Pathology EMQ template.

Name: Begg      

Theme: Cardiac pathology

 

OPTION LIST

 

A	Atrial myxoma	I	Kawasaki Disease
B	Eisenmenger’s syndrome	J	Rheumatic fever
C	Atrial fibrillation	K	Infective endocarditis
D	Pericarditis	L	Buerger’s syndrome
E	Aortic stenosis	M	Vasovagal syncope
F	Hypertrophic cardiomyopathy	N	Mitral regurgitation
G	Myocardial Infarction	O	Takayasu’s arteritis
H	Aortic regurgitation	P	COPD

 

 

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 27 year old woman presents with a headache, dizziness, with chest pain and back pain. On examination her limbs are cold and tender and peripheral pulses are not palpable.

 

 

2. A 38 year old smoker has painful, slightly swollen hands and feet. The pain has progressively worsened and is now worse on exertion and at night time and cold weather.

 

 

3. A 64 year old diabetic and life-long smoker arrives in casualty with a sudden onset of profuse sweating and breathlessness but no associated chest pain.

 

 

4. A 67 year old man is breathless on exertion which has been worsening over the past 3 months. On examination, he has an ejection systolic murmur.

 

 

5. A 26 year old man presents with painless subcutaneous nodules on his elbows and knees, a rash of erythema marginatum on his back, fever and breathlessness.

 

 

 

ANSWERS

1. O

2. L

3. G

4. E

5. J