Pathology EMQ template.

Name: Tan Youhong

Candidate number:

Theme: Upper GI Disease

OPTION LIST

A	Achalasia	I	Pancreatitis
B	Cholera	J	Tracheo-oesophageal Fistula
C	Duodenal Ulcer	K	VIPoma
D	Gastric erosion	L	Zollinger-Ellison Syndrome
E	Gastric Ulcer	M
F	Gastritis	N
G	Mallory Weiss Tear	O
H	Oesophageal Varices	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 neonate presents at the A&E with feeding problems. Its anxious mother notices that it salivates copiously, chokes and coughs with the onset of feeding.

2. Mr. Ray-Ban presents with episodes of epigastric pain, melaena and weight loss. He has long-standing peptic ulcer disease which has largely been unresponsive to treatment.

3. Mr. Sauvignon, an alcoholic, was brought in after an acute episode of haematemesis. He is highly anxious but not in pain. On palpation of his abdomen, you find shifting dullness and hepato-splenomegaly.

4. Mrs. Peterson, a 54 year old lady, has a history of rheumatoid arthritis. She tells you she has been suffering from epigastric pain and she has vomited small amounts of bright red blood. She also complains of painful joints.

5. Mr. Loo presents with a long history of profound watery diarrhoea. He also complains of lethargy, muscle weakness, nausea and crampy abdominal pain. Blood results show hypokalaemia and abnormal blood glucose.

ANSWERS

1. J

2. L

3. H

4. D

5. K