Pathology EMQ template.

Name: Philip Leadbeater

Theme: Neonatal and childhood infections

 

OPTION LIST

 

A	Coxsackievirus A16	I	Staphylococcus aureus
B	Cytomegalovirus	J	Streptococcus pneumoniae
C	Epstein-Barr virus	K	Varicella zoster virus
D	Group A streptococcus	L
E	Herpes simplex virus	M
F	Human herpresvirus 6	N
G	Human papilloma virus	O
H	Parvovirus B19	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 4 year old child is brought to their GP with an itchy rash which started on the face 3 days previously and has now spread. On examination, crops of small vesicles, at different stages of healing, are present on the childs face, limbs and trunk. What is the most likely causative infection?

 

2. An 8 year old boy with a previous history of eczema attends the GP with his father. The child has a widespread vesicular rash on their face, overlying areas of eczema. You notice that the child’s father has a coldsore. What is the most likely causative infection?

 

3. A 10 year old girl returns to the GP one week after presenting with a fever, malaise and headache. The girl now presents with malar erythema and a maculopapular ‘lacey’ rash on the trunk and limbs. What is the most likely causative infection?

 

4. A 6 year old girl attends her GP with a weeping rash on her chin. On examination you find vesiculobullous lesions with a golden crust around the edge. What is the most likely causative infection?

 

5. A 3 year old child is brought to their GP by their mother, who reports that they have been a little under the weather and have recently developed a rash on their hands and feet, similar to chickenpox, which they had last year. On examination the child is apyrexial with vesicles on the soles of their feet, palms of their hands and in the mouth. What is the most likely causative infection?

 

 

 

ANSWERS

1. K

2. E

3. H

4. I

5. A