Pathology EMQ template.

Name: Thomas Badenoch

Theme: Blood Transfusion

 

OPTION LIST

 

A	Anaphlyaxis	I	Viral transmission
B	Bacterial contamination	J	Urticaria
C	Delayed Haemolytic Reaction	K
D	Fluid Overload	L
E	Graft-versus-host disease	M
F	Immediate haemolytic Transfusion Reaction	N
G	Iron Overload	O
H	Non-haemolytic febrile transfusion reaction	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 man complains of an itchy rash over his arms and upper body just after receiving a blood transfusion.

 

 

2. A 40-year old undergoing chemotherapy is given a transfusion for severe anaemia, he comes in the next day complaining of abdominal pain, diarrhoea and fever and he has a blistering rash on his upper body.

 

 

3. An embarrassed 16-year old with beta-thalassaemia, presents complaining of being shorter than his peers. On examination he has not developed secondary sexual characteristics. On investigation he also has poor cardiac function.

 

 

4. A 59-year old man has developed fever, rigors and severe chest pain a few minutes after the start of a blood transfusion. He is dyspnoeic, tachycardic, and hypotensive. Urinalysis reveals haemoglobinuria.

 

 

5. A 37-year old multiparous woman receiving transfusion develops fever and rigors, flushing of the face and tachycardia about one hour after the start of the transfusion.

 

 

 

ANSWERS

1. J

2. E

3. G

4. F

5. H