Pathology EMQ template.

Name: Laura Cherrington

Candidate number:

Theme: CNS infection and meningitis

OPTION LIST

A	Bacterial meningitis	I	Viral encephalitis
B	Cerebral Abscess	J	Viral meningitis
C	Meningioma	K
D	Migraine	L
E	Mycobacterium tuberculosis	M
F	Neiserria Meningitidis	N
G	Streptococcus pneumoniae	O
H	Subdural haemorrhage	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 33 year old lady presents with headache, malaise and fever. She has a widespread macular rash. A lumber puncture reveals a clear CSF with a high number of lymphocytes and a protein of 0.7g/L. CSF glucose is normal.

2. A 20 year old male presents with a sore throat and headache. He has a maculopapular and petechial rash on his hands and feet. The CSF is infected with a Gram negative diplococcus.

3. A 49 year old male presents with fever, vomiting and seizures. His WCC is increased. He recently had a dental infection. The MRI of his brain shows a ring-enhancing lesion.

4. A 25 year old lady is brought to A&E. She complained earlier of headaches. She has a fever and speech disturbance. She starts to lose consciousness.

5. A 40 year old man presents with haemoptysis, neck stiffness and photophobia. He has been feeling unwell for the past week. CSF was turbid with a high level of protein.

ANSWERS

1. J

2. F

3. B

4. I

5. E