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 Best of Five 3.68

 

   

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BOF: 3.68

 

A 23-year-old male is admitted by his general practitioner as he has found him to be anaemic

The patient had contracted infectious mononucleosis and was apparently recovering from this when he contacted his GP saying he felt extremely tired and lethargic

On examination he looked pale and he had splenomegaly

Blood tests showed:

Hb 7.3 g/dL

Blood film showed spherocytosis

Serum total bilirubin 96 µmol/L (Normal 1 – 22 µmol/L)

Which of the following tests would indicate the diagnosis?

 

a) Reticulocyte count

 

b) Abdominal ultrasound scan

 

c) Bone marrow examination

 

d) Coombs test

 

e) Red cell osmotic fragility

 

 

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