Pathology EMQ template.

Name: Elinor Edwards

Theme:            Fungal Infections

 

OPTION LIST

 

A	Allergic bronchopulmonary aspergillosis (ABPA)	I
B	Candida albicans	J
C	Aspergilloma	K
D	Cryptococcus neoformans	L
E	Aspergillus fumigatus	M
F	Histoplasma capsulatum	N
G	Aspergillus clavatus	O
H	Pneumocystis jiroveci	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-year-old lady recently underwent bone marrow transplant and developed subsequent GVHD.  She reports an unproductive cough and on further questioning complains of facial pain.                                                                                   

2.    A 66-year-old lady presents with a three-day history of haemoptysis.  On further questioning, she reveals she has a past history of treated TB.  Chest radiograph demonstrates a ‘halo’ sign.                                                                                          

3.    A 78-year-old female requiring mechanical ventilation for the past five days following an exacerbation of COPD develops fever and tachypnoea despite broad-spectrum antimicrobial therapy.  Chest auscultation reveals scattered rhonci.

4.    A 43-year-old homeless gentleman who is a longstanding IVDU presents with a cough and dyspnoea.  Chest radiograph reveals diffuse bilateral alveolar and interstitial shadowing in a bat-wing distribution.                            

5.    A 56-year-old HIV positive gentleman presents with a week’s history of fever and cough.  He is currently on a prophylactic regimen for PCP.  Clinically, he is pyrexic.  Investigations reveal a CD4+ count of 197. 

 

 

 

ANSWERS

1. E

2. C

3. B

4. H

5. D