Pathology EMQ template.

Name: Gregory Manning

Theme: Non-neoplastic bone disease

 

OPTION LIST

 

A	Gout	I	Septic arthritis
B	Osteitis fibrosa cystica	J	Tuberculosis
C	Osteomalacia	K
D	Osteomyelitis	L
E	Osteoporosis	M
F	Paget’s disease	N
G	Pseudogout	O
H	Rickets	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 obese man presents with a fractured neck of femur. On examination you note he has a blood pressure of 170/105 and when you dipstick his urine it is positive for glucose.

 

 

2. A 45-year-old woman from Somalia presents with back pain. You note that she has a fever, and a radiograph of the spine shows collapse of a vertebral body.

 

 

3. A 25-year-old woman presents with weight loss, fatigue and pain in her thighs. An upper GI endoscopy is performed and biopsy of the duodenum shows total villous atrophy.

 

 

4. A 70-year-old man presents with a hot, red and swollen thigh. Throughout your history taking he keeps asking you to speak up, and blood tests show he has a raised ALP.

 

 

5. An 87-year-old woman presents with a painful, swollen knee joint. Aspiration of the synovial fluid is performed and polarised light microscopy reveals the presence of crystals that are positively birefringent.

 

 

 

ANSWERS

1. E

2. J

3. C

4. F

5. G