Pathology EMQ template

 

YourName: Tim Wang

YourIdentifier:

Theme: Urinary Tract Infections

 

OPTION LIST

 

A

Malignancy of the Prostate

I

Endometritis

B

ReiterÕs Syndrome

J

AIDS

C

Bacterial Vaginosis

K

Urethral Stricture

D

Pyelonephritis

L

Tuberculous Prostatitis

E

Infectious Cystitis

M

Papillary Necrosis

F

Urethritis

N

Trigonitis

G

Interstitial Cystitis

O

Radiation Cystitis

H

Epididymitis

P

Vesicoureteral Reflux

 

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. 23-year-old lady complains of painful urination, abdominal pain, fever and rigors. On examination, you notice some tenderness one on side of her abdomen. The medical student informs you that her urine dipstick showed the presence of nitrites and leukocytes.

 

 

2. 31-year-old gentleman has been going more frequently to the bathroom and tells you he notices burning pain on urination. During the last 2 weeks, he has also noticed a swelling in his right knee. On examination, your medical student is keen to point out the presence of balanitis ciricinata and a redness of the eyes.

 

 

3. 39-year-old gentleman rushes into your clinic complaining of pain during urination and perineal pain. With your superior communication skills, you gather that he is infertile and sometimes notices bleeding at the end of urination. Your keen medical student is quick to perform a DRE and informs you of a hard and irregular prostate. Urine analysis shows sterile pyuria.  As he leaves your clinic a box of zidovudine falls onto the floor.

 

4. An especially promiscuous 21-year old male medical student comes to your clinic complaining of dysuria and itching between voids. He swears that his last sexual partner looked ÔinfectedÕ. Pain is worst during the first morning void and after alcohol consumption. Your medical student is perplexed at the absence of any systemic symptoms (fever, chills, sweats, nausea).

 

 

5. On the district line, a talkative 50-year-old lady tells you she suffers from pelvic pain, urinary frequency, urgency and nocturia for over 9 months. Simple remedies have not helped and she tells you there is no active genital herpes, discharge or mass lesions. She has not had previous radiation therapy.

 

 

ANSWERS

1. D

2. B

3. L

4. F

5. G