Haematology – Exam Review Set 1

What this deck covers

Haematology – Exam Review Set 1 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Too much milk, and pencil shapes
2. Helmets and triangles
3. Dots near the edge
4. Iron in a ring, and none used
5. Every index heading down
6. Dense round cells, no pale middle
7. Born early, and running short
8. A stroke at nine
9. Like father, like son
10. His brother needed transfusions
11. Bruises two weeks after a cold
12. The nosebleed that would not stop
13. Bruised but well at fifty
14. Big platelets, blue inclusions
15. The receptor that is missing
16. Nose, gums, and now her periods
17. Where the defect lies
18. A knee swollen after a small fall
19. The dose that did not work
20. An inhibitor with a low titre
21. Twenty kilograms, fifty per cent
22. The formula for the dose
23. The third time in a year
24. The tablet taken at home
25. Long in the tube, clots in the leg
26. Everything abnormal at once
27. Born at home, bruised on day five
28. Six weeks, and a bulging fontanelle
29. Pale but not yellow
30. Red, jittery and thick
31. Three pneumonias on penicillin
32. The second day of the crisis
33. Pale, and the belly suddenly full
34. Reticulocytes at zero
35. Six months, pale, a spleen
36. Yellow a week after a cold
37. Dark urine three days later
38. The yearly scan of the arteries
39. The regulator in the acid
40. Inflamed, anaemic, and which one
41. A sibling who matches
42. The thumb that was missing
43. When the aplasia is severe
44. Five of the same letter
45. What one bag should achieve
46. The new fridge
47. Spiky cells and fatty stools
48. Who needs iron early
49. One hundred per cent of one kind
50. Rods inside the blasts

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Target cells, Hypochromic microcytic anaemia, Continue breast milk and give an iron supplement, A bone marrow aspirate under general anaesthetic, Platelet transfusion, Haemophilia A, Platelets, The desired increase times weight times 0.5, Vitamin K deficiency, Birth trauma from a difficult delivery, No T cells, Splenic sequestration of blood, Paracetamol, Haemoglobin electrophoresis.

Clinical pearls from this deck

• The distribution width separates iron deficiency from thalassaemia trait.
• Fragments plus low platelets plus kidneys: think of the small vessels.
• The spleen you could feel at two is gone by six, and so is its filter.
• Try pyridoxine first; many respond.
• Ferritin first, haemoglobin last.
• A high MCHC is rare, and spherocytosis is the usual reason.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all haematology case decks · pediatric reference values.