Q:

A patient is about to undergo surgery. Her Hgb=8.9g/dl and MCV=70. What is the best option for her?

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A patient is about to undergo surgery. Her Hgb=8.9g/dl and MCV=70. What is the best option for her?


  1. Inv and postpone the surgery
  2. Transfuse and proceed with surgery
  3. Transfuse and defer surgery
  4. Continue with surgery

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Key is A. Investigation and postpone the surgery. [For elective operation only proceed if Hb% > 10 g/dl. If Hb% < 10 g/dl then defer the operation and investigate first. If Hb% < 8 g/dl also must be transfused. Samson note].

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