A 44-year-old man presented to a gastroenterologist with pains in his epigastrium. A physical examination revealed an icteritiousness of his skin and scleras, an alteration of a tongues mucous membrane. A tongue grossly looked shining, smooth, with red spots. In peripheral bloods smear there were found enlarged erythrocytes (megaloblasts). A histological study of a gastrobiopsy from a body of a stomach showed a thinning of mucosa, a reduction of glands quantity, superfluous growth of a connective tissue. Specify, what of diagnoses is the most probable in this case:

HAEMOPOIETIC SYSTEM

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A 44-year-old man presented to a gastroenterologist with pains in his epigastrium. A physical examination revealed an icteritiousness of his skin and scleras, an alteration of a tongue‘s mucous membrane. A tongue grossly looked shining, smooth, with red spots. In peripheral blood‘s smear there were found enlarged erythrocytes (megaloblasts). A histological study of a gastrobiopsy from a body of a stomach showed a thinning of mucosa, a reduction of glands quantity, superfluous growth of a connective tissue. Specify, what of diagnoses is the most probable in this case:

A	Chronic posthemorrhagic anemia
B	Hemolytic anemia
C	12-folic acid deficiency anemia
D	Chronic myeloid leukemia
E	Aplastic anemia

Explanation:

Detailed explanation-1: -Oral melanoma is a rare cancer with a poor outlook. Oral melanoma occurs due to malignant changes in a person’s melanocytes. These cells produce the pigment melanin that gives skin its color. However, melanocytes also exist in the mucosal membranes of the mouth and other areas of the body.

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PATHOLOGY

PATHOLOGY MCQ

HAEMOPOIETIC SYSTEM