Pathology EMQ template.

Name: Jahnavi Patel

Candidate number:

Theme: Obesity and Cardiovascular

OPTION LIST

A	Accelerated atherosclerosis	I	Myocardial infarction
B	Diabetes mellitus type 2	J	Pulmonary hypertension
C	Dilated cardiomyopathy	K	Restrictive cardiomyopathy
D	Essential hypertension	L	Simple obesity
E	Familial hypercholeterolaemia	M
F	hyperlipidaemia	N
G	Hypothyroidism	O
H	Metabolic syndrome	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 16 year old girl presents with chest pain, shortness of breath and a raised troponin C. On physical examination she had xanthomata and heptaosplenomegaly.

2. A 45 banker has quiet heart sounds, a diffuse apex beat and oedema. He has a past medical history of amyloidosis.

3. 58 year old woman, with a BMI of 35 presents with a long history of daytime somnolence, poor sleep quality and morning headaches. In addition she complains of chest pain and reduced exercise tolerance on exertion.

4. A 68 year old retired plumber complains of polyuria and polydipsia. He has a past medical history of gout and taking ACE inhibitors and a lipid lowering agent.

5. A 52 year old post menopausal woman complains of tiredness, depression and myalgia, she has also noticed an increase in weight. On examination she has a pericardial effusion and is bradycardiac.

ANSWERS

1. E

2. K

3. J

4. H

5. G