Pathology EMQ template.

Name: Tharanny Srisatkunam

Theme: Urinary tract infection

 

OPTION LIST

 

A	Enterococcus faecalis	I	Schistosoma haematobium
B	Escherichia coli	J	Staphylococcus saprophyticus
C	Candida albicans	K
D	Chlamydia trachomatis	L
E	Klebsiella pneumoniae	M
F	Mycobacterium tuberculosis	N
G	Proteus mirabilis	O
H	Salmonella typhimurium	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.  Ophelia Payne is a diabetic, catheterised individual nearing the end of her course of IV antibiotics for right lower lobe pneumonia. To top it off she’s now developed a UTI. What’s the most likely agent?

 

2. Disrupts bladder mucosal integrity and causes urinary tract obstruction and stasis.

 

3. Cause of 70-95% of both upper and lower UTIs.

 

4. Associated with UTIs with instrumentation of the urinary tract due to ‘swarming capability’ (expression of specific genes when these bacteria are exposed to surfaces such as catheters)

 

5. Possesses UafA (a unique adhesion protein allowing adherence to human uroepithelial cells and mediating haemagglutination)

 

 

ANSWERS

1. C

2. I

3. B

4. G

5. J