Pathology EMQ template

YourName: Sheila Jen

YourIdentifier: 00385903

Theme: Hospital Acquired Infection

OPTION LIST

A	Clostridium difficile	I	Vancomycin Resistant Enterococcus
B	Extended Spectrum Beta Lactamase producing bacilli	J
C	Haemophilus influenzae	K
D	MRSA	L
E	Pseudomembranous colitis	M
F	Pseudomonas aeruginosa	N
G	Staphylococcus aureus	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. A 55 year old woman presents with fever, abdominal pain and diarrhoea. She has recently had elective surgery and has been placed on broad spectrum antibiotics.

2. A 74 year old woman with diabetes is admitted to hospital. She is catheterised and develops cystitis.

3. A 57 year old man develops a red, swollen and tender area around the site of a central venous line. The infected area extends over a few days and he develops a fever, chills and nausea.

4. A 10 year old boy with sickle cell anaemia is admitted to hospital and requires treatment for a sickle cell crisis. Several days later he develops swollen painful skin over his thighs and imaging reveals multiple small abscesses in the underlying muscle.

5. A 35 year old man is in ITU and requires mechanical ventilation. On observation he is pyrexial and hypoxic. He is diagnosed with ventilator-associated pneumonia.

ANSWERS

1. A

2. I

3. D

4. D

5. F