 21 year old man recently back from Spain, has developed a painful and inflamed knee. He comments that his father recently had a swollen and red toe. On further investigation you find a raised CRP and ESR.

 

 

 

ANSWERS

1. G

2. F

3. I

4. H

5. J