Pathology EMQ template.

Name: Hannah Bundock

Candidate number:

Theme: Chemical Pathology

OPTION LIST

A	Primary Hyperthyroidism	I	Vitamin D deficiency
B	Secondary Hyperthyroidism	J	Hypocalcaemia
C	Diabetes mellitus type 1	K	Tuberculosis
D	Diabetes mellitus type 2	L	Lung Cancer
E	Impaired glucose tolerance	M	Psychogenic Polydipsia
F	Impaired fasting glucose	N	Gestational diabetes
G	Sarcoidosis	O	Crohn’s disease
H	Malignancy	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 40 year old woman presents with polyuria and polydipsia. She has a fasting glucose 5.5mmol/L and an oral glucose tolerance test value of 6.9mmol/L. She has a corrected calcium of 2.80mmol/L and a PTH of 7.2pmol/L.

2. A 35 year old Afro-Caribbean lady presents with polyuria and polydipsia. She also complains of a dry cough. She has a fasting glucose of 5.8mmol/L and an oral glucose tolerance test value of 6.5mmol/L. She has a corrected calcium of 2.7mmol/L and a PTH of 7.0pmol/L.

3. A 15 year old girl presents with weight loss, polyuria and polydipsia. Over the last few months she reports feeling increasingly tired and complains of perianal itching. On examination you notice a small perianal abscess. Her fasting glucose is 22.3mmol/L. His corrected calcium is 2.5mmol/L and his PTH is 7.0pmol/L.

4. A 56 year old obese lady presents with polyuria and polydipsia. She complains of tiredness and depression. Her fasting glucose is 5.9mmol/L and her OGTT is 5.5mmol/L. She has a corrected calcium of 2.4mmol/L and a PTH of 7.1mmol/L.

5. A 58 year old Afro-Caribean gentleman presents with polyuria, polydipsia and weight loss. He has a fasting glucose of 5.9mmol/L and an oral glucose tolerance test of 10.1mmol/L. His corrected calcium is 2.5mmol/L and his PTH is 7.0pmol/L.

ANSWERS

1. A

2. G

3. C

4. M

5. E