Pathology EMQ template.

Name: Josh Balogun-Lynch         

Theme: Blood Transfusions

 

OPTION LIST

 

A	ABO Incompatibility	I	Transfusion associated lung injury (TRALI)
B	Allergic Reaction	J	Viral Infection
C	Anaphylactic reaction	K
D	Bacterial Infection	L
E	Delayed Haemolytic transfusion reaction (DHTR)	M
F	Fluid Overload	N
G	Graft vs Host disease	O
H	Iron Overload	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 3 year old girl received a bone marrow transplant. A few days later the patient developed severe bloody diarrhoea, abdominal pain and vomiting. She also has a widespread rash that started on the palms of her hands.

 

 

2. A 53 y/o female developed a wide spread itchy, erythematous rash on both arms 20 minutes after receiving a blood transfusion. The rash improved after taking cyclizine.

 

3. 7 days after a blood transfusion a patient presents with jaundice, abnormal LFTs and temperature of 38.5 degrees C. On examination there was conjunctival pallor.

 

 

4. A 65 year old man with a low haemoglobin undergoes blood transfusion. 2 hours later he develops SOB and becomes hypoxic.

 

5. A 40 y/o truck driver is involved RTA is given 1 unit of blood during an operation. A few minutes after the transfusion he becomes hypotensive and tachycardic.

 

 

 

ANSWERS

1. G

2. B

3. E

4. I

5. A