Pathology EMQ template.

Name: Edward Millar-Craig: used in mock

Theme 10: Cytopathology: 166 – 170 (Millar-Craig)

OPTION LIST

A	Candida albicans	I	Granuloma Inguinale
B	Cervical Intraepithelial Neoplasia I	J	Group B Streptococcus
C	Cervical Intraepithelial Neoplasia II	K	Herpes simplex
D	Cervical Intraepithelial Neoplasia III	L	Herpes zoster
E	Cervical Microglandular Hyperplasia	M	Lymphogranuloma venereum
F	Cervical polyps	N	Neisseria gonorrheae
G	Chlamydia	O	Treponema pallidum (syphilis)
H	Gardnerella vaginalis	P	Trichomonas vaginalis

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 29 year old lady presented with painful ulceration of the vulval skin. Histologically, there were intraepithelial blisters, intranuclear viral inclusions and eosinophilic cytoplasmic swelling.

2. A 42 year old lady presented to a clinic for a smear test but explained that due to living abroad she had not had one for 8 years. The smear showed severe dyskaryosis and she was referred for colposcopic examination, which revealed dysplastic changes in the full thickness of the cervical epithelium.

3. A young lady is found to have chronic irritation and inflammation of the vulva. A pap smear and use of a silver stain reveals fungi within the keratin layer and superficial epithelium.

4. A 22 year old lady presented with a vaginal discharge. Gram staining revealed “Clue cells” surrounded by rods, that were “Gram variable”.

5. A pap smear taken from a chronic granulomatous ulcer shows a necrotic centre, periarteritis and endarteritis obliterans and an intense peripheral cellular infiltrate consisting mainly of mononuclear cells and giant cells.

ANSWERS

1. K

2. D

3. A

4. H

5. O