Pathology EMQ

Name: Hannah Greenwood

Theme: Hospital Acquired Infections

 

OPTION LIST

 

A	MRSA	I	Enterococcus faecalis
B	Pneumocystis jiroveci	J	Helicobacter pylori
C	Clostridium difficile	K
D	Vancomycin-resistant enterococcus	L
E	Haemophilus influenzae	M
F	Pseudomonas aeruginosa	N
G	Streptococcus pneumoniae	O
H	Neisseria meningitidis	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 37 year old woman is in ICU on mechanical ventilation. She is found to be hypoxic and pyrexial. Her chest x-ray shows bilateral shadowing.

 

2. A 43 year old man develops a red, swollen and tender area around the site of a central line. The line is removed and sent for microscopy. This shows the presence of gram-positive cocci.

 

3. A 35 year old woman develops fever, abdominal pain and diarrhoea following elective surgery. She had been put on broad-spectrum antibiotics.

 

4. An 89 year old diabetic man with a urinary catheter in situ develops a fever and cystitis.

 

5. A 29 year old HIV positive man develops swollen painful skin on his legs accompanied by small red lumps. He is pyrexic.

 

ANSWERS

1. F

2. A

3. C

4. D

5. A