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  • Question: 62-year-old woman presents with tiredness, dyspnoea, paraes


Answers

Investigation of anaemia

Options:

A. thrombin time, fibrin degradation products
B. rectal examination
C. Hb electrophoresis
D. sickle test
E. urine for Bence Jones protein
F. Ham's test
G. echo
H. Coomb's test
I. total serum iron, iro ferritin, iron binding capacity
J. pyruvate kinase activity
K. serum folate
L. serum B12

1) A 62-year-old woman presents with tiredness, dyspnoea, paraesthesiae and a sore red tongue.

2) A 19-year-old girl presents with menorrhagia and anaemia.

3) A 25-year-old woman develops uncontrolled bleeding post LSCS.

4) A 60-year-old man presents with weight loss, back and shoulder pain, hypercalcemia and renal failure.

5) A 16-year-old Asian girl presents with anaemia.She remembers her brother died at the age of 5 after an illness since birth which required repeated transfusions.



1)pernicious anaemia,serum b12.
2) I its iron deficiency anaemia
3) H haemolytic anaemia
4)E
5)C


think 1 A


Agree with Guest


3. is DIC so do FDPs and TTime


i think that its pernicious anaemia coz the patient has got paresthesias and red sore tongue which makes it quite inclined towards pernicioue anaemia and to confirm it we do B12 levels.


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