Pathology EMQ template.

Name: Shanika Basnayake

Theme: Cardiac Pathology

 

OPTION LIST

 

A	Acute rheumatic fever	I	Infective endocarditis
B	Aortic regurgitation	J	Libman-Sacks endocarditis
C	Aortic stenosis	K	Mitral regurgitation
D	Arrhythmogenic right ventricular cardiomyopathy	L	Mitral valve prolapse
E	Dilated cardiomyopathy	M	Non-infective endocarditis
F	Endomyocardial fibrosis	N	Pericarditis
G	Familial hypercholesterolaemia	O	Restrictive cardiomyopathy
H	Hypertrophic cardiomyopathy	P	Ventricular septal defect

 

 

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 53 year old lady presents with chest pain and shortness of breath. On examination, a mid-systolic click and a late systolic murmur are heard.

 

 

2. A 17 year old boy presents with palpitations and thickened skin on his palms and the soles of his feet. He mentions that his father died suddenly in his early thirties. An echocardiogram reveals a thin-walled hypokinetic right ventricle.

 

 

3. A 9 year old girl presents with fever and a raised red rash on her trunk. She also complains of painful joints. Her mother informs you that she was recently treated with antibiotics for a sore throat.

 

 

4. A 24 year old man presents to A&E having collapsed suddenly during a game of football. On examination, a loud fourth heart sound is heard and you send him for an echocardiogram. The report describes asymmetrical thickening of the septum.

 

 

5. A 28 year old Afro-Caribbean woman presents with fever and a rash across her cheeks. On examination, a pan-systolic murmur is heard and you send her for an echocardiogram. The report describes small vegetations on the mitral valve.

 

 

 

ANSWERS

1. L

2. D

3. A

4. H

5. J