Pathology EMQ template.

Name: Dominic Cottrell

Theme: Diabetes

 

OPTION LIST

 

A	Acanthosis nigricans	I	Myocardial infarction
B	Diabetes Insipidus	J	SIADH
C	Diabetic nephropathy	K	Ketoacidosis
D	Diabetic neuropathy	L
E	Drug interaction	M
F	Drug overdose	N
G	Hyperosmotic Non-Ketotic Coma	O
H	Immune suppression	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 55 year old woman with a 10 year history of T2DM presents with a dark, velvety “growth” in her axillae. She is worried about it being an infection.

 

 

2. A 65 year old man currently taking gliclazide, metformin and allopurinol for recently diagnosed gout presents with recurrent hypoglycaemia, despite claiming to strictly adhere to his diet and drug regimen. He is wondering whether his diabetes is “getting worse”?

 

 

3. A 64 year old currently taking gliclazide, metformin and citalopram presents to A&E unconscious. He is pale, tachycardic (100bpm), tachypnoeic (30bpm) and is sweating profusely. Blood glucose is 2mmol/L and responds poorly to IV glucose.

 

 

4. A 64 year old presents to A&E unconscious. His U&Es reveal the following: (Na+: 148, K+: 5.7, Cl-: 110mmol/L, glucose: 9.5mmol/L).

 

 

 

5. A 45 year old woman presents to her GP with malaise, weakness and palpitations. Further questioning gives a history of weight loss, itchy hands and leg swelling . An ECG shows tented T-waves. Drug history is limited to gliclazide for T2DM and NSAIDs for rheumatoid arthritis.

 

 

 

 

ANSWERS

1. A

2. E

3. F

4. G

5. C