Pathology EMQ template.

Name: Jonathan Simon

Theme: GI Bleeds

 

OPTION LIST

 

A	Oesophageal varices	I	Crohn’s Disease
B	NSAIDs	J	Duodenal diverticulitis
C	Gastric Ulcer	K	Coeliac disease
D	Mallory-Weiss tear	L	Foreign body ingestion
E	Epistaxis	M	Haemorrhoids
F	Duodenal Ulcer	N	Anal Fissure
G	Neoplasm	O
H	Intestinal Polyposis	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 72 year old woman with a history of rheumatoid arthritis presents with a 2 day history of abdo pain and black tarry stools.

 

2. A 24 year old man of no fixed abode presents with bloody vomiting after a heavy night of drinking.

 

3. A rugby player presents with black tarry stools 2 days after a rugby match. He reports no abdo pain or relevant past medical history.

 

4. A 17 year old girl with a history of smoking and the OCP presents with weight loss and blood mixed in with stool.

 

5. A 56 year old woman presents with profuse black tarry stools. She is noted to be overweight, clubbed and has distended abdominal veins.

 

 

ANSWERS

1. B

2. D

3. E

4. I

5. A