Pathology EMQ template.

Name: Muhammad Zamir

Candidate number: 00391091

Theme: Zoonoses

OPTION LIST

A	Bartenolla henselae	I	Trypanosoma cruzi
B	Borrelia burgdorferi	J	Yersinia pestis
C	Brucella melitensis	K
D	“Bullet-shaped” neurotropic RNA viruses belonging to the family Rhabdoviridae	L
E	Leptospira interrogans	M
F	Francisella tularensis	N
G	Rickettsia prowazekii	O
H	Spirillum minus

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. An agitated 45 year old gentleman brought into clinic complaining of headache, malaise and a sudden fear of water. After prolonged questioning, the patient finally admitted to keeping six bats in his bedroom.

2. A pathogen spread by rodent or feline fleas, which presents with lymphadenopathy (buboes) in some patients

3. A 31 year old endocrinology doctor who comes into your clinic grumbling about the perils of keeping pets ‘especially frisky felines who scratch.’

4. An OAP, who regularly windsurfs, presents with sudden onset fever, severe headache, chills, muscle aches and four episodes of vomiting in the past three hours. He also complains of photophobia.

5. A 54 year old globetrotter presents with a long standing spectrum of unspecific symptoms including fever, sweats, malaise, vomiting and arthritis. More recently, he has worryingly developed osteomyelitis. During the history, he mentions that he consumed unpasteurised goats milk in South America some years back.

ANSWERS

1. D

2. J

3. A

4. E

5. C