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.
