Pathology EMQ template

Name: Rory Cuthbert

Theme: Diseases of the pancreas

 

OPTION LIST

 

A	Insulinoma	I	Gastritis
B	Adenocarcinoma	J	Zollinger-Ellison syndrome
C	Cystadenoma	K	Cystic fibrosis
D	Gastrinoma	L	Diabetes mellitus
E	Heterotopic pancreas	M	Pancreatitis
F	Annular pancreas	N	Appendicitis
G	Pancreas divisum	O	Cholecystitis
H	Pancreatic pseudocyst	P	Pancreatic carcinoma

 

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 40 year old man with a history of attending A&E while drunk presents with a 2 day history of increasing epigastric and left-sided upper abdominal pain radiating to the back. He retches continually, and there is upper abdominal tenderness and guarding.

 

2. An 83 year old woman presents with a 2 week history of progressive jaundice and pruritis. Direct questioning reveals a 3 month history of anorexia and weight loss. On examination, she is cachectic and deeply icteric, with a palpable gallbladder but no hepatomegaly.

 

3. An 18 year old student is rushed to A&E after fainting during a hockey match. On questioning he remembers feeling dizzy and developing palpitations before blacking out. He has twice suffered similar instances previously following intensive exercise.

 

4. A 76 year old woman presents with a 5 day history of painless obstructive jaundice. A CT scan shows a 5cm mass in the head of the pancreas. FNA of the mass reveals malignant glandular cells.

 

5. A 30 year old man presents with abdominal pain and nausea. An ECRP reveals two separately draining ducts within the pancreas.

 

ANSWERS

1. M

2. P

3. A

4. B

5. G