Pathology EMQ template.

Name: Mihir Kelshiker

Theme: Malaria

 

OPTION LIST

 

A	Blood Culture	I	Quinine
B	Chloroquine	J	Salmonella typhi
C	Clindamycin	K	Thick Blood Film
D	Doxycycline	L	Thin Blood Film
E	Plasmodium falciparum	M	HIV
F	Plasmodium vivax	N	Full Blood Count
G	Plasmodium malariae	O	Levofloxacin
H	Primaquine	P	Flucloxacillin

 

 

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 homeless woman presents with sudden onset fever, rigors and profuse sweating. She denies any recent travel. Blood film reveals banana-shaped gametocytes. What is the most likely causative pathogen?

 

 

2. A 22 year old medical student returns from his elective in India complaining of a headache and confesses that he has been passing dark urine. What is the single most useful diagnostic tool for identifying the presence of the pathogen?

 

 

3. A 36 year old businessman returns from Angola complaining of fevers, night sweats and muscle aches, which have been getting worse. While clerking him in A&E you notice that he appears sluggish and has a GCS of 12. What is the most appropriate immediate intravenous treatment?

 

 

4. This pathogen infects target cells via the Duffy antigen

 

 

5. A 25 year old student presents to A&E complaining of fever, back pain and abdominal cramps for the past week. She has been vomiting for the past 24 hours. She has recently returned from Bangladesh, and blood film reveals crescent-shaped gametocytes. You are about to start her on quinine plus one other drug when she tells you that she is pregnant. Which medication should not be given?

 

 

ANSWERS

1. E

2. K

3. I

4. F

5. D