Pathology EMQ template.

Name: Li-Fay Seow

Candidate number:

Theme: Skin Pathology

OPTION LIST

A	Psoriasis vulgaris	I	Malignant melanoma
B	Dermatitis herpetiformis	J	Pemphigoid
C	Lupus erythematosus	K	Pemphigus
D	Erythema Mulitforme	L	Pityriasis rosea
E	Eczema	M
F	Lichen Planus	N
G	Basal cell carcinoma	O
H	Squamous cell carcinoma	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 3 year old girl presents with a red, weeping and itchy rash on her elbows and behind her knees. Her brother has asthma and allergic rhinitis.

2. A 16 year old boy presents to his GP with a rash of silvery scales and pinpoint bleeding on his scalp.

3. A 73 year old lady presents with large blisters on the flexor aspects of her forearms. Histopathology reveals numerous eosinophils.

4. A 73 year old lady presents with large blisters in her mouth. Immunofluorescence of a skin biopsy shows IgG antibodies binding to desmosomes.

5. A 23 year old woman presents with diarrhoea, intermittent abdominal pain and an itchy rash on her elbows. Histopathology reveals papillary microabscesses and a neutrophilic infiltrate.

ANSWERS

1. E

2. A

3. J

4. K

5. B