Your Name: Kathy Woolson

Theme: Tropical

OPTION LIST

A	Amoebiasis	I	Plasmodium ovale
B	Chagas Disease	J	Plasmodium vivax
C	Cutaneous Leishmaniasis	K	Schistosomiasis
D	Dengue fever	L	Tropical sprue
E	Giardia lamblia	M	Tuberculosis
F	Mucocutaneous Leishmaniasis	N	Typhoid
G	Plasmodium falciparum	O	Visceral Leishmaniasis (Kala Azar)
H	Plasmodium malariae	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 45 year old female presents with fever. O/E she is pyrexial, has hepatosplenomegaly, lymphadenopathy and a severely swollen eyelid. She returned from Guatemala 2 days ago.

2. A 21 year old male presents with a swinging fever, severe rigors, vomiting and confusion. Travel history reveals that he returned from Kenya 14 days ago. O/E he was pyrexial, had hepatosplenomegaly but no lymphadenopathy and was slightly jaundiced. His GCS was 11.

3. A 45 year old male presents with frequency, dysuria and haematuria. Blood tests reveal a marked eosinophilia. He arrived back to the UK 4 months ago after travelling Africa; his best memory was diving in Lake Malawi.

4. A 21 year old female presents with chronic diarrhoea beginning 2 days before her return to the UK from India 3 weeks ago. She has lost weight, feels bloated and also complains of very offensive burps.

5. A 35 year old male complains of a persistent ulcer in the mucosa of the mouth. When questioned further admits to remembering a small ulcer on his upper arm which healed without treatment when holidaying in Brazil one year ago.

ANSWERS

1. B

2. G

3. K

4. E

5. F