6.2 Anaemia Practice Questions Flashcards
What is the term for abnormal sensations like pins and needles
Parasthesia
What is the most likely diagnosis megaloblastic red blood cells, low platelets (thrombocytopenia) neutropenia
Megaloblastic anaemia
Iron deficiency gives you microcytic anaemia
Leukaemia gives you high white cell count
Diabetes gives you peripheral neuropathy but not macrocytic?
What blood tests would you use to diagnoses megaloblastic anaemia?
Serum B12 and folate levels
What is the commonest cause of megaloblastic anaemia?
Pernicious anaemia
How do you diagnose pernicious anaemia?
Anti-intrinsic factor antibodies.
When are antinuclear antibodies positive?
Lupus
When are antiemdomysial antibodies positive
Coeliac disease
How do you treat pernicious anaemia?
IM B12
What happens if yiu give someone with B12 a blood transfusion?
Arrhythmias,
Why do you get a low platelet count in B12 deficiency?
B12 is needed for DNA repair and production of cells.
What is meant by pancygopenia?
All blood cells are low
What other macrocytic aneamia causes pancytopenia
Myelodysplasia
Young woman with hypochromic microcytic anaemia has low heamoglobin. What first line investaigation would you do?
Ferritin
What else would you ask a 22 year old female medical student?
Diet
Mennorrhagia
Pregnant
GI symptoms
How would you treat someone with iron deficiency anaemia?
Oral iron
