KROK 1 2008 – Question 76 · KROK (Medicine) · Pathophysiology

A 56 year old patient came to a hospital with complaints about general weakness, tongue pain and burning, sensation of limb numbness. In the past he underwent resection of forestomach. In blood: Hb - 80 g/l; erythrocytes - 2.0 · 10¹²/l; colour index - 1,2, leukocytes - 3.5 · 10⁹/l. What anemia type is it?

  1. A. Iron-deficient
  2. B. Hemolytic
  3. C. Aplastic
  4. D. B12-folate deficient
  5. E. Posthemorrhagic
Hint

Link the surgery on the stomach with loss of a gastric factor needed for vitamin absorption, then match the macrocytic blood picture and the neurological signs.

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