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Anaemia Quiz

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Which statement best describes anaemia?

  1. A A disorder caused exclusively by iron deficiency affecting haemoglobin synthesis
  2. B A haemoglobin concentration below the expected range, usually reducing the oxygen-carrying capacity of blood
  3. C A disease defined by increased destruction of red blood cells in the spleen only
  4. D A condition in which white blood cell production is reduced leading to impaired immunity
  5. E A standalone diagnosis that explains symptoms such as fatigue without further investigation
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Answer: B. A haemoglobin concentration below the expected range, usually reducing the oxygen-carrying capacity of blood

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See Section. Option B is correct. Anaemia is a haemoglobin concentration below the expected range for the person. Because haemoglobin carries most oxygen in blood, this generally reduces oxygen-carrying capacity. The appropriate interpretation depends on factors such as age, sex and pregnancy rather than one universal threshold. Anaemia can arise through blood loss, reduced red-cell production or shortened red-cell survival. It names the finding, not its underlying cause, so the next step is to understand the mechanism. A defect in oxygen affinity alone does not define anaemia if haemoglobin concentration remains normal.

Splenic destruction (C) is only one way to shorten red-cell survival, while bleeding and impaired production can also cause anaemia. E mistakes a laboratory finding for a complete diagnosis that needs no further explanation. Iron deficiency (A) is common but is only one cause among nutritional, inflammatory, renal, inherited and haemolytic causes. Reduced white-cell production (D) concerns leukopenia, a low white-cell count, rather than the defining red-cell haemoglobin finding.

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More questions from this set. Start the quiz to answer them and see each explanation.

  1. 1

    Which mechanism most directly explains the development of anaemia in chronic kidney disease?

  2. 2

    Which mechanism best explains the development of anaemia in a patient with long‑standing chronic inflammatory disease?

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