Pathology EMQ template.

Name: Shuang Wang

Candidate number: 00403532

Theme: Urinary Tract Infections

OPTION LIST

A	Acute pyelonephritis	I	Papillary Necrosis
B	Bacterial cystitis	J	Radiation Cystitis
C	Bacterial prostatitis	K	Renal tuberculosis
D	Chronic pyelonephritis	L	Schistosomiasis
E	Glomerulonephritis	M	Urethritis
F	Haemolytic Uraemic Syndrome	N	Urolithiasis
G	Haemorrhagic cystitis	O	Viral cystitis
H	Interstitial cystitis	P	Xanthinuria

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 42-year-old Asian doctor presents a three-month history of recurrent dysuria, loin pain and gross haematuria. Standard urine culture was normal, however pyuria was noted on further laboratory tests. Intravenous urography showed parenchymal scars.

2. A 6-year old girl presents with pain on dysuria, frequency of micturition and itching in pubic region.

3. A 19-year old girl recently recovered from a chest infection after receiving a bone marrow transplant for Hodgkins’s Lymphoma. She now presents with bright red urine with presence of pus.

4. A 54-year-old man presents with frequency, urgency and dysuria. These current symptoms have been ongoing for over a year, with no resolution of symptoms from prescribed remedies. He has suffered similar symptoms as a child, and suffers from hayfever and asthma.

5. A 36-year-old woman recently completed a course of trimethoprim for her urinary tract infection. She now presents with a fever of 39.5 degrees. Acute right flank pain is elicited on mild palpation.

ANSWERS

1. K

2. B

3. G

4. H

5. A