Pathology EMQ template

 

YourName: John Wahba

YourIdentifier: 00405761

Theme: Upper GI Disease

 

OPTION LIST

A

Achalasia

I

GI Lymphoma

B

Acute Gastritis

J

Oesophageal Carcinoma

C

BarrettŐs Oesophagus

K

Oesophageal Varices

D

Chronic Gastritis

L

Oesophagitis

E

Coeliac Disease

M

Pernicious Anaemia

F

Gastric Cancer

N

Post-Cricoid Web

G

GIST

O

VIPoma

H

Hiatus Hernia

P

Zollinger-Ellison Syndrome

 

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 40 year old woman has been admitted with severe abdominal pain and hematemisis. She has been experiencing similar symptoms over the past year and is currently on antacids. Endoscopy reveals several lesions in the stomach and duodenum.

 

 

2. A 72 year old gentleman has been having difficulty swallowing for the past 6 months. He has lost 7 kg which he attributes to not being able to eat properly. Until recently he was able to tolerate small amounts of liquid but this is no longer possible. He is in constant pain. On examination, the patientŐs face and arms look oedematous.

 

 

3. A 39 year old gentleman presents to a gastroenterologist with severe retrosternal pain. On further questioning he admits to drinking heavily since he lost his job 3 months ago. Endoscopy reveals changes consistent with grade C of the Los Angeles Classification.

 

 

4. A 23 year old medical student has been feeling lethargic lately. She has also had some unintentional weight loss and a change in her bowel habits. An FBC showed: Hb 9.7 g/dl, MCV 110 fl, WCC 8x109/l, Plt 295x109/l. On examination, there are ulcers in the oral mucosa as wells as an itchy rash on her arms and some bruises. She is referred to a gastroenterologist who performs an endoscopy and biopsy. The findings are characteristic of her condition.

 

 

5. An 80 year old lady presents to her GP with recurrent severe epigastric pain which doesnŐt radiate. She describes her stools as ŇtarryÓ. History reveals that she has had a hystererctomy 40 years ago due to profuse bleeding. She was diagnosed with rheumatoid arthritis 30 years ago which is being managed by medication. A CLO test was performed and was negative.

 

 

 

 

 

 

 

 

 

 

 

ANSWERS

1. P

2. J

3. L

4. E

5. F