MCQ IN MEDICINE

MEDICINE MCQ

HAEMATOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Low mean cell volume (MCV), high iron binding capacity and low serum ferritin level are most consistent with
A
iron deficiency anaemia.
B
B12 deficiency anaemia.
C
Folate deficiency anaemia.
D
autoimmune hemolytic anaemia.
Explanation: 

Detailed explanation-1: -Low levels of ferritin lead to iron-deficiency anemia. This means you have too few red blood cells. Iron deficiency can come from a poor diet or blood loss. Or your body may have trouble absorbing iron from food.

Detailed explanation-2: -Lower-than-normal TIBC may mean: Anemia due to red blood cells being destroyed too quickly ( hemolytic anemia ) Lower-than-normal level of protein in the blood (hypoproteinemia) Inflammation. Liver disease, such as cirrhosis.

Detailed explanation-3: -An MCV less than 95 femtolitres has a sensitivity of 97.6% for iron deficiency anaemia. In people with anaemia and an MCV of more than 95 femtolitres, there is a low probability of iron deficiency.

Detailed explanation-4: -A total iron-binding capacity (TIBC) test measures the blood’s ability to attach itself to iron and transport it around the body. A transferrin test is similar. If you have iron deficiency anaemia (a lack of iron in your blood), your iron level will be low but your TIBC will be high.

There is 1 question to complete.