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 Best of Five 228

 

   

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BOF: 228

A 28-year-old female of Irish descent presents with a history of mouth ulcers, abdominal pain and bloating, diarrhoea and loss of weight. On examination she looks underweight, and has aphthous ulcers in her mouth.

Immunology:

Anti-endomysial antibodies positive

Her blood film shows:

Microcytes, macrocytes, hypersegmented polymorphs and Howell-Jolly bodies

This suggests the patient has:

a)      Iron deficiency, folate deficiency, hypersplenism

b)      Iron deficiency, folate deficiency, hyposplenism

c)      Iron deficiency, vitamin B12 deficiency, hypersplenism

d)      Iron deficiency, vitamin B 12 deficiency, hyposplenism

e)      Pyridoxine deficiency

 

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