Q:

A 40 year old lady who has been a smoker since she was a teenager has the following blood result: Hb 19. What hormone should you check?

waelhammad
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2022-11-01
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A 40 year old lady who has been a smoker since she was a teenager has the following blood result: Hb 19. What hormone should you check? 

  1. Aldosterone
  2. Cortisol
  3. Erythropoietin
  4. T4
  5. TSH
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waelhammad
2022-11-01
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The key is C. Erythropoetin. [Smoking causes raised carboxyhemoglobin level causing hypoxemia and raised erythropoeitin which leads to raised hemoglobin level (secondary polycythemia)]. 

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