Pathology EMQ template.

Name: Antonia Mortimer

Candidate number: 00430591

Theme: Multiple myeloma

OPTION LIST

A	Blood calcium	I	Urine dip-stick
B	Blood/urine immunoelectrophoresis	J	Urine electrophoresis
C	Bone marrow aspiration	K	X-ray
D	CT scan	L
E	Dual energy X-ray absorptiometry	M
F	Full blood count	N
G	MRI scan	O
H	Plasma immunoglobulins	P

For each of the following features of multiple myeloma below, choose the most appropriate investigation from the list above. Each option may be used once, more than once or not at all.

1. Presence of lytic lesions

2. Presence of plasma cells in bone marrow

3. Presence of urine paraprotein

4. Degree of immune paresis

5. Degree of bone marrow failure

ANSWERS

1. D

2. K

3. C

4. I

5. F