Pathology EMQ template.

Name: Katherine Lau

Theme: Myelodysplastic Syndromes

 

 

OPTION LIST

 

A	Acute myeloid leukaemia	I	Refractory anaemia without ringer sideroblasts
B	Refractory cytopenia with multilineage dysplasia	J	Acute leukaemia
C	Chronic myelomonocytic leukemia	K	Refractory cytopenia with multilineage dysplasia
D	Unclassified MDS	L
E	Refractory anaemia with ringed sideroblasts	M
F	5q-Syndrome	N
G	Refractory anaemia with excess blasts	O
H	Refractory anaemia	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 65 year old Vietnam warrior who was exposed to Agent Orange presents with fatigue, shortness of breath and has been complaining of frequent colds. There were 10% myeloblasts in the bone marrow.

 

2. A 70 year old lady who has a history of Grade 3 breast cancer is diagnosed with refractory anaemia with excess of blasts. What other cancer is she now more likely to develop?

 

 

3. A 65 year old Caucasian gentleman who used to make lead pencils presents to his GP complaining of feeling tired all the time and easy bruising. FBC showed that he was anaemic with normal platelets and white blood cells. The red blood cells have ‘too much iron’.

 

ANSWERS

1. G

2. A

3. E

4.

5.