Your Name: Michelle Yetton

Theme: Tropical diseases

OPTION LIST

A	Non - p.falciparum malaria	I	Trypanosomiasis
B	Pulmonary tuberculosis	J	Cutaneous leishmaniasis
C	Amoebic dysentery	K	Giadiasis
D	Visceral leishmaniasis (kala-azar)	L	Trichuris trichiura
E	Chagas disease	M	Brain worm
F	Severe malaria	N
G	Amoebiasis	O
H	Miliary tuberculosis	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 5 year-old girl presents unconscious and unrousable. Neck rigidity is not present and kernig’s sign is negative. She dies 3 hours after presentation.

2. A 20 year-old man presents with a persisting intermittent fever which began whilst he was travelling in South America the previous week. He has a dry cough and a massively enlarged spleen. Sandfly parasites are detected in a spleen aspirate.

3. A 16 year-old boy complains that his friends keep ‘taking the mick’ out of his ‘smelly, eggy burps’. He also mentions he has experienced some diarrhoea and abdominal pain.

4. A 55 year-old Gambian man presents with a low-grade fever which has been coming and going for about 2 months. He says it started when visiting his family in Gambia when he was also feeling weak and sleeping a lot.

5. A 7 year-old girl presents with a few week’s history of fever, malaise and weight loss. She has hepatosplenomegaly and neck stiffness. Chest x-ray shows diffuse, small, nodular opacities.

ANSWERS

1. F

2. D

3. K

4. I

5. H