Pathology EMQs

Name: Tom Hampton

Candidate number: 5268

Theme: Genitourinary Disease

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OPTION LIST

A	Lassa Fever	I	Syphilis
B	Scrombotoxin	J	Trichomoniasis
C	Herpes simplex	K	Donovanosis
D	Bacterial Vaginosis	L	Fournier’s gangrene
E	Leishmaniasis	M	Lymphogranuloma Venereum
F	Chancroid	N	Mycoplasma genitalium
G	Molluscum contagiosum	O	Scabies
H	Gonorrhoea	P	Candidiasis

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For each scenario below, choose the most appropriate diagnosis from the list above. Each option may be used once, more than once or not at all.

1. A 38yr old greengrocer presents with offensive grey-green vaginal discharge, pruritis and dysuria. Her husband has recently fallen out with the milkman. Neither man is circumcised. On speculum examination you see a ‘strawberry’ cervix.

2. A 17yr old Chinese gymnast drops out of competition when an erythematous papular lesion around her perineum starts to bleed painfully. She presents to the hospital with grossly inflamed left inguinal lymphadenopathy. Haemophilis ducreyi is isolated.

3. A 23yr old farmhand from Zimbabwe seeks asylum, hiding aboard a cargo ship to Portsmouth. Custom and Excise find the man naked and feverish on arrival, with vesicles and painful red papules around his penis and anus. While being handcuffed, they notice peculiar lesions on his palms.

4. A Venezuelan coffee plantation worker swindles 4 medical students on holiday with a ‘tour’ around a fair-trade plantation. He scratches mercilessly at his fingers and after shaking hands, he confides he stayed up most of the last night in the workhouse, itching his chest and genitals.

5. Three weeks after his first night ‘out’ (at a Brazilian-themed club in London), a 16yr old MSM develops bilateral inguinal lymphadennopathy. What started as a small flat topped papule on the shaft of his penis has now become a painless beefy red ulcer.

ANSWERS

1. J

2. F

3. C

4. O

5. K