Pathology EMQ template.

Name: Toby Rowland

Theme: Systemic Disease

 

OPTION LIST

 

A	Amyloidosis	I	Sarcoidosis
B	Chronic Fatigue Syndrome	J	Scleroderma
C	Churg-Strauss syndrome	K	Sjogren’s syndrome
D	Dermatomyositis	L	Systemic Lupus Erythematosus
E	Kawasaki’s disease	M
F	Polyarteritis Nodosa	N
G	Polymyositis	O
H	Rheumatoid arthritis	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 45 year old woman presents with fatigue and joint pain. She also complains of a dry mouth. She tests positive for anti-Ro antibodies.

 

2. A youthful looking 55 year old woman presents with reduced movement and pain in her fingers, particularly in cold weather. On examination you note fine crackles on auscultation of the chest.

 

3. A 29 year old woman presents with weight loss and fatigue and a rash on her shins. She also mentions that she has had a persistent cough for the past few months.

 

4. A 27 year old woman presents with generalised fatigue, including difficulty climbing stairs. She also reports some difficulty swallowing. She does not have any rash.

 

5. A 52 year old women presents with fatigue, weight loss and weakness and abnormal sensation in her left hand. On examination she has an irregular pulse and her urine tests positive for protein.

 

ANSWERS

1. K

2. J

3. I

4. G

5. A