Pathology EMQ template.

Name: Kathryn Oakland

Candidate number:

Theme: Nutrition

OPTION LIST

A	B1 Thiamin deficiency	I	Niacin
B	B2 Riboflavin deficiency	J	Pellagra
C	Beri beri	K	Pernicious Anaemia
D	Dermatitis	L	Vitamin A Retinol deficiency
E	Folate deficiency	M	Vitamin D deficiency
F	Fluorosis	N	Scurvy
G	Haemochromatosis	O	Wilson’s
H	Hypochromic anaemia	P	Zinc excess

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 32 year old man with known celiac disease presents with generalised aches and pains. He has recently noticed muscle weakness particularly in his legs, and finds it difficult to stand up from sitting.

2. A 28 year old diabetic man presents with lethargy, a fabulous tan and a raised serum ferritin.

3. A 47 year old woman presents acutely with confusion, a broad based gait and nystagmus. She has a history of alcohol abuse and you notice a bottle of blue WKD in her bag.

4. An nine month old baby girl presents with irritability, bruising, a purpuric rash and gingival bleeding. She was breast fed until 4 months.

5. A 36 year old water-treatment worker presents with bone pain. She has also noticed changes in her tooth enamel.

ANSWERS

1. M

2. G

3. A

4. N

5. F