Pathology EMQ template

 

YourName: Gokulan Phoenix

YourIdentifier: Phoenix

Theme: Pituitary

 

OPTION LIST

 

A

Serum Cortisol

I

Insulin

B

Serum T3

J

Octreotide

C

Oestrogen Deficiency

K

Bromocriptine

D

Oestrogen therapy

L

GH suppression test

E

IGF, Growth Chart

M

TSH

F

Plasma+Urine Osmolarity

N

ACTH

G

Somatotrophin

O

LHRH

H

GH provocation test

P

FSH

 

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. Mrs A is to have a have a CPFT. In preparing the syringe, 200 mcg of TRH, 0.15 units/kg of Insulin are added. What completes the mixture?

 

2. Mrs X, presents to A+E complaining of blurred vision, and a history of amenorrhoea. Upon taking a complete history, Mrs X admits to a 5 month history of breast secretions. What would be the choice of treatment?

 

3. Mr B, a medical student, presents to his GP, with increased body weight, and tiredness. He complains of constipation and mood swings, which he puts down to exam stress. Which of the above should the GP ask for?

 

4. Mr Y, presents to his GP with a long history of decreased libido and impotence. Upon examination, he was found to be hypertensive, and showed Kyphosis of his back. On closer inspection Mr Y showed signs of enlarged feet and hands. Which of the above should the GP ask for?

 

5.  Suggest treatment for Mr Y in Q.4, in the case of a positive result.

 

 

 

 

 

 

 

ANSWERS

1. O

2. K

3. M

4. L

5. J