Pathology EMQ template.

Name: Tareq Ammari

Theme: Allergy

OPTION LIST

A	Medication side effect	I	Food intolerance
B	Acute urticaria	J	Hayfever
C	Asthma	K	Hyper IgM
D	C1 inhibitor deficiency	L	Type I hypersensitivity
E	Chronic Granulomatous Disease	M	Type II hypersensitivity
F	Chronic urticaria	N	Type III hypersensitivity
G	Contact dermatitis	O	Type IV hypersensitivity
H	Dermatitis herpetiformis	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. Distressed parents rush their 7-year-old boy to A&E.  He’s experiencing difficulty breathing and facial swelling, which started suddenly during a family picnic.  His father mentions there was a dead wasp close to where his son collapsed.

2. A student presents with ‘a lot of sneezing’ and a runny nose.  He’s anxious as he cannot concentrate on his upcoming summer exams, and mentions this happened to him the last 2 years.

3. A 16-year-old boy has had several bouts of facial swelling and unexplained severe abdominal pain.

4. A 10-year-old girl experiences significant weight loss, abdominal pain and diarrhoea.  Her parents are particularly worried about a blistering rash on her elbows and knees that she only experienced after they moved from Ireland.

5. A 48-year-old man develops and itchy rash on his hands that makes his skin dry and cracked.  It’s particularly worse if he’s been gardening.

ANSWERS

1. L

2. J

3. D

4. H

5. G