Pathology EMQ template.

Name:Jenny Macrae

Candidate number:

Theme: Malabsorption

OPTION LIST

A	Acute Pancreatitis	I	Primary Sclerosing Cholangiitis
B	Chronic pancreatitis	J	Reversible dementia
C	Coeliac Disease	K	Tropical Sprue
D	Crohn’s Disease	L
E	Cystic Fibrosis	M
F	IgA deficiency	N
G	Osteoarthritis	O
H	Primary Biliary Sclerosis	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. 1. A young boy is admitted to hospital with a LRTI. P. aeruginosa is cultured from a sputum sample. He mentions that his stools are really hard to flush away.

2. A 50y Algerian chef presents to outpatients complaining of bloating, abdominal pain and fatigue that is particularly bad after eating couscous. Duodenal biopsy shows intraepithelial lymphocytes and villous atrophy.

3. A 45y business man consults his GP complaining of arthralgia, fever, sweats and weight loss. Examination reveals lymphadenopathy. A jejunal biopsy reveals stunted villi and PAS positive macrophages. What complication is he at risk of?

4. A familiar alcoholic presents to A&E with epigastric pain that ‘bores’ through to his back. His clothes seem baggier than usual and on closer inspection he is noted to have large areas of bruising.

5. A 50y woman presents to her GP with prolonged morning stiffness and swelling of some of the small joints in both hands. She also complains that her face and ankles seem puffy and wonders if this is related. Blood tests reveal raised GGT and Alkaline Phosphatase.

ANSWERS

1. E

2. C

3. J

4. B

5. H