• 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:

  1. 17 days

  2. 40 days

  3. 76 days

  4. 110 days

Q2. The most fulminant acquired hemolytic anemia due to bacterial toxins encountered during pregnancy is caused by

  1. Clostridium perfringens

  2. Staphylococcus aureus

  3. Escherichia coli

  4. Proteus spp.

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.

Multiple Choice Questions

  • A1 (a) 17 days

  • A2 (a) Clostridium perfringens

Picture Quiz

  • A1 Plasmodium falciparum gametocytes, Anisopoikilocytosis

  • A2 Tear drop cells found in beta thalassemia major