Pathology EMQ

Name: Charlotte Colley

Theme: Connective Tissue Disease

OPTION LIST

A	Sjögrens Syndrome	I	Henoch- Schönlein purpura
B	Scleroderma	J	Mixed Connective Tissue Disease
C	Rhematoid Arthritis	K	Temporal arteritis
D	Churg Strauss Syndrome	L	Kawasaki disease
E	Polymyositis	M	Scurvy
F	SLE	N
G	Ehler Danos Syndrome	O
H	Dermatomyositis	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 lady presents with sudden onset parotid swelling and dry eyes. She is Rheumatoid factor positive, ANA positive and anti-Ro positive.

 

 

2. A 43 year old lady presents with dry eyes, pain and swelling in her wrists and some joints in her hand. She has stiffness in these joints for over an hour after getting up in the morning and is anti-CCP positive.

 

 

3. A 6 year old boy presents with purple spots of 0.6cm and pain in the ankles, knees, elbows and abdomen. He has had a recent URTI.

 

 

4. A 13 year old male presents with a persistent fever, strawberry tongue and red swollen lips. He also has cervical lymphadenopathy and painful swelling of the hands and feet.

 

 

5.  A 42 year old lady presents with difficulty swallowing, telangiectasia and difficulty in moving her fingers.

 

1. A

2. C

3. I

4. L

5. B