KROK 1 2014 – Question 66 · KROK (Medicine) · Pathophysiology
A 37-year-old female patient complains of headache, vertigo, troubled sleep, numbness of limbs. For the last 6 years she has been working at the gas-discharge lamp-producing factory in the lead-processing shop. Blood test findings: low hemoglobin and RBC level, serum iron concentration exceeds the norm by several times. Specify the type of anemia:
- A. Metaplastic anemia
- B. Iron-deficiency anemia
- C. Minkowsky-Shauffard disease
- D. Iron refractory anemia
- E. Hypoplastic anemia
Hint
Lead blocks enzymes of heme synthesis; ask what this does to the cells' ability to use iron, and therefore to serum iron, compared with a simple lack of iron.
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