Pathology EMQ template.

Name: Alice Hope

Candidate number:

Theme: Haemolytic Anaemia

OPTION LIST

A	Glucose-6-phosphate deficiency	I	Microangiopathic haemolytic anaemia
B	Hereditary elliptocytosis	J
C	Pyruvate kinase deficiency	K
D	Sickle cell disease	L
E	Hereditary spherocytosis	M
F	Β-Thalassaemia	N
G	Haemolytic disease of the newborn	O
H	Autoimmune haemolytic anaemia	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 five year old boy presents with a history of jaundice and tiredness. On examination there is mild splenomegally. A Hb of 9 is found. On the blood film there are a number of small rounded cells.

2. A 13 year old girl presents with a fever, cough and malaise. Blood cultures show an infection with Haemophilis influenzae. She has also had admissions previously for hand and foot pain.

3. A 6 year old boy presents with jaundice and anaemia following eating fava beans.

4. A 5month old boy presents with jaundice and severe anaemia. His parents are also worried that he is not growing and putting on weight. On examination you find hepatosplenomegally and a prominent jaw.

5. A newborn baby boy is noticed to have jaundice. There is no hepatosplenogmegally and the Hb is only mildly low. Both parents are rhesus positive. Coombs test is positive.

ANSWERS

1. E

2. D

3. A

4. F

5. G