Pathology EMQ template.

Name: Johnson Chen       

Theme: CNS Infection & Meningitis

 

OPTION LIST

 

A	Bacterial Meningitis	I	Cryptococcus Neoformans
B	Viral Meningitis	J	Polio
C	Fungal Meningitis	K	Rabies
D	Cerebral Abscess	L
E	Mycobacterium Tuberculosis	M
F	Prion Disease	N
G	Naegleria Fowleri.	O
H	Staphylococcus	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 48 year old man presents to the A&E with fever, headaches, nausea and vomiting. History reveals chronic sinusitis. Subsequent imaging shows a ‘ring-enhancing’ lesion.

 

2. A 16 year old boy presents with headaches, parosmia, neck rigidity, nausea and vomiting after returning from a summer holiday near Lake Hoover. Diagnosis made after visualization of CSF.

 

3. A 36 year old woman presents to the A&E with lethargy, headaches, nausea and vomiting. CSF analysis shows neutrophils, marked increase of proteins and low glucose.

 

4. A 28 year old man presents to his GP with fever, headache, lethargy and malaise after returning from a hiking holiday in North America. Patient has no significant past medical history. During consultation, patient becomes very agitated when presented with a cup of water.

 

5. A 32 year old man presents with headaches, neck rigidity, fever and malaise. CSF analysis shows lymphocytes, mildly elevated protein, and normal glucose. CSF culture was negative.

 

 

 

 

 

ANSWERS

1. D

2. G

3. A

4. K

5. B