Mock EMQs Flashcards by Harriet Powell

44 year old female presents with abdominal pain, worse when the stomach is empty and relieved by food.

A. Pernicious anemia

B. Gastric ulcer

C. Gastri lymphoma

D Gastric adenocarcinoma

E. Duodenal Ulcer

F. Crohn’s disease

G. Ulcerative colitis

H. Coeliac disease

E - duodenal ulcer

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54 year old female presents with a failure to produce intrinsic factor.

A. Pernicious anemia

B. Gastric ulcer

C. Gastri lymphoma

D Gastric adenocarcinoma

E. Duodenal Ulcer

F. Crohn’s disease

G. Ulcerative colitis

H. Coeliac disease

A - perncious anemia

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25 year old female recently been on the Atkin’s diet, presents with pain, bloating and lethargy associated with eating. Had a recent relapse, and had a blistering rash that appeared on the knees and elbows.

A. Pernicious anemia

B. Gastric ulcer

C. Gastri lymphoma

D Gastric adenocarcinoma

E. Duodenal Ulcer

F. Crohn’s disease

G. Ulcerative colitis

H. Coeliac disease

H - coeliac disease

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What is the name of the rash associated with coeliac disease?

A. Roscea

B. Pemphigoid

C. Pemphigus vulgaris

D. Acne

E. Squamous cell carcinoma

F. Basal Cell carcinoma

G. Psoraisis roscea

H. Eczema

I. Psoriasis

J. Dermititis herpetiformis

J - dermatitis herpetiformis

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26 year old male presents with a 3 month history of bloody diarrhoea, weight loss and lethargy. Colonoscopy shows skip lesions

A. Pernicious anemia

B. Gastric ulcer

C. Gastri lymphoma

D Gastric adenocarcinoma

E. Duodenal Ulcer

F. Crohn’s disease

G. Ulcerative colitis

H. Coeliac disease

F - Crohn’s disease

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45 year old non-smoker presents with bloody diarrhoea for the last week, associated with pain and tiredness. Colonoscopy shows a continuous ulceration from the rectum.

A. Pernicious anemia

B. Gastric ulcer

C. Gastri lymphoma

D Gastric adenocarcinoma

E. Duodenal Ulcer

F. Crohn’s disease

G. Ulcerative colitis

H. Coeliac disease

G - Ulcerative colitis

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IgG bind to basement membrane. Sub epidermal bulla with eosinophils.

A. Roscea

B. Pemphigoid

C. Pemphigus vulgaris

D. Acne

E. Squamous cell carcinoma

F. Basal Cell carcinoma

G. Psoraisis roscea

H. Eczema

I. Psoriasis

J. Dermititis herpetiformis

B - Pemphigoid

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Tense bulla that often rupture, intradermal bulla. IgG antibodies binds to desmosomes. Niksolsky’s sign present

A. Roscea

B. Pemphigoid

C. Pemphigus vulgaris

D. Acne

E. Squamous cell carcinoma

F. Basal Cell carcinoma

G. Psoraisis roscea

H. Eczema

I. Psoriasis

J. Dermititis herpetiformis

C - Pemphigus vulgaris

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Which one also known as the ‘rodent ulcer’?

A. Roscea

B. Pemphigoid

C. Pemphigus vulgaris

D. Acne

E. Squamous cell carcinoma

F. Basal Cell carcinoma

G. Psoraisis roscea

H. Eczema

I. Psoriasis

J. Dermititis herpetiformis

F - Basal cell carcinoma

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56 year old woman presents with an infection. Swabs show MRSA, which antibiotic should she be given?

A. Erythromycin

B. Isonazid

C. Ceftriaxone

D. Vancomycin

E. Clarithromycin and ceftriaxone

F. Rifampicin

G. Trimethoprim

D - vancomycin

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18 year old presents with fever, headache, neck stiffness and a petechial rash.

Which antibiotic?

A. Erythromycin

B. Isonazid

C. Ceftriaxone

D. Vancomycin

E. Clarithromycin and ceftriaxone

F. Rifampicin

G. Trimethoprim

C - ceftriaxone

Likely to be meningococcal menigitis

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75 year old female has dyspnoea and a productve cough. Starting to become confused.

