Pathology EMQ template

 

YourName: Albert Poon

YourIdentifier: 00355952

Theme: Paediatric Haematology

 

OPTION LIST

 

A

Acute Lymphoblastic Leukaemia

I

Haemophilia B

B

Acute Myeloid Leukaemia

J

Henoch-Schšnlein Purpura

C

Beta Thalassaemia

K

Hereditary Elliptocytosis

D

Chronic Myeloid Leukaemia

L

Hereditary Spherocytosis

E

Diamond-Blackfan Anaemia

M

Immune Thrombocytopenic Purpura

F

Fanconi Anaemia

N

Pyruvate Kinase Deficiency

G

G6PD Deficiency

O

Sickle Cell Disease

H

Haemophilia A

P

Von WillebrandŐs Disease

 

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 12 month old boy who is treated with an IV infusion of recombinant Factor IX concentrate.

 

 

2. A 3 year old boy presents to your clinic with his parents feeling generally unwell, lethargic, looking pale and occasionally febrile over the last 2 months. A blood smear showed the presence of blast cells.

 

 

3. A 6 year old girl presents to A&E with severe painful swelling of the hands and feet. She had been playing outside in the snow with her best friend an hour previously.

 

 

4. A 12 year old girl complains of occasional easy bruising and abnormally heavy and prolonged menstrual periods. After a thorough set of investigations, the patient is successfully treated on a course of Desmopressin (DDAVP).

 

 

5. A family of Kurdish descent present to you with their 9 year old son complaining that his skin had turned yellow in the last few days. On further questioning, you discover that the boy had been suffering from a severe chest infection over the last week. A Coombs test comes back negative but a peripheral blood smear reveals the presence of Heinz bodies.

 

 

ANSWERS

1. I

2. A

3. O

4. P

5. G