Pathology EMQ template.

Name: Hanmeet Chawla

Candidate number: 00405776

Theme: Chronic Lymphocytic Leukaemia (CLL)

OPTION LIST

A	Bone marrow therapy	I	Immunophenotyping
B	Campath	J	Zap70
C	Chlorambucil	K
D	Conventional not to treat	L
E	Cyclophosphamide	M
F	Cytogenetics	N
G	Fludarabine	O
H	Immuneparesis	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 65 year old gentleman was clinically staged using ‘Binet’. He was diagnosed with ‘Stage C’. What is the most appropriate first line of management for this patient?

2. A much younger patient was clinically staged using ‘Binet’. He was diagnosed with ‘Stage C’. What is the most appropriate first line of management for this patient?

3. A 55 year old lady was clinically staged using ‘Binet’. She was diagnosed with ‘Stage A’. What is the most appropriate first line of management for this patient?

4. After several cycles of treatment, the Consultant believed a patient had become refractory to the treatment. What is most appropriate modality to use next for this patient?

5. A type of CLL scoring system which uses use antibodies targeted towards CD5, FMC7, CD23, CD22 and Smlg

ANSWERS

1. C

2. G

3. D

4. B

5. I