Pathology EMQ template

 

YourName:  Lucy Abbott

YourIdentifier: Abbott Lu

Theme:  Atherosclerosis

 

OPTION LIST

 

A

Acute Coronary Syndrome

I

Dressler’s Syndrome

B

Acute Myocardial Infarction

J

Mitral Stenosis

C

Aortic Dissection

K

Pericarditis

D

Aortic Stenosis

L

Pulmonary embolus

E

Cerebrovascular Accident

M

Restrictive cardiomyopathy

F

Coarctation of the Aorta

N

Stable Angina

G

Coronary artery spasm

O

Transient Ischaemic Attack

H

Decubitus Angina

P

Ventricular Tachycardia

 

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 70 year old lady presents to her GP complaining of tight chest pain, which radiated to her left arm and was relieved by rest.  Her ECG revealed some st depression.

 

 

2.   A 50 year old male smoker, with a history of hypertension presents to the A and E department with continuous, central, crushing chest pain radiating to the left arm.  The ECG showed st elevation.

 

 

3.   A 63 year old obese, diabetic male presents to A and E with tight chest pain at rest, which radiated to the left arm and lasted for less than 20 minutes.  The CK was not raised.

 

 

4.   A 68 year old man presents with sudden onset chest pain, which radiated to the back.  On examination the patient was shocked, with a hemiplegia and the chest X-ray showed mediastinal enlargement.

 

 

5.   A 73 year old man with a known history of peripheral vascular disease presents to the A and E department with a sudden onset hemiplegia which resolved within 24 hours.

 

 

ANSWERS

1. N

2. B

3. A

4. C

5. O