The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?
Schilling test
Erythrocyte Indices
Bone Marrow Biopsy
Radiologic Studies
The Correct Answer is A
A. Schilling test. The symptoms described are suggestive of pernicious anemia, which is typically diagnosed through a Schilling test to assess vitamin B12 absorption.
B. Erythrocyte Indices. Erythrocyte indices are used to evaluate various aspects of red blood cell characteristics and are not specific to diagnosing pernicious anemia.
C. Bone Marrow Biopsy. While bone marrow biopsy may be used to diagnose certain types of anemia, it is not the primary diagnostic test for pernicious anemia.
D. Radiologic Studies. Radiologic studies are not typically used in the diagnosis of pernicious anemia.
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Related Questions
Correct Answer is ["B","C"]
Explanation
A. Scrotal warmth and redness are not typically early signs of testicular cancer. Common signs include painless testicular swelling or a lump.
B. Close male relatives of individuals with testicular cancer have a higher risk of developing the disease themselves, suggesting a genetic component.
C. Testicular cancer typically occurs in younger men, with the highest incidence between ages 15 to 40.
D. Testicular cancer usually affects only one testicle, though it can occur in both.
E. Impotence is not a common complication of orchiectomy, the surgical removal of one or both testicles. However, other complications such as infertility may occur.
Correct Answer is C
Explanation
A. Clotting is not directly related to the destruction of red blood cells.
B. Cyanosis refers to a bluish discoloration of the skin due to poor circulation or inadequate oxygenation, which is not directly indicative of red blood cell destruction.
C. Jaundice is the yellowing of the skin and eyes caused by the buildup of bilirubin, a byproduct of the destruction of red blood cells, which is a common symptom of hemolytic anemia.
D. Bleeding is not a symptom associated with the destruction of red blood cells but rather a lack of clotting factors or platelets.
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