ABSTRACT
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 35-year-old man presents to his GP with a 1-month history of increased tiredness. The patient also admits to diarrhoea and minor abdominal pain during this period. His blood tests reveal the following:
Hb 9.5 (13-18 g/dL) MCV 64 (76-96 fL) Fe 12.2 (14-31 µmol/L) TIBC 74 (45-66 µmol/L) Ferritin 9.2 (12-200 µg/L)
Hb (haemoglobin); MCV (mean cell volume); Fe (iron); TIBC (total iron-binding capacity)
2 A 56-year-old vagrant man presents to the accident and emergency department with weakness in his legs. The patient has a history of poorly controlled Crohn’s disease. His blood tests demonstrate Hb 9.4 (13-18 g/dL) and MCV 121 (76-96 fL). A blood film reveals the presence of hypersegmented neutrophils.
