Pathology EMQ template.

Name: Jasmine Mann

Theme: Non-neoplastic Bone Disease

 

OPTION LIST

 

A	Osteoarthritis	I	Paget’s Disease
B	Osteomalacia	J	Osteitis Fibrosis Cystica
C	Osteomyelitis	K	Sarcoidosis
D	Rheumatoid Arthritis	L	Hyperparathyroidism
E	Infective Arthritis	M	Hypoparathyroidism
F	Gout	N	Renal Osteodystrophy
G	Pseudogout	O	Pott’s Disease
H	Ricketts	P	Lyme’s Disease

 

 

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 45 year old diabetic man presents to A&E with pain and swelling in his big toe. He has been feeling tired and feverish. Blood cultures are positive for Staph A.

 

 

2. A 57 year old man presents to A&E with pain and swelling in his big toe. A joint aspirate shows negatively bifringent crystals under polarised red light.

 

 

3. A 31 year old woman is complaining of pain and swelling in her hands. She recalls that her mum had similar problems at the same age. Histology report shows Grimely- Sokoloff cells.

 

 

4. A 19 year old man presents to his GP with swelling and a rash on his thigh. He states that he has just returned from a summer camp 10 days ago. Organisms were isolated from the skin biopsy.

 

 

5. A 68 year old woman is complaining of tiredness and abdominal pain. She also says that she has been feeling a bit down recently. Blood tests reveal; calcium 2.8 mmol/l, ALP 90 IU/l and PTH 20 pg/ml.

 

 

 

ANSWERS

1. C

2. F

3. D

4. P

5. L