Pathology
EMQ template
YourName: Ashwath Bandi
YourIdentifier: 00405818
Theme:
Calcium Handling
OPTION
LIST
|
A |
CushingÕs Syndrome |
I |
Osteoporosis |
|
B |
Hypermagnesaemia |
J |
PagetÕs Disease |
|
C |
Hypomagnesaemia |
K |
Primary Hyperparathyroidism |
|
D |
Iatrogenic Hypocalcaemia |
L |
Renal Osteodystrophy |
|
E |
Milk Alkali Syndrome |
M |
Renal Stones |
|
F |
Myeloma |
N |
Rickets |
|
G |
Osteomalacia |
O |
Sarcoidosis |
|
H |
Osteopenia |
P |
Thyrotoxicosis |
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 35 year old woman, presents
with a 2 week history of abdominal pain and loss of energy. Blood results: Ca
– 2.82 mmol/L (2.2-2.6), Pi – 0.76 mmol/L (0.8-1.2), PTH 7.0 pmol/L
(1.3-7.7), Mg – 0.80mmol/L (0.7-1.0), ALP – 80 (39-120).
2. A 55 year old woman, presents with a fractured neck of femur after a
fall whilst walking her dog. A DEXA scan reveals a T score of -2.0 and a Z
score of -2.0. She has smoked 25 cigarettes/day since age 18.
3. A 45 year old woman, presents with a 1 month history of increasing
pain in her thighs and hips. On examination these areas are found to be hot to
touch. Blood results : Ca – 2.5 mmol/L, Pi
– 0.9 mmol/L, PTH – 5.0 pmol/L, Mg – 0.80 mmol/L,
ALP 900 (39-120).
4. A 45 year old woman, presents with a 1month history of increasing
pain in her thighs and hips. LooserÕs zones are seen
on X-ray.
5. A 40 year old woman who is taking corticosteroids for SLE and with a
history of GORD which is being managed conservatively presents with a 1week
history of vomiting, fatigue and abdominal pain. The pain has become more
severe and in the last 24hours has localised to her left loin region. Her ECG
shows a short Q-T interval.
ANSWERS
|
1. K |
2. H |
3. J |
4. G |
5. E |