Pathology EMQ template.

Name: Hannah Brooks

Theme: Blood Transfusions

OPTION LIST

A	Bacterial complication of transfusion	I	Immediate haemolytic transfusion reaction
B	Delayed haemolytic transfusion reaction (DHTR)	J	Transfusion Associated Circulatory Overload (TACO)
C	Allergic reaction	K	Post-transfusion purpura
D	Febrile non-haemolytic transfusion reaction	L	Transfusion related acute lung injury (TRALI)
E	Transfusion associated dyspnoea (TAD)	M
F	Iron overload	N
G	Transfusion associated graft versus host disease	O
H	Infectious complication	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 65-year-old woman with a history of hospital admissions due to cardiac disease has a blood transfusion. Shortly afterwards, you note she is short of breath. Her blood pressure is 150/95 and she has swollen feet.

2. A 25-year-old man with thalassaemia major complains of joint pain, polyuria and is jaundiced.

3. Mr. JG had a blood transfusion 2 hours ago. He is now pyrexial and hypotensive. There is another man in the bay having a blood transfusion today – his name is Mr. GJ.

4. Mrs. X had a blood transfusion 2 weeks ago following unexpected blood loss during surgery. She has returned to A&E today with a fever and jaundice and she claims her urine is a weird colour. A FBC shows she is anaemic.

5. A 35-year-old mother of four had a blood transfusion a week ago. She has subsequently developed antibodies to the HPA-1a antigen.

ANSWERS

1. J

2. F

3. I

4. B

5. K