Pathology EMQ template.

Name: Hassan Farhan

Candidate number: 00432224

Theme: Diseases of the Pancreas

OPTION LIST

A	Acute Pancreatitis	I	Necrotizing pancreatitis
B	Adenocarcinoma of the Pancreas (head)	J	Pancreatic Pseudocyst
C	Adenocarcinoma of the pancreas (tail)	K	Type I Diabetes Mellitus
D	Chronic Pancreatitis	L	Type II Diabetes Mellitus
E	Gallstones	M
F	Gastrinoma	N
G	Glucagonoma	O
H	Insulinoma	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 52 year old male with epigastric pain that radiates to the back, nausea and vomiting. He claims to have felt unwell 3 days ago but thought it was a ‘stomach upset’ and has felt progressively worse. Blood tests reveal normal serum amylase, raised serum lipase and a calcium of 1.9 mmol/L.

2. The same man presents 6 weeks later with a fever, loss of appetite and an abdominal mass. Serum amylase is raised.

3. Patient with dyspepsia, abdominal pain, chronic diarrohea and steatorrhea.

4. 46 year old alcoholic presents to A&E with severe abdominal pain. O/E there is epigastric tenderness, abdomen feels rigid and is positive for Grey-Turner’s sign.

5. 72 year old male with fatigue, jaundice and weight loss. O/E he has a palpable gall bladder.

ANSWERS

1. A

2. J

3. F

4. I

5. B