Pathology EMQ template.

Name: Elvis Aduwa

Candidate number:

Theme: Allergy

 

OPTION LIST

 

A

Corticosteroids

I

Acute urticaria

B

H1 receptor blockers

J

Angioedema

C

Specific IgE test

K

Allergic rhinitis

D

Omalizumab

L

Schnitzler syndrome

E

WaldenstršmÕs macroglobulinaemia

M

Hypereosinophilic syndrome

F

Imatinib

N

Sodium cromoglicate

G

MGUS

O

Erythema multiforme

H

Chronic urticaria

P

Stephen Johnson Syndrome

 

 

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 7 year old girl is given antibiotics for a throat infection. She immediately develops oedematous, erythematous plaques on her skin. These lesions exhibit migratory behaviour and completely resolve within 1 month.

 

 

2. A drug which stabilises the mast cell membrane, inhibiting the release of vasoactive mediators.

 

 

3. A 55 year old man with chronic, recurrent, urticarial eruption. He also complains of recurrent fevers and joint and bone pain. Examination reveals lymphadenopathy and a monoclonal IgM paraproteinaemia is noted on investigation.

 

 

4. A monoclonal antibody against IgE

 

 

5. The treatment of choice in this disease when the FIP1L1/PGDFRA mutation is not expressed

 

 

 

ANSWERS

1.     I

2.     N

3.     L

4.     D

5.      A