Pathology emq template.

Name: Nishma Manek

Candidate number:

Theme: Lymphoma

Option list

A	Burkitts lymphoma	I	Mantle cell lymphoma
B	Hodgkins lymphoma stage 3	J	Hodgkins lymphoma stage 2
C	Gastric malt lymphoma	K	Follicular lymphoma.
D	Sezary syndrome	L	Chronic lymphocytic leukaemia
E	Anaplastic large-cell lymphoma	M	Lymphoblastic lymphoma
F	Monocytoid b-cell lymphoma	N	Lymphoplasmacytoid lymphoma
G	True histiocytic lymphoma	O	Hodgkins lymphoma stage 5
H	Angioimmunoblastic t-cell lymphoma	P	None of the above

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 55 year old banker presents with a 2 year history of dyspepsia and epigastric pain. The CLO test is positive.

2. A Caribbean 60 year old female presents with lymphadenopathy, hepatosplenomegaly and generalised erythroderma. HTLV1 may have been involved in the aetiology.

3. A 40 year old male farmer presents with a painless swelling in the groin, a loss of appetite and tiredness. His tumour was found to be composed of follicles containing a mixture of centrocytes and cytogenetic analysis revealed a t(14,18) translocation.

4. An 18 year old student presents with a lump in the supraclavicular region which hurt when he drank alcohol, night sweats and weight loss. He was treated with a chemotherapy regime consisting of 4 cycles ABVD

5. An 18 year old male student presents with a lump in the supraclavicular region which hurt when he drank alcohol, night sweats and weight loss. He was treated with the chemotherapy regime consisting of 6 cycles ABVD and radiotherapy.

Answers

1. c

2. d

3. k

4. j

5. b