Name: Gulammehdi Haji

Theme: Myelodysplasia

OPTION LIST

A	Refractory anaemia	I	5q syndrome
B	Refarctory anaemia with an excess of blasts	J	Juvenile myelomonocytic leukaemia
C	Acute myeloid leukaemia	K	Refractory cytopenia with multilineage dysplasia
D	Myelofibrosis	L
E	Myelodysplastic syndrome	M
F	Idiopathic aplastic anaemia	N
G	Secondary aplastic anaemia	O
H	Inherited aplastic anaemia	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 34 year old man with peripheral cytopenia suffers from bleeding gums. Peripheral blood shows 5% blast cells and bone marrow 42% blast cells.

2. A 70 year old woman bruises easily, blood tests reveal a pancytopenic picture and karyotypic analysis is abnormal.

3. A 20 year old man with hepatitis C complains of fatigue and breathlessness and bruises very easily.

4. This patients blood film shows classic Pelger-Huet neutrophils and bone marrow blasts make up 15% of cells.

5. In this case haemoglobin is normal but there is a reduction in platelets and neutrophils

ANSWERS

1. C

2. I

3. G

4. B

5. K