Pathology EMQ template.

Name: Rachel Timms

Candidate number: 9258: used in mock

Theme 13: Osteoarticular pathology: 171 – 175 (Rachel Timms)

OPTION LIST

A	Bony metastases	I	Osteosarcoma
B	Chondrosarcoma	J	Paget’s disease
C	Ewing’s sarcoma	K	Primary hyperparathyroidism
D	Gout	L	Rheumatoid arthritis
E	Osteoarthritis	M	Secondary hyperparathyroidism
F	Osteomalacia	N	Tertiary hyperparathyroidism.
G	Osteomyelitis	O
H	Osteoporosis	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. Reduction in bone mass in the presence of normal mineralization.

2. Aggressive malignant tumour which usually affects adolescents.

3. Increased osteoclastic breakdown of bone due to increased PTH secretion, usually in the presence of a raised serum calcium and normal renal function.

4. Deficient bone mineralisation which can occur in patients with renal failure or intestinal malabsorption.

5. Increased osteoblastic and osteoclastic activity causes bone pain. Calcium and PTH are normal.

ANSWERS

1. H

2. C

3. K

4. F

5. J