Pathology EMQ template.

Name:

Candidate number:

Theme: Mycobacterial Disease

 

OPTION LIST

 

A

Hansen’s Disease

I

Miliary tuberculosis

B

Ghon complex

J

Pneumocystis jirovecii

C

Mycobacterium avium complex

K

Mycobacterium marinum

D

Mycoplasma pneumonia

L

Mycobacterium ulcerans

E

Sarcoidosis

M

Post-primary TB

F

Mycobacterium tuberculosis

N

Mycobacterium intracellulare

G

Mycobacterium bovis

O

Mycolactone

H

Pott’s Disease

P

Lupus vulgaris

 

 

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 14 year old girl develops fever and lymphadenitis following BCG vaccination. What is the cause?

 

2.   A 32 year old pond-cleaner presents with multiple red-purple papules extending along the right forearm. Photochromogenic bacteria are cultured on Lowenstein-Jensen Medium.                            

 

3.   A young woman from India presents with widespread cutaneous plaques, anhidrosis and a large ulcer on the sole of her foot. In vitro cultures failed to grow.

 

4.   An HIV positive gentleman develops a non-tuberculous pulmonary infection. He overhears the doctor mention that his symptoms resemble those of ‘Lady Windermere.’

 

5.   A Scandinavian man is told he has Löfgren syndrome. He is found to have pulmonary granulomas and raised serum ACE.

 

 

ANSWERS

1. G

2. K

3. A

4. C

5. E