Pathology EMQ template

YourName: Walter Morris

YourIdentifier: 00424209

Theme:Multiple Myeloma

OPTION LIST

A	Urinary Bence Jones Protein	I	Hodgkins Lymphoma
B	Chronic Myeloid Leukaemia	J	Myeloma
C	Hodgkins disease	K	Reed- Sternberg Cell
D	Multiple Myeloma	L	Philadelphia Chromosome
E	Smear Cells	M
F	Acute Myeloid Leukaemia	N
G	Acute Lymphoblastic Leukaemia	O
H	Ionizing radiation	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 65 year old man presents with bone pain that he has experienced in his ribs and back. Blood samples were taken and tests were undertaken which provided a result of normal phosphate and alkaline phosphatase. Further investigations were carried out which showed raised ESR. What confirmatory test could be done to confirm this diagnosis?

2. A 50 year old man presents with a history of weight loss, tiredness, fever, night sweats and abdominal pain. He was noted to have a solitary, painless lymph node/ gland in his neck. He informed you in the history that he had given up imbibing alcohol as this seemed to have caused him pain in his lymph gland.

3. A 30 year old mature student presented with tiredness, weakness and shortness of breath on Exertion. On carrying out blood tests she was noted to be anaemic as well as there was an increase in her white cell count. A peripheral blood film showed blast containing Auer rods. What’s the diagnosis?

4. A 10 year old boy presents with bone pain and lymphadenopathy. On examination, he appeared pale and there was noticeable bruising throughout. What is the likely diagnosis?

5. A 50 year old radiographer presents with a history of weight loss and anorexia. He complained of experiencing night sweats. On abdominal examination he was noted to have an enlarged spleen. On taking blood samples, the lab report expressed that there were findings of Philadelphia chromosomes. What is the likely diagnosis?

ANSWERS

1. A

2. C

3. F

4. G

5. B