Pathology EMQ template.

Name: Chetan Khatri

Theme: Hypercalcaemia

OPTION LIST

A	Primary Hyperparathyroidism	I	Drug Toxicity
B	Secondary Hyperparathyroidsm	J	Osteomalacia
C	Tertiary Hyperparathyroidism	K	Osteoporosis
D	Lymphoma	L	Multiple Endocrine Neoplase 1
E	Addison’s Disease	M	Myeloma
F	Normal	N	Sarcoidosis
G	Vitamin D Deficiency	O
H	FHH (Familial Hypercalciuric Hypercalcaemia)	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 22-year-old rugby player wearing a Halo brace after recent spinal surgery presents with increased urinary frequency and malaise. His calcium is 2.64.

2. A 62-year-old gentleman presents with backache, fatigue and increased urinary frequency. Biochemistry reveals a calcium of 3.12 and a high ESR.

3. A 45 year old lady with long-term bipolar disease has a calcium of 2.71 on routine bloods.

4. A 35-year-old lady presents with erythema nodosum and a cough. A chest radiograph reveals bilateral hilar lymphadenopathy. Biochemistry reveals a serum calcium of 2.61

5. A 70-year-old male with end stage renal failure. Calcium levels of 3.2 and a raised phosphate and PTH are found.

ANSWERS

1. F (immobility following spinal fracture)

2. M

3. I (Lithium)

4. N

5. C