Pathology EMQ template

 

YourName:Jordan

YourIdentifier:

Theme: Hospital Acquired Infections

 

OPTION LIST

 

A	C. difficile	I	VRE
B	Candida Albicans	J
C	Escherichia coli	K
D	MRSA	L
E	P.aeruginosa	M
F	Rotavirus	N
G	Salmonella enteritidis	O
H	Staphylococcus aureus	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. 70 year old women on broad spectrum antibiotics for pneumonia. Develops crampy abdominal pain, fever and diarrhoea. 

 

 

2.  3 weeks post elective angioplasty. 55 year old man presents with fever, and cellulitis on both wound not responding to regular antibiotics. Blood culture positive from gram positive cocci.

 

 

3. Following a dinner in hospital 5 of the junior doctors came down with fever & diarrhoea 18 hours later.  Some patients in different wards were found to be similarly affected.  The common food history of all those sufferers was the Christmas turkey.

 

 

4. 5 patients on the same ward came down with diarrhoea & vomiting.The diagnosis was     obtained by electron microscopy, which showed the same isolate for all patients.

 

 

 

5. 77 year old male inpatient with a history of dementia, noted be pyrexial and dyspnoeic with widespread crackles and bronchial breathing.

 

 

ANSWERS

1. A

2. D

3. G

4. F

5. E