Pathology EMQ template

 

YourName: Daniel Zeloof

YourIdentifier: 00424235

Theme: Zoonoses

 

OPTION LIST

 

A

Brucellosis

I

 

B

Leptospirosis

J

 

C

LymeÕs Disease

K

 

D

Rabies

L

 

E

Trypanosoma Brucei Gambienese

M

 

F

Trypanosoma Cruzi

N

 

G

Dengue Fever

O

 

H

Leishmaniasis

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 male wildlife photographer presents to casualty with confusion and marked agitation. He is noted to be salivating heavily and is beginning to complain of myalgia and fever.  You manage to speak to his camera-buddy who reports that despite being back for a week, they previously were in Australian bat caves trying to capture some high definition footage. He also mentions his confusion has been waxing and waning. A: Rabies

 

 

 

2. A 35 year-old man clothing merchant has returned back to the UK from a visit home to Syria. A week later he presents with flu-like symptoms, drenching sweats and a recurring fever and is beginning to complain of a lower back pain. On questioning his son, you find out he brought back some local cheeses from the farms in Aleppo. A: Brucellosis

 

 

 

3. A 30-year-old Human Rights lawyer complains of a swinging fever with each phase lasting a week. On examination you notice an enlarged liver and spleen and interestingly, you notice lymphadenopathy suboccipitally. The history reveals she returned 2 weeks ago from an extended field investigation in Sierra Leone, where she stayed in a local village by the estuary. She remembers being bitten repeatedly and even has a painful bite site to show off on the dorsum of her hand. A: Trypanosoma Brucei Gambienese

 

 

 

4. A 24-year old woman presents with high fever and jaundice and on admission you notice there is a raised urea and creatinine and a dipstick confirms proteinuria. You question her to find out that six days ago she experienced a flu-like illness that lasted for four days. She assumed she had recovered. She mentioned it all started after a weekend in the lake district.  A: Leptospirosis

 

 

 

5. A 50-year-old man has returned from a hiking a segment of the Appellation Trail on the Eastern coast of the USA during the summer months. 10 days later he presents to casualty with flu-like illness and a rash showing some central fading. Despite claiming to be very responsible in the mountains and applying natural mosquito repellant, his wife admits that he refused to follow the local advice of tucking trousers into socks. A: Lymes Disease

 

6. A 45-year-old Bolivian male presents with Dysphagia and Dyspnoea that he says have worsened over recent months. There is no translator in the clinic, but you understand that many people in his home village have suffered similarly and he suggests that it all begins with a swelling of the eyelids. A: Trypanosoma Cruzi

 

 

 

ANSWERS

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