Pathology EMQ template.

Name: Lucy Osborne 

Candidate number:

Theme: Endocarditis and PUO

 

OPTION LIST

 

A	Allergic reaction to the antibiotic.	I	Measles
B	Bacterial Meningitis	J	Mumps
C	Herpes Simplex Virus 1 HSV1	K	Rubella
D	Herpes Simplex virus 2 HSV2	L	Toxic shock syndrome
E	Herpes Zoster	M	Tuberculosis
F	Human herpesvirus 6 HHV6	N	Typhoid
G	Impetigo	O	UTI
H	Kawasaki’s Disease	P	Varicella Zoster

 

 

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 7 year old child is brought in by his mother with a 3 day history of increasing temperature, malaise, cough, runny nose and conjunctivitis. This morning his mother noticed a maculopapular rash spreading downwards from behind his ears. On close examination Koplik’s spots can be seen on the buccal mucosa.

 

 

2.  A 1 year old child was taken to the GP by her mother 4 days ago after suffering a febrile convulsion. She was noted to have a high fever and malaise and was prescribed antibiotics. The fever has since waned but now the mother has noticed a macular rash. What is the likely cause of the rash?

 

 

3.  A three year old child is brought in with a high fever and vesicular lesions on the lips, gums and anterior surfaces of the gums and hard palate.

 

 

4.  An 8 month old Japanese baby is brought in by his mother because he has had a fever for 6 days. She has also noticed lumps in his neck, a rash, conjunctivitis and dry, cracked lips.

 

 

5.  A 10 month old baby is brought into the surgery with fever, poor feeding, vomiting, irritability, lethargy, drowsiness and reduced consciousness. You notice a purpuric rash on his trunk.

 

 

 

ANSWERS

1. I

2.  F

3. C

4.  H

5. B