Pathology EMQ template.

Name: Rachel Brookes

Candidate number:

Theme: Cerebrovascular Disease 1

 

OPTION LIST

 

A

Alzheimer’s disease

I

Pontine haemorrhage

B

Brain stem infarction

J

Raised intracranial pressure

C

Cerebellar stroke

K

Subarachnoid haemorrhage

D

Cerebral embolus

L

Subdural haemorrhage

E

Extradural haemorrhage

M

Temporal arteritis

F

Meningitis

N

Transient Ischaemic attack

G

Opiate overdose

O

Transient hypotension

H

Panic attack

P

Vascular dementia

 

 

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 56 year old man presents to A&E. He is very confused and appears lethargic. He does not remember any recent injuries, but his breath smells of alcohol and he has bruising suggestive of a fall a few days ago.

 

 

2.  A 37 year old woman who has recently lost her mother was brought into A&E after experiencing palpitations, chest pain, shortness of breath, nausea and dizziness while grocery shopping. Her symptoms lasted a little over 10 minutes and on admission her pulse rate was 60bpm and BP was 110/70.

 

 

3. A 28 year old man presents to A&E in a semi-conscious state. His heart rate is 48bpm, BP is 80/60, temperature is 35oC and he has pinpoint pupils.

 

 

4. A 70 year old woman presents with sudden onset of fever, headache, scalp tenderness, blurred vision and jaw pain.

 

 

5. A 72 year old woman is brought into hospital by her son. Although she does not feel there is anything wrong, he is concerned about her recent irritability and aggression. On further questioning it appears she has been becoming increasingly forgetful over the past few years, although her memory of her childhood remains intact. Her MMSE is 19.

 

 

ANSWERS

1. L

2. H

3. G

4. M

5. A