Pathology EMQ template

YourName: Hayley Moore: used in mock

YourIdentifier: 9173

Theme 14: Nutrition: 176 to 180 (originally Hayley Moore)

OPTION LIST

A	Carbohydrate	I	Protein
B	Copper	J	Riboflavin
C	Fluoride	K	Thiamine
D	Folate	L	Vitamin A
E	Iodine	M	Vitamin C
F	Iron	N	Vitamin D
G	Lipid	O	Vitamin K
H	Niacin	P	Zinc

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 10 year old boy is brought by his mother to your clinic. He is very thin, but has a distended abdomen. What is it that his diet does not contain enough of to cause this?

2. A 50 year old homeless man walks into A and E. He is very thin, smells of alcohol and is vomiting. On neurological examination, you note he has nystagmus and walks with a broad based gait. You give him advice on how to stop drinking, what else would you give?

3. You see a young boy in your clinic. He complains of bone pain and he says he has felt unwell for a few weeks. On examination he is knock-kneed and walks with a waddling gait. What would you be most likely to treat him with?

4. A 16 year old girls presents with pain in her joints and her Mother says that she has become increasingly forgetful over recent times. Last week she put a pan of water on the stove and forgot about it until it boiled dry and melted the pan. On examination you notice Kayser-Fleischer rings in the eyes. What substance is this girl most likely to handle abnormally?

5. A 40 year old woman is brought in by her husband. He explains that she has started getting up during the night and going for walks and then forgetting her way home. She says she has terrible diarrhoea day and night and she wakes to go to the toilet. On examination she has a tremor and you see red scaly patches on her skin. Which vitamin is she most likely to be deficient in?

ANSWERS

1. I

2. K

3. N

4. B

5. H