Pathology EMQ template.

Name: Gregory Froome

Candidate number:

Theme: Sexually Transmitted Infections

 

OPTION LIST

 

A

Chancroid

I

Non-gonococcal urethritis

B

Chlamydia

J

Syphilis

C

Disseminated gonococcal infection

K

Uncomplicated gonorrhoea

D

Genital herpes

L

 

E

Gonococcal conjunctivitis

M

 

F

Gonorrhoea-associated prostatitis

N

 

G

Gonorrhoea-associated salpingitis

O

 

H

HIV

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. Sitting in on your consultant’s GUM clinic, you see a shy 30-year-old woman who admits to losing her virginity a week ago and now is worried about the appearance of insect bite-like marks in her genital region and a concurrent fever. On intense questioning, she reveals that her partner seemed to have a painful sore on his penis.

 

2. On Tuesday, a confident African friend comes to you for advice. He has noticed a painful ulcer on his penis, from which he has helpfully collected exudate. Sneaking into the labs at Chelsea & Westminster late one evening, you culture this. Later, you note the presence of Haemophilus ducreyi.

 

3. Deciding to break with tradition and make two appearances on firms in one week, you find your incompetent registrar helping out in the GUM clinic on Wednesday morning. With alcohol-tinged breath, he tells you of his inability to diagnose the first patient of the day, a 25-year-old homosexual man who presented with purplish lesions on his skin and pneumonia. A stunningly swift culture from the labs determines the organism is Pneumocystis carinii. Before reporting your registrar to the GMC, you fill in the diagnosis on the patient’s notes.

 

4. On Thursday evening, you receive a panicked phone call from your mother. Your 16-year-old sister, whom you have always been close to (since her diagnosis at age 3 with a complement disorder), has been feeling feverish, has a rash and painful joints. Suddenly, you remember having seen Jim, one of her many ‘boyfriends’, secretively sneaking out of the gonorrhoea follow-up clinic last week.

 

5. After a Friday night out, you return to your room in halls with Helga, a promiscuous fellow student on your corridor. Before copulating, you notice Helga has some muco-purulent discharge from her vagina. Upon questioning, she admits to a history of pelvic pain. You abandon your amorous advances and accompany Helga to A&E, where you impress the doctors on call with your spot diagnosis.

 

 

 

ANSWERS

1. D

2. A

3. H

4. C

5. B