Pathology EMQ template.

Name: Sarah Hickin

Candidate number: 00431146

Theme: Giardia, Entamoeba, Leishmania and other parasites

OPTION LIST

A	Trematode	I	African trypanosomiasis (Sleeping Sickness)
B	Amoebiasis	J	Toxoplasmosis
C	Nematode	K	Hookworm
D	Leishmaniasis	L
E	Filiariasis	M
F	Ascariasis	N
G	Malaria	O
H	Pinworm	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. A 30 year old African farmer comes to his GP complaining of an itchy rash on his foot which has been present for a few days. Over the last 24 hours he has also experienced diarrhoea and abdominal pain. Microscopic stool examination reveals small oval eggs and Full Blood Count indicates an iron deficiency anaemia.

2. A 35 year old HIV +ve man has just returned from a trip to the Indian sub-continent. He is complaining of a general feeling of tiredness, weight loss and night sweats. On examination there is hepatosplenomegaly and hyperpigmentation of the skin. What is your diagnosis?

3. A medical student has returned from her elective in Zambia 2 weeks ago. She is now complaining of flu-like symptoms of fever, malaise, headaches and muscle aches. She took chloroquine before she travelled, but did not complete the course due to nausea.

4. A 25 year old banker has come back from holiday in South-East Asia. He complains of an itchy, red swollen area on his back. On direct questioning, he admits to have swam in an area of freshwater. On examination, there is a maculopapular rash with oedema and pruritis on the middle of his back.

5. A 45 year old female has been working for the Red Cross in Gambia. She is admitted to hospital with persistent headaches, daytime somnolence and nighttime insomnia. Whilst taking a history you elicit that she noticed an insect bite 10 days ago. Her husband adds that he has become aware of mood changes in his wife. What is the likely cause?

ANSWERS

1. K

2. D

3. G

4. A

5. I