Pathology EMQ template.

Name:

Candidate number:

Theme: Wound, bone and infection

 

OPTION LIST

 

A	Bacteroides fragilis	I	Staphylococcus aureus
B	E. coli	J	Streptococcus pyogenes
C	Clostridium difficile	K	Streptococcus viridans
D	Clostridium perfringens	L	Treponema pallidum
E	Clostridium tetani	M
F	MRSA	N
G	Mycobacterium	O
H	Pasterurella multocida	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 24 yr old man presents with a necrotic leg wound after a compound leg fracture in the local dirt bike championships. There are crackles when you feel around the wound.

 

2. A 35 yr old woman presents after cutting her hand. Her had is red and painful with red track marks up her arm. Culture reveals gram positive cocci in chains.

 

3. What bacteria separately is not pathogenic but can work synergistically with E.coli to result in disease?

 

4. A 53 yr old man presents after a right knee arthroscopy. The knee is red, hot and swollen. Aspiration reveals pus and on culture there a gram positive cocci that are also coagulase positive.

 

5. A 63 yr old woman presents after cutting her finger whilst pruning her rose bushes. Her finger is swollen, red and painful. Blood investigations reveal drumstick shaped spores.

 

ANSWERS

1.D

2.J

3.A

4.I

5.E