Which antibiotics should be given?

A. Erythromycin

B. Isonazid

C. Ceftriaxone

D. Vancomycin

E. Clarithromycin and ceftriaxone

F. Rifampicin

G. Trimethoprim

E - Clarithromycin and ceftriaxone

Cover all atypicals and bacterial infections

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6 month year old, father has recently been diagnosed with TB. Which antibiotics?

A. Erythromycin

B. Isonazid

C. Ceftriaxone

D. Vancomycin

E. Clarithromycin and ceftriaxone

F. Rifampicin

G. Trimethoprim

H. None

B - Isonazid prophylaxis

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12 year old has widespread impetigo. Developed a uticarial rash 3 years ago when given penicillin V. Which antibiotic should be given?

A. Erythromycin

B. Isonazid

C. Ceftriaxone

D. Vancomycin

E. Clarithromycin and ceftriaxone

F. Rifampicin

G. Trimethoprim

H. None

I. Fluxclocacillin

A - erthyromycin

Staph auerus cover needed, but allergic to penicillin so fluxclocacillin cannot be given

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34 year old IV drug user presents wit pyrexia, jaundice and hepatomegaly

What is the likely cause?

A. Hep A

B. Hep B

C. Hep C

D. Hep D

E. Hep E

F. EBV

G. CMV

H. NASH

C - Hep C

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18 year old presents with pyrexia, jaundice and lymphadenopathy with a sore throat

What is the likely cause?

A. Hep A

B. Hep B

C. Hep C

D. Hep D

E. Hep E

F. EBV

G. CMV

H. NASH

F - EBV

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10 and 8 year old brothers both present with mild illness and hepatomegaly after coming back from Bangledesh

What is the likely cause?

A. Hep A

B. Hep B

C. Hep C

D. Hep D

E. Hep E

F. EBV

G. CMV

H. NASH

A - Hep A

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40 year old presents with a fever, jaundice and a positivep past of HBV.

What is the likely cause?

A. Hep A

B. Hep B

C. Hep C

D. Hep D

E. Hep E

F. EBV

G. CMV

H. NASH

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D - Hep D

60 year old presents with liver cirrhosis. No IVDU, tee total. At the age of 25, recieved a blood transfusion after giving birth/post-partum haemorrhage.

What is the likely cause?

A. Hep A

B. Hep B

C. Hep C

D. Hep D

E. Hep E

F. EBV

G. CMV

H. NASH

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C- Hep C

Donated blood was only screened for Hep C 10 years ago

60 year old woman presents with liver cirrhosis. No IV DU and tee total. At the age of 25 receieved a blood transfusion due to post-partum haemorrhage.

What is the cause of her liver cirrhosis?

A. Hep A

B. Hep B

C. Hep C

D. Hep D

E. Hep E

F. EBV

G. CMV

H. NASH

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C - Hep C

The UK has only been screening donated blood for Hep C in the last 15 years

What is this tissue?

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Thyroid tissue

Clearly demarkated follicles containing colloid

C-cells found inbetween 4-6 follicles

Surrounding cells are principle cells

What is this tissue?
What makes up the portal triad?

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1.Liver

3 zones, with the 3rd zone making up more mature hepatocytes

Blood flows from the portal vein to the central vein.

Portal vein, hepatic artery and bile duct

What is the tissue?

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Kidney

Presence of demarcated glomeruli

What is this tissue?

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Bowel

Presence of villi

A 7 year old child has a positive Coombs test What is the possible diagnosis? A. Hereditary spherocytosis B. Hereditary elliptocytosis C. Goodpasture's syndrome D. G6PD-deficiency E. Alpha 1 anti-trypsin deficiency F. Autoimmune haemolytic anemia G. Henloch-Schonlein Purpura H. Sickle cell anemia I. Thalassemia Beta

