Pathology EMQ template

 

YourName: Kate OÕMalley

YourIdentifier: 00565692

Theme:Non-neoplastic Bone disease

 

OPTION LIST

 

A

Osteopenia

I

Osteoblastoma

B

Osteitis Fibrosa Cystica

J

Old Age

C

EwingÕs Tumour

K

Osteoporosis

D

Achondroplasia

L

CushingÕs disease

E

PagetÕs disease

M

Cholecystitis

F

Secondary Hyperparathyroidism

N

Osteomalacia

G

Hypothyroidism

O

Alcoholic hepatits

H

Rickets

P

Primary Hyperparathyroidism

 

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.

 

1.59 year old male presents to his GP, prompted by his wifeÕs complaints that his hearing has deteriorated recently. He admits he is finding it hard to keep up with conversations when people stand on his left.  On examination Weber test localises to the right and Rinne test is positive. Blood tests showed elevated Alkaline Phosphatase.

 

2. A 40 year old female presents complaining of a dull aching pain all over. Recently she has been feeling tired all the time and very apathetic. She has had recurrent colicky pains along her left loin. Blood investigations indicate bone pathology is involved in the development of her symptoms.

 

3.  65 year old female presents with back pain which began suddenly, is made worse by standing and moving around and relieved by lying down. Further examination of the woman reveals abdominal striae and a buffalo hump.

 

 

4. A short, 6 year old, female patient with bowed legs and a past medical history of frequent fractures

 

 

5. Radiograph investigations identify radiolucent lesions. Biopsy of the lesions was described by the histopathologist as a Brown tumour. What does this indicate?

 

 

ANSWERS

1. E

2. P

3. K

4. H

5.B