Pathology EMQ template.

Name: Wann Loh

Candidate number:

Theme: Malabsorption

 

OPTION LIST

A	phosphate	I	Vitamin B1
B	Rheumatoid factor	J	Anti-nuclear antibody
C	Anti-reticulin antibody	K	Anti-mitochondrial antibody
D	Anti-endomysial antibody	L	Sweat sodium concentration
E	Vitamin B2	M	Skin prick test
F	Vitamin B12	N	Vitamin A
G	Vitamin K	O	Vitamin B6
H	Nickel	P	White cell count

 

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. 50 year old woman suspects she is ‘allergic’ to wheat, barley and rye, as she gets mouth ulcers, diarrhoea and tiredness following consumption of these food. What is the investigation of first choice that can be diagnostic?

 

2. A young woman in her 20s presented with bloody diarrhoea, abdominal pain and weight loss. Blood test revealed anaemia. What is likely to be decreased consequent of the bleeding?

 

3. Schilling test is used to investigate which of the above?

 

4. A patient with resected terminal ileum is expected to have a decrease in which of the above?

 

5. A 6 year-old white boy presented with fatty stools, and weight loss. He had recurrent chest infections over the past 2 years. His mother recalled that his cousin also has similar problems. What simplest test is most likely to be diagnostic?

 

ANSWERS

1. D

2. G

3. F

4. F

5. L