Pathology EMQ template.

Name: Angharad Care

Candidate number:

Theme: Cardiac Pathology

 

OPTION LIST

 

A	Acute Rheumatic Fever	I	Sub-acute Infective Endocarditis
B	Non-infective Endocarditis	J	Cardiac Failure
C	Chronic Rheumatic Valve Disease	K	Restrictive Cardiomyopathy
D	Pericarditis	L	Hypertrophic Obstructive Cardiomyopathy
E	Acute Infective Endocarditis	M
F	Dilated Cardiomyopathy	N
G	Stable Angina	O
H	Myocardial Infarction	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 69yr old male smoker is rushed into hospital complaining of severe breathlessness when walking upstairs. He is tachycardic with a reduced pulse volume and you also note that his ankles are considerably swollen.

 

2. A 26yr old known I.V. drug user presents with fever, weakness, lassitude and night sweats. On examination you discover a heart murmer.

 

3. A 7yr old girl complains of a rash on her chest and painful joints. On further questioning you discover she had suffered a sore throat only a fortnight ago.

 

4. A young fit 22yr old is rushed into A&E after complaining of a severe chest pain and breathlessness. A loud fourth heart sound is heard.

 

5. A 55yr old male presents to A&E with a sharp centralised chest pain which is relieved by sitting forwards. A pericardial rub is heard at the left sternal edge.

 

 

ANSWERS

1. J

2. E

3. A

4. L

5. D