Pathology EMQ template.
Name:
Candidate number:
Theme: Causes of hypoglycaemia
OPTION LIST
|
A |
Type I Diabetes |
I |
Beckwith-Wiedemann syndrome |
|
B |
Type II Diabetes |
J |
|
|
C |
Salicylate poisoning |
K |
Hepatoma |
|
D |
Cushing’s syndrome |
L |
Adrenal carcinoma |
|
E |
Addison’s disease |
M |
Glycogen storage disease |
|
F |
Insulinoma |
N |
|
|
G |
Alcohol abuse |
O |
|
|
H |
Reye’s syndrome |
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 30 year old banker presented vomiting and nausea. On examination, he was restless and hyperventilating. On further questioning, he reveals that he has been experiencing severe headaches for the past month and is very stressed with work. Blood tests reveal a metabolic acidosis and hypoglycaemia.
2. A 5 year old was referred to the endocrine clinic with hypoglycaemia and high glucocorticoids in the Dexamethasone suppression test. On close examination, he was found to have splenomegaly and horizontal folds in his ear lobes.
3. A 10 year old was seen in the A&E department was severe diarrhoea, vomiting and muscle weakness. Temp:37.5°C BP:100/54 Pulse:95 Blood tests reveals a high WCC and hypoglycaemia.
4. A 40 year old teacher complains of recurrent headaches and double vision. On further questioning, the GP finds that the patient is slightly confused and irritable. She has also put on a massive 2 stones within the last 3 months. Blood tests reveal hypoglycaemia.
5. A 20 year old student presented to A&E unconscious on new year’s day. Blood test reveal metabolic acidosis and hypoglycaemia.
ANSWERS
|
1. C |
2. I |
3. E |
4. F |
5. G |