ANEMIA IN PREGNANCY : MCQS AND IMPORTANT MCQS By DR MARIA RAFI

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  1.  A 30-year-old pregnant female is undergoing routine blood tests . Pregnancy is associated with an increase in which of the following? A) Mean Cell Hemoglobin Concentration (MCHC) B) Serum ferritin concentration C) Hematocrit D) Total Iron Binding Capacity (TIBC) ✅ Answer: D) Total Iron Binding Capacity (TIBC) Explanation: Pregnancy leads to increased TIBC due to higher transferrin synthesis to compensate for increased iron demand. Serum ferritin and iron decrease due to increased iron utilization. Hematocrit reduces due to physiological hemodilution , not an actual decrease in RBC mass. DR MARIA RAFI ;923324747587 2.  A 28-year-old female, para 2+0 , presents with Hb 7 g/dL . What is the next best investigation? A) Hb electrophoresis   B) Total iron-binding capacity (TIBC) C) MCV and peripheral smear ✅ D) Serum iron Answer: A) Hb electrophoresis Explanation: The first step is to check MCV (Mean Corpuscular Volume) to classify anemia...

🩺 How to Differentiate Iron Deficiency Anemia (IDA) and Beta Thalassemia Trait (BTT) Using CBC Report 📊

🩺 How to Differentiate Iron Deficiency Anemia (IDA) and Beta Thalassemia Trait (BTT) Using CBC Report ðŸ“Š



Quick Tips:

  • MCHC: Normal in Beta Thalassemia Trait (BTT) ✅.
  • Menzer Index: If >13, it indicates IDA; if <13, it suggests BTT.
  • Check RBC count: High in BTT, but normal or low in IDA.
  • Consider RDW: Increased in IDA, normal in BTT.



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