Pathology EMQ template.

Name: Marilena Nicou

Candidate number: CID 00454734

Theme: Neonatal and Childhood Infections

OPTION LIST

A	Bordetella Pertussis	I	Herpes Simplex
B	Chlamydia	J	HIV
C	Coagulase negative	K	Neisseria Meningitidis
D	Cytomegalovirus	L	Rubella
E	E.Coli	M	Streptococcus pneumoniae
F	Epstein-Barr Virus	N	Syphillis
G	Group B streptococci	O	Toxoplasmosis
H	Hepatitis B	P	Varizella Zoster Virus

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 newborn girl presents at birth with jaundice and seizures. A full medical history taken from the mother revealed no illness or family history. In the social history it was revealed that the mother had bought a new cat 5 months ago.

2. An 11-month old baby presents with high fever. On examination, the child appears dehydrated with several ulcers on its lips and tongue. The infant has been refusing to eat for the past 2 weeks.

3. A 6-month old boy arrives in casualty with fever and his mother complains of poor feeding. On examination, the doctor identifies neck stiffness and a purpuric rash.

4. A 16-year old boy presents to its GP with a sore throat, fever and tiredness following a school trip. Examination revealed enlarged cervical lymph nodes and splenomegaly. The blood film further revealed lymphocytosis and atypical lymphocytes.

5. A 3-year old toddler presents with a persistent cough (>2weeks). The child experienced fever one week before the coughing began. The mother is worried that her child may have pneumonia.

ANSWERS

1. O

2. I

3. K

4. F

5. A