Pathology EMQ

Name: Bryony Sales

Theme: Endocarditis & PUO

OPTION LIST

A	Aortic valve endocarditis	I
B	Libman-Sachs endocarditis	J
C	Marantic endocarditis	K
D	Mitral valve endocarditis	L
E	Prosthetic valve endocarditis	M
F	Tricuspid valve endocarditis	N
G	VSD endocarditis	O
H		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 26-year-old IV drug user presents with a 2 week history of fevers, cough and lung infiltrates and a systolic murmur

2. A 60-year-old man presents with a 2 month history of fevers, weight loss and breathlessness. An ECG reading demonstrates 1st degree heart block

3. A 35-year-old woman develops a fever 2 weeks after having dental treatment. On examination she has a pansystolic murmur. She informs you that she had previously suffered from rheumatic fever

4. A 40-year-old woman with known SLE develops an unexplained fever and murmur. Further investigations demonstrate no obvious abnormality on echocardiography

5. A 50-year-old man presents with a fever and breathlessness. He underwent cardiac surgery one month ago

ANSWERS

1. F

2. D

3. D

4. F

5. G