Pathology EMQ template.

Name: Madhura Ghosh

Theme: Coagulation

OPTION LIST

A	Activated Partial Thromboplastin Time	I	Fasting Plasma Homocysteine Levels
B	Activated Protein C Resistance tests	J	Heparin Antibodies
C	Fibrinogen Levels	K	Urine Human Chorionic Gonadotrophin
D	Anticardiolipin antibodies	L	Flow Cytometry
E	Plain film X-ray	M	Ultrasound
F	Full Blood Count	N
G	D-dimer	O
H	Prothrombin Time	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 32 year old woman has a GP check up. She gave birth to a premature child 10 weeks ago after suffering 3 miscarriages. On close examination she appears to have a purple mottled lace-like rash. What is the most appropriate diagnostic test?

2. A 28 year old woman presents to the emergency department with sudden onset chest pain and shortness of breath. History reveals recent recurrent vomiting, tiredness, frequently low moods and over 30 days since her last menstrual period. What is the most appropriate diagnostic test?

3. A 60 year old man presents with headaches, blurred vision and ringing in his ears. He has flushed cheeks and complains he has been itching after hot baths. What is the most appropriate diagnostic test?

4. A tall and thin 22 year old man presents with right sided numbness and weakness on his body and difficulty formulating speech. His symptoms resolve whilst in hospital. On examination, he appears to have a downward dislocation of his lens and long limbs relative to his body. What is the most appropriate diagnostic test?

5. A 55 year old Caucasian woman arrives in A&E with a red, painful, swollen leg. History reveals she recently travelled to London from Aberdeen via train. She says she has had a previous episode 7 years ago and her 2 of her siblings have also previously experienced similar symptoms. What is the most appropriate diagnostic test?

ANSWERS

1. D

2. K

3. F

4. I

5. B