Q:

A 37 year old woman presents with fatigue. Examination: angular stomatitis, no koilonychea. Choose the single cell type you will find on the blood film

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A 37 year old woman presents with fatigue. Examination: angular stomatitis, no koilonychea. Choose the single cell type you will find on the blood film.


  1. Macrocytes
  2. Microcytes
  3. Granulocytes wthout blast cells
  4. Blast cells

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The key is A. Macrocytes. [This is macrocytic anaemia. The cause here is VIT. B12 or folate deficiency. Points in favour of Vit. B12 or folate deficiency: i) fatigue (anaemia) ii) angular stomatitis (can be seen in Vit. B12 or folate deficiency) iii) absence of koilonychea is against IDA (Iron Deficiency Anaemia)].

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