Pathology EMQ template.

Name: Tristan Brown

Theme: Cerebrovascular Disease 2

OPTION LIST

A	Hyaline	I	Dehydration
B	Fibrin	J	Collagen
C	Extradural Haemorrhage	K	Histamine
D	Meningism	L	Internal Carotid Artery
E	Fatty streaks	M	Hyperphosphorylated Tau
F	Subdural Haemorrhage	N	Anterior Communicating Artery
G	Oedema	O	Basilar Artery
H	Intra-Cerebral Haemorrhage	P	Alpha-Synuclein

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. Plays a key role in CNS arteriosclerosis; accelerated deposition is seen in response to calcineurin inhibitors.

2. A 65-year-old smoker attends clinic presenting with confusion and a severe headache, of sudden onset. In his PMHx you note that he has undergone angiography recently; the report states that a berry aneurysm was found. What is the most likely site of the aneurysm?

3. A 25-year-old student is brought into A&E having suffered a head injury during a rugby game, earlier on in the day. Apart from a few dizzy spells, he is clinically well. CT scanning reveals an intracranial bleed, what is this likely to be?

4. A 34-year-old secretary is brought into A&E after being hit by a cyclist. She complains of being drowsy and admits vomiting on her way to hospital. Whilst you are organising investigations, she loses consciousness. MRI of her head reports flat gyri and obliterated sulci. What is the reason for her fluctuating consciousness?

5. A gentleman is known to suffer from dementia with lewy bodies. What proteinaceous deposit makes up this histological feature?

ANSWERS

1. A

2. L

3. F

4. G

5. P