Pathology EMQ template.

Name: James Price

Theme: Respiratory Disease

 

OPTION LIST

 

A	Anxiety	I	Mesothelioma
B	Asbestosis	J	Myocardial Infarction
C	Asthma	K	Pneumothorax
D	Bronchopneumonia	L	Pulmonary Embolism
E	COPD	M	Sarcoidosis
F	Empyema	N	Tuberculosis
G	Extrinsic Allergic Alveolitis	O
H	Influenza	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 30 year old male is admitted to hospital with acute onset shortness of breath. Bloods, a chest XR and sputum samples are ordered. The sputum shows Curshmann’s spirals and Charcot Leyden crystals.

 

 

2. A 60 year old retired builder presents to his GP with a productive cough. Sputum samples are taken and H&E stain shows the presence of asbestos bodies.

 

 

3. A 50 year old lady attends the respiratory clinic. She has had a recent biopsy which shows non-necrotising granulomas and an incidental finding on her blood test showed elevated Angiotensin Converting Enzyme (ACE) levels.

 

 

4. A 30 year old female presents to A&E with sudden onset shortness of breath and chest pain. On examination you think you hear a pleural friction rub.

 

 

5. A 40 year old farmer is undergoing investigations for difficulty breathing and a chronic cough. A biopsy reveals hypertropic mucous glands and goblet cell hyperplasia.

 

 

 

ANSWERS

1. C

2. B

3. M

4. L

5. E