Pathology EMQ template.

Name: Joshua Singleton

Theme: Upper GI

 

OPTION LIST

 

A	Mallory Weiss tear	I	Aortoenteric fistula
B	Dueodenal ulcer	J	Barrett’s oesophagus
C	Oesophageal varices	K
D	Gastric ulcer	L
E	Dieulafoy lesion	M
F	Gastric Carcinoma	N
G	Gastritis	O
H	Oesophagitis	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 middle aged, obese female who has been having pruritus for a long time presents with haematemesis and melaena. On examination she has xanthelasma, no signs of chronic hepatocellular failure but moderate splenomegaly.

 

 

2. A 75-year-old male with a history of weight loss presents with haematemesis and melaena.  On examination he looks cachectic and on palpation of the abdomen a hard, craggy liver is felt

 

 

3. A 24-year-old male who has been on an alcoholic binge presents wit haematemesis following a period of prolonged vomiting. On examination he is inebriated but there is no cardiovascular instability and his haemoglobin is within normal limits

 

 

4. A 50-year-old salesman who has been complaining of abdominal discomfort of several months duration. The discomfort is relieved by meals but wakes him up form his sleep. He presents with a 3-day history of melaena

 

 

5. A 78-year-old male who has had a repair of an abdominal aortic aneurysm presents with melaena, tachycardia a fall in BP and is found to be anaemic.

 

 

 

ANSWERS

1. C

2. F

3. A

4. B

5. I