Pathology EMQ template.

Name: Voralia S

Candidate number:

Theme: Upper GI

OPTION LIST

A	Autoimmune gastritis	I	Gastric Ulcer
B	Barrett’s Oesophagus (Classical)	J	GORD
C	Barrett’s Oesophagus (Short segment)	K	H. Pylori infection
D	Candida Infection	L	Reactive Gastritis
E	Coeliac Disease	M	Zollinger Ellison Syndrome
F	Crohn’s Disease	N
G	Duodenal Ulcer	O
H	Gastric Adenocarcinoma	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 68 year old woman presents with vomiting and weight loss. She has a history of PUD.

2. An 56 year old overweight publican has an OGD for persistent GORD which is unresponsive to treatment. Histology shows 2cm of columnar metaplasia with goblet cells.

3. A 40 year old ex IVDU presents to his GP with a 2 weeks history of progressive odynophagia. He is only able to tolerate cold fluids but still finds his mouth is very dry and sore.

4. A 45 year old woman has a history of persistent PUD which is unresponsive to treatment. Urea breath test was negative.

5. A mother brings her 2 year old son to the GP. He is very irritable and the mother tells you he has been passing stool more frequently than usual. On examination, his abdomen appears distended.

ANSWERS

1. H

2. C

3. D

4. M

5. E