Pathology EMQ template.

Name: Tiffany Fan      

Candidate number:

Theme: Diseases of Pancreas

 

OPTION LIST

 

A	Acute exacerbation of chronic pancreatitis	I	Secondary diabetes mellitus
B	Carcinoma of the body of pancreas	J	Severe acute pancreatitis
C	Carcinoma of the head of pancreas	K	Type I diabetes mellitus
D	Gall stone related acute pancreatitis	L	Zollinger-Ellison syndrome
E	Grey Turner’s Sign	M	Mallory-Weiss Tear
F	Heterotopic pancreas	N
G	Type II diabetes mellitus	O
H	Pancreatic cyst	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 40 year old male presents with nausea, vomiting and severe epigastric pain, radiating to the back following an alcoholic binge. He is found to be tachycardic, hypotensive and oliguric.

 

2. A 50 year old known to have Korsakoff’s syndrome presents with epigastric pain after attending a new year’s eve party. He has a 6 month history of episodic epigastric pain.

 

3. A 58 year old patient has blood taken 4 hours after onset of dull, boring, epigastric pain. The serum amylase is raised.         

 

4. A 65 year old male presents with jaundice. On examination he is found to have scratch marks all over the body and no tenderness on palpation of the abdomen. A small mass is palpable in the right hypochondrium in the mid clavicular line.

 

5. A 22 year old man presents with polyuria, thirst and weight loss. He is known to suffer from cystic fibrosis.

 

ANSWERS

1. J

2. A

3. J

4. C

5. I