Pathology EMQ template

 

Richard William Francis Breakey

00433295

Cardiac Pathology

 

OPTION LIST

 

A

Acute rheumatic fever

I

Left ventricular failure

B

Amyloidosis

J

LoefflerÕs Disease

C

Aortic regurgitation

K

Pericarditis

D

Atherosclerosis

L

Right ventricular failure

E

Congestive cardiomyopathy

M

Staph. Aureus

F

Cor pulmonale

N

Strep. viridans

G

Endomyocardial Fibrosis

O

Syphilitic aortitis

H

Hypertrophic cardiomyopathy

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 29 year old motorcyclist has been in a coma for 3 months following an accident, he suddenly develops a high fever, with a right sided murmur, what is the most likely cause?

 

 

2. A 65 year old retired gentleman presents with swelling of the legs and ankles, excessive nocturia and orthopnea, a chest X-ray reveals cardiomegaly, the pathology departments suggests a biopsy and the use of congo red staining, what is the likely cause?

 

 

3. A 79 year old ex smoking lady is brought in by ambulance, she has a raised JVP, hepatomegaly, pitting oedema and a parasternal heave, what condition does she have?

 

 

4. A very anxious 59 year old gentleman arrives with chest pain that radiates to his back, it is worse on lying down and relived by sitting forward, he has diffuse ST elevation on ECG, what is his problem?

 

 

5. A 12 year old child presents to Paediatric A&E, she has a fever, a Carey Coombs murmur, and you can see pink rings on her trunk and inner surface of her arms and legs. You notice that she a jerking of the limbs, what is the likely cause?

 

 

ANSWERS

1. M

2. B

3. L

4. K

5. A