Haem. ~ Extended Matching

Question 1.

Options List

A.) Acute lymphoblastic leukaemia

B.) Chronic myeloid leukaemia

C.) Essential monoclonal gammopathy

D.) Hodgkin’s Lymphoma

E.) Multiple myeloma

F.) Myelodysplastic syndrome

G.) Non-Hodgkin’s lymphoma

H.) Polycythaemia rubra vera

 

Lead-in Statement

For each patient select the most likely diagnosis.

 

Stems

  1. A 6 year old boy presents with lethargy, weakness and multiple petechiae. He is afebrile, pale and has widespread lymphadenopathy and Hepatosplenomegaly.

Show Answer

Answer: A

 

  1. A 15 year old girl presents with an enlarged painless lymph node in her neck. She has no other enlarged lymph nodes and no splenomegaly. The biopsy confirms lymphoma.

Show Answer

Answer: G

 

  1. A 65 year old woman is sent in by her GP with rib pain. Her FBC shows a normocytic anaemia and thrombocytopaenia. She has multiple punched out lesions throughout her ribs.

Show Answer

Answer: E

 

  1. A 67 year old man is sent in by his GP with months of increasing lethargy and a FBC showing a high WCC. He looks well and the only finding on exam is splenomegaly.

Show Answer

Answer: B

Author: J Haire

Ref: Dunn 4th Ed p. 380-84


 

Question 2.

Options List

A.) Ankylosing spondylitis

B.) Giant cell arteritis

C.) Polymyalgia rheumatica

D.) Polymyositosis

E.) Psoriatic arthritis

F.) Scleroderma

G.) Sjorgren’s syndrome

H.) Systemic Lupus Erythrematosus

 

Lead-in Statement

For each patient select the most likely diagnosis.

 

Stems

 

  1. A 64 year old woman with Rheumatoid arthritis presents complaining of irritated eyes and dry mouth. ON exam she has bilateral parotic gland enlargement.

Show Answer

Answer: G

 

  1. A 55 year old woman presents with joint pain. ON exam she has red swollen distal and proximal interphalangeal joints and pitted ridged nails.

Show Answer

Answer: E

 

  1. A 35 year old man presents with back and buttock pain. He is very tender over his sacroiliac joints and has reduced movement in his lower spine. His x-rays show blurring of the sacroiliac joint margins and marginal syndesmophytes formation in his lumbosacral spine.

Show Answer

Answer: A

 

  1. A 28 year old woman presents with joint pain. ON exam she has inflamed joints of the interphalangeal joints, MCPJs, and wrists bilaterally. She has a red rash over her cheeks and pleuritic chest pain.

Show Answer

Answer: H

Author: J Haire

Ref: Dunn 4th Ed p. 856-64


 

 

 

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