Pathology EMQ template.

Name: Adalina Sacco

Candidate number:

Theme: PUO/Endocarditis

OPTION LIST

A	Plasmodium malariae	I	Hepatitis B virus
B	Epstein-Barr virus	J	Escherichia coli
C	Sarcoidosis	K	SLE
D	Drug induced fever	L
E	Mycobacterium avium complex	M
F	Mycobacterium tuberculosis	N
G	Hodgkin’s lymphoma	O
H	Brucellosis	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 35 year old HIV positive male presents with fever lasting a few weeks, night sweats and appetite loss.

2. A 15 year old girl consults her GP after experiencing a high temperature and several headaches over the last three weeks. She has no medical history of note and has recently begun a weekend job helping at a local farm.

3. A 55 year old female school teacher presents at A&E with a high fever three days after her return from India. On admission, her temperature chart shows an intermittent pyrexia every 72 hours (quartan fever)

4. An 80 year old man returns to his GP two weeks after being prescribed co-trimoxazole for a UTI. His urinary symptoms have now eased, but he is still experiencing a fever. His blood count shows a neutrophilia and eosinophilia.

5. A 40 year old female intravenous drug user presents at A&E with a mild ongoing fever, nausea and vomiting and a dark urine.

ANSWERS

1. F

2. H

3. A

4. D

5. I