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Exam questionKROK 2Medicine · 2019

A 25-year-old woman complains of fatigue, dizziness, hemorrhagic rashes on the skin. She has been presenting with these signs for a month. Blood test: erythrocytes 10x109/L, Hb- 37 g/L, color index – 1.1, leucocytes – 12 × 109/L. platelets - 86 × 109/L. What analysis would be the most advisable diagnosis-making in this case?

Answer options

  1. Coagulation studies
  2. US of the gastrointestinal tract
  3. Splenic biopsy
  4. Liver biopsy
  5. Sternal puncture (bone marrow biopsy)
Correct answer

Sternal puncture (bone marrow biopsy)

Explanation

A 25-year-old woman complains of fatigue, dizziness, hemorrhagic rashes on the skin. She has been presenting with these signs for a month. Blood test: erythrocytes – 1.0 × 1012 /L, Hb- 37 g/L, colour index – 1.1, leukocytes – 1.2 × 109/L,, platelets – 42 × 109/l. What analysis would be the most advisable for diagnosis-making in this case?

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