Pathology EMQ template.

Name:

Candidate number:

Theme: CNS infections& meningitis

 

OPTION LIST

 

A	Borrelia	I	Strep pneumoniae
B	E. coli	J	Viral Encephalitis
C	Group B Streptococcus	K	Viral meningitis
D	Listeria	L
E	Leptospira	M
F	Mycoplasma tuberculosis	N
G	Neisseria	O
H	Staphylococcus	P

 

 

For each scenario below, choose the most appropriate causative organism from the list above. Each option may be used once, more than once or not at all.

 

1. A patient becomes confused, develops a severe headache and vomiting, and displays a positive Kernig’s sign 1 week after a surgery. Which organism is most likely involved?

 

 

2. Patient comes into A&E complaining of flu-like symptoms and a severe headache. Examination reveals a stiff neck, but no associated rash. The patient also complained of symptoms consistent with otitis media. Lumbar puncture reveals a turbid CSF with low glucose, high protein, and high neutrophils. 

 

 

3. 28-yr old homosexual African male who has just returned from a trip to Africa. He now presents with headache, confusion, and neck stiffness and CSF shows lymphocytosis and protein concentration of 5g/l (0.15-0.4)

 

4. Organism causing 80% of bacterial meningitis cases in the UK

 

5. A conjugate vaccine is available against this organism

 

 

 

 

ANSWERS

1.

2.

3.

4.

5.