Pathology EMQ template.

Name: Alex Beverly

Theme: Cerebrovascular Disease

OPTION LIST

A	Atrial Fibrillation	I	Dehydration
B	Mural Thrombus	J	Thiamine Deficiency
C	Dressler’s Syndrome	K	β-Thalassemia
D	Autosomal Dominant PKD	L	Cocaine use
E	Autosomal Recessive PKD	M	Extradural Haematoma
F	Sickle Cell- HbSS	N	Subdural Haematoma
G	Sickle Cell- HbSC	O	TIA
H	Sickle Cell- HbSA	P	Iatrogenic

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 6yr old Afro-Caribbean presents with sudden onset left-sided weakness and slurred speech. His mother reports that he receives monthly blood transfusions.

2. A 22yr old banker presents to A and E with a sudden onset severe headache and vomiting. She is worried as 2 years ago her cousin died from a ‘bleed in the brain’, though her own past medical history is unremarkable.

3. A 64yr old alcoholic presents with a 7-day history of a progressively worsening headache and confusion. There is a crescent shaped lesion on CT scanning.

4. A 76yr old retired policeman presents with sudden onset right-sided weakness, 2 weeks after being admitted for a myocardial infarction.

5. A 89yr old lady with Alzheimer’s who is recovering on an orthopaedic ward following a hip replacement becomes lethargic. Blood results show raised sodium.

ANSWERS

1. F

2. D

3. N

4. B

5. I