Pathology EMQ template.

Name: Nisarg Pipalia

Candidate number: 00411367

Theme: Infection

 

OPTION LIST

 

A

Staphylococcus saprophyticus

I

Pseudomonas aeruginosa

B

Escherichia coli

J

Proteus Mirabilis

C

Pneumonia

K

Leptosporia Interrogans

D

Entrococcus

L

Streptococcus Pneumomia

E

Klebsiella

M

Staphylococcus epidermidis

F

Neisseria Meningitis

N

Staphylococcus aureus

G

Mycobacterium Tuberculosis

O

Streptococcus agalactiae

H

Pneumocystis carinii

P

Don’t know

 

 

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. 22 year old female presented with burning sensation on passing urine, increased frequency, lower abdo discomfort and small traces of blood in the urine. Urine dipstick was positive for nitrites, leucocytes and RBC. Organism isolated was gram positive, coagulase negative, catalase positive and resistant to novobiocin.

 

 

2. 25 year old male presented with sore throat, fever, muscle aches, headache and lethargy. Further questioning revealed photophobia and neck stiffness. On examination there was a positive Kernig’s sign and Brudzinski’s sign. CSF analysis revealed polymorphs cells greater than mononuclear cells, low glucose and high protein. Isolated organism was gram negative, aerobic, diplococci and oxidase positive.

 

 

3. 20 year old female from India, presented with headache, neck stiffness, fever and a rash. On examination there was a positive Kernig’s sign and Brudzinski’s sign. CSF analysis revealed mononuclear cells greater than polymorphs and low glucose.

 

4. 30 year old male presented with SOB, fever, rash, cough, chest pain, weight loss, lethargy, exhaustion and diarrhoea. Sexual history revealed contact with prostitutes. On examination he had generalised lymphadenopathy, maculopapular rash, oral thrush, reduced expansion of chest on the right hand side, dull to percuss and crackles over the right lower zone.

 

 

5. 23 year old female presented with symptoms of UTI. Isolated organism was gram negative, anaerobic, motile, hydrogen sulphide positive, urease positive, indole and lactose negative. Urine was found to be alkalytic.

 

 

 

ANSWERS

1. A

2. F

3. G

4. H

5. J