Name: Nishanth Sivarasan                            

Candidate number:

Theme: Wound, Bone and Joint Infection

 

OPTION LIST

 

A	Gout	I	Streptococcus Pneumoniae
B	Staphylococcus Aureus	J	Actinomycoses
C	Streptococcus Pyogenes	K	Clostridium Perfringens
D	Coagulase –ve Staph	L	Clostridium Tetani
E	Rheumatoid Arthritis	M
F	Pseudogout	N
G	Osteomyelitis	O
H	E.Coli	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 24 year old man presents with a painful, swollen knee 5 days after a meniscotomy following a traumatic football injury. Identify the most likely causative agent.

 

 

2. A soldier finally obtains medical assistance following a shrapnel-wound to the upper thigh the previous day. Examination around the affected area reveals crepitus and putrid discharge. Which organism is most likely to be responsible for this presentation?

 

 

3. A 73 year old obese woman presents with severe pain in her hip despite a hip replacement the preceding week. Examination reveals a joint infection warranting revision. What is the most likely cause?

 

 

4. A 34 year old banker presents to her GP with a painless, but worsening oral swelling 3 weeks after a tooth extraction. Initial examination reveals a local abscess but with no signs of lymphadenopathy. FNA and culture of the lesion reveals a gram +ve anaerobe. Which organism is most likely to be responsible?

 

 

5. A 64 year old woman presents to her GP with an inflamed big toe. She claims to be taking her ‘pressure’ medication regularly. What is most likely to be responsible for her signs and symptoms?

 

 

ANSWERS

1. B

2. K

3. D

4. J

5. A