Pathology EMQ template

Name: Jay Vyas

Theme: Upper GI

OPTION LIST

A	Acute Gastritis	I	Peptic Ulcer
B	Barrett's oesophagus	J	Pernicious anaemia
C	Duodenal Ulcer	K
D	Gastric carcinoma	L
E	GORD	M
F	Hiatus Hernia	N
G	Normal	O
H	Oseophageal Varicies	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 53 year old man with a family history of heartburn complains of pain in his chest. An endoscopy reveals the OGJ moves more then expected when the patient breathes

2. A 76 year old ex-maid to the Queen of Austria enters the Endoscopy unit at St. Mary’s after she has been referred by her GP. She says she has been feeling unwell for the last three months and has been vomiting blood regularly. She feels depressed and has lost her appetite. On questioning she says she has lost 5 kg in the last two months.

3. A young ballerina enters A&E after a heavy night in Fabric club. She is not conscious but her friends say she has vomited at least a pint of blood. They are scared she will never dance again.

4. A young man of stout build complains of hunger pains. On further questioning, he says he gets nauseous if he does not eat, and sometimes he gets pain in his chest.

5. A patient’s biopsy reveals a 4 cm change to the epithelium in the lower oesophagus

ANSWERS

1. F

2. D

3. H

4. C

5. B