Pathology EMQ template

YourName: Shanthini Crusz

YourIdentifier: crusz sh

Theme: CNS Infection & Meningitis

OPTION LIST

A	Streptococcus pneumoniae	I
B	Leptospira	J
C	Listeria	K
D	Lyme disease	L
E	E-coli	M
F	TB	N
G	Neisseria meningitidis Group B	O
H	Epstein Barr Virus	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 59 year old alcoholic, presents to A&E with a severe headache, irritability and confusion. A CSF is taken and results show a turbid sample with neutrophils count 3000, protein 0.4g/l and glucose 0.3 mmol/l

2. Diagnostic procedures should not impede treatment of this cause should it be suspected.

3. A 7 year old child presents to A&E with malaise, vomiting and headache. She has a positive Kernig’s sign. Her illness resolves within 6 days.

4. Vaccination of this cause is difficult due to poor immunogenicity

5. A 38 year old patient presents to his GP with a headache that has increased over several weeks and has develop a left sided hemiparesis. He is known to be HIV positive.

ANSWERS

1. A

2. G

3. H

4. G

5. F