Pathology EMQ template.
Name: Nader Henry
Theme: Hypercalcaemia
OPTION LIST
|
A |
Tertiary Hyperparathyroidism
|
I |
Medullary Cell Carcinoma
|
|
B |
|
J |
Sarcoidosis
|
|
C |
Hypoparathyroidism
|
K |
Multiple Myeloma
|
|
D |
Vitamin A Intoxication
|
L |
Pseudohyperparathyroidism
|
|
E |
Paget’s Disease
|
M |
Osteomalacia
|
|
F |
Familial Hypocalciuric Hypercalcaemia
|
N |
Osteoporosis
|
|
G |
Papillary Carcinoma
|
O |
Addison's Disease
|
|
H |
Diabetes Mellitus
|
P |
Multiple Endocrine Neoplasia 1
|
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. Mr Smith has a history of end-stage renal failure. Routine blood tests demonstrate adjusted serum calcium of 3.2mmol/L and elevated PTH levels
2. A 22-year-old female with a long history of depression recently found herself more anxious and nauseous. Following routine blood tests from the dermatology clinic, she was noted to have hyper-calcaemia and mildly elevated cholesterol levels.
3. A 9 year old boy presented to his GP following a few episodes of green urine. Urinalysis revealed a 24-hour urine calcium measurement of <2mmol/24hr. Further serum analysis revealed a mildly elevated calcium and PTH.
4. A thin 18 year old male who was recently diagnosed by his GP with gastritis, presented acutely to A&E with severe abdominal pain, nausea, vomiting and lethargy. His blood glucose was found to be low at 3mmol/l.
5. Mrs Jones presents to her GP complaining of abdominal pain, bone pain, nausea and constipation. Her adjusted serum calcium was found to be 3.2mmol/L with undetectable PTH. Serum electrophoresis demonstrates a monoclonal band.
ANSWERS
|
1. A |
2. K |
3. D |
4. F |
5. P |