Pathology EMQ template.

Name: Piers Thomas

Candidate number:

Theme: Osteoarticular Pathology

OPTION LIST

A	Osteosarcoma	I	Multiple Myeloma
B	Osteopetrosis	J	Prostatic Metastases
C	Rheumatoid arthritis	K	Breast Metastases
D	Rickets	L	Trauma
E	B- thalassaemia	M	Osteoarthritis
F	Osteopenia	N
G	Non accidental injury	O
H	Paget’s Disease	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. An odd looking child has a skull radiograph that shows hair on end appearance.

2. A 64 year old gardener has back pain and a lump in his armpit. A number of small, irregular areas of increased density are seen on the skull radiograph that was taken in error.

3. The wife of the gardener doesn’t seem to hear the diagnosis given to her husband. She’s under the care of a Rheumatologist, and a past skull radiograph showed vault thickening.

4. A little girl from Wales complains of bilateral wrist swelling. She seems generally unkempt and there are indications of neglect.

5. 34 year old woman presents with a sore chest and sore neck. Radiograph shows a rib fracture and two formed calluses. She leaves hospital before you have chance to speak to her.

ANSWERS

1.

2.

3.

4.

5.