F. Autoimmune haemolytic anemia

Newborn becomes jaundiced. Blood film shows the presence of spherocytes and reticulocytes. Increased serum bilirubin and urinary urobilinogen. ## Footnote What is the possible diagnosis? A. Hereditary spherocytosis B. Hereditary elliptocytosis C. Goodpasture's syndrome D. G6PD-deficiency E. Alpha 1 anti-trypsin deficiency F. Autoimmune haemolytic anemia G. Henloch-Schonlein Purpura H. Sickle cell anemia I. Thalassemia Beta

A. Hereditary spherocytosis

Middle eastern 2 month year old, suddenly developed increased pallor and jaundiced. Blood film shows irregularly contracted cells. ## Footnote What is the possible diagnosis? A. Hereditary spherocytosis B. Hereditary elliptocytosis C. Goodpasture's syndrome D. G6PD-deficiency E. Alpha 1 anti-trypsin deficiency F. Autoimmune haemolytic anemia G. Henloch-Schonlein Purpura H. Sickle cell anemia I. Thalassemia Beta

D. GDP6 deficiency

4 year old develops a pupuric rash across the legs and buttocks. Previously had a chest infection. Further examination reveals abdominal pain, haematuria and increased serum IgA. ## Footnote What is the possible diagnosis? A. Hereditary spherocytosis B. Hereditary elliptocytosis C. Goodpasture's syndrome D. G6PD-deficiency E. Alpha 1 anti-trypsin deficiency F. Autoimmune haemolytic anemia G. Henloch-Schonlein Purpura H. Sickle cell anemia I. Thalassemia Beta

G. Henloch-Schonlein purpura

Caused by an abnormality in the spectrin molecule ## Footnote What is the possible diagnosis? A. Hereditary spherocytosis B. Hereditary elliptocytosis C. Goodpasture's syndrome D. G6PD-deficiency E. Alpha 1 anti-trypsin deficiency F. Autoimmune haemolytic anemia G. Henloch-Schonlein Purpura H. Sickle cell anemia I. Thalassemia Beta

A. Hereditary spherocytosis

48 year old with Type 1 diabetes presents with weight loss, weakeness and depression. ## Footnote Na decreased K increased Urea increased Ca increased What is the diagnosis? A. Allergic reaction B. Thyrotoxicosis C. Hypothyroidism D. Congenital adrenal hyperplasia E. Addison's disease F. Cushing's disease G. Cushing's syndrome H. Phaeochromocytoma

E. Addison's disease Failure of the adrenal gland so reduced production of cortisol and aldosterone

33 year old female, ACTH and cortisol not suppressed after a low dose dexamethasone suppression test. ## Footnote What is the diagnosis? A. Allergic reaction B. Thyrotoxicosis C. Hypothyroidism D. Congenital adrenal hyperplasia E. Addison's disease F. Cushing's disease G. Cushing's syndrome H. Phaeochromocytoma

F. Cushing's disease

10 year old with hirtuism. On further examination, decreased cortisol, increased ACTH and decreased 17-hydroxyprogesterone. ## Footnote What is the diagnosis? A. Allergic reaction B. Thyrotoxicosis C. Hypothyroidism D. Congenital adrenal hyperplasia E. Addison's disease F. Cushing's disease G. Cushing's syndrome H. Phaeochromocytoma

D. Congenital adrenal hyperplasia

34 year old presents with rapid palpitations, chest tightness, severe headache, tremor, weight loss and sweating. ## Footnote What is the diagnosis? A. Allergic reaction B. Thyrotoxicosis C. Hypothyroidism D. Congenital adrenal hyperplasia E. Addison's disease F. Cushing's disease G. Cushing's syndrome H. Phaeochromocytoma

B- Thyrotoxicosis Phaeos do not cause weight loss!

