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 EMQ 4

 

   

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EMQ: 4

Anaemia

a)      Hereditary spherocytosis

b)      Iron deficiency anaemia

c)      Folic acid deficiency anaemia

d)      Vitamin B12 deficiency anaemia

e)      Sickle cell disease

f)        Thalassaemia major

g)      Thalassaemia minor

h)      Sideroblastic anaemia

i)        Anaemia of chronic disease

j)        Aplastic anaemia

Select the most likely cause of anaemia from the list above to match the scenarios given below:

1) A 25-year-old male has a macrocytic anaemia. He is on long-term treatment with phenytoin sodium for epilepsy

2) A 58-year-old northern European female with a macrocytic anaemia. She has blue eyes, white hair and has vitiligo.

3) A 23-year-old African patient presents with severe pain in his femur and is found to be anaemic

4) A 53-year-old postmenopausal female presents with a history of lethargy and is found to have a mass in the right iliac fossa.

5) A 58-year-old female with long standing rheumatoid arthritis has a normocytic, normochromic anaemia. White cell count and platelets are within normal limits. She has normal iron studies, her folate and B12 levels are normal and there is no reticulocytosis.

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