SBA

Case 1

Question 1.1

Question 1.2

Case 2
Alistair King, age 20, presents to his GP with a sore throat and swollen
glands in his neck and axillae. Blood count results are given below.
The haematology report notes the presence of atypical lymphocytes.
Indices

Mr Kings results

Normal range

Haemoglobin

158 g/L

130-180 g/L

Platelet count

160 x 109/L

150-400 x 109/L

White cell count

15.4 x 109/L

4-11 x 109/L

Lymphocytes

60%

Neutrophils

30%

Monocytes

6%

Eosinophils

4%

Question 2.1
What is the most likely diagnosis?
A) Streptococcal tonsillitis
B) Acute lymphoblastic leukaemia
C) Whooping cough
D) Infectious mononucleosis

Question 2.2
To confirm the likely diagnosis would you first ask for:
A) Bone marrow examination
B) Lymph node biopsy
C) Epstein-Barr virus serology
D) Throat swab

Question 2.3
Atypical lymphocytes primarily consist of:
A) Long-lived memory cells
B) Activated T cells
C) Malignant (clonal) B cells
D) B cells infected with the Epstein-Barr virus