Haem

Question 1

Blood results in antiphospholipid syndrome

Answer 1

paradoxically prolonged APTT
low platelets

Question 2

vWD blood results

Answer 2

Prolonged APTT
Normal platelets
Normal Factor VIII activity

Question 3

Iron studies in iron-deficiency anaemia

Answer 3

Low ferritin
Low iron
Low transferrin saturation
High TIBC

Question 4

Most reliable indicator of leukaemia on bloods

Answer 4

Cytopenias - leucocytosis may be mild

Question 5

First investigation in over 40 with thrombocytosis

Answer 5

Chest X-ray

Question 6

When to stop iron supplementation once bloods normalise

Answer 6

Continue for 3 months then stop and re-check 3-monthly for 1 year

Question 7

Most common inherited causes of:
1) easy bleeding
2) thrombophilia

Answer 7

1) von Willebrand disease
2) factor V leiden

Question 8

Initial tests for haemachromatosis

Answer 8

1) transferrin saturation
2) ferritin

Question 9

Frequency of pneumococcal vaccine in HbSS

Answer 9

Every 5 years
Same is true for any cause of asplenia/splenic dysfunction and also CKD

Question 10

Anti-platelets and dental work

Answer 10

continue as normal

Question 11

Blood monitoring in IDA

Answer 11

4-weekly until Hb normalises
Then 3-monthly for a year
Then 6-monthly for 2-3 years

Continue iron for 2-3 months post normalisation