1.       The following statements about sickle cell disease are true:

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MCQ Paper 4

Sample MCQs

 

a. it is most common in women of Mediterranean origin.  
b. the red cells mainly contain HbF.  
c. maternal and perinatal mortality rates are increased.  
d. it is an autosomal dominant condition.  
e. sickling crises are more common in pregnancy and the puerperium.  
f. the condition produces severe chronic anaemia, with Hb values usually < 9 gm.%.  
g. acute infection is the commonest cause of severe crises in pregnancy.  
h. general anaesthesia carries no extra hazard to these patients.  
i. patients often have haematuria and reduced ability to concentrate urine.  
j. blood transfusion to increase the proportion of HbA is standard management in pregnancy.  
k. the baby of an affected mother will be born with severe anaemia and require early exchange transfusion.  
l. HbS differs from HbA in the amino acids of the b-globin chain.  
m. HbS precipitates in conditions of low oxygen tension.  
n. bone pain is common in pregnancy.  
o. 20% of the affected ethnic group are carriers in the UK .  

 

Answer

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