Pathology EMQ template.

Name: Charles Brantly

Candidate number:

Theme: Cerebrovascular Disease

OPTION LIST

A	benign intracranial hypertension	I	temporal arteritis
B	berry aneurysm	J	tension headache
C	cerebral abscess	K	tumour
D	cluster headache	L	ungrateful employee
E	glaucoma	M
F	meningitis (viral)	N
G	migraine	O
H	subarachnoid haemorrhage	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 back-office secretary in investment banking complains to her GP of intermittent attacks of tightness and pressure at the front of her head which sometimes radiates to the back and her neck. There is no associated vomiting or visual disturbance. She admits to feeling over-worked even though she got 6 months paid maternity leave.

2. A public school teacher is sitting at work eating a plougman’s when she starts to feel unwell and is unable to see properly, which lasts for 10 mins. Then one side of her head starts to throb and she begins to feel nauseous. Both bright lights and loud noises make her feel worse. 4 hours later it stops and she goes to sleep.

3. 25 year old obese woman goes to GP about worsening headaches. They are especially bad in the mornings and she also feels nauseous with some visual disturbances.

4. This condition is considered a medical emergency, but can lie undetected for years. Treatment is by micro-vascular clipping or occlusion.

5. An elderly diabetic lady with an acute headache and associated blurred vision and vomiting. Pain is localised to the upper anterior region of her head.

ANSWERS

1. J

2. G

3. A

4. B

5. E