Pathology EMQ template.

Name: UZMA MAHMOOD

Candidate number: 3016

Theme: MALARIA

 

OPTION LIST

 

A

Black water fever

I

Jaundice

B

Cerebral malaria

J

Serial thick and thin blood films

C

Heterophil antibody test

K

Hepatosplenomegaly

D

Every 6 hours

L

β-Thalassaemia

E

Every 3rd day

M

α-Thalassaemia

F

Lymphadenopathy

N

Ziehl-Neelsen staining

G

Sickle cell anaemia

O

Hyperglycaemia

H

Sickle cell trait

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 23 year old African woman returned from a visit to her hometown in Kenya 2weeks ago. Her friend who travelled with her has suddenly developed fever, rigors and chills. Why may the African woman be immune from the illness her friend has developed?

 

 

2. A 27 year old man presents with fever and chills after a Safari holiday and you suspect he has contracted malaria. What investigation would you do to confirm the diagnosis of malaria?

 

 

3. A 45 year old woman presents to A&E showing the classical symptoms of malaria after attending a wedding in Pakistan. Which of the following is not considered to be a severe complication of malaria?

 

 

4. An 19 year old student who returned from a charity project in Sudan 2 months ago presents with anorexia, malaise and rigors. Her fever is recorded as 41°C but subsides a little by the same evening. When can we expect to see her fever peaking again?

 

 

5. A 15 year old boy who visited family abroad over the summer holidays presents in A&E with a high fever, rigors and chills. He is found to be severely anaemic. What clinical signs are NOT associated with a plasmodium falciparum malaria infection?

 

 

 

ANSWERS

1. H

2. J

3. O

4. E

5. F