Pathology EMQ.

Name: Ravneet Sirha

Theme: Respiratory Tract Infections

OPTION LIST

A	S. Pneumonia	I	M. tuberculosis
B	C. psittaci	J	K. pneumoniae
C	C. pneumoniae	K
D	S. aureus	L
E	L. pneumophila	M
F	Pneumocystis carinii pneumonia	N
G	P. aeruginosa	O
H	M. pneumoniae	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. 35 yr old male presented with a 1 week history of hoarse voice, cough, headache and mild fever. His symptoms were getting worse and he was finding it harder to breather. He also developed sinus pain.

2. A 75 year old male non smoker presented with a cough productive of sputum and fever. He was short of breath and felt a ‘catching’ chest pain upon breathing in. Chest X-ray showed consolidation in the right lower lobe.

3. An otherwise healthy 25 year old female complained of ‘flu like’ symptoms. She had a headache, weakness and joint pains and had developed a dry cough. Tests detected the presence of cold agglutins.

4. A 25 year HIV positive man presented with a 2 week history of a bloody cough and night sweats. He had lost weight and had a fever. 3 weeks ago he had travelled to Africa to visit family. Chest X-Ray revealed hilar lymphadenopathy and left sided upper lobe shadowing.

5. A 45 year old business man was previously well. One week after staying in a hotel he developed diarrhoea, nausea and weakness. He had a headache and on examination was confused and pyrexial. Tests revealed lymphopaenia and hyponatraemia.

ANSWERS

1. C

2. A

3. H

4. I

5. E