Rheumatology & Haematology — Flashcards

Flashcard 61: Infectious mononucleosis typically has _____ pharyngitis/tonsilitis

Answer: exudative

Flashcard 62: What is the management for infectious mononucleosis? _____

Answer: Supportive; no contact sports for 4 weeks

Flashcard 63: What would Bone Marrow Aspirate show in multiple myeloma?

Answer: > 10% plasma cells (clonal)

Extra: Diagnostic criteria for Multiple Myeloma requires clonal bone marrow plasma cells ≥10%. Morphology may show: • 'Fried egg' appearance • Mott cells (multiple cytoplasmic droplets) • Russell bodies (cytoplasmic inclusions) • Flame cells (IgA myeloma)

Flashcard 64: When should Sickle Cell patients receive the pneumococcal (PPSV23) booster dose?

Answer: 5 years after the initial dose (one-time booster)

Extra: Patients with functional asplenia (SCD) receive the pneumococcal conjugate vaccine series followed by PPSV23. A single booster of PPSV23 is recommended 5 years after the first PPSV23 dose. Routine revaccination every 5 years thereafter is not currently recommended for most patients.

Flashcard 65: Infectious mononucleosis is transmitted via _____

Answer: saliva

Flashcard 66: Infectious mononucleosis has an incubation period of _____

Answer: ~6 weeks

Flashcard 67: Infectious mononucleosis is most commonly caused by _____ and less commonly caused by cytomegalovirus (CMV)

Answer: Epstein-Barr virus (EBV)

Flashcard 68: FBC for infectious mononucleosis shows _____ and >10% atypical lymphocytes

Answer: lymphocytosis

Flashcard 69: _____ infectious mononucleosis results in +ve Monospot test CMV infectious mononucleosis results in -ve Monospot test

Answer: EBV

Flashcard 70: Infectious mononucleosis causes _____megaly that has ↑ risk for rupture

Answer: spleno