Pathology EMQ template.

Name: Naomi Drummond

Candidate number: 454727

Theme: Connective Tissue Diseases

OPTION LIST

A	CREST	I
B	Systemic lupus erythematosus	J
C	Dermatomyositis	K
D	Polymyositis	L
E	Wegener’s granulomatosis	M
F	Sjogren’s syndrome	N
G	Kawasaki’s disease	O
H	Sarcoidosis	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 35 year old female presenting with dyspareunia and dry skin is anti-Ro and anti-La positive. During your consultation she asks for a glass of water.

2. A 53 year old man presents with a runny nose and mouth ulcers. He says that he has had a ‘bad cough’ for ~2months and has recently been coughing up blood. CXR reveals coin lesions.

3. A 40 year old man has a blanching rash on his shins and complains of difficulty swallowing. He anti-centromere antibody positive.

4. A slender 28 year old female has a discoid rash on her cheeks which is worse in sunlight. She complains of painful joints and difficulty breathing. She has a history of seizures.

5. A 40 year old woman has noticed that she has become increasingly fatigued on climbing stairs, and can no longer stand up from a seated position unaided. Her creatine kinase is elevated, and she has an altered EMG.

ANSWERS

1 F

2 E

3 A

4 B

5 D