Pathology EMQ template

YourName: James Lagan

YourIdentifier: lagan jal1

Theme: Lower Gastrointestinal Disease

OPTION LIST

A	Acute appendicitis	I	Irritable bowel syndrome
B	Colorectal cancer	J	Ischaemic colitis
C	Crohn’s disease	K	Gardner’s syndrome
D	Diverticulitis	L	Pseudomembranous colitis
E	Familial adenomatous polyposis	M	Sigmoid volvulus
F	Gastrocolic fistula	N	Toxic megacolon
G	Haemorrhoids	O	Ulcerative colitis
H	Hirschsprung's disease	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. Surgical resection is sent to histology and is reported as "aganglionosis of the distal bowel".

2. A middle aged year old man presents shocked with severe abdominal pain and a distended abdomen. Following fluid resuscitation you ring his gp and find he has a long history of crohn's disease is increasingly depressed and has admitted poor compliance with drugs recently.

3. A hospitalised patient recovers briefly after aggressive treatment of pneumonia but goes on to develop bloody diarrhoea.

4. An elderly woman presents with bloody diarrhoea and generalised abdominal pain. No bowel sounds are present. Collateral history from her daughter identifies that the patient has a hypercoagulable state and that she takes atorvastatin & ramipril.

5. A 25 year old man goes to a gastrointestinal clinic complaining of blood in his stool. You book him in for a colonoscopy where multi polyps are seen throughout the bowel. You discuss the findings on his return to clinic and on examination you find he has unusual fibrous lumps on his tendons and has numerous dental caries.

ANSWERS

1. H

2. N

3. L

4. J

5. K