29 year old presents with a 3 month history of weight loss and secondary amenorrhea. Also has postural hypotension and hyperpigmentation of the hands. ## Footnote What is the diagnosis? A. Allergic reaction B. Thyrotoxicosis C. Hypothyroidism D. Congenital adrenal hyperplasia E. Addison's disease F. Cushing's disease G. Cushing's syndrome H. Phaeochromocytoma

E. Addison's disease Increased pigmentation due to the increased production of POMC producing increased ACTH and MSH.

23 year old develops rapid onset chest and abdominal pain after recieving a blood transfusion. She is vomiting, and urine shows haemoglobinuria. What is the diagnosis? A. Fluid overload B. Immediate haemolytic transfusion reaction C. Allergic reaction D. PKD E. Delayed haemolytic transfusion reaction F. Autoimmune haemolytic anemia G. Purpura

B. Immediate haemolytic transfusion reaction

24 year old presents with rapid chest and abdominal pain, vomiting. Face is oedematous, SOB and hypotensive. Later diagnosed with IgA deficiency. ## Footnote What is the diagnosis? A. Fluid overload B. Immediate haemolytic transfusion reaction C. Allergic reaction D. PKD E. Delayed haemolytic transfusion reaction F. Autoimmune haemolytic anemia G. Purpura

C- Allergic reaction

63 year old man rapidly develops SOB and goes into heart failure after a blood transfusion. No white blood cell antibodies in donor blood. ## Footnote What is the diagnosis? A. Fluid overload B. Immediate haemolytic transfusion reaction C. Allergic reaction D. PKD E. Delayed haemolytic transfusion reaction F. Autoimmune haemolytic anemia G. Purpura

A - Fluid overload

36 year old man develops a mild uticarial rash. ## Footnote What is the diagnosis? A. Fluid overload B. Immediate haemolytic transfusion reaction C. Allergic reaction D. PKD E. Delayed haemolytic transfusion reaction F. Autoimmune haemolytic anemia G. Purpura

C- Allergic reaction

44 year old woman develops a fever occuring 8 days after a blood transfusion. She is anemic, jaundiced and has haemaglobinuria. ## Footnote What is the diagnosis? A. Fluid overload B. Immediate haemolytic transfusion reaction C. Allergic reaction D. PKD E. Delayed haemolytic transfusion reaction F. Autoimmune haemolytic anemia G. Purpura

E - delayed haemolytic transfusion reaction

30 year old presents with polyuria and polydipsia. Na increased K is normal BM - 4.0 Urea - 4.0 Cr 100 What is the diagnosis? A. Diabetes mellitus B. Primary hyperaldosteronism C. CKD D. Diabetes insipidus E. Cushing's disease F. SIADH G. Thyrotoxicosis H. Addison's disease

D - Diabetes insipidus

55 year old woman presents with polyuria and polydipsia ## Footnote Na increased K increased BM - 34.0 Urea - 14.0 Cr 100 What is the diagnosis? A. Diabetes mellitus B. Primary hyperaldosteronism C. CKD D. Diabetes insipidus E. Cushing's disease F. SIADH G. Thyrotoxicosis H. Addison's disease

A - diabetes mellitus

43 year old woman presents with polydipsia, polyuria. Has a history of hypertension that has been difficult to control on 3 antihypertensives. ## Footnote Na is normal K is normal BM - 4.0 Urea - 4.0 Cr 100 What is the diagnosis? A. Diabetes mellitus B. Primary hyperaldosteronism C. CKD D. Diabetes insipidus E. Cushing's disease F. SIADH G. Thyrotoxicosis H. Addison's disease

B- Primary hyperaldosteronism/ Conn's syndrome

55 year old presents with malaise and weakness. PMHx of T2DM and hypertension. Examination shows peripheral oedema. ## Footnote Na decreased K increased BM - 4.0 Urea - 15.0 Cr 350 What is the diagnosis? A. Diabetes mellitus B. Primary hyperaldosteronism C. CKD D. Diabetes insipidus E. Cushing's disease F. SIADH G. Thyrotoxicosis H. Addison's disease

C- CKD

60 year old presents with left sided weakness and weight loss. ## Footnote Na decreased K is normal BM - 5.0 Urea - 5.0 Cr 100 TFTs and SST are normal Plasma osmolality = 270 (low) Urine osmolality = 400 (high) What is the diagnosis? A. Diabetes mellitus B. Primary hyperaldosteronism C. CKD D. Diabetes insipidus E. Cushing's disease F. SIADH G. Thyrotoxicosis H. Addison's disease

F- SIADH

Mock EMQs Flashcards

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