Pathology EMQ template.

Name: Azeem Yussouf

Theme: Zoonoses

OPTION LIST

A	Brucellosis	I	Rocky Mountain fever
B	Cat Scratch disease	J
C	Leptospirosis	K
D	Lyme Disease	L
E	Q Fever	M
F	Mycobacterium Tuberculos	N
G	Psittacosis	O
H	Rabies	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 40 year old man recently returns from travel in North America, presenting with fever, flu like symptoms and a bulls-eye rash.

2. A 35 year old man recently returns from South Asia and presents to his GP with an undulant fever, malaise, rigors and arthralgia. He admits to drinking unpasteurised milk.

3. A 20 year old woman returns from Southern France where she spent time on a farm. She presents with fever, a dry cough and diarrhoea.

4. An ornithologist presents to his GP with fever, arthalgia and cough and dyspnoea. Levathar-cole-lillie bodies can be seen on BAL.

5. A 30 year old sewage worker presents with a 1 week history of flu like symptoms with diarrhoea. The diagnosis is confirmed with a microscopic agglutination test.

ANSWERS

1. D

2. A

3. E

4. G

5. C