Pathology EMQ template.

Name: Jack Stewart

Theme: Urinary Tract infections – causative organisms

 

OPTION LIST

 

A	Enterobacter	I	Neisseria Gonorhheae
B	Escherica Coli	J
C	Klebsiella	K
D	Proteus mirabilis	L
E	Pseudomonas	M
F	Staphylococcus Aureus	N
G	Staphylococcus Saprophyticus	O
H	Chlamydia Trachomatis	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 young recently married woman attends your GP clinic with a recurrence of a urinary tract infection. Which is the likely causative organism?

 

2. The same (unfortunate) woman returns with a new episode of cystitis, refractory to gram-negative specific antibiotics. Culture suggests a gram positive bacillus. What is the likely causative organism?

 

3. A hospitalised patient with a known gram-positive blood-borne infection also complains of symptoms typical of a urinary tract infection. Which organism is the likely causative organism?

 

4. A 40 year old male is brought to A&E with an acute abdomen, radiating from flank to groin. He has concurrent fever and urine dip shows a raised pH. What organism is likely to be present and causing the infection of the patient’s urinary tract?

 

5. Which of the above organisms is most likely to be causative of UTI in a hospital inpatient?

ANSWERS

1. B

2. G

3. F

4. D

5. B