Pathology EMQ template.

Name: Benjamin Lindsey

Theme: Myeloproliferative disorders

 

OPTION LIST

 

A	Acute myeloid leukaemia	I
B	Chronic granulocytic leukaemia	J
C	Chronic idiopathic myelofibrosis	K
D	Chronic lymphoblastic leukaemia	L
E	Essential Thrombocythaemia	M
F	Idiopathic erythrocytosis	N
G	Multiple myeloma	O
H	Polycythaemia Vera	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 67 year old female presents with weight loss, fatigue and night sweats, O/E has hepatosplenomegaly, bone marrow findings show a ‘dry tap’

 

 

2. A 60 year old male presents with headaches and visual disturbances, he has a PMH of gout and on examination has engorged retinal veins

 

 

3. Isolated erythrocytosis, absence of JAK 2 V617 mutation, treated with venesection only

 

 

4. A 60 year old male presents with headaches and visual disturbances, has a PMH of a TIA, his FBC shows a platelet count of 650x10⁹

 

 

5. Bone marrow trephine shows megakaryocyte abnormalities and clustering

 

 

 

ANSWERS

1. C

2. H

3. F

4. E

5. E