Pathology EMQ template.

Name: Andrew McGrath

Theme: Paediatric haematology

 

OPTION LIST

 

A	Anaemia of chronic disease	I	Sickle cell trait
B	Autoimmune haemolytic anaemia	J	Thalaessaemia major
C	Iron deficiency anaemia	K
D	G6PD deficiency	L
E	Haemolytic uraemic syndrome	M
F	Hereditary spherocytosis	N
G	Pernicious anaemia	O
H	Sickle cell disease	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. An 18 month old Afro-carribean male presents to A & E with his mother who says he has developed a firm mass in his abdomen over the past day. On examination he has a large palpable spleen and a haemoglobin of 6 g/dl.

 

 

2. A mother of Greek descent, presents to A & E with her six-month old son who is visibly jaundiced. Blood tests indicate a severe anaemia and raised bilirubin. On further questioning the mother reveals that she enjoyed homemade broad bean soup for dinner the evening previously.

 

 

3. 4 year old Mary presents with a two day history of profuse diarrhoea. Bloods showed a marked anaemia, raised bilirubin, low platelets, raised urea and creatinine. She had recently attended a school trip to the local petting zoo.

 

 

4. A 2 year old boy was taken to the GP by his mother who noticed that he appeared pale and had been more lethargic than usual of late. Bloods showed: Hb=5.0 g/dl, MCV= 58 fl, MCH 20pg. He drank plenty of milk, but was not a fan of meat.

 

 

5. A 2 year old girl of middle eastern descent presents with swollen and painful hands and feet. Haemoglobin is 7g/dl.

 

 

 

ANSWERS

1. H

2. D

3. E

4. C

5. H