KROK 1 2020 – Question 13 · KROK (Medicine) · Pathophysiology

A 47-year-old man complains of weakness and dizziness. Half a year ago he underwent a gastric resection. Blood test: Hb - 80 g/L, erythrocytes - 3.5·10¹²/L, color index - 0.69, ESR -15 mm/hour, serum iron - 5.4 mcmol/L, erythrocyte hypochromia. What type of anemia is the most likely in this patient?

  1. A. Iron deficiency anemia
  2. B. Hemorrhagic anemia
  3. C. B12 or folate deficiency anemia
  4. D. Sideroachrestic anemia
  5. E. Hemolytic anemia
Hint

Use the color index and serum iron to judge how much hemoglobin each red cell carries, then consider what a stomach resection does to absorption of nutrients.

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