Pathology EMQ template.

Name:

Candidate number:

Theme:

OPTION LIST

A	Pericarditis	I	Hypertrophic Obstructive Cardiomyopathy
B	Myocardial Infarction	J	Unstable Angina
C	Cardiac Failure	K	Pericarditis
D	Myocarditis	L	Amyloidosis
E	Dilated Cardiomyopathy	M	Sarcoidosis
F	Subacute Infective Endocarditis	N	Decubitus Angina
G	Acute Infective Endocarditis	O	Libman-Sacks Endocarditis
H	Stable Angina	P	Mitral Regurgitation

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 20 year old Afro-Caribbean woman presents to his GP complaining of fever, malaise and fatigue. She also confesses that she occasionally finds a rash across her face. You find that she has previously been diasgnosed with antiphospholipid syndrome.

2. A 61 year old gentleman presents to A + E with increasing SOB especially when lying down. ECG and CXR show atrial fibrillation and slight cardiomegaly. Your registrar suggests a biopsy is done to aid the diagnosis.

3. A 29 year old stockbroker is seen on the post-take ward round having collapsed and hit his head getting off the night bus. On examination he has a raised JVP, auscultation reveals a 3^rd heart sound. The patient currently complains of nausea and a thumping headache

4. A 25 year old woman is found collapsed on the street. She has pinpoint pupils, feels febrile and has a loud pan-systolic murmur.

5. A 43 year old man is on the ward having been admitted complaining of chest pains that are relieved by sitting forward. The consultant has told you to auscultate the patient’s chest as the sound heard will be textbook

ANSWERS

1. O

2. L

3. E

4. G

5. A