Name: Catherine Mbema

Theme: Mycobacterium

 

OPTION LIST

 

A

Chlamydia pneumoniae

I

Pulmonary embolism

B

Chlamydia psittaci

J

Sarcoidosis

C

Cryptogenic fibrosing alveolitis

K

Staphylococcus aureus

D

Mycobacterium avium intracellulare

L

Streptococcus pneumoniae

E

Mycobacterium leprae

M

 

F

Mycobacterium tuberculosis

N

 

G

Mycoplasma pneumoniae

O

 

H

Pneumocystis carinii

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 35 year old lady presents with worsening shortness of breath on exertion and a dry cough. A chest x-ray reveals bihilar lymphadenopathy. Blood tests reveal a raised ESR and raised serum ACE.

 

2.  A 30 year old gentleman known to be HIV positive presents with a history of fever, sweating, shortness of breath and weight loss. Blood tests reveal an elevated white cell count and CD4 count of 48 x 106 cells/L. Laboratory findings reveal positive acid-fast bacilli smears.

 

3.  A 20 year old gentleman presents with a 2 week history of headache, myalgia and general malaise. Over the past week he has developed a dry cough. A chest x-ray reveals bilateral patchy consolidation.

 

4. A 49 year old gentleman, who has recently returned from a trip to India to visit his family, presents with a fever, night sweats and a grossly distended abdomen. On examination a shifting dullness test reveals ascites. An ascitic tap is performed and acid fast bacilli are seen on microscopy.

 

 

5. A 32 year old gentleman presents with painless papules on his skin and painful red lesions on the front of his shins. Two months ago he spent several months touring East and Central Africa. His blood tests reveal a neutrophilia and raised ESR.

 

 

 

ANSWERS

1.  J

2.  D

3.  G

4.  F

5.  E