Name: Rebecca Steer

Theme: Pyrexia of Unknown Origin

OPTION LIST

A	Acute Lymphoblastic Leukaemia	H	Malaria
B	AIDS	I	Polymyalgia Rheumatica
C	Hepatitis A	J	Rheumatoid Arthritis
D	Hepatitis B	K	Schistosomiasis
E	HIV
F	Hodgkin’s Lymphoma
G	Infectious Mononucleosis

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. An 18 year old girl presents with a 3 week history of fever, anorexia, malaise and lymphadenopathy. Blood films show a lymphocytosis and atypical lymphocytes.

2. An intravenous drug abuser presents with fever, malaise, anorexia, nausea, arthralgia and jaundice.

3. A medical student returns from elective in Africa with a headache, malaise and myalgia. The patient is anaemic, jaundiced and has daily fever spikes.

4. A 35 year old male presents following a year of unexplained feverish episodes. He has now developed intractable diarrhoea. On examination it is noted the patient has multiple purplish papules all over his body including his mouth.

5. A middle-aged housewife presents with a week’s history of lethargy and fever. On examination she has splenomegaly and lymphadenopathy. On investigation she is leucopenic.

ANSWERS

1. G

2. D

3. H

4. B

5. J