Pathology EMQ template.

Name: Hind Al-Qassab      

Theme: Allergy

 

OPTION LIST

 

A	Extrinsic allergic alveolitis	I	Coeliac disease
B	Acute Anaphylaxis	J	C2 deficiency
C	Angioedema	K	Hyper IgM syndrome
D	Allergic rhinitis	L
E	Chronic uticaria	M
F	C1 Inhibitor Deficiency	N
G	Eczema	O
H	Acute uticaria	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 30-year-old farmer presents with repeated episodes of fever, rigors, dry cough and shortness of breath with onset several hours after starting work. On examination he is pyrexial with coarse end- expiratory crackles. His chest radiograph shows mid-zone mottling.

 

 

2.  A white 11 month old girl has been losing weight for the last 2 months, although her length is unaffected. She presents with a distended abdomen and loose offensive stools.

 

 

3. A 19 year old builder presents to his GP with recurrent bouts of abdominal pain and swollen feet. On further questioning he recalls being taken to hospital as a child when his “throat swelled up and he couldn’t breathe”.

 

 

4. A 7 year old girl is given antibiotics for a throat infection. She immediately develops oedematous, erythematous plaques on her skin. These lesions exhibit migratory behavior. At a follow up appointment 3 weeks later, it is found that these have completely resolved.

 

5. A 17-year-old woman presents with wheeze and marked perioral swelling: PaO2 7.0 kPa (on 28 per cent O2), PaCO2 4.1 kPa.

 

 

 

 

ANSWERS

1. A

2. K

3. F

4. J

5. B