Your Name: Shaheen Haque

Theme: Bone Marrow Failure

OPTION LIST

A	Acute myeloid leukemia	I	Drug-induced
B	Aplastic anaemia	J	Hepatitis C infection
C	Dyskeratosis congenita
D	Fanconi anaemia
E	Myelofibrosis
F	Parvovirus B19 infection
G	Radiation-induced
H	Systemic lupus erythematosus

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 10 year old boy presenting with tan-to-grey hyperpigmented patches on his upper trunk, neck and face, nail ridges and leukoplakia.

2. A 60 year old female patient with the following blood results: neutrophils 0.4 x 10⁹/l, platelets 19 x 10⁹/l and reticulocytes 50 x10⁹/l.

3. A 76 year old man presents to his GP with increasing tiredness, weakness and a long-standing cold. The blood results ordered by the GP showed that the gentleman was anaemic and that increased blast cells were present.

4. An 83 year old woman presents to the A&E Departments with severe weakness and shortness of breath on minimal exertion. On examination, masses are felt in both left and right upper quadrants of the abdomen.

5. A 30 year old woman with a photosensitive rash across her cheeks presents with easy bruising.

ANSWERS

1. C

2. B

3. A

4. E

5. H