Name: David Muthuveloe

Theme: Nutrition

 

OPTION LIST

 

A

Liver Disease

I

Chronic renal failure.

B

Vitamin B12 deficiency due to lack of dietary intake.

J

Vitamin A deficiency.

C

Folate deficiency due to lack of dietary intake.

K

Iron deficiency anaemia.

D

Vitamin B12 deficiency due to lack of intrinsic factor post gastrectomy.

L

Anaemia of chronic disease.

E

Thalassaemia

M

Vitamin B12 deficiency due to malabsorption because of surgical removal of the ileum.

F

Vitamin B12 deficiency due to lack of intrinsic factor because of pernicious anaemia.

N

 

G

Ulcerative colitis.

O

 

H

Sideroblastic anaemia.

P

 

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1.  A 35yr old female vegan presents to her GP with a history of tiredness and fatigue. On investigation her blood test shows:

MCV = 125fl  Hb = 9.4 g/dL Serum folate normal

When looking under the microscope abnormally large reticulocytes (megaloblasts) were noted.

 

2.  A 65yr old female with blonde hair and blue eyes with a long history of rheumatoid arthritis and Hashimoto’s thyroiditis presents to her GP with tiredness and fatigue. On investigation her blood test shows:

MCV = 125fl  Hb = 9.4 g/dL            

When looking under the microscope abnormally large reticulocytes (megaloblasts) were noted.

 

3.  A 55yr old female with a history of small bowel resection due to chronic inflammatory bowel disease presents to her GP with tiredness and fatigue. On investigation her blood test shows:

MCV = 125fl  Hb = 9.4 g/dL            

When looking under the microscope abnormally large reticulocytes (megaloblats) were noted.

 

4. A 25yr old Asian female who is a vegetarian presents to her GP with tiredness and fatigue. On questioning her periods were noted to be particularly heavy. On investigation her blood test shows:

MCV= 80fl                  Hb = 9.4 g/dL             MCH = 22pg

5. A 10yr old female who recently emigrated from south East Asia presents to A&E with kidney stones. While talking to the parents it is noted that she has particular problems seeing in dim light.

 

 

 

ANSWERS

1. B

2. F

3. M

4. K

5. J