Archives: MRCPCH FOP/TAS

paeds687

A 15 month old girl from Greece presents with pallor. Her mother complains that she always seems tired. However, she has no problems with eating and has a fairly balanced diet. She was born in a rural part of the Greece and just recently moved to the UK with her parents. She hasn’t had any previous blood tests or investigations done since her birth. She has been on the second centile since her first check up in the UK, but has not lost any weight. The following are the results of her investigations. Hb 5.5g/dlMCV 62 flWBC 4.3 x 109/lPLT 430 x 109/lReticulocyte count 490 x 109/l (normal range 20-100 x 109/lFerritin 260 ng/ml (normal range: 20-300 ng/ml)Blood film: hypochromic microcytic red cells, polychromasia, fragmented red cells, nucleated red cellsWhat is the most likely diagnosis?

paeds688

What is the average lifespan of an erythrocyte once it has entered the bloodstream?

paeds689

A 15-year-old male presents complaining of gradually increasing fatigue. He says that he turned vegan a year ago. He explains that he takes vitamin B12 supplements every day. Considering iron deficiency anaemia as a possible cause, you order some blood tests to confirm. Which of the following would increase the ability of the body to absorb dietary iron?

paeds690

A 17-year-old male undergoes an emergency appendectomy for perforated appendix. Postoperatively, he develops disseminated intravascular coagulation. Which one of the following clotting factors are most rapidly consumed in this process?

paeds691

Which of the following is true about haemophilia C?

paeds692

Which of the following changes can be seen on a blood film post-splenectomy?

paeds693

Which of the following is NOT a recognized form of bone marrow failure syndrome?

paeds694

Which of the given statements is correct regarding carbon monoxide?

paeds695

A 12-year-old boy presents with severe abdominal pain, bloody faeces, haematuria and painful, swollen joints. Physical examination revealed petechiae on his legs. Blood investigations were found to be normal.What is the most probable diagnosis?