Pathology EMQ template.

Name: Fatemah Dharsi

Candidate number:

Theme: Pancreatic Pathology

OPTION LIST

A	Acute Pancreatitis	I	Annular pancreas
B	Chronic Pancreatitis	J	Pancreas divisum
C	Serum amylase	K	Pyloric stenosis
D	Duodenal ulcer	L
E	Abdominal ultrasound	M
F	Cystic Fibrosis	N
G	Erect chest X-ray	O
H	Zollinger-Ellison syndrome	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 35 year old woman presents to A&E with severe epigastric pain radiating to the back. She has associated nausea and vomiting. Which test does this patient require to make an accurate diagnosis?

2. A twenty two year old mother brings her infant into casualty. The infant has been unwell for several days with vomiting and failure to thrive. Imaging shows an abnormal ring of tissue around the duodenum. What is the likely diagnosis?

3. A thirty year old female presents to A&E complaining of pain in the upper portion of her abdomen which is worse at night and before meals. Ultrasound scanning reveals an irregular mass in the pancreas. What is the most likely diagnosis?

4. An eighteen year old female with a history of recurrent, episodic abdominal pain presents to A&E suffering from loose, offensive smelling stools. A positive sweat test result has been recorded in the notes. What is the most likely diagnosis?

5. A fifty five year old publican presents with epigastric pain radiating to the back. The history reveals he has had similar episodes over the past year and on examination he appears mildy icteric. Which test would be the most useful to conduct?

ANSWERS

1. G

2. I

3. H

4. B

5. C