Pathology EMQ template.

Name: Zohra Ismail Panju

Candidate number: 410400

Theme: Non Neoplastic Bone Disease

OPTION LIST

A	Closed	I	M. TB
B	Comminuted	J	Osteochondritis
C	Compound	K	Osteomyelitis
D	Diaphyseal osteomyelitis	L	Osteoporosis
E	E. Coli	M	Rheumatoid arthritis
F	Ixodes Dammini	N	Staph Aureus
G	Lyme Disease	O	Syphilis
H	Malaria	P	Tuberculosis

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 54yr old female builder complains of malaise and swelling and redness over her spine. The house officer on call requests an X-ray of the vertebra, which shows no obvious abnormalities. What is the most likely diagnosis?

2. A 23yr old male presents to A&E with joint pain and swelling as well as a skin rash on the right thigh. Upon questioning he admits to having recently returned from his Easter break in America. A biopsy is taken and organisms are isolated from this. What is the most likely diagnosis?

3. A 3yr old girl falls off a swing and lands badly on her arm. On X-ray her humorous appears splintered although the soft tissue is intact. What type of fracture is this?

4. A man, known to be HIV+, develops a spiking fever, malaise and pain over the spine. What is the most likely organism?

5. Having recently returned from a holiday a man develops a fever, headache and rash. IgM antibodies are found against Borrelia burgdorferi. What is the diagnosis?

ANSWERS

1. K

2. G

3. B

4. I

5. G