Pathology EMQ template.

Name: Nick Hayward

Theme: Hospital acquired infection

 

OPTION LIST

 

A	Clostridium difficile	I	MRSA
B	Dengue fever	J	Mycoplasma pneumonia
C	De Quervain’s disease	K	Pseudomonas aeruginosa
D	Escherichia coli	L	Salmonella typhi
E	Haemophilus influenza	M	Streptococcus pneumonia
F	Hepatitis C	N	Streptococcus pyogenes
G	HIV	O	Tuberculosis
H	Legionella pneumophila	P	Yamazaki’s disease

 

 

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 41 year old Egyptian male with poor medical records presents with fatigue, unexplained bruises and abdominal distension. He admits to longstanding anaemia and treatment since childhood.

 

2. A 19 year old female has recently been volunteering in a flood-stricken region of East Africa. Last week, she was treated in a field hospital for suspected malaria. She is unsure of her vaccine history and seems agitated. She now has bradycardia, loose stool and a persistent temperature of 40°C.

 

3. A 79 year old male has recently undergone knee surgery and is making a slow recovery. Two weeks ago, he was moved to a medical ward and treated for a suspected pneumonia. He appears dehydrated and the nurses report loose stool despite recent withdrawal of laxative therapy.

 

4. No known hospital transmission ever recorded worldwide.

 

5. Historically, this is the most common cause of post-surgical necrotizing fasciitis.

 

ANSWERS

1. F

2. L

3. A

4. P

5. N