Pathology EMQ template.

Name: Sarah Hill

Candidate number: 00430270

Theme: Gynaecological Pathology

OPTION LIST

A	Endometriosis	I	CIN 1
B	Leiomyoma	J	CIN 2
C	Endometrial carcinoma	K	CIN 3
D	Mature cystic teratoma	L	Cystourethrocoele
E	Uterine fibroids	M	Brenner tumour
F	Lichen sclerosis	N
G	Chlamydia trachomatis	O
H	Neisseria gonorrhoeae	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 59 year old acquaintance of Dr. Mark Sloan presents to Community General Hospital with pruritus vulvae. On examination, white plaques and atrophy are seen in a figure-of-eight pattern around the vulva and anus.

2. Pre-malignant condition of the cervix, where the deeper 1/3 of the epithelium contains cells with an increased nuclear: cytoplasmic ratio and hyperchromatic nuclei.

3. A 28 year old lady presents to her GP with lower abdominal cramps, which start a week prior to menstruation and complains of pain during sexual intercourse. Despite this, she and her husband, Barry, have been trying to conceive and have thus far been unsuccessful.

4. Mrs Briggs, a 52 year old mother of five, presents with vaginal discomfort and urinary frequency. Sims’ speculum examination revealed descent of the cervix within the vagina.

5. The most common cause of pelvic inflammatory disease in the UK.

ANSWERS

1. F

2. I

3. A

4. L

5. G