Hematology History Taking Quiz

Iron deficiency anemia in developed countries is:

• Usually caused by poor dietary intake alone

• Most commonly due to iron losses exceeding intake

• Primarily seen in vegetarians

• Always associated with vitamin B12 deficiency

Which symptom is characteristic of neutropenia?

• Easy bruising and petechiae

• Recurrent oral ulceration and skin infections

• Shortness of breath and fatigue

• Joint pain and swelling

Which ethnic populations have a higher incidence of thalassemia according to the guide?

• Northern European and Scandinavian populations

• Mediterranean, Middle Eastern, Indian, and Southeast Asian populations

• Sub-Saharan African and Caribbean populations

• Native American and Inuit populations

What is the inheritance pattern of hemophilia A and B?

• Autosomal dominant

• Autosomal recessive

• X-linked recessive

• Mitochondrial inheritance

When taking history for easy bruising, which of the following questions is MOST important to ask first?

• Family history of bleeding disorders

• Current medications including over-the-counter drugs

• Duration, frequency, and characteristics of bruising

• Associated systemic symptoms

In thalassemia major, which symptom typically requires regular medical intervention?

• Chronic pallor

• Delayed growth and puberty

• Protruding abdomen due to hepatosplenomegaly

• Severe anemia requiring regular transfusions

For cervical lymphadenopathy history taking, which symptom constellation suggests possible malignancy?

• Recent upper respiratory tract infection with tender nodes

• Fever, weight loss, and night sweats

• Painful, mobile, soft lymph nodes

• Response to antibiotic treatment

In beta-thalassemia/HbE, the onset of pallor generally occurs at:

• Birth

• Within the first few months of life

• An older age compared to other thalassemia types

• During adolescence only

Which screening technique is recommended for thalassemia carrier detection?

• Complete blood count (erythrocyte index) only

• Hemoglobin electrophoresis only

• DNA analysis only

• All of the above: CBC, Hb electrophoresis, and DNA analysis

Prenatal diagnosis for thalassemia can be performed between which gestational weeks?

• 4-8 weeks

• 8-18 weeks

• 18-24 weeks

• 24-32 weeks