Q1. What is the World Health Organization recommendation in pregnancy for iron and folic acid for developing countries?
Q2. What is the earliest morphological evidence of folic acid deficiency?
Q3. What is Mentzer index?
Q4. If both parents are thalassemia minor or trait, what is the inheritance risk in offspring?
Q5. What is the earliest evidence of response to iron therapy?
Multiple Choice Questions
Q1. In sickle cell anemia, life span of red blood cell (RBC) is:
Q2. The most fulminant acquired hemolytic anemia due to bacterial toxins encountered during pregnancy is caused by
Picture Quiz
Q1. This is peripheral blood smear of a pregnant lady at 33 weeks of gestation with history of fever. Identify two main findings in this blood smear.
Q2. Identify the cells in this blood picture
Abha R Sinha
Associate Professor
Department of Obstetrics and Gynaecology Patna Medical College; Chairperson Quiz Committee FOGSI President POGS, Patna, Bihar, India e-mail: drabharanisinha@rediffmail.com
Answer Key
A1 400 μg of folic acid and 60 mg of iron daily for 6 months during pregnancy and for 3 months postpartum in areas of the world with poor nutrition
A2 Hypersegmentation of neutrophil
A3 Next step in evaluation of microcytic anemia to differentiate thalassemia and iron deficiency anemia
MI = MCV in fL/RBCs in millions per microliter
<13 = Thalassemia (likely), >13 = Iron deficiency anemia
A4 50% will inherit the trait, 25% will have thalassemia major and 25% will be unaffected.
A5 Increase in reticulocyte count.