Pathology EMQ template.

Name: Hitesh Gadhia        

Candidate number:

Theme: Giardia, Entamoeaba, Leishmania and other parasites

 

OPTION LIST

 

A	Chagas’ Disease	I	Sarcocyscocystis
B	Cryptosporidium	J	Sleeping Sickness
C	Cutaneous Leishmaniasis	K
D	Entamoeba histolytica	L
E	Giardia lamblia	M
F	Isospora	N
G	Kala-azar	O
H	Mucocutaneous Leishmaniasis	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 40 year old homosexual man who has developed AIDS has in the last few days started to feel unwell with diarrhoea. He notices that the stool has some bright red blood in it.

 

 

2. A 24 year old medical student coming back from elective in Africa has developed explosive diarrhoea. Her initial thoughts are this may be down to some contaminated water she drank whilst away.

 

 

3. A 10 year old from South America has developed a fever and says his ‘bones hurt’. On examination, the FY1 notices the boy has an erythematous, indurated nodule on his left arm.

 

 

4. The consultant receives a report stating that Leishman-Donovan bodies were noticed in the marrow.

 

 

5. On endoscopy of a patient with mild diarrhoea, a ‘flask-shaped’ ulcer is noticed in the duodenum.

 

 

 

ANSWERS

1. F

2. E

3. A

4. G

5. D