Pathology EMQ template.

Name: Alison Toczek 

Theme: Wound, bone and joint infection

 

OPTION LIST

 

A	HIV infection	I	Septic arthritis
B	Rheumatic arthritis	J	Reactive arthritis
C	Sciatica	K	Wound infection
D	Prosthetic joint infection	L
E	Pott’s disease	M
F	Brodie’s abscess	N
G	Osteomyelitis	O
H	Osteoarthritis	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 male IVDU presents to A&E with a fever and hot swollen knee joint. On aspiration of the synovial fluid there was a count of 60,000 cells/mm³. What is the most likely cause? 

 

 

2. A 75 year old diabetic lady has been admitted with lower back pain radiating down her right leg. She has previously had been treated for bed sores, and had a metal plate fitted after a fracture of her femur 5 years ago. What is the most likely cause?

 

 

3. An 80 year old obese smoker has previously had 3 knee replacements, but still complains of pain and is unable to use the joint. What is the cause?

 

 

4. A 24 year old man has had an appendectomy in a busy operating theatre. He had shaved the area the night before, and has now become red and aggressive. What is the diagnosis?

 

 

5. A 35 year old Nigerian male has presented with back pain of 4 months duration. Neurological examination revealed reduced power and sensation on his left lower limb. What is the diagnosis?

 

 

 

ANSWERS

1. I

2. G

3. D

4. K

5. E