Name: Anna Timmis

Theme: Systemic disease

OPTION LIST

A	Brucella Infection	I	Type 1 hypersensitivity reaction
B	Autoimmune haemolytic Anaemia	J	Microangiopathic Haemolytic Anaemia
C	Leycoerythroblastic Anaemia	K
D	Parasitic Infestation	L
E	Secondary True Polycythaemia	M
F	Acute Fungal Infection	N
G	Reumatoid Arthritis	O
H	Polycythemia vera	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 peripheral blood smear of a thrombocytopenic patient raised Lactate dehydrogenase and unconjugated bilirubin shows fragmented Red blood cells.

2. A markedly raised haemoglobin in a patient with renal cell carcinoma.

3. Monocytosis but with a normal neutrophil count.

4. A patient with a positive coombs test and a blood film showing spherocytes.

5. Neutrophilia with visible toxic granulation and vacuoles on the blood film. The monocyte count is normal.

ANSWERS

1. J

2. E

3. A

4. H

5. F