Pathology EMQ.

Name: Shonella Singh

Theme: Respiratory tract infections

OPTION LIST

A	Streptococcus pneumoniae	I	Mycobacterium tuberculosis
B	Escherichia Coli	J	Adenovirus
C	Haemophilus influenzae	K	Legionella pneumophilia
D	Aspergillus fumigatus	L
E	Chlamydia psittaci	M
F	Influenzae A	N
G	Staphylococcus aureus	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 65 year old woman presents to A&E with fever, shortness of breath and chest pain on coughing. Her Chest X-ray reveals left lower lobe consolidation and pleural effusion.

2. A 30 year old intravenous drug user presents to casualty with a two day history of shortness of breath. He is HIV positive. Chest X-ray reveals bilateral lower lobe consolidation.

3. A 40 year old man of Indian origin presents to his GP with a one week history of weight loss, night sweats and haemoptysis. Chest X-ray reveals a cavitating lesion in the right upper lobe.

4. A 30 year old hotel maintenance worker presents to his GP with fever, dry cough, nausea and diarrhoea. Chest X-ray reveals patchy consolidation on both lung fields. Plasma sodium is low. The patient responds well to erythromycin and rifampicin.

5. A 25 year old woman with a love for birds, presented to her GP with a 1 week history of fever, malaise and shortness of breath. Chest x-ray revealed left lower lobe consolidation. The patient was treated with tetracycline and improved.

ANSWERS

1. A

2. H

3. I

4. K

5. E