Pathology EMQ template.

Name: Emily Goode

Candidate number: 433298

Theme: Fungal Infections

OPTION LIST

A	Pulmonary cryptococcal infection	I	Invasive candidiasis
B	Aspergillus funigatus infection	J	Cryptococcal meningitis
C	Allergic bronchopulmonary Aspergillosus	K
D	Disseminated candidiasis	L
E	Dermatophytosis	M
F	Invasive Aspergillus infection	N
G	Histoplasmosis infection	O
H	Mucocutaneous Candidiasis	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. 35y/o asthmatic lady presents to A&E with shortness of breath, temperature and purulent sputum. Chest X-ray shows transient perihilar infiltrates.

2. 57y/o Asian man presents to A&E following one episode of haemoptysis. He last visited his brother in India 3 years ago, no recent travel. Chest X-ray shows a dense apical opacity with a surrounding halo.

3. A 44y/o HIV positive man presents to his GP with a headache that has been constant for the last three weeks. On examination he has papilloedema. A lumbar puncture is Indian Ink stain positive.

4. A 39y/o HIV positive lady is referred to A&E by her GP. She is pyrexial with a headache and 5 day history of rhinosinusitis. Head CT shows loss of normal bony sinus margins.

5. A 27y/o HIV positive man presents with dysphagia and retrosternal pain. On examination he also has macerated lesions in his axillae and on his scalp.

ANSWERS

1. C

2. B

3. J

4. F

5. H