Pathology EMQ template

 

Your Name: Herjyot Dharni

Your Identifier: 00456140

Theme: Connective Tissue Disease

 

OPTION LIST

 

A

Child Abuse

I

Systemic Lupus Erythematosus

B

CREST Syndrome

J

 

C

Cutis Laxa

K

 

D

Lambert-Eaton Syndrome

L

 

E

Marfans Syndrome

M

 

F

Rheumatoid Arthritis

N

 

G

Scurvy

O

 

H

SjogrenÕs Syndrome

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. You are registering Mr B as a patient at your newly opened GP practice. Mr B mentions he is suffering from an inherited disease but he cannot recall the name. You note he has limbs which are disproportionately long for his trunk. On closer examination you also find a high arched palate.

 

2.  A 65 year old man presents to your clinic. He complains of a dry mouth. You note he also has a ptosis and has suffered from a gradual onset of leg weakness. On examination you find his leg reflexes are depressed however there are signs of post-tetanic potentiation.

 

3. A 25 year old patient presents to your clinic. She complains of a dry mouth and is unable to form tears. Her blood samples are sent to the lab where it is confirmed that she tests positive for anti nuclear antibodies and rheumatoid factor.

 

4. A distressed mother brings in her two year old son. The child is noted to be pale, irritable with signs of poor wound healing. On closer inspection you also discover gingival bleeding.

 

5. A student presents to your clinic. She reports malaise and a rash on her face which has a ÔbutterflyÕ like appearance. On examination you also discover lymphadenopathy and later a blood sample is positive for anti nuclear antibodies.

 

ANSWERS

1. E

2. D

3. H

4. G

5. I