General Medicine

20 learning units • 100 chapter sections • 200 explained questions. Assess the patient, choose investigations and build a monitored management plan across adult medical specialties.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 19 / 20

Haematology & Medical Oncology Emergencies

Interpret blood-count patterns and recognise time-critical complications of cancer and its treatment.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. What does a reticulocyte count help assess in anaemia? A. Exact site of gastrointestinal bleedingB. Marrow responseC. Coronary artery anatomyD. Thyroid size

Question 02. Which pattern supports haemolysis? A. Isolated high cholesterolB. A normal film proving all causes absentC. Raised LDH and indirect bilirubin with reticulocytosisD. Low glucose as the sole finding

Question 03. What should multiple cytopenias prompt? A. Automatic iron treatment as the only investigationB. Evaluation for marrow or systemic causesC. Reassurance because only one organ is involvedD. Ignoring the blood film

Question 04. An unwell chemotherapy patient has no high fever. What remains important? A. Urgent assessment for neutropenic sepsisB. Excluding infection because fever is absentC. Waiting a week for routine reviewD. Treating only fatigue without observations

Question 05. Back pain with new leg weakness and urinary dysfunction in cancer suggests what? A. Uncomplicated mechanical strain by defaultB. Metastatic spinal cord compressionC. Isolated anaemia aloneD. A benign tumour-marker variation

Question 06. Which electrolyte change is typical of tumour lysis syndrome? A. HyperkalaemiaB. Universal isolated hypokalaemiaC. Persistently absent phosphateD. Normal electrolytes by definition

Question 07. Which symptoms can occur in hypercalcaemia? A. Only productive coughB. Only a painless ankle clickC. Mandatory profuse sweating aloneD. Confusion, constipation and dehydration

Question 08. Thrombocytopenia with haemolysis and neurological changes raises concern for what? A. Thrombotic microangiopathyB. Uncomplicated iron deficiency aloneC. Stable seasonal allergyD. Isolated benign hypertension

Question 09. Can palliative care be given alongside cancer-directed treatment? A. YesB. No, only after every treatment stopsC. Only when pain is absentD. Never before the final day of life

Question 10. Why avoid diagnosing cancer from a nonspecific tumour marker alone? A. Every marker is perfectly specificB. Benign conditions can alter markers and confirmation requires contextC. Markers replace histology in all cancersD. A normal marker excludes every malignancy

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References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.