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 Best of Five 89

 

   

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BOF: 89

A 60-year-old male with uncomplicated stable alcoholic cirrhosis presents with severe breathlessness on exertion. On examination he was found to be anaemic and jaundiced. He has splenomegaly. His Hb is 8 gm/dl with normal MCV. WBC and platelet count are normal. There is no evidence of blood loss. Iron studies and red cell folate assay are normal. What is the most likely explanation for his anaemia?

a)      Burr cell anaemia

b)      Paroxysmal cold haemoglobinuria

c)      Autoimmune haemolytic anaemia

d)      Spur cell anaemia

e)      Hypersplenism

 

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