Pathology EMQ template.

Name: Laura Attipoe

Candidate number:

Theme: Blood Transfusions

OPTION LIST

A	ABO Incompatibility	I	Delayed Haemolytic Transfusion Reaction
B	Bacterial Infection	J	Post-Transfusion Purpura
C	Febrile Non Haemolytic Transfusion Reaction	K	Transfusion Associated Graft Versus Host Disease
D	Allergy	L	Immunemodulation
E	Anaphylaxis	M	Iron Overload
F	Transfusion Related Acute Lung Injury	N	Viral Infection
G	Fluid Overload	O
H	Air Embolism	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 27 year old unconscious female patient begins bleeding from her nose and venepuncture sites 20 minutes after the start of a blood transfusion. Her BP is low and she is oliguric.

2. A 56 year old male has a fever preceded by shivering an hour after the beginning of a blood transfusion. His symptoms diminish once the transfusion is slowed and paracetamol is administered.

3. A 33 year old male visits his local NHS walk-in centre complaining of severe bruising. His platelet count is 7.0 x 10⁹/L and the doctor notes that he previously had a blood transfusion 7 days ago.

4. A 46 year old restless female complains of substernal pain, vomiting and a feeling of oppression. She is also febrile and currently being transfused.

5. A 49 year old female who has previously has three children develops acute SOB and a non-productive cough whilst being transfused. Her CXR shows nodules predominantly in the perihilar region.

ANSWERS

1. A

2. C

3. J

4. A

5. F