Daily Image Based Questions – IBQs

7/05/2021 – Attempt by selecting one of the options and clicking on the vote button.

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7 y male with mild thrombocytopenia with h/o easy bruising, epistaxis, hemorrhage after tonsillectomy. The bone marrow showed adequate megakaryocyte with grade II fibrosis. The PBS smear is above. Diagnosis ?

OLDER QUESTIONS

4/05/2021 – Attempt by selecting one of the options and clicking on the vote button.

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A bleeding patient with mild thrombocytopenia shows hyperresponsive low dose RIPA. He was then subjected to Low dose RIPA mixing studies and results are given above. Mutation is present in ?


28/04/2021 – Attempt by selecting one of the options and clicking on the vote button.

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20Y male with leukopenia and thrombocytopenia with CD45 Vs SSC plot given above. The atypical cells are CD34-DR-CD11b-CD117+CD33+cMPO+


27/04/2021 – Attempt by selecting one of the options and clicking on the vote button.

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20Y male with hyperleukocytosis and thrombocytopenia with smear given above. The atypical cells are CD34+DR-CD117+CD33+cMPO+


21/03/2021 – Attempt by selecting one of the options and clicking on the vote button.

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Which of the following is not true for this HPE image depicting a typical pathology.


29/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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Acid electrophoresis allows good separation of HbC from HbE and HbO-Arab. Which of the following band denotes HbC ?



28/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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Alkaline Hb Electrophoresis is represented below. Upper panel is normal pattern for reference and lower panel denotes position of different Hbs. The band denoted as 2 is ?




25/12/2020 –
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This test depicted above is an important test in diagnostic algorithm of vWD diagnosis. The patients RIPA results are suggestive of ?



24/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The above image is a pictorial representation of vWF multimer analysis and bands of Large , intermediate and low molecular weight multimers are shown. The column representing vWD IIA is ?



21/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The Patients clinical information and MRI brain images are suggestive of a diagnosis. This patient is also likely to have which of the following ?



20/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The platelet aggregometry curve is shown above. The response obtained in the plot is suggestive of ?



18/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The flow cytometry from a patient with epistaxis is shown above. What is your diagnosis?



17/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The GEL CARD test plate of a suspected PNH case is given below. What is your interpretation ?



15/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The Flocytometry analysis of a suspected PNH case is given below. What is your interpretation ?



12/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The bone marrow aspirate from 50y M is given below. Flow shows a group of clonal cell with strong CD19 & 20 expression along with a clonal population of CD138+ cells. Diag ?



13/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The following HPLC from a asymptomatic 25YM with Hb 13.5, MCV 80 is shown below. The probable diagnosis is ?



11/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The electron microroscope image of erythroblasts from a 20 year old female in her late 20s with longstanding fatigue is given below. She also has abnormalities with webbing between the second and third toes and a shortened 4th toe on the left foot. Diag?

8/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The bone marrow biopsy image from a 10 year old patient with macrocytic refractory anemia and short stature. Likely diagnosis would be ?



4/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The clinical picture and peripheral blood smear depicted below is taken from a 50 year old male who presented with anemia. The DCT would more likely yield ?



3/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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This peripheral blood smear from 18 year old male non anemic patient is suggestive of?



1/12/2020 – Attempt by selecting one of the options and clicking on the vote button.

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The image below shows result of NESTROFT test on a 15 year old anemic female patient. What is your inference?