KROK 1 2013 – Question 13 · KROK (Medicine) · Pathophysiology

On the fifth day after the acute blood loss a patient has been diagnosed with hypochromic anemia. What is the main mechanism of hypochromia development?

  1. A. Increased destruction of red blood cells in the spleen
  2. B. Impaired iron absorption in the intestines
  3. C. Release of immature red blood cells from the bone marrow
  4. D. Impaired globin synthesis
  5. E. Increased excretion of body iron
Hint

Think about the timing: what is the regenerating erythropoietic tissue doing five days after a haemorrhage, and what does that do to the haemoglobin content of the erythrocytes in the circulation?

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