Pathology EMQ template

YourName: Nadia sohrabi

YourIdentifier:

Theme: Systemic disease

OPTION LIST

A	Systemic lupus erythematosus	I	Polycythemia
B	Hypothyroisdism	J	Rheumatoid arthritis
C	Multiple myeloma	K
D	Sarcoidosis	L
E	Giant cell arteritis	M
F	Paget’s disease	N
G	Infectious monucleosis	O
H	Uraemia	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. This disease is non-organ specific and characterised by vasculitis and anti-nuclear antibodies (ANA).

2. A 55 year old female presents with stiffness of the joints especially following inactivity. On examination there is local swelling and pain of the proximal joints with ulnar deviation of the fingers.

3. An elderly patient presents with malaise and a fever. On examination she is found to have a restrictive ventilatory defect and the presence of erythema nodosum is noted. A chest X-ray shows diffuse bilateral mottled shadows with bilateral hilar lymphadenopathy. Additionallly blood tests reveal hypercalcaemia.

4. Presentation is with anaemia, bone pain, pathologic fractures, or Bence Jones proteinuria.

5. A 15 year old boy presents with fatigue, malaise and a fever in addition to a sore throat. On examination he has enlarged neck lymph nodes with mild hepatosplenomegaly. A full blood count reveals a leucocytosis while specific tests show the presence of antibodies to EBV nuclear antigen.

ANSWERS

1. A

2. J

3. D

4. C

5. G