Pathology EMQ template.

Name:

Candidate number:

Theme: Genitourinary Disease 2

 

OPTION LIST

 

A	Candida albicans	I	Herpes simplex virus 2
B	Chlamydia trachomatis	J	Herpes zoster virus
C	Cytomegalovirus	K	HIV
D	Gardnerella vaginalis	L	Klebsiella granulomatis
E	Haemophilus ducreyi	M	Klebsiella oxytoca
F	Haemophilus influenzae	N	Neisseria gonorrhoae
G	Hepatitis B	O	Treponema carateum
H	Herpes simplex virus 1	P	Treponema pallidum

 

 

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.  You are in a GUM clinic, and a young Carribean female comes in with labial ulcers.  They are small and red and the patient  states that these ulcers are painless, and she thinks she has had them for about 10 days.  The histology report indicates that Donovan bodies were seen on microscopy.

 

 

2. A 40 year old man presents to the GP with a skin rash which is present on most parts of his body, but strangely not his face.  He admits to having a fever and a sore throat, but appears reluctant to give much of his medical history.  After more questioning, he eventually reveals that he thought he had a penile ulcer about 6 weeks ago, but it disappeared so he thought nothing of it.  What organism is responsible for this man's symptoms?

 

 

3. You see a 26 year old female in clinic, who gives a 1 week history of several vulval ulcers.  She says she noticed that they were initially separate but now they appear to have joined together.  To relieve the pain, she says that having warm baths helps a little bit.

 

 

4. A 22 year old man has been having dysuria and some penile discharge.  He has been feeling feverish.  Your consultant comments that diagnosis may not be very easy due to the type of bacterium causing this man's symptoms.

 

 

5. A 36 year old African woman has perineal ulcers, which are painful and she states that they bleed quite often.  She also complains of some lumpy mass in her groin which is not painful.  The results indicate that there is syphilitic co-infection, as well as the presence of which bacterium?

 

 

 

ANSWERS

1. L

2. P

3. H

4. B

5. E