Pathology EMQ template.

Name: Sameer Bahal

Candidate number: 00429544

Theme: Blood Transfusions

OPTION LIST

A	ABO Incompatible Transfusion	I	Febrile non-haemolytic transfusion reaction
B	Air Embolism	J	GvHD
C	Allergic Reaction	K	Hyperacute Rejection
D	Autoimmune Reaction	L	Hypothermia
E	Bacterial Infection	M	Iron Overload
F	Chronic Rejection	N	Post-Transfusion Purpura
G	Delayed Type Hypersensitivity Reaction	O	Transfusion Related Acute Lung Injury
H	Fluid Overload	P	Viral Infection

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 20 year old Medical Student with Thalassaemia presents with lethargy and abdominal pain. His skin appears bronzed, consistent with use of sun beds, yet he is male.

2. A 20 year old Medical Student is transfused with blood after a Road Traffic Accident. Several days later he experiences chills, fever, a dry cough and ankle swelling. A chest X-Ray suggests Pulmonary Oedema.

3. A 20 year old Medical Student and mother of two, is in the middle of a kidney transplant operation. 20 minutes after the blood supply is connected the donor kidney appears swollen and black.

4. A 20 year old Medical Student with a history of lactose intolerance, is given a blood transfusion after a Road Traffic Accident. Soon afterwards she has Urticaria and suffers light-headedness

5. A 20 year old Medical Student is given a blood transfusion. She soon becomes septic. She is known to have a complement deficiency.

ANSWERS

1. M

2. O

3. K

4. C

5. E