Pathology EMQ template

YourName: emily mei

YourIdentifier: em205

Theme: Metabolic bone histopathology

OPTION LIST

A	Osteomalacia	I	Renal Osteodystrophy
B	Shaman’s curse	J
C	Paget’s disease	K
D	Osteoporosis	L
E	1° Hyperparathyroidism	M
F	2° Hyperparathyroidism	N
G	3° Hyperparathyroidism	O
H	Bad luck	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 42yrs old ventriloquist presents with joint and bone pain. PTH is grossly raised but serum calcium is within normal range. He also suffers from chronic malabsorption. You find his doll very creepy

2. a 73.5yrs old lady presents with hip pain and headaches. Calcium, phosphate and AST are within normal range but ALP is raised. You send her immediately for a bone scan.

3. A young Vampire wizard rides in through the window, he is worried about flight safety as the shape of his legs do not enable good grip on the broomstick. His serum calcium and phosphate are low. Suddenly the door bursts open and stomps in an angry shaman.

4. a 59yrs old patient on the renal transplant waiting list presents with non-specific bone pain in the legs, hips, knees, and lower back, with occasional proximal muscle weakness. PTH is high but calcium low. Phosphate levels are reduced in urine but very high in his plasma.

5. it is Friday the 13^th, 13 black cats enter, followed by a 59yrs old lady, who presents with back pain. She had previously declined hormone replacement therapy. You notice her recently fractured wrist.

ANSWERS

1. F

2. C

3. A

4. I

5. D