Pathology EMQ template.

Name: Aarti Patel         

Theme: Potassium handling

 

OPTION LIST

 

A	ECG shows inverted T waves	I	Treat with 10ml of 20% calcium gluconate.
B	ECG shows tall tented T waves	J	Treat with Aspirin
C	Measure the Aldosterone : Renin ratio	K	Treat with Furosemide
D	Measure the Angiotensin II : Renin ratio	L	Treat with Spironolactone
E	Measure the blood pressure	M	Treat with two oral Sando-K t.d.s. over 48hrs.
F	Treat with 10 units of insulin	N
G	Treat with 10 units of insulin and 50ml of 5% dextrose	O
H	Treat with 10 units of insulin and 50ml of 50% dextrose	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. An elderly patient on the ward has a serum potassium of 3.2 mmol/L.

 

 

2. A 50 year old Asian female arrives in A&E feeling nauseous, with evidence of proteinuria. She is currently on medication for hypertension.

 

3. A patient complains of headaches and muscle weakness. Blood pressure measurements indicate hypertension.

 

4. A patient who had complained of headaches, muscle weakness, constipation and a fluttering feeling in her chest has been found to have bilateral adrenal hyperplasia.

5. A patient currently taking Losartan regularly has started to experience palpitations. Serum potassium levels are 6.5mmol/L.

 

 

 

ANSWERS

1. M

2. B

3. C

4. L

5.H