Pathology EMQ template.

Name: Dushyanth Gnanappiragasam

Theme: Connective tissue disease

OPTION LIST

A	Ankylosing spondylitis	I	Reiter’s syndrome
B	Chondrocalcinosis	J	Scleroderma
C	Fibromyalgia	K	Septic arthritis
D	Juvenile idiopathic arthritis	L	SLE
E	Myositis
F	Osteoarthritis
G	Osteoporosis
H	Psoriatic arthritis

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 53 year old diabetic man presents with rigors and a hot swollen knee, CRP > 200 mg/l, Temperature: 38 ⁰C. He is unable to weight bear. 

2. A 22 year old man develops a swollen right ankle. Further questioning reveals he suffers from back and neck pain which improves with exercise. Spinal X-rays show ‘bony bridges’ between the vertebrae.

3. A 26 year old female presents with two swollen toes on the right foot, a swollen ankle and wrist. She has also suffered from episodes of iritis in the past and has been diagnosed with colitis following a recent colonoscopy.

4. A 40 year old lady has painful swollen MCP joints on the left hand and a swollen right wrist. Urinalysis reveals significant proteinuria. Anti-nuclear antibodies (ANA) are positive.

5. A 24 year old man presents with a swollen knee. He also has ‘scabby’ feet for over 3 months and recalls pain on urination on several occasions. He is sexually active and describes episodes of a ‘pink-eye’ in the last few weeks.

ANSWERS

1. K

2. A

3. H

4. L

5. I