Pathology EMQ template.

Name: Carmelo Mastrandrea

Candidate number: 00433280

Theme: Malaria

OPTION LIST

A	Uninfected RBCs	I	600mg quinine
B	Neutrophils	J	Thalassaemia trait
C	Platelets	K	Splenectomised
D	Natural Killer Cells	L	Duffy Antigen negative
E	Discharge	M
F	Tamiflu and discharge	N
G	Thick and Thin Blood Film	O
H	600mg chloroquine	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. In severe P. Falciparum infection, destruction of these causes Blackwater Fever

2. A 24 year old drug addict presents with night sweats and anorexia. He also complains of worsening headaches. He has not travelled outside the UK in the past 5 years. X-ray and full blood count are both normal. How would you deal with this patient?

3. A 30 year old woman recently back from Ethiopia complains of vomiting, headaches and a high fever. Initial tests including a thick and thin blood film are negative. A full blood count shows no anaemia. She says she thinks she has a viral infection as her son was recently diagnosed with swine flu. How would you deal with this patient?

4. An anxious 32 year old man complains of headaches, tiredness, fever and left upper quadrant pain. He says that his wife has recently returned from a safari in Kenya and was diagnosed with malaria. He has not travelled outside of the UK. How would you deal with this patient?

5. These individuals are not susceptible to infection with P. vivax

ANSWERS

1. A

2. G

3. G

4. E

5. L