MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is assessing a patient who reports feeling “constantly tired and very weak.” The patient reports a very sore tongue, and upon observing the patient’s oral cavity, the nurse notices the tongue is beefy red. Which type of anemia do these findings correlate with?
A
Iron deficiency anemia
B
Megaloblastic anemia
C
Sickle cell disease
D
Aplastic anemia
Explanation: 

Detailed explanation-1: -Megaloblastic anemia is diagnosed through a physical exam and other tests, including: complete blood count. reticulocyte count. blood tests to measure of vitamin B12, methylmalonic acid (MMA), or homocysteine levels.

Detailed explanation-2: -Vitamin B12 deficiency is a cause of macrocytosis. Because DNA synthesis requires cyanocobalamin (vitamin B12) as a cofactor, a deficiency of the vitamin leads to decreased DNA synthesis in the erythrocyte, thus resulting in macrocytosis.

There is 1 question to complete.