MRCP UK EXAMINATIONS

ABDOMINAL

THALASSEMIA

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The hemolytic anemia associated with the thalassemias is due to:
A
Imbalance of globin chain synthesis
B
Microcytic, hypochromic cells
C
Ineffective erythropoiesis caused by immune factors
D
Structurally abnormal hemoglobin
Explanation: 

Detailed explanation-1: -The thalassemias (named from the Greek word for sea, thalassa1) are a group of inherited autosomal recessive hematologic disorders2 that cause hemolytic anemia because of the decreased or absent synthesis of a globin chain. Imbalances of globin chains cause hemolysis and impair erythropoiesis.

Detailed explanation-2: -Thalassemia is a heterogeneous group of autosomal recessive genetic disorders characterized by decreased or absent synthesis of globin chains, leading to anemia and microcytosis. Clinically, there are two major forms: ‐thalassemia and ‐thalassemia.

Detailed explanation-3: -Alpha and beta thalassemia are inherited hemoglobinopathies in which impaired production of one type of globin chain (alpha chains in alpha thalassemia; beta chains in beta thalassemia) causes an imbalance in the ratio between alpha and beta (or beta-like) chains, which is normally tightly controlled.

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