Pathology EMQ template.

Name: Helen Wing Chi Wong

Theme: Paediatric Haematology

 

OPTION LIST

 

A

Sickle Cell Anaemia

I

Haemolytic Disease of the Fetus and Newborn

B

Thalassaemia major

J

Normal

C

G6PD deficiency

K

 

D

Haemophilia A/B

L

 

E

Haemolytic-uraemic syndrome

M

 

F

Autoimmune Haemolytic Anaemia

N

 

G

Henoch-Schonlein purpura

O

 

H

Acute Leukaemia

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 1-year old boy has presented with deep bruises over arms and face, as well as red swollen knees. On investigation, a prolonged APPT was noted.

 

2. An infant is born with jaundice with a bilirubin of 24 mg/L (Normal BR=/< 12 mg/L) and a Hb of 10.0 g/dL. The mother has an O neg blood group and her older child has a blood group of A+.

 

 

3. A 3-year old girl presents with purple non-blanching nodules. On examination the child appears pale and had two large palpable masses under her ribcage. FBC revealed an Hb 10g/dL, WBC of 100 x  109 /L, and a neutrophil count of 0.8 x109 /L.

 

 

4. A worried mother brings her 8-month old child to the clinic, with her records showing a birthweight above the 5th centile, but is now below the 3rd centile.  O/E an unusual head shape was noted. Investigations show an Hb of 3.5 g/dL.

 

 

5. A child presents a colicky abdominal pain with associated nausea & vomiting. On examination there are small purple bruises under the skin on the buttocks and on the back of the legs

 

 

 

ANSWERS

1. D

2. I

3. H

4. B

5. G