Pathology EMQ template.

Name:        

Candidate number:

Theme: Parasites

 

OPTION LIST

 

A	Ascaris Lumbricoides	I	Schistosoma haematobium
B	Entamoeba Histolytica	J	Trichomoniasis
C	Giardia lamblia	K	Trypanosoma Brucei
D	Guinea Worm	L
E	Hookworm	M
F	Leishmania	N
G	Oncocerca volvulus	O
H	Plasmodium Falciparum	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 35 year old man who recently returned from sub-Saharan Africa presents with terminal haematuria, with increasing urinary frequency and groin pain. A filtered mid day urine sample was taken for urinalysis.

 

 

2. A gap year student who recently returned from her travels in Cambodia presents with fever and flu-like symptoms. The blood film showed schizonts and trophozoites

 

 

3. A 24 year old man who recently returned from his travels presents with weight loss, abdominal pain and profuse diarrhoea containing blood and mucus.

 

 

 

4. A patient presents with a large skin sore on his leg following what he recalled as being an insect bite. A smear of the lesion showed amastigotes with monocytes under microscopy.

 

 

5. An aid worker who recently returned from sub-Saharan Africa presents with a headache, joint pain and itching. On examination, she was found to be pyrexial and had severe swelling of the cervical chain lymph nodes.

 

 

 

ANSWERS

1. I

2.H

3.B

4. F

5. K