Pathology EMQ template

 

YourName: Sasan Dehbozorgi

YourIdentifier: 00456577

Theme: Coagulation

 

OPTION LIST

 

A

Bernard-Soulier disease

 

I

 

Osler- Weber- Rendu disease

 

B

Chronic liver disease

 

J

 

Thrombotic thrombocytopenic

 

C

Disseminated intravascular coagulation

 

K

Vit K deficiency

 

D

Haemolytic anaemia

 

L

Von WillebrandÕs disease

 

E

Haemophilia A

 

M

Warfarin therpy

 

F

Haemophilia B

 

N

 

G

Heparin- induced thrombocytopenia

 

O

 

H

HodgkinÕs lymphoma

 

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. Congenital bleeding disorder as a result of deficiency in platelet membrane receptor GPIa.

 

 

2. 24 year old lady presenting with malaise, fever, florid purpura and vague fluctuating cerebral symptoms, her coagulation screen is normal but there is a marked raise in lactic dehydrogenase level with low platelet count.

 

 

3. A 9 year old boy presenting with frequent spontaneous bleeding into muscles and joints. Coagulation screen shows normal PT and bleeding time but prolonged APTT with reduced plasma factor VIII:C.

 

 

4. A 45 year old male who was discharged from hospital 2 months ago for subdural haematoma is complaining of malaise and presenting with palmar erythemia. His LFTs shows raised alkaline phosphatase and aminotransferase with prolonged PT.

 

 

5.  An inpatient 57 year old lady with hip fracture has presented with extensive bruising on her right arm following a venopuncure for a routine post-op blood test. Coagulation screen shows profound thrombocytopenia, low fibrinogen with raised PT, her LFTs are all normal

 

 

ANSWERS

1.   A

2.   J

3.   E

4.   B

5.   C