Pathology EMQ template.

Name: GillAnna

Theme: Herpes and Retroviral Infections

 

OPTION LIST

 

A	EBV	I	HSV-2 meningitis
B	Oro-facial shingles	J	HSV-1
C	Herpangina	K	HSV-2 encephalitis
D	Self-resolving – no treatment necessary	L	CMV
E	Herpes labialis	M	Ramsay Hunt syndrome
F	HSV-1 encephalitis	N	Influenza
G	Topical acyclovir cream	O	IV acyclovir
H	Cold sore	P	Gingivostomatitis

 

 

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 2-week old baby born to a mother with genital herpes presents with drowsiness, seizures and vomiting.

 

2. A 30 yo HIV-positive man is diagnosed with chicken pox but has no ophthalmic involvement. What is your management?

 

3. A 65 yo woman presents with painful vesicles on the right side of her tongue and palate, right-sided hearing loss and a right-sided facial droop.

 

4. A 19 yo student presents to the GP with 3 weeks of fever and sore throat. O/E he has widespread cervical lymphadenopathy. His blood results show 17% atypical lymphocytes.

 

5. The most common sign seen at presentation of primary HSV-1 infection

 

 

ANSWERS

1. K

2. O

3. M

4. A

5. P