Clinical Haemotology

Question 1

A patient with AF + an acute stroke (not haemorrhagic)

Answer 1

should have anticoagulation therapy started two weeks after the event (apixaban)

Question 2

first-line in the management of patients with warm autoimmune haemolytic anaemia

Answer 2

Steroids (+/- rituximab)

Question 3

Pancytopaenia 5 years post-chemotherapy/radiotherapy

Answer 3

?myelodysplastic syndrome

Question 4

Mechanical valves - target INR:

Answer 4

aortic: 3.0
mitral: 3.5

Question 5

mechanical heart valves

Answer 5

Warfarin is still used in preference to DOACs

Question 6

verapamil is contraindicated

Answer 6

Ventricular tachycardia

Question 7

Patients with a TIA or minor ischaemic stroke who present within 24 hours, and with a low risk of bleeding

Answer 7

should be given DAPT (e.g. clopidogrel + aspirin)

Question 8

Painless, asymmetrical lymph node swelling in the neck

Answer 8

?Hodgkin’s lymphoma

Question 9

What should be considered during CPR if a PE is suspected

Answer 9

Thrombolytic drugs