Pathology EMQ template.

Name: Sharlene Zaat

Theme: Zoonoses

OPTION LIST

A	Anthrax	I	Leishmaniasis
B	Bartonellosis	J	Leptospirosis
C	Brucellosis	K	Lyme borreliosis
D	Cryptococcosis	L	Psittacosis
E	Dengue fever	M	Rabies
F	Ehrlichiosis	N	Rickettsia
G	Hydatid disease	O	Trench fever
H	Lassa fever	P	Q fever

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 pigeon fancier presents with a cough, low-grade fever and chest pain. Indian ink CSF stain was positive. He was treated with fluconazole.

2. A 40-year-old man presents with abdominal pain. On examination, he has hepatomegaly. Abdominal ultrasound reveals a well-defined round lesion in the liver. He tells you he has two dogs.   

3. An Eastern European vet presents with fever and sweating and a one-month history of malaise, weight loss and myalgia. Rose Bengal test was positive and blood cultures reveal gram negative bacilli.

4. A 21-year-old medical student presents with a sore throat, fever, headache and myalgia. She has recently returned from volunteering at a hospital in Nigeria, where she helped deliver babies. She is treated with a slow IV infusion of ribavarin.

5. A 12-year-old boy presents with a fever, headache, malaise and a non-specific rash. His parents tell you he’s had several tick bites while on holiday in the US. FBC shows leucopenia and thrombocytopenia, and LFT reveals a raised AST.  

ANSWERS

1. D

2. G

3. C

4. H

5. F