A 37yo woman presents with fatigue. Exam: angular stomatitis, no koilonychea. Choose the
single cell type you will find on the blood film.
a. Macrocytes
b. Microcytes
c. Granulocytes wthout blast cells
d. Blast cells
Q. 1. What is the key?
Q. 2. What is the cause here?
Q. 3. What are the points in favour of mentioned cause?
Ans. 1. The given key is A. Macrocytes.
Ans. 2. The cause here is VIT. B12 or folate deficiency.
Ans. 3. Points in favour of Vit. B12 or folate deficiency: i) fatigue (anaemia) ii) angular stomatitis (can be
seen in Vit. B12 or folate deficiency) iii) absence of koilonychea is against IDA.