Pathology
EMQ template
YourName:
Natasha Kundi
YourIdentifier:
00405810
Theme:
Leukaemia
OPTION
LIST
|
A |
Rheumatoid arthritis |
I |
Acute myeloid leukemia |
|
B |
Reactive Neutrophilia |
J |
Chronic myeloid leukemia |
|
C |
Aplastic Anaemia |
K |
Acute lymphoblastic leukemia |
|
D |
Refractory Anaemia |
L |
Chronic lymphocytic leukemia |
|
E |
Philadelphia chromosome |
M |
Osteomyelitis |
|
F |
Smear cells |
N |
HogdkinÕs lymphoma |
|
G |
Auer rods |
O |
Follicular lymphoma |
|
H |
Feltys syndrome |
P |
Diffuse Large B cell lymphoma |
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 69-year-old gentleman with a history of lethargy and a 5kg decrease
in weight presented to the clinic. On examination, swollen lymph nodes were
observed, and the spleen and liver were palpable. Blood results: Hb: 8.3, WCC
21 (lymphocytosis). Molecular studies revealed an atypical molecular pattern of
CD5/CD23.
2. A 55-year-old lady presents to clinic with weight loss, lethargy,
night sweats and abdominal swelling. The blood count shows an elevation of
white blood cells. Cytogenic abnormalities show a transclocation (reciprocal
change) at chromosome 9 and 22.
3. A 1-year-old boy with Down syndrome presents to the GP with severe
bone pain and a testicular mass. Blood tests are ordered which shows anaemia,
neutropenia and thrombocytopenia. A blood film shows the presence of blast
cells.
4. A 36 year old lady presents to her GP with swollen fingers and
painful joints in her shoulders. She is concerned as she has had 4 flu-like
episodes over the past 6 months. On examination the spleen was palpable.
5. A male patient with HIV had an episode 1 month ago of a fever,
generalised aches and pains, painful enlargement of the lymph nodes and a
palpable spleen. He has presented now with night sweats and pruritis.
ANSWERS
|
1. L |
2. J, E |
3. K |
4. H |
5. N |