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Chapter: 6 / Q: 6
A 5 year old child presents with fever. He looks pale. His parents say he always feels tired. On exam: orchidomegaly & splenomegaly. Labs: WBC=1.7, Hgb=7.1, Plt=44. What is the diagnosis?
Chapter: 6 / Q: 7
A 56 year old woman is known case of pernicious anemia. She refuses to take hydroxycobalamin IM as she is needle shy. She asks for oral medication. Why will oral meds be not effective?
Chapter: 6 / Q: 8
A 61 year old man underwent a surgery in which ileal resection had been done. He complains of fatigue, headache, and heart racing. Labs: MCV 108fL, Hgb 8.9g/dL. What is the most likely diagnosis?
Chapter: 6 / Q: 9
A 57 year old man presents with weight loss, tiredness, fever and abdominal discomfort. Exam: spleen palpable up to the umbilicus. Labs: WBC=127, Hgb=8.7, Plt=138. What is the most likely diagnosis?
Chapter: 6 / Q: 10
A 65 year old woman presents with headache. Segaly, itchy after hot bath. Laboratory: RBC 87, Hgb 31.9, Plt 796. What is t
Chapter: 6 / Q: 11
A woman has pernicious anemia. She has been prescribed parenteral vitamin B12 treatment but she is needle phobic. Why is oral treatment not preferred for this patient?
Chapter: 6 / Q: 12
A 53 year old man presents complaining of weight loss, lethargy, increasing abdominal discomfort and gout for the past year. Exam: spleen palpated 5cm below left costal margin, no fluid wave. CBC: Hgb 10.5g/dL, WBC 200, – 85% neutrophils, platelets 100, Na+ 140mmol?
Chapter: 6 / Q: 13
A 35 year old woman has had bruising and petechiae for a week. She has also had recent menorrhagia but is otherwise well. Blood: Hgb 11.1, WBC 6.3, Plt 14. What is the single most likely dx?
Chapter: 6 / Q: 14
A 35 year old lady is admitted with pyrexia, weight loss, diarrhea and her skin is lemon yellow in color. CBC = high MCV. What is the most probably diagnosis?
Chapter: 6 / Q: 15
A 5 year old child was admitted with history of feeling tired and lethargic all the time, bleeding gums and sore throat since the last 3months. Exam: hepatosplenomegaly. What is the most probable diagnosis?
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