Pathology EMQ template.

Name: Kristen Foxwell

Theme: GI infection

 

OPTION LIST

 

A	Campylobacter	I	Whipple disease
B	Shigella	J	Vibrio cholerae
C	Giardia lamblia	K	Entamoeba hystolytica
D	Staphylococcus aureus	L
E	Bacillus cereus	M
F	Clostridium difficile	N
G	Salmonella typhi	O
H	Escherichia 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 25 year-old male returns from India after visiting his girlfriend, an aid worker who is assisting during a local epidemic. He presents to you with very watery diarrhoea and severe dehydration.

 

 

2. A 40 year-old male returns from a holiday in the France. He presents in clinic a week later with watery diarrhoea. Comma-shaped, Gram-negative bacteria are isolated

 

 

3. A 19 year-old gap year student returns from a soul-searching trip in Mexico. She presents casualty with severe bloody diarrhoea and a high fever. On examination you also see small red spots on her chest and abdomen.

 

 

4. A 70 year-old lady has been in hospital following pneumonia. During her stay she develops abdominal pain, cramps and watery diarrhoea. What is the most likely diagnosis?

 

 

5. A 30 year-old woman has recently bought a farm and is living off its produce as part of a ‘natural-life’ programme. She develops severe watery diarrhoea and, a few days later, joint pain. She remembers her father also suffered from joint pain following an infection.

 

 

 

ANSWERS

1.

2.

3.

4.

5.