Pathology EMQ template

YourName: Sherine Rahal

YourIdentifier:

Theme: Porphyrias

OPTION LIST

A	Porphobilinogen in palsma	I	Porphobilinogen in urine
B	Heme in urine	J	Lead poisoning
C	Acquired porphyria	K	Transferrin
D	Iron poisoning	L	Acute intermittent porphyria
E	Variegate porphyria	M
F	Porphyria cutanea tarda	N
G	B-globin	O
H	Heme	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 45 year old woman with intermittent acute porphyria has a positive Watson – Schwartz test. This indicates the presence of:

2. A 50 year old man recently diagnosed with schizophrenia presents to A&E with abdominal pain, hysteria and weakness in his lower limbs. He has no skin lesions.

3. A 38 year old man with known hepatitis C presents to his GP with blistering on his face, forehead, and forearms.

4. A 55 year old painter presents to A&E with reduced cognitive function, nausea, abdominal pain and irritability. He also describes the taste of metal in his mouth.

5. Porphyrias are a group of inherited or acquired disorders that result from the abnormal synthesis of:

ANSWERS

1. I

2. L

3. F

4. C J

5. H