Pathology EMQ Question

Name: PRANAV H PATEL

Theme: Parasitic disease

OPTION LIST

A	Schistosoma Mansoni	I	Echinococcus
B	Leishmaniasis	J	Schistosoma Haematobium
C	Hook worm	K	Taenia solium
D	Trypanosomiasis	L	Scistosoma Japonicum
E	Plasmodium falciparum	M
F	Giardiasis	N
G	Tropical sprue	O
H	Lymphatic Filariasis	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 34 year-old lady presents with a 3-month history of indigestion and diarrhoea, she recently visited Thailand and said whilst on holiday she had fallen ill with a fever and rigors. On intestinal biopsy obligatory intracellular, spore-forming microsporidia were seen. What is the most likely diagnosis?

2. A 45 year-old gentleman presents to his GP complaining of a 6-month history of lethargy and malaise, he has recently become febrile. He had visited Uganda earlier in the year for an action-adventure rafting holiday. Stool sampling was found to show many small ova with a lateral spine. What is the most likely diagnosis?

3. A soldier with the TA undertaking military operations in Afghanistan for 2 years reported to his military medical centre with a fever and swollen neck glands. US showed hepato-splenomegaly. Blood testing shows pancytopenia and raised IgM Ab. What is the most likely diagnosis?

4. A Brazilian lady visiting the UK noticed swelling of her vulva, which was worse than normal, her legs and arms are also swollen but she says ‘they have been like that for years’ and give her no trouble. Larval parasites were seen on the blood film. What is the most likely diagnosis?

5. A 56 year-old African gentleman returned to the UK after visiting family in Tanzania. During his visit he went to his hometown and went swimming in the local river. He presented to the local NHS walk-in centre febrile and lethargic. Stool sampling was found to show many small ova with a terminal spine. What is the most likely diagnosis?

ANSWERS

1. G

2. A

3. B

4. H

5. K