Pathology EMQ template.

Name: Oliver Flannery

Theme: Genitourinary Disease

 

OPTION LIST

 

A	Bacterial vaginosis	I	Lymphogranuloma Venereum
B	Candida albecans	J	Molluscum Contagiosum
C	Chancroid	K	Neisseria Gonorrhoea
D	Chlamydia trichomatis	L	Treponema Pallidum
E	Donovanosis	M	Trichomoniasis
F	HIV	N
G	HPV	O
H	HZV	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 25 year old African man presents with a 3 week history of fever, malaise and the presence of painful “lumps” in his left inguinal region. NAAT is positive for Chlamydia trichomatis with further testing identifying the L2 serovar.

 

 

2. A 20 year old man presents to clinic with urethral discharge and dysuria. Microscopic examination of the discharge reveals intracellular gram negative diplococci.

 

 

3. A 22 year old pregnant lady presents to clinic with dysuria and an offensive smelling grey vaginal discharge. Microscopic examination reveals clue cells and a raised pH is also detected. 

 

 

4. A 31 year old man presents to clinic with red, dome-shaped pearly lesions over his face which are identified as molluscum contagiosum. His CD4 count is 200 cells/mm3.

 

 

5. A 34 year old man presents with a small painless ulcer (chancre) on the genitals. Spirochetes are noted on dark ground microscopy on a sample from the lesion. Serological testing reveals a positive TPPA and VDRL. What is the causative organism?

 

 

 

ANSWERS

1. I

2. K

3. A

4. F

5. L