Pathology EMQ template

YourName: Jasprit Bhamrah

YourIdentifier:

Theme: Cardiac Pathology

OPTION LIST

A	Myomalacia cordis	I	Myxomatous mitral valve
B	Rheumatic fever	J	Congenital septal defect
C	Mitral regurgitation	K	Pericardial effusion
D	Dilated cardiomyopathy	L	Aortic stenosis
E	Hypertrophic cardiomyopathy	M
F	Aortic regurgitation	N
G	Infective endocarditis	O
H	Pericarditis	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 65 year old man is in hospital after suffering an acute myocardial infarction. The house officer hears a pansystolic murmur on auscultation.

2. A 28 year old sportsman presents to A&E with severe chest pain and breathlessness. He has a history of asthma. There is a systolic murmur on examination.

3. A 39 year old lady suffers a sharp retrosternal chest pain which is worse on inspiration. The finding on auscultation is typical of this presentation.

4. A middle aged women is in hospital after fainting at the gym. She has a severe headache and feels generally unwell. There is a systolic ejection murmur on examination.

5. A 46 year old women presents to A&E out of breath and with severe chest pain. On examination a mid systolic click late systolic murmur is revealed.

ANSWERS

1. A

2. E

3. H

4. L

5. I