Pathology EMQ template.

Name: David Sleep

Theme: RespiratoryTract Infections

OPTION LIST

A	A.fumigatus	I	M.catarrhalis
B	C.burnetti	J	M.tuberculosis
C	C.psittaci	K	Mycoplasma
D	CMV	L	P.aeruginosa
E	H.influenzae	M	P.jiroveci
F	Influenza	N	RSV
G	K.pneumoniae	O	S.aureus
H	L.pneumophilia	P	S.pneumoniae

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  cachetic, 25 year old drug user presents to his GP with a persistent dry cough and a feeling of generally being unwell. His chest radiograph shows a bat-wing shadowing.

2. A 70 year old man presents with a chronic wheeze and some haemoptysis. He said he had a bad chest infection when he did his national service overseas in the tropics but it was treated at the time. His blood work shows a high eosinophil count.

3. A pet shop worker presents with a high fever and signs of a pneumonia. On examination, you notice a rash on her skin and you are able to palpate her spleen.

4. An 80 lady is in hospital for a hip replacement and acquires a pneumonia. Her chest x-ray shows signs of cavities, but a routine radiograph from last month looks clear.

5. A 2 year old presents with a severe pneumonia and a fever. CXR shows signs of bronchiolitis. Her mum said she seemed well up until recently, but her 4 year old brother had a cold and sniffles last week.

ANSWERS

1. M

2. A

3. C

4. O

5. N