Pathology EMQ

Name: Navraj Singh Kular

Theme: Metabolic Bone Histopathology

 

OPTION LIST

 

A	Familial hypocalciuric hypocalcaemia	I	Primary hyperparathyroidism
B	Multiple myeloma	J	Renal Osteodystrophy
C	Osteoarthritis	K	Rickets
D	Osteogenesis imperfecta	L	Secondary hyperparathyroidism
E	Ostemalacia	M
F	Osteomyelitis	N
G	Osteoporosis	O
H	Paget’s disease	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. 25 year old man comes in complaining of thirst, polyuria and seizures. Investigations show Ca: 2.85, normal PTH, low urine calcium.

 

 

2. A worried mother brings in here 8 year old bowed legged boy comes complaining that he is small for his age. X rays shows decreased mineralisation of bone.

 

 

3.  60 year old man with a 15 year history of diabetes and hypertension complains of bone pain. X-rays of the knees show chondrocalcinosis and blood tests show low calcium and increased PTH and phoshate.

 

 

4. 35 year old man complains of extreme loin to groin pain. Investigations show Ca: 3.10 raised PTH and low phosphate.

 

 

5. 45 year old woman complains of sharp shooting pains in her right leg. X-ray of the leg shows thickening and bowing of the bone and blood tests show high alkaline phosphatase and normal calcium levels.

 

 

 

ANSWERS

1. A

2. K

3. J

4. I

5. H