Pathology EMQ template

YourName: Pramudith Sirimanna

YourIdentifier: 00404721

Theme: Respiratory Infections

OPTION LIST

A	Haemophilus influenzae	I	Pneumocystis Carinii
B	Chlamydia pneumonia	J	Legionella pneumophila
C	Klebsiella pneumoniae	K
D	Staphylococcus aureus	L
E	Coxiella burnetti	M
F	Mycoplasma pneumoniae	N
G	Moraxella catarrhalis	O
H	Streptococcus pneumoniae	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. John, a 16yr old male, returns from boarding school with feeling generally unwell. His parents bring him into A+E after he develops a cough and an erythematous rash as well as vomiting and diarrhoea. Blood tests reveal that WBC is 4x10⁹.

2. A very ill 56yr old male presents to A+E with a severe swinging fever, productive cough. Chest X-ray shows multi-lobar patchy consolidation as well as multiple cysts and, what appears to be, a small pleural effusion. His wife tells you that he recently had a bout of the flu.

3. David, a 23yr old male, presents with a headache, dry cough, confused and with diarrhoea. Blood tests reveal his Na⁺ to be 125mmol/l. He has recently returned from a trip to America.

4. A 64yr old drunk homeless man presents with a sudden onset illness with a purulent blood-stained sputum. On examination he has spider naevi, acities, hepatomegaly.Chest X-Ray reveals extensive upper lobe consolidation.

5. A 58yr old heavy smoker presents with a productive cough. He has previously been diagnosed with COPD

ANSWERS

1. F

2. D

3. J

4. C

5. A