Pathology EMQ template.

Name: Junaid Sayani

Candidate number:

Theme: Sexually transmitted disease

OPTION LIST

A	AIDS	I	Hepatitis B
B	Bacterial vaginosis	J	Herpes simplex
C	Candidiasis	K	HIV
D	Chancroid	L	Lymphogranuloma venereum
E	Chlamydia trachomatis	M	Pediculosis pubis
F	Donovarinosis	N	Hepatitis C
G	Genital warts	O	Syphilis
H	Gonorrhoea	P	Trichomoniasis

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. 23 year old woman complains of itching and soreness of the vagina. On further questioning she says there is a white curdy discharge with a ‘yeasty’ smell. pH testing of the discharge reveals a pH of 4.

2. 45 year old happily married woman complains of an offensive, fishy, yellow discharge. On speculum examination you see a thin, yellow homogenous discharge, which when tested has a pH of 5.

3. 20 year old married woman complains of an offensive yellow discharge. On speculum examination you see a thin, yellow homogenous discharge, which when tested has a pH of 5. On further questioning she reveals that she has had a lot of itching and soreness around the vagina.

4. 21 year old woman complains of rectal pain with bowel movements. Further questioning reveals that she had a small painless ulcer next to her vulva 6 weeks ago.

5. 45 year old female nurse from South Africa appears with black papules on her skin. HHV-8 is isolated from the lesions.

ANSWERS

1. C

2. B

3. P

4. L

5. K