HEMATOLOGY and ONCOLOGY

Question-- A 4 year boy was brought to GP with petechiae on his limbs with mild nose bleed. He had common cold few days back. He otherwise healthy. What is the recommended treatment for his illness.

A. Platelet transfusion

B. Whole blood transfusion

C. Intravenous gammaglobulin

D. Radiotherapy

E. Plasmapheresis

Question-- A newborn baby was found to have absence of both radii. What you will get in full blood count–

A. Decreased RBC

B. Decreased neutrophils

C. Decreased eosinophils

D. Decreased platelets

E. Decreased lymphocytes

Question – A 18 months old boy was brough to GP clinic with history of abdominal swelling and pallor. On examination he was found to have an abdominal mass and pancytopenia. Bone marrow examination was done. Which of the following disease is most likelly–

A. Neuroblastoma

B. Hepatitis B infection

C. Neurocytoma

D. Nephroblastoma

E. Rhabdomyosarcoma

Question- An 1.5 years old found to have microcytic anemia. What is the possible cause–

A. Lack of protein in the diet

B. Lack of fruits in the diet

C. Intake of excessive amount of Vitamin A

D. Taking only unmodified cow’s milk

E. Lack of vitamin B12 and folate

Question – A 11 months old boy had pallor and was diagnosed as having erythroblastopenia of childhood. What statement is corect

A. It is a precursor of leukemia

B. Associated with mycobacterium tuberculosis

C. Treatment mostly is bone marrow transplantation

D. Associated with herpes virus infection

E. May require red bllod cell transfusion

Question-- A 8 months old Jamaican girl was brought to clinic with painful swelling of hands and feet. Blood investigations shows following results–
Hb- 80 gm/L, WBC count- 10,000, and platelet- 190,000
Malaris parasite- negative, Rheumatoid factor - negative
what will be the most likely next investigations –

A. Vitamin D estimation

B. Skeletal survey

C. Tuberculosis serology

D. Bone marrow aspiration cytology

E. Hemoglobin electrophoresis