Pathology EMQ template

 

YourName: Inmook Bae

YourIdentifier:

Theme: Blood Transfusion

 

OPTION LIST

 

A	Acute Haemolytic Transfusion Reaction	I	Iron Overload
B	Allergic Reaction	J	Non-haemolytic Febrile Transfusion Reaction
C	Anaphylaxis	K	Transfusion Associated Lung Injury (TRALI)
D	Bacterial Contamination	L
E	Delayed Haemolytic Transfusion Reaction	M
F	Fluid overload	N
G	Graft vs Host disease	O
H	Haemolytic Disease of the Fetus and Newborn (HDFN)	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 25 year old man complains of itching 30minutes after receiving a transfusion. The only significant finding upon examination is urticaria over his body.

 

 

2. A 46 year old woman in surgery suddenly becomes hypotensive with tachycardia and her body temperature rises to 38ºC upon receiving a transfusion.

 

 

3. A 58 year old man who is given a blood transfusion develops dyspnoea and a cough 3 hours later.

 

 

4. A patient gets a mild fever and tachycardia after receiving a blood transfusion. There are elevated cytokines present in his blood. There are no other significant symptoms.

 

 

5. A patient upon receiving a transfusion becomes rapidly becomes pyrexic (39ºC), hypotensive with rigors.

 

 

ANSWERS

1. B

2. A

3. K

4. J

5. D