Pathology EMQ template.

Name:

Candidate number:

Theme:

OPTION LIST

A	Compensated hypothyroidism	I	Secondary hypothyroidism
B	Graves’ disease	J	Sick euthyroid syndrome
C	Hashimoto’s disease	K	Thyroid acropachy
D	Hypercholestrolaemia	L	Thyroid associated ophthalmology
E	Medullary carcinoma of the thyroid	M	Thyroid peroxidase autoantibodies
F	Post partum thyroiditis	N	Thyroglobulin
G	Post viral thyroiditis	O	Thyroid storm
H	Primary hypothyroidism	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. On routine blood tests, a patient is found to have raised TSH and normal T4 levels. The patient is asymptomatic.

2. This condition is believed to result from modifications of the immune system during pregnancy. The first phase is typically hyperthyroidism and the thyroid may then return to normal or the patient may become hypothyroid.

3. Blood tests may show raised calcitonin and carcinoembryonic antigen. Involves the parafollicular cells (C-cells).

4. A patient presents with a heart rate of 145, a fever of 38.7, jaundice and hallucinations.

5. Following a cardiopulmonary bypass, a patient presents with low TSH. The thyroid gland does not seem to be dysfunctional. Often seen in critical illness.

ANSWERS

1. A

2. F

3. E

4. O

5.