Pathology EMQ template.

Name:

Candidate number:

Theme:

OPTION LIST

A	Membranous glomerulonephritis	I	Mesangiocapillary glomerulonephritis
B	Amyloidosis	J	Transitional Cell Tumour
C	Type 1 Renal tubular acidosis	K	Prostatitis
D	Renal Tubular Acidosis	L	Bergers Disease
E	Post Streptococcal Glomerulonephritis	M	Staghorn Calculi
F	Type 4 Renal Tubular Acidosis	N
G	Alports Syndrome	O
H	Wilms Tumour	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. 7 year old boy, previously seen for his sore throat, is brought into A&E by his concerned mother. You note that he has swelling around the eyes and the legs. Urine dipstick shows haematuria and LM shows a lumpy bumpy appearance

2. 67 y/o gentleman under your care for his Rheumatoid Arthritis comes to you complaining of swelling 'all over' and frothy urine. On light microscopy you notice that positive Congo Red stain with apple green birefringence

3. 56 y/o lady with known Addisons disease present with excruciating pain in her back. Ultrasound reveals a radio opaque abnormality. Urine pH was 6.8 and plasma K+ was 7.0

4. 72 y/o stoic ex factory worker is brought in by his daughter after an episode of 'blood in the urine.' He denies any pain, or other problems. His daughter comments on his weight loss. His PSA was 2.0

5. 3 y/o boy presents with haematuria, temperature 38 degrees C and weight loss. You note that there is an absence of part of his iris, and he seems to have learning difficulties. The results of his karyotyping along with the clinical exam all suggest one complex, and aids the diagnosis of his renal pathology.

ANSWERS

1. E

2. B

3. F

4. J

5. H