Pathology EMQ template.

Name: Annie He

Theme: Hospital Acquired Infection

 

OPTION LIST

 

A	E.Coli	I	Streptococcus pyogenes
B	Enterobacter	J	VRE
C	Klebsiella	K
D	MRSA	L
E	Proteus Mirabilis	M
F	Pseudomonas aeruginosa	N
G	Rotavirus	O
H	Salmonella Enteritidis	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 45 year old man following a RTA has been on HDU for a week with mechanical ventilation. The nurse reports to you that he has developed pyrexia. O/E: T 38.5 degrees centigrade and there is signs of peripheral cyanosis.

 

2. An 80 year old diabetic man develops small red bumps over his pacemaker on his right shoulder. O/E: pyrexial at T 38.0 degrees centigrade, rash over the right should tip.

 

3. A 75 year old women starts to develop confusion in hospital. While doing her MMSE you notice a foul smell.

 

4. A 40 year old man comes for elective hernia repair, he mentions to the anaesthetist that he has been taking antibiotics for the past month because of tonsillitis. Following the operation he becomes septic. The blood culture shows gram +ve dipplococci.

 

5. A 12 year old child on the paediatrics ward develops pyrexia, diarrhoea and feels nauseous.

 

 

 

ANSWERS

1. F

2. D

3. A

4. J

5. G