Pathology EMQ template.

Name: Laura Sparks

Theme: Urinary Tract Infections

 

OPTION LIST

 

A

Adenovirus

I

Staph. aureus

B

Candida albicans

J

Staph. saprophyticus

C

Chlamydia trachomatis

K

 

D

Enterococcus faecalis

L

 

E

Escherichia coli

M

 

F

Klebsiella spp

N

 

G

Proteus mirabilis

O

 

H

Pseudomonas aeruginosa

P

 

 

Which is the most likely causative organism in the following cases?

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 46 year old man presents with severe loin pain and a fever.  The pH of his urine is elevated.

 

 

2. A 23 year old woman presents with dysuria.  Gram-positive bacteria are present in the urine.

 

 

3. A 4 year old boy presents with abdominal pain and haematuria.

 

 

4. A 57 year old man on the ward, who has recently had a urinary catheter inserted, develops a fever and complains of supra-pubic pain.

 

 

5. An 80 year old woman is admitted with a fever and worsening confusion.  Gram-negative rods are present in her urine.

 

 

ANSWERS

1. G

2. J

3. A

4. H

5. E