Pathology EMQ template.

Name: Yishi Tan         

Theme: Adrenals

 

OPTION LIST

 

A	Zona Fasciculata	I	Von Hippel-Lindau Disease
B	Zona Reticularis	J	11β-Hydroxylase deficient congenital adrenal hyperplasia
C	Zona Glomerulosa	K	21a-Hydroxylase deficient congenital adrenal hyperplasia
D	Nelson’s syndrome	L	MEN 1
E	Schmidt's syndrome	M	MEN 2a
F	Waterhouse–Friderichsen syndrome	N	Conn’s syndrome
G	Wermer's syndrome	O	Addison’s disease
H	Liddle’s Syndrome	P	Primary Hyperparathyroidism

 

 

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 45 year old man presents to clinic with a 3 month history of polyuria, polydipsia, parasthesia and muscle weakness.  You notice from his past medical history that his hypertension has been badly controlled for a few years.

 

2. A 5 year old child is found to have hypertension at a routine physical examination.  It does not improve after treatment with antihypertensives.  Blood tests show that she is hypokalaemic and has low plasma levels of Aldosterone.

.

 

3. This layer of adrenal cortex produces cortisol.

 

 

4. A 1 month old baby is brought to A&E by his mother due to vomiting.  On examination, you notice he is very dehydrated and requires immediate fluid resuscitation.  Blood test shows that his sodium levels are very low.

 

 

5. A 32 year old woman presents with a lump in the neck.  On further questioning, you find out that she experiences episodes of palpitations, sweating and anxiety.  Past medical history reveals that she broke her tibia when she tripped over something a few months ago.

 

 

 

ANSWERS

1. N

2. H

3. A

4. K

5. L