Pathology EMQ template.

Name: Aaron Odedra

Theme: Pituitary

 

OPTION LIST

 

A	Acromegaly	I	Glucose tolerance test
B	Addison’s disease	J	High-dose dexamethasone suppression test
C	Conn’s syndrome	K	Hydrocortisone
D	Cushing’s disease	L	Low-dose dexamethasone suppression test
E	Cushing’s syndrome	M	Nelson’s syndrome
F	Diabetes insipidus	N	Prolactinoma
G	Desmopressin	O	Pseudo-cushing’s syndrome
H	Glucocorticoid replacement	P	Sheehan’s syndrome

 

 

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 40-year-old man has a low urine output following neurosurgery, what treatment will correct the issue?

 

 

2. A 32-year-old woman presents with headache and visual disturbances in addition to galactorrhoea and amenorrhoea, what is the cause?

 

 

3.  A 50-year-old women presents with increased weight around the trunk, abdominal striae, a “moon face” and thin skin. The diagnosis is confirmed using a pituitary MRI.

 

 

4. A 26-year-old man is believed to have acromegaly, what test is diagnostic?

 

 

5. A 31-year-old female presents with lethargy, depression and weight loss and hyperpigmentation of the palmar creases, what is the diagnosis?

 

 

 

ANSWERS

1. G

2. N

3. D

4. I

5. B