Pathology EMQ template

Name:

Candidate number:

Theme: CNS Infections and Meningitis

 

OPTION LIST

 

A	Esherichia coli	I	Herpes Simplex Virus 1
B	Listeria monocytogenes	J	Herpes Simplex Virus 2
C	Neisseria meningitidis	K	Borrelia burgdorferi
D	Streptococcus pneumoniae	L
E	Treponema pallidum	M
F	Leptospira interrogans	N
G	Cryptococcus neoformans	O
H	Mycobacterium tuberculosis	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 2 year old boy has a 2 week history of fever, headaches and lethargy. On examination, he also has a 3^rd and 6^th nerve palsy. A Ziehl-Nielsen CSF stain identifies acid-fast bacilli.

 

 

2. An unconscious 45 year old high-flying businessman is brought to A and E by his boss. He has 2 day history of fever, headache, disorientation and confusion.

 

 

3. A 3 year old girl wearing sunglasses presents to A and E with a fever, increasingly severe headache and a rash. A gram stain reveals Gram negative diplococci.

 

 

4. A 18 year old medical student who has just taken part in the Hyde Park Triathlon presents with a fever, myalgia and jaundice. An electron micrograph reveals spiral, motile organisms.

 

 

5. An 30 year old cheese lover has an aggressive fever and headache. Her family and friends claim she has been acting rather strangely over the last few days. She is prescribed high dose ampicillin on admission.

 

 

 

ANSWERS

1. H

2. I

3. C

4. F

5. B