Pathology EMQ template.

Name:

Candidate number:

Theme: Wound, Bone & Joint Infection

 

OPTION LIST

A

Treponema pallidum

I

Trypanosomiasis

B

Clostridium tetani

J

Syphilis

C

Actinomycosis

K

Yaws

D

Septic arthritis

L

Fournier’s gangrene

E

Clostridium perfringes

M

Meleney’s gangrene

F

Gout

N

Escherichia coli

G

Streptococcus pyogenes

O

 

H

Osteomyelitis

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. If T. Brucei is present in blood smears, lymph node aspirates and/or CSF, what is the diagnosis?

 

 

2. A previously healthy young man presenting with a mixed necrotising infection affecting the perineum, what is the diagnosis?

 

 

3. A 42 year old woman presents with a characteristic “grin” and locking of the jaw. The history has revealed that she had been gardening in the last week. The spores have a drumstick appearance.

 

 

4. Lancefield group A, beta-haemolytic, gram-positive cocci that is typically responsible for causing quinsy, erysipelas and/or cellulitis.

 

 

5. Cephalosporin and Ciprofloxacin are used in targeting which organism?

 

ANSWERS

1. I

2. L

3. B

4.G

5. N