SBAs

1. A 22-year-old man presents with fever, sweating, particularly at

night, pruritus and weight loss.

O/E: palpable, painless cervical lymph nodes and no skin

manifestations. The most appropriate investigation would be:-

a) FBC
b) Lymph Node Biopsy
c) Chest Radiograph
d) CT scan of the neck and mediastinum
e) Mantoux Test
1. A 22-year-old man presents with fever, sweating, particularly at
night, pruritus and weight loss.

O/E: palpable, painless cervical lymph nodes and no skin

manifestations. The most appropriate investigation would be:-

a) FBC
b) Lymph Node Biopsy
c) Chest Radiograph
d) CT scan of the neck and mediastinum
e) Mantoux Test
2. 20 year old woman presents with recurrent epistaxis. She has a
past history of heavy periods. Her BP is 90/60 and pulse 100.
There are bruises of different ages over her extremities but not
splenomegaly. Test results are as follows:

WCC: 83 x 10 9 / L
Hb: 11.5 g/dL(11.5 16)
Platelets: 129 x 10 9 / L (150-400)
Prolonged Bleeding Time
ANA -ve

a) HIV
b) SLE
c) ITP
d) TTP
e) Sickle Cell Disease
2. 20 year old woman presents with recurrent epistaxis. She has a
past history of heavy periods. Her BP is 90/60 and pulse 100.
There are bruises of different ages over her extremities but not
splenomegaly. Test results are as follows:

WCC: 83 x 10 9 / L
Hb: 11.5 g/dL
Platelets: 149 x 10 9 / L
Prolonged Bleeding Time
ANA -ve

a) HIV
b) SLE
c) ITP
d) TTP
e) Sickle Cell Disease
3. 25-year-old woman presents with a single, non-tender, enlarged
cervical lymph node. She also complains of fever and night
sweats. Lymph node biopsy reveals infiltration with histiocytes
and lymphocytes and presence of cells with bilobed mirror-image
nuclei. The most likely diagnosis is:-

a) Non-Hodgkins lymphoma
b) Hodkins lymphoma
c) Sarcoidosis
d) Acute Lymphoblastic Leukemia (ALL)
e) TB
3. 25-year-old woman presents with a single, non-tender, enlarged
cervical lymph node. She also complains of fever and night
sweats. Lymph node biopsy reveals infiltration with histiocytes
and lymphocytes and presence of cells with bilobed mirror-image
nuclei. The most likely diagnosis is:-

a) Non-Hodgkins lymphoma
b) Hodkins lymphoma
c) Sarcoidosis
d) Acute Lymphoblastic Leukemia (ALL)
e) TB
4. 60-year-old man postgastrectomy presents with macrocytic
anaemia. Drinks alcohol regularly. Most like cause for his anaemia
is:-

a) Coeliac Disease
b) Pernicious Anaemia
c) Iron Deficiency
d) Vit B12 Deficiency
e) Thalassaemia
4. 60-year-old man postgastrectomy presents with macrocytic
anaemia. Drinks alcohol regularly. Most like cause for his anaemia
is:-

a) Coeliac Disease
b) Pernicious Anaemia
c) Iron Deficiency
d) Vit B12 Deficiency
e) Thalassaemia
5. A 30-year-old man gives a history of a sore throat with fever
followed by 6 weeks of malaise. On physical examination he has
mildly tender generalized lymphadenopathy. A cervical lymph
node biopsy is performed and on microscopic examination shows
prominent germinal centers in follicles with a diffuse polyclonal
hyperplasia composed of lymphocytes, plasma cells, and
macrophages. Which of the following is the most likely diagnosis?

a) Lymphocytic Lymphoma
b) Hodgkins Lymphoma
c) Infectious Mononucleosis
d) HIV Infection
e) Brucellosis
5. A 30-year-old man gives a history of a sore throat with fever
followed by 6 weeks of malaise. On physical examination he has
mildly tender generalized lymphadenopathy. A cervical lymph
node biopsy is performed and on microscopic examination shows
prominent germinal centers in follicles with a diffuse polyclonal
hyperplasia composed of lymphocytes, plasma cells, and
macrophages. Which of the following is the most likely diagnosis?

a) Lymphocytic Lymphoma
b) Hodgkins Lymphoma
c) Infectious Mononucleosis
d) HIV Infection
e) Brucellosis
6. 30-year-old man has had a progressively worsening productive
cough for one month. On physical examination, a few small non-
tender lymph nodes are palpable in the axillae, and the tip of the
spleen is palpable.

Hb 10.2 g/dl,
Hct 31.1%
MCV 90 fL,
WBC count 67 x 10 9 / L
Platelet count 36 x 10 9 / L.

Microscopic examination of his peripheral blood smear shows

many blasts with Auer rods. Which of the following is the most
likely diagnosis?

A) Leukemoid reaction
B) Acute myelogenous leukemia
C) Chronic lymphocytic leukemia
D) Acute lymphoblastic leukemia
E) Leukoerythroblastosis
6. 30-year-old man has had a progressively worsening productive cough for
one month. On physical examination, a few small non-tender lymph
nodes are palpable in the axillae, and the tip of the spleen is palpable.

Hb 10.2 g/dl,
Hct 31.1%
MCV 90 fL,
WBC count 67 x 10 9 / L
Platelet count 36 x 10 9 / L.

Microscopic examination of his peripheral blood smear shows many blasts with
Auer rods. Which of the following is the most likely diagnosis?

A) Leukemoid reaction
B) Acute myelogenous leukemia
C) Chronic lymphocytic leukemia
D) Acute lymphoblastic leukemia
E) Leukoerythroblastosis
Describe?

A B