Pathology EMQ template.

Name:Suraya Zainul-Abidin

Candidate number:

Theme:Zoonoses

 

OPTION LIST

 

A	Anthrax	I	Q-fever
B	Brucellosis	J	Rabies
C	Cholera	K	Tick-Borne Relapsing Fever
D	Ebola Virus	L	Toxoplasmosis
E	Leptospirosis	M	Tularaemia
F	Louse-Borne Relapsing Fever	N	Typhoid
G	Lyme Disease	O	vCJD
H	Plague	P	Yellow Fever

 

 

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 young man presents to A&E with a 2 day history of delirium, difficulty in breathing and an aversion to water. He has a one week history of fever and headaches and also complained of pain where he was bitten and scratched by a cat 3 months ago.

 

 

2. An aid worker in Sub-Saharan Africa presents with high fever, chills, myalgia and lymphadenopathy in the inguinal region.

Blood cultures show a Gram-negative bacilli. He says that there was a rat infestation in the village where he worked.

 

 

3. A young woman presents to her GP with an erythematous rash which appeared on her hands and feet 5 days ago. She also complains of arthralgia and says that she found a tick on her foot when she woke up one morning.

 

 

4. A previously healthy 45 year old woman presents to her GP with a two week history of malaise, headache, myalgia, fever and night sweats. She lives on a farm and rears cows, sometimes drinking unpasteurised milk. Her symptoms recede with a course of tetracycline antibiotics.

 

5. Which disease is prevented using a human diploid cell vaccine?

 

 

 

 

ANSWERS

1. J

2. H

3. G

4. B

5. J