mrcem2-0924

A patient with a past medical history of epigastric discomfort and diarrhea is diagnosed with a tapeworm infection. The infection was acquired after consuming a beef dish that was contaminated with the parasite.

Which of the following organisms is most likely responsible for causing this infestation?

mrcem2-0925

A patient with a previous complaint of upper abdominal pain and frequent bowel movements is diagnosed with a tapeworm infection. The infection was acquired after consuming a pork dish that was contaminated with the parasite.

Which of the following organisms is the most probable cause of this infestation?

mrcem2-0926

A 35-year-old traveler returns from a vacation in India with a high temperature and stomach issues. After medical examination, he is confirmed to have typhoid fever.

mrcem2-0927

A 30-year-old man presents to the emergency department following an altercation at a nightclub. The patient sustained a bite during the altercation, resulting in an occlusal injury to his arm. There is notable redness surrounding the wound. It is determined that the patient should be administered antibiotics. What is the most suitable initial antibiotic treatment for an infected human bite wound?

mrcem2-0928

A 57 year old type 2 diabetic presents to the emergency department with redness on his foot. Upon examination, a foot ulcer measuring 1 cm in diameter is observed, exposing the superficial subcutaneous tissues. There is approximately 1 cm of erythema surrounding the ulcer and some pus at the base. The patient is not running a fever and appears to be in good overall health. It is determined that antibiotics should be initiated. The patient has no known allergies to medications. Which antibiotic would be the most suitable option?

mrcem2-0919

A 35-year-old humanitarian aid worker returns from a recent trip to Liberia where she has been working with the British Red Cross. She developed flu-like symptoms a few days earlier but now has severe muscle pain, abdominal pain, haematemesis, and epistaxis. On examination, her temperature is 38.9°C and there are extensive purpura on her limbs and abdomen.

What is the SINGLE most likely diagnosis?

mrcem2-0920

A 68 year old male attends the emergency department with a member of staff from his nursing home who is concerned that the patient has had diarrhea for the past 2 days. The patient complains of cramping pains to the lower abdomen. The carer tells you the patient has been having frequent episodes of watery foul smelling diarrhea. There is no associated vomiting and no blood in the stool. You note the patient has recently completed a 5 day course of amoxicillin for a respiratory infection that failed to resolve with a 3 day course of azithromycin treatment. The patient’s regular medications are:
Lansoprazole 30 mg once daily
Acetaminophen 1g four times daily
Ibuprofen 400 mg three times daily as required for joint pain
On examination the patient’s abdomen is soft with some tenderness on deep palpation of the lower quadrants but no guarding or rigidity. The patient’s observations are shown below:

Temperature 37.3ºC
Blood pressure 144/84 mmHg
Pulse 88 bpm
Respiratory rate 18 bpm
Oxygen saturations 97% on air

What organism is most likely to be causing this patient’s symptoms?

mrcem2-0921

A child with a history of stomach pain and loose stools is being examined for a potential diagnosis of tapeworm infection.
What is the most suitable test to confirm this diagnosis?

mrcem2-0922

A child with a history of stomach pain and loose stools is diagnosed with a tapeworm infection after finding eggs in their stool.
What is the most suitable treatment for this infection?

mrcem2-0923

A patient who has recently come back from a journey to South America arrives with seizures and visual impairment. After conducting several tests, including a brain CT scan, the diagnosis of cysticercosis is established.
What is the most probable organism responsible for this condition?