Pathology EMQ

Name: Ravi Naik

Candidate number: 450806

Theme: Myeloproliferative disorders

OPTION LIST

A	Acute Lymphoid Leukaemia	I	Cytoreductive Therapy
B	Acute Myeloid Leukaemia	J	Essential Thrombocytopenia
C	Alpha Interferon	K	Hydroxycarbamide
D	Anagralide	L	Idiopathic Erythrocytosis
E	Aspirin	M	Idiopathic Myelofibrosis
F	Bernard Soulier Syndrome	N	Idiopathic Thrombocytopenic Purpura
G	Chronic Lymphoid Leukaemia	O	Polycythaemia Rubra Vera
H	Chronic Myeloid Leukaemia	P	Splenectomy

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 presents with intermittent headaches over the last 3 months. On examination he appears flushed and has a gouty lesion on the distal interphalangeal joint of his right index finger.

2. A 70 year old man complains of weight loss and night sweats. A blood test reveals and increase in granulocytic cells and a CT scan shows hepatic vein occlusion and splenomegaly.

3. A 50 year old woman presents with weakness of the left side of her body which lasted approximately 12 hours. A full blood count showed a platelet count of 620 x 10⁹ .

4. A blood film of a 51 year old lady shows a white cell count of 221 x 10⁹ with a normochromic normocytic anaemia.

5. Used to treat essential thrombocytopenia in pregnant women.

ANSWERS

1. O

2. M

3. J

4. H

5. C