Pathology EMQ template.
Theme 1: CNS / Meningitis: Chris
Bell: used in mock: 151-155
OPTION LIST
|
A |
Eschericha
Coli |
I |
Streptococcus
pneumoniae |
|
B |
Haemophilus
influenzae |
J |
Subarachnoid
haemorrhage |
|
C |
Meningioma |
K |
Subdural
haemorrhage |
|
D |
Migraine |
L |
Viral
meningitis |
|
E |
Mycobacterium
tuberculosis |
M |
Extradural
haemorrhage |
|
F |
Neisseria
meningitis |
N |
|
|
G |
Poliovirus |
O |
|
|
H |
Protozoal
meningitis |
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
30-year-old gentleman presents with headache, neck stiffness, fever and general
malaise. Examination reveals a blanching skin rash. A lumbar puncture revealed
clear CSF with no neutrophils present, a high number of lymphocytes and protein
of 0.75g/L. CSF glucose was within normal range.
2. A
42-year-old woman presents with haemoptysis and neck stiffness and photophobia
and subsequent impairment of consciousness. On questioning it is revealed that
she has been feeling unwell for a couple of weeks. CSF from a lumbar puncture
was turbid with a high level of protein (2.3g/L).
3. A 3 year
old girl with incomplete vaccinations presents with insidious symptoms of
meningism over the course of a couple of days. Blood culture revealed presence
of Gram negative coccibacilli.
4. A 73
year old gentleman presents with high fever and neck stiffness of acute onset.
A lumbar puncture revealed Gram positive cocci.
5. An 18
year old student presents to his GP with a sore throat and headache. He also
admitted to being more irritable recently. A complete examination revealed a
mixed petechial and maculopapular rash on his extremities. CSF sample showed
infection with a Gram negative diplococcus.
ANSWERS
|
1. L |
2. E |
3. B |
4. I |
5. F |