Pathology EMQ template.

Name: Vasileios Acheimastos     

Theme: Adrenal

 

OPTION LIST

 

A	Addison’s disease	I	Secondary hyperaldosteronism
B	Congenital adrenal hyperplasia	J
C	Conn’s disease	K
D	Cushing’s disease	L
E	Iatrogenic Cushing’s	M
F	Phaeochromocytoma	N
G	Pituitary adenoma	O
H	Pseudocushings	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 35yo woman presents with amenorrhoea, weight gain and easy bruising. She also complains of baldness and abnormal hair growth on her chest. On examination you notice some striae on her abdomen. She informs you that she suffers from Crohn’s disease and takes treatment for it.

 

 

2. A 42yo woman complains of fatigue, weakness standing up and muscle pains. You notice that she has a tan although it is still November. Lab findings show a low cortisol with a high ACTH.

 

 

3. A 38yo man complains of fatigue, weakness, muscle cramps and headaches. Blood findings show: K+: 2.8 and Na+: 148. He has no other medical problems.

 

 

4. A 25yo man presents to the clinic with perfuse sweating, tremor and palpitations. He hasn’t noticed any change in his weight.

 

 

5. A 14yo girl comes to the clinic with her parents complaining of irregular periods and excess hair growth. Her mother also points out that her daughter has not grown enough for her age despite her and her husband being tall, along with their two other children.

 

 

ANSWERS

1. E

2. A

3. C

4. F

5. B