Pathology EMQ template.

Name: Maryiam Yasin

Theme: Wound, bone and joint infections

OPTION LIST

A	Septic Arthritis	I	Acute osteomyelitis
B	Prosthetic Joint Infection	J	Chronic osteomyelitis
C	Haematogenous osteomyelitis	K
D	Brodie's abscess	L
E	Vertebral osteomyelitis	M
F	Cellulitis	N
G	Spinal cord neoplasm	O
H	Gout	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. 60 year old diabetic patient presents with localized back pain, fever, malaise and swelling at the site of pain. Rasised CRP.

2. 29 year old patient presents with 1 week history of painful, red, swollen restricted knee joint. Raised CRP. High WCC (>50,000 WCC cells/mm³). Causative agent is Staphyloccus aureus. Patient is an i.v. drug abuser.

3. Young patient presents with sudden fever, bone pain, swelling, restricted movement in elbow joint 3 weeks after injury.         

4. Patient presents 1month after bilateral arthoplasty. Claims the joints haven’t “felt right”. Fever, leaking wounds, pain. Staphyloccus aureus was isolated.

5. Sudden onset of excruciating pain in left MTP joint. Swelling and inflammation. High uric acid.

ANSWERS

1. E

2. A

3. I

4. B

5. H