Pathology EMQ template.

Name:

Candidate number:

Theme: Giardia, Entamoeba, Leishmania and other parasites

 

OPTION LIST

 

A

Borrelia burgdorferi

I

Hymenolepis nana

B

Diphyllobothrium latun

J

Leishmania major

C

Dracunculsis medinesis

K

Leptospira interrogans

D

Entamoeba histolytica

L

Schistosomiasis mansoni

E

Enterobius vermicularis

M

Strongyloides stercoralis

F

Fasicola hepatica

N

Toxocara canis

G

Fasciolopsis buski

O

Trypanosoma cruzi

H

Giardia lamblia

P

Trypanosoma gambiense

 

 

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 twenty two year old male presents having returned from travelling around S. America with an ulcer. The ulcer developed where a round, crusty lesion had been. The patient said he had scratch it a lot as it was a “very itchy bite.”

 

 

2. A wealthy individual uses his private medical insurance to get a set of screening endoscopies done. The consultant comments that there are “flask-shaped” GI ulcers and recommends that the patient contacts an infectious diseases specialist even though he is asymptomatic.

 

 

3. A homosexual thirty four year old male presents with a history of bloating and flatulence. Over the last few days the patient has developed “explosive diarrhoea.” When questioned the patient realised that he had lost some weight over the course of his abdominal symptoms.

 

 

4. A lady from West Africa presents to A&E whilst on holiday in Hammersmith, they landed at Heathrow a week before. She has a fever, rigors and complains of a severe headache. Her daughter explains she has been complaining of a tender lump just below the skin on her arm for at least a month. The consultant insists that all the medical students palpate her posterior cervical lymph nodes as they are increased. It is Winterbottom’s sign he explains afterwards. On examination the patient was also found to have hepatosplenomegaly.

 

 

5. A young medical student presents having done a tour to the major lakes in Uganda and Kenya the month before. She complains of D&V and abdominal pain. The junior doctor tells her to man up and go home. She insists he sends her stools to be check for eggs. This proves to be positive, she is then treated with Praziquantel.

 

 

 

ANSWERS

1. J

2. D

3. H

4. P

5. L