Pathology EMQ

Name: Matko Marlais

Candidate number:

Theme: Malabsorption

OPTION LIST

A	Abdominal ultrasound	I	SeHCAT scan
B	Amylase	J	Small bowel contrast study
C	Chloride sweat test	K	Visceral angiography
D	Faecal elastase	L	Transglutaminase antibodies
E	Glucose Hydrogen breath test	M
F	Jejunal biopsy	N
G	Lactose Hydrogen breath test	O
H	Schilling test	P

For each scenario below, choose the most appropriate test to confirm the diagnosis from the list above. Each option may be used once, more than once or not at all.

1. A 43 year old obese female is seen by her GP because she has noticed a large number of bruises appearing around her body. On further questioning she reports recurrent episodes of abdominal pain in the RUQ and notices that she sometimes turns yellow.

2. A 19 year old male is seen because he is feeling tired and easily becomes short of breath. He has had daily abdominal pain and diarrhoea often containing blood for 2 years but was afraid to visit his GP. He also has a painful rash over his shins. Further testing reveals a macrocytic anaemia and his B12 levels are low.

3. A 45 year old Irish woman recently diagnosed with osteoporosis presented to her GP with fatigue, frequent bloating and a rash over her elbows.

4. A 22 year old Caucasian male is admitted with an LRTI, his third this year. On investigation he appears thin and jaundiced. His stools are offensive and difficult to flush.

5. A 51 year old morbidly obese woman presents to her GP with bloating, nausea and diarrhoea. 6 months ago she was surgically treated for her obesity with a gastric bypass.

ANSWERS

1. A

2. J

3. L

4. C

5. E