Pathology EMQ.

Name: Ting-Seng TANG

Theme: Raised ESR

OPTION LIST

A	Anaemia	I	Uraemia
B	Paget’s disease	J	Systemic lupus erythematosus
C	Tuberculosis	K	Bechet's syndrome
D	Disseminated Malignancy	L	Hypothyroidism
E	Rheumatoid arthritis	M	Infectious mononucleosis
F	Sarcoidosis	N	Multiple myeloma
G	Giant cell arteritis	O
H	Polycythaemia	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 46-year-old woman with painful rash on shins and bilateral hilar lymphadenopathy. FBC results showed Hb 12g/dL, WBC 5.5*10^9/L with ESR 110mm/h

2. A 70-year-old man presents with low back pain, tiredness and headaches. A skull X-ray reveals numerous punched out lesions. FBC result showed ESR of 130mm/h

3. A 60-year-old woman who just migrated to London from Australia complains of painful jaw and headache. FBC results showed Hb 8.6g/dL, WBC 7.5*10^9/L with ESR 120mm/h

4. A 19-year-old girl complains of tiredness and sore throat after university orientation last week. On examination you discover some maculopapular rash on her legs and enlarged lymph nodes around the neck.

5. A 40-year-old woman complained of tired-all-the-time. On examination, you noticed scaly and thickened skin over her lower legs. FBC results showed Hb 11.2g/dL, WBC 4.5*10^9/L with ESR 110mm/h

ANSWERS

1. F

2. N

3. G

4. M

5. L