RCPA Examinations in Anatomical pathology - Questions ... - Rcpa.tv

Sample portions of Letter To
Examiners – Part l, 2005
Dear Dr,
Thank you for agreeing to mark a question in the Part I Anatomical al Pathology Written
Examination. The examination will be held Friday 10 June. You have h
been assigned
question 1:
1. A 74-year
year-old male with severe chronic obstructive airways disease
presents with abdominal discomfort and is found on imaging to have a
thickening in his terminal ileum and retroperitoneal lymphadenopathy. athy. After
assessment he is found to be a poor risk for general anaesthetic and open
biopsy. The radiologists have been asked to obtain material from m his
peritoneal lymph nodes under imaging guidance.
You are called by the radiologist on duty and asked for advice as to the
specimens you would prefer to maximise the chance of reaching a definitive
diagnosis.
State what advice you would give, considering the possible differential
diagnoses, including the reasons for each type of specimen you would w
require.
How would you handle and distribute each of the specimens once they t
are
collected?