Pathology EMQ template.

Name: William Ocen

Theme: Pituitary

 

OPTION LIST

A	Primary Hypothyroidism	I	Nelson’s syndrome
B	Secondary Hypothyroidism	J	Iatrogenic Disorder
C	Adrenal tumour	K	Sheehan’s syndrome
D	Primary Hyperthyroidism	L	Phaeochromocytoma
E	Addison’s disease	M	Conn’s syndrome
F	Ectopic ACTH	N	SIADH
G	Pituitary Dependent Cushing’s Disease	O	Steroids
H	Secondary Hyperthyroidism	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.

 

1.44 year old woman presents with fatigue, abdominal pain and generalised arthralgia. On examination her palmar creases are hyperpigmented and she also has postural hypotension.

 

2. A 37 year old lady presents with weight loss, reduced appetite and heat intolerance. She had a low TSH and raised T4 and T3.

 

3. A 52 year old lady presents with lethargy, weight gain and cold intolerance. Investigations revealed raised TSH and low T4.

 

4. Mrs Adams presents with Cushing’s disease and has a bilateral adrenalectomy. She later presents with increased skin pigmentation.

 

5. . A 37 year old lady complains of weight gain, hirsutism, menstrual irregularities and depression. Investigations revealed a raised ACTH and cortisol. Cortisol levels were partially suppressed in a high-dose dexamethasone suppression test.

 

 

ANSWERS

 

1. E

2. D

3. A

4. I

5. G