If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 Best of Five 2.39

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 2.39

A 16-year-old male presents with fever and a lump in the neck. The patient was well till a week prior to presentation when he developed fever and a tender lump in his neck was felt.

No past history of significance, no recent sore throat. He has not been on any medications. No history of foreign travel. No ingestion of undercooked meat. He gave a history of being scratched when playing with the family pet (a cat).

On examination he was febrile temperature 39 C. there was a single palpable lymph node in the left posterior triangle 6 cms in diameter. It was tender but no overlying erythema no fluctuation.  No skin lesions. No hepatosplenomegaly.

Other systems were normal on examination.

Investigations revealed:

Normal FBC and biochemistry.

ESR 91 mm/h

Serology positive for Toxoplasma, CMV, EBV

In this patient the likely causative organism is likely to be:

a)      Brucella melitensis

b)      Ricketsia prowazeki

c)     Mycobacterium marinum

d)      Streptococcus pyogenes

e)      Bartonella henselae

 

 

 

Back
Up
Next

Up ] Answer BOF 2.39 ]