Full 2L QBank
Surgery General 2a973c4c

A normal MCV would be expected in a patient with which one of the following conditions?

A
Resection of the terminal ileum
B
b-thalassemia minor
C
2 days post-acute bleed
D
Chronic bleeding duodenal ulcer
High-Yield Explanation
A patient who is 2 days post-acute bleed will have a normal MCV because the bone marrow has not had enough time to release reticulocytes into the peripheral blood. Reticulocytes are larger than a mature RBC and could potentially increase the MCV. The other choices in the question are conditions associated with either an increase or decrease in the MCV. A pregnant woman not taking vitamin supplements will very likely develop folate deficiency because she has only a 3-4 month supply of the vitamin in her liver. A patient with resection of the terminal ileum will develop vitamin B deficiency, since the terminal ileum has receptors for the vitamin B factor complex for reabsorption. The patient with b- thalassemia minor as well as the patient with a chronic bleeding peptic ulcer will have a microcytic anemia, the former from a decrease in globin-chain synthesis, and the latter secondary to iron deficiency.

Related Surgery MCQs

Practice 2,00,000+ NEET PG Questions Free

Timed mock tests, mistake queue analytics, audio lectures & zero attempt limits on i❤️Exams.

Start Free Mock Test Now