KROK 1 2008 – Question 38 · KROK (Medicine) · Pathophysiology

2 years ago a patient underwent resection of pyloric part of stomach. He complains of weakness, periodical dark shadows beneath his eyes, dyspnea. In blood: Hb - 70 g/l, erythrocytes - 3.0 · 10¹²/l, colour index - 0,7. What changes of erythrocytes in blood smears are the most typical for this condition?

  1. A. Schizocytes
  2. B. Megalocytes
  3. C. Ovalocytes
  4. D. Macrocytes
  5. E. Microcytes
Hint

A colour index of 0.7 means hypochromia; think about which nutrient's absorption suffers after resection of the distal stomach and what size change red cells show in that deficiency.

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