Pathology EMQ template.

Name: Shivali Patel

Candidate number:

Theme: Paediatric Haemotology

OPTION LIST

A	Acute Lymphoblastic Leukaemia	I	Hb A2
B	Acute myeloblastic leukaemia	J	Hb Barts
C	Autoimmune haemolytic anaemia	K	Hb F
D	Beta Thalassaemia	L	Hb H
E	Blood transfusion	M	Immune thrombocytopenic purpura
F	Erythropoietin supplementation	N	No protective treatment needed
G	G6PD deficiency	O	Sickle Cell Anaemia
H	Hb A	P	Vaccinations and Vitamin B9 supplementation

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 5 month old breast-fed baby boy presents to A and E with acute onset jaundice, tachycardia and paleness. No relevant past medical history with a negative Coombes’ test and the mother has just started taking antibiotics for an infection.

2. A 6 year old Down Syndrome child presents with fever, fatigue and frequent nose bleeds.

3. Which form of Haemoglobin is not expressed in the fetus?

4. What protective step should be carried out in the management of infants and children diagnosed with sickle cell anaemia/disease?

5. Which form of haemoglobin is reduced in Cooley’s anaemia?

ANSWERS

1. G

2. A

3. I

4. P

5. H