Pathology EMQ template.

Name:

Candidate number:

Theme:

 

OPTION LIST

 

A

Psychosis

I

Compensated euthyroid

B

T4

J

Agranulocytosis

C

Secondary Hypothyroidism

K

Exopthalmos

D

Radioactive iodine

L

Hashimoto’s Thyroditis

E

Subclinical Hypothyroidism

M

Lithium

F

Toxic nodular goitre

N

Iodine Deficiency

G

Primary Hyperthyroidism

O

Myxoedema Coma

H

T3 Toxicosis

P

Thyroidectomy

 

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. Patient’s blood results show: TSH 0.3 (0.3-3.5 mU/L), free T4 9 (10-25 pmol/L), free T3 0.6 (1.2-3.1 nmol/L)

 

 

2. Patient’s blood results show: TSH undetectable, free T4 50 pmol/L, free T3 5 nmol/L (1.2-3.1 nmol/L)

 

 

3. Patient presents with tiredness, depression, poor libido and goitre. You also note that the patient has a particularly smooth tongue and some peripheral sensory loss. Previous blood reports show a macrocytic anaemia.

 

 

4. 80 yr old woman with hypoventilation, hypothermia and cardiac failure.

 

 

5. 50 yr old male being treated for Grave’s disease develops sore throat and fever.

 

 

 

ANSWERS

1. C

2. G

3. L

4. O

5. J