Pathology EMQ template.

Name: Amin Elmubarak

Candidate number: 00350729

Theme: Disease of the Pancreas

OPTION LIST

A	Acute Pancreatitis	I	Insulinoma
B	Carcinoma of Head of Pancreas	J	Kertaginer
C	Chronic Pancreatitis	K	MODY
D	Cystic Tumor of Pancreas	L	Multiple Endocrine Neoplasia
E	Diabetes Insipidus	M	Pancreatic Pseudocyst
F	Ectopic Panceas	N	Type I Diabetes
G	Glucagonoma	O	Type II Diabetes
H	Hyperglycaemia	P	Zollinger-Ellison 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 50-year-old Thai gentleman presents to you suffering from incontinence. His daughter is translating for you and explains that he is here for a visit and she realised his problem, there is no family history but her uncle is on metformin. On examination he has a below the knee prosthetic right leg.

2. A middle aged highly intoxicated street dweller known to A&E as “Piggles” comes in with epigastric pain. Patient has a fever with slightly raised serum amylase.

3. Mr. Govindaraja presents to Hillingdon hospital straight from the airport after returning from his elective in South America. The Nurse tells you he has been “wining like a little girl about a bite on his foot”. He is pyrexial with a rigid abdomen and complains of “Back ache”.

4. A 55-year-old man was “horsing around” with his un-naturally strong grandson earlier in the day. He presents with frank jaundice and a rigid abdomen. An MRI shows a unilocular mass on the head of the pancreas.

5. 21-year-old graduate collapsed whilst he was playing football for his new work’s team. His team mates reported that he was more confused than usual and a bit aggressive. His serum glucose was 40mg/dl

ANSWERS

1. O

2. C

3. A

4. M

5. I