Dental MCQs and EMQs

Blood – EMQs

Anemia

Options:

1. Blood film for parasites

2. Serum B12
3. Schilling Test
4. Bone marrow biopsy
5. Scurvy
6. Dietary History

A. A middle-aged man with hepatosplenomegaly, fatigue and immature cells seen in blood
film.
B. Man returns from Ghana, presents with fever and rigors
C. Elderly patient, on examination has anemia and bleeding gums.
D. Old lady with Hb 3g/dL, MCV 120fL, family history presents with fatigue, lethargy.
E. An elderly woman living alone presents with tiredness.

Concerning RBCs:

A. Haemoglobin
B. Erythropoiesis
C. Bilirubin
D. Normoblasts
E. Erythropoeitin
F. Haemostasis
G. Transferrin
H. Erythrocute
I. Reticulocyte
J. Haemopoeitic stem cells

For each scenario described below, choose the single most likely match from above list
of options. Each option may be used once, more than once, or not at all.

1. Highly glycosylated polypeptide hormone that stimulates the differentiation and

maturation of erythrocytes.
2. Red blood cell component comprising two alpha chains with either two beta or two delta
chains.
3. Breakdown product of RBCs, which is conjugated in the liver and excreted in bile.
4. Immature RBCs, present in the bone marrow, and in low numbers in the bloodstream.
5. Process by which RBCs are made in the bone marrow.
Concerning Anemia:

A. Iron
B. Folate deficiency anemia
C. Erythrocyte
D. Folate
E. Pernicious anemia
F. Aplastic anemia
G. Vitamin B12
H. Sickle cell anemia
I. Sideroblastic anemia
J. Iron-deficiency anemia

For each scenario described below, choose the single most likely match from the above
list of options. Each option may be used once, more than once, or not at all.

1. Anemia caused by a reduction in number and function of bone marrow stem cells.
2. An anemia which occurs frequently in women of reproductive age.
3. The Schilling test is used to diagnose the cause of a deficiency of this substance.
4. Anemia that can present along with chronic atrophic gastritis. Also, probably of
autoimmune etiology.
5. Inherited hemoglobinopathy causing elongation of red cells into a rigid shape.

Concerning clinical presentations of anemia:

A. Iron deficiency anemia

B. Anemia of chronic disease
C. Folate deficiency
D. Pernicious anemia
E. Sickle cell anemia
F. Heriditary spherocytosis
G. Beta-thalassemia minor
H. Glucose-6-phosphate deficiency
I. Aplastic anemia
J. Autoimmune hemolytic anemia

For each of the scenario described below, choose the single most likely diagnosis from
the above list of options. Each option may be used once, more than once or not at all.

1. A previously fit and well 26-year old female is admitted to hospital with a severe dyspnea,
chest pain, productive cough and fever. Her chest radiograph showed patchy consolidation.
After several days of admission she begins to improve. The day before her scheduled
discharge she suffered from Raynaud’s phenomenon. A FBC showed a megaloblastic anemia
and a direct Coomb’s test was positive.
2. A 4 year old child of African origin presents to Accident and Emergency with a fever and
painful, red hands and feet. FBC shows Hb 6.5g/dL (normal range in children 11-14g/dL) and
mean corpuscular volume 100fL (normal range 76-88)
3. A 23 year old female undergoes a full blood count as part of routine, pre-operative
investigations. The results show Hb 10.2 g/dL (normal range for women 12-15g/dL) and a MCV
of 71 (normal range 80-100). Further tests reveal a low serum iron, a low ferritin and an
increased total iron binding capacity (TIBC).
4. A 44 year old man attends his local diabetes clinic. A routine FBC showed the following Hb
10.5g/dL (normal range for men 13-17g/dL) and a MCV of 74fL (normal range 80-100). Iron
studies show a low serum iron and a normal TIBC.
5. A 12 year old boy from Cyprus becomes jaundiced after a week-long family holiday, where
he mainly ate falafel. His FBC shows a megaloblastic anemia.

OCTOBER 24, 2014

HIRA KAMAL
GENERAL MEDICINE
BLOOD, GENERAL MEDICINE

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