Pathology EMQ template.

Name: Rebecca Gosling

Theme: Connective Tissue Disease

OPTION LIST

A	Systemic Lupus Erythematosus	I	Type II Osteogenesis Imperfecta
B	Rheumatoid Arthritis	J	Alport syndrome
C	Scleroderma	K
D	Sjogren’s Syndrome	L
E	Mixed Connective Tissue Disease	M
F	Marfan Syndrome	N
G	Ehlers-Danlos Syndrome	O
H	Type I Osteogenesis Imperfecta	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 60 yr old woman presents with dry mouth and dry eyes. Ultrasound examination of the salivary glands showed small 2-4mm lesions.

2. A 40 yr old woman presents to the GP complaining of pain in her hands (on examination there is swelling of the joints and Raynaud phenomenon) and feeling out of sorts.
Lab results show a positive speckled ANA and and anti-U1-RNP antibody.

3. A 25 yr old woman presents complaining of lethargy and hair loss on examination she has a butterfly rash across her cheeks.

4. An optician refers a 12 year old boy with severe myopia. On examination the patient is thin and flexible with an indented chest. 

5. An 8 year old boy with blue sclerae

ANSWERS

1. D

2.  E

3. A

4. F

5. H