Pathology EMQ template.

Name: Katharine Bramall    

Theme: Blood Transfusions

OPTION LIST

A	Allogeneic blood transfusion O negative	I	Fresh frozen plasma
B	Allogeneic blood transfusion cross-matched	J	Irradiated blood cells
C	Antigen negative blood	K	Platelets
D	Autologous blood transfusion	L	Washed red blood cells
E	CMV Negative Blood	M
F	Cryoprecipitate	N
G	Fractionated fIX	O
H	Fractionated fVIII	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 32 year old man comes into hospital by ambulance after being involved in a road traffic accident. He is unconscious and two obvious fractures of his femur and tibia and fibula. In his wallet, a nurse finds a blood donor card stating his blood type is AB positive. What will you use to replace the lost blood volume initially?

2. A five year old boy comes into A+E with multiple bruises and haemarthrosis of both knees. After comforting the child and running tests, you find out he has haemophilia A. What treatment will you use in the long-term?

3. A neonate is kept in the ICU as he appeared jaundice from birth and had signs of distress. Although he is slightly better now, his haemoglobin is still very low. What will you do to help him?

4. Post-operatively, a 45 year old woman has developed bleeding from the wound site causing her haemoglobin and blood volume to drop significantly. Her coagulation tests show an abnormal PT and APTT. What is best used to help her bleeding?

5. A 27 year old lady requires a blood transfusion as her haemoglobin has dropped low. Before starting transfusion, she tells you she is IgA deficient. What treatment does she require?

ANSWERS

1. A

2. H

3. E

4. I

5. L