Pathology EMQ template.

Name:

Candidate number:

Theme:

 

OPTION LIST

 

A

high TSH, low T4

I

 

B

high TSH, normal T4

J

 

C

high TSH, high T4

K

 

D

low TSH, high T4 and T3

L

 

E

low TSH, normal T4 and T3

M

 

F

low TSH, low T4 and T3

N

 

G

 

O

 

H

 

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 25 year old woman has noticed recent weight loss and palpitations.  On examination, she has lid lag and a goitre.

 

 

2. A 21 year old woman complains of weight gain, lethargy and constipation.  On examination she is bradycardic and has a goitre.

 

 

3. A 55 year old man in ITU has been diagnosed with sick euthyroidism

 

 

4. A 57 year old woman taking amiodarone has noticed recent weight loss and palpitations.  On examination she has a goitre.

 

 

5. An 18 year old man has a diet low in iodine and has a goitre.

 

 

 

ANSWERS

1. D

2. A

3. F

4. D

5. A