Pathology EMQ template.

Name:

Candidate number:

Theme: Respiratory Infections

 

OPTION LIST

 

A	Bordatella pertussis	I	Moraxella catarrhalis
B	Chlamydia pneumoniae	J	MRSA
C	Chlamydia psittaci	K	Mycobacterium tuberculosis
D	Cryptococcus neoformans	L	Mycoplasma pneumoniae
E	Enterobacteria spp.	M	Pneumocystis jiroveci
F	Haemophilus influenzae	N	Pseudomonas aeruginosa
G	Klebsiella pneumoniae	O	Staphylococcus aureus
H	Legionella pneumophilia	P	Streptococcus pneumoniae

 

 

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 72 year old male with a history of COPD, presents to his GP with a ‘flu-like’ illness with cough and fever. Sputum culture shows Gram negative cocci.

 

 

2. A 52 year old female businesswoman presents with malaise, headache, myalgia and a more recent onset of dry cough and confusion. O/E her chest is normal. Bloods show a raised CRP and hyponatraemia.

 

 

3. A 41 year old male tropical bird dealer presents with a headache and dry cough. On examination, he has a low-grade fever and splenomegaly. CXR shows patchy consolidation.

 

 

4. A 19 year old male student presents with fever, chest pain and a cough producing rusty sputum. CXR shows right lower lobe consolidation. Bloods results: WCC 42.3, Neutrophils 38.0.

 

 

5. A 84 year old diabetic woman presents with SOB and cough. CXR shows cavitating shadowing in the right upper lobe and culture shows Gram negative bacteria.

 

 

 

ANSWERS

1. F

2. H

3. C

4. P

5. G