Pathology EMQ template.

Name: Sam Gilbertson

Theme: Coagulation

OPTION LIST

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.

A	Capillary abnormality	I	Protein C deficiency
B	Chronic Lymphocytic Leukaemia	J	Prothrombin deficiency
C	Chronic Myeloid Leukaemia	K	Warfarin overdose
D	Disseminated Intravascular Coagulation	L	Vitamin K deficiency
E	Factor IX deficiency	M	Von Willebrand disease
F	Factor VIII deficiency
G	Platelet count 19,000 per microL
H	Platelet count 26,000 per microL

1. A 12 year old boy had a tooth removed at the dentist, it initially stopped bleeding but once back at home it began to continuously ooze blood.

2. A fit and well 88 year old lady has purple blotches on the palms of both hands. They are not painful.

3. A 23 year old woman presents to her GP with several bruises over her body. She has no idea where they came from. The GP finds she has been experiencing  heavy periods

4. A 12 year old boy is admitted to hospital with recent onset wide spread petechiae. Lab investigations reveal an abnormality that reveals the cause of the bleeding.

5. After a very recent heart valve replacement, a 62 year old man is admitted with haematuria and a nose bleed. He is on warfarin and his INR is measured as 4.1

ANSWERS

1. F

2. A

3. M

4. G

5. J