Blood & Immunity · NEET PG Preparation Physiology

A 45-year-old male is diagnosed with pernicious anemia due to autoimmune destruction of gastric parietal cells. Which of the following laboratory fin…

Practice question from Blood & Immunity (NEET PG Preparation Physiology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-9B8C81

A 45-year-old male is diagnosed with pernicious anemia due to autoimmune destruction of gastric parietal cells. Which of the following laboratory findings is most characteristic of this condition?

  1. A.Microcytic hypochromic anemia with decreased serum ferritin
  2. B.Macrocytic anemia with hypersegmented neutrophilsCorrect answer
  3. C.Normocytic normochromic anemia with positive direct Coombs test
  4. D.Normocytic anemia with target cells and basophilic stippling

Solution

Pernicious anemia results from a lack of intrinsic factor due to autoimmune destruction of parietal cells, leading to vitamin B12 deficiency. This causes megaloblastic (macrocytic) anemia characterized by high MCV and hypersegmented neutrophils on the peripheral smear.

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