Pathology EMQ template.

Name: Jermaine Bamfo

Candidate number:

Theme: Blood Transfusion

 

OPTION LIST

 

A	ABO-incompatible Blood Reaction	I	Malarial Contamination
B	Allergic Reaction	J	Massive Transfusion
C	Bacterial Contamination	K	Transfusion-associated Circulatory Overload
D	Delayed Haemolytic Transfusion Reactions (DHTR)	L	Transfusion Related Acute Lung Injury (TRALI)
E	Febrile Non-haemolytic Transfusion Reaction	M	Viral Infection
F	Graft vs. Host Disease (GvHD)	N
G	Immunomodulation	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 37 year-old mother of 3 receives a blood transfusion after being involved in a road traffic accident. Towards the end of her transfusion she begins to complain of a headache & feeling very cold, even though the doctor finds her temperature to be 40C.

 

2. A 33 year old mother of 2 receives a blood transfusion after being involved in a road traffic accident. She suddenly presents a week following her transfusion with yellow-tinged skin. Her haemoglobin levels are found to be falling.

 

3. A 20 year old woman with aplastic anaemia receives a platelet transfusion. 5 hours after the transfusion, the patient experiences chills & a dry cough, with a temperature of 39C accompanying a drop in BP. The patient has no previous cardiac history.

 

4. A 33 year old Group O man presents with his brother following a large road traffic accident, both receiving blood transfusions side-by-side on the busy ward. Shortly after the transfusion, the patient is restless, complaining of chills, a fever, vomiting & pain at his side and at the infusion site.

 

5. A 23 year old man receives a platelet transfusion in a Togolese hospital. Shortly after the transfusion, the patient is restless, complaining of chills, nausea & vomiting, and severe pain at his side. He’s found to have a high fever & low BP.

 

 

ANSWERS

1. E

2. D

3.  L

4. A

5. C