In which condition is hepcidin low?
Anonymous Quiz
10%
A) ACD
56%
B) Hereditary Hemochromatosis
18%
C) IRIDA
16%
D) IDA
What is the expected MCV in untreated hereditary hemochromatosis?
Anonymous Quiz
30%
A) Normal (80–100 fL)
38%
B) Low (<80 fL)
19%
C) High (>100 fL)
12%
D) Variable
Which test reliably distinguishes ACD from IDA in a patient with chronic inflammation?
Anonymous Quiz
13%
A) Serum Iron
44%
B) Soluble Transferrin Receptor (sTfR)
30%
C) TIBC
13%
D) MCV
A 30-year-old woman with heavy menstrual bleeding has fatigue, pallor, and ice cravings. Labs: Hb 9.0 g/dL (↓), MCV 72 fL (↓), serum iron 30 mcg/dL (↓), TIBC 480 mcg/dL (↑), ferritin 8 ng/mL (↓).
Question: What is the most likely diagnosis?
Question: What is the most likely diagnosis?
Anonymous Quiz
16%
A) Anemia of chronic disease
71%
B) Iron deficiency anemia
6%
C) Thalassemia
6%
D) Hemochromatosis
A 60-year-old man with rheumatoid arthritis and elevated CRP has Hb 10.5 g/dL (↓), MCV 85 fL, serum iron 40 mcg/dL (↓), TIBC 250 mcg/dL (↓), ferritin 350 ng/mL (↑).
Question: Why is TIBC low?
Question: Why is TIBC low?
Anonymous Quiz
19%
A) Iron overload
60%
B) Chronic inflammation
13%
C) Hemolysis
8%
D) Vitamin B12 deficiency
👍1
A 45-year-old with Crohn’s disease and GI bleeding has Hb 8.5 g/dL (↓), MCV 78 fL (↓), serum iron 25 mcg/dL (↓), TIBC 400 mcg/dL (↑), ferritin 120 ng/mL (↑), CRP 50 mg/L (↑).
Question: Which test confirms iron deficiency?
Question: Which test confirms iron deficiency?
Anonymous Quiz
18%
A) Serum iron
53%
B) Soluble transferrin receptor (sTfR)
21%
C) TIBC
9%
D) CRP
A 12-year-old boy with lifelong microcytic anemia unresponsive to oral iron has Hb 8.8 g/dL (↓), MCV 68 fL (↓), serum iron 20 mcg/dL (↓), TIBC 500 mcg/dL (↑), ferritin 15 ng/m
Anonymous Quiz
25%
A)IDA
31%
B)ACD
26%
C)IRIDA
18%
D)Hemochromatosis
A child with microcytic anemia unresponsive to oral iron has serum iron 25 mcg/dL (↓), TIBC 480 mcg/dL (↑), ferritin 20 ng/mL (↓), ↑ hepcidin.
Question: Why is oral iron ineffective?
Question: Why is oral iron ineffective?
Anonymous Quiz
17%
A) Gut malabsorption
56%
B) Hepcidin excess
24%
C) Vitamin C deficiency
3%
D) Hemolysis
A 10-year-old child with lifelong microcytic anemia unresponsive to oral iron has:
Serum Iron: 18 µg/dL (Low) TIBC: 450 µg/dL (Normal) TSAT: 4% (Very Low) Ferritin: 50 µg/L (Normal) MCV: 68 fL (Low) Question: What disorder is suspected?
Serum Iron: 18 µg/dL (Low) TIBC: 450 µg/dL (Normal) TSAT: 4% (Very Low) Ferritin: 50 µg/L (Normal) MCV: 68 fL (Low) Question: What disorder is suspected?
Anonymous Quiz
12%
A) ACD
40%
B) IRIDA
33%
C) Thalassemia
15%
D) Hemochromatosis
❤1
Case: A 30-year-old woman with menorrhagia has fatigue and pallor. Labs:
Hb: 8.8 g/dL (↓) MCV: 70 fL (↓) Serum Iron: 20 µg/dL (↓) TIBC: 500 µg/dL (↑) Ferritin: 12 µg/L (↓) Question: Which parameter confirms IDA?
Hb: 8.8 g/dL (↓) MCV: 70 fL (↓) Serum Iron: 20 µg/dL (↓) TIBC: 500 µg/dL (↑) Ferritin: 12 µg/L (↓) Question: Which parameter confirms IDA?
Anonymous Quiz
29%
A) High TIBC
51%
B) Low Ferritin
17%
C) Elevated CRP
3%
D) Normal MCV
Which lab pattern is typical of IRIDA?
Anonymous Quiz
38%
A) ↓ Serum Iron, ↑ TIBC, ↓ Ferritin
35%
B) ↓ Serum Iron, Normal TIBC, Normal Ferritin
13%
C) ↑ Serum Iron, ↓ TIBC, ↑ Ferritin
14%
D) ↓ Serum Iron, ↓ TIBC, ↑ Ferritin
Case: A patient with IRIDA has:
MCV: 65 fL (↓) Ferritin: 60 µg/L (normal) TSAT: 5% (↓↓) Question: Why is the MCV low?
MCV: 65 fL (↓) Ferritin: 60 µg/L (normal) TSAT: 5% (↓↓) Question: Why is the MCV low?
Anonymous Quiz
19%
A) Vitamin B12 deficiency
68%
B) Microcytic anemia due to iron deficiency
7%
C) Hemolysis
5%
D) Chronic inflammation
Question: Which condition is associated with low TIBC?
Anonymous Quiz
26%
A) IDA
27%
B) ACD
14%
C) IRIDA
33%
D) Thalassemia
👍2
What does a low ACTH level with high cortisol indicate in the ACTH test?
Anonymous Quiz
20%
A) Pituitary problem
16%
B) Addison’s disease
56%
C) Adrenal problem (ACTH-independent)
7%
D) CRH overproduction
Which of the following is one of the confirmatory tests for Cushing’s syndrome?
Anonymous Quiz
50%
A) Single morning cortisol test
15%
B) Random cortisol measurement
26%
C) Late-night salivary cortisol x2
8%
D) Post-meal glucose test
Which of the following is a common skin manifestation in Cushing’s syndrome?
Anonymous Quiz
18%
A) Hypopigmentation
12%
B) Viral rash
54%
C) Skin atrophy with purple striae
16%
D) Night sweats
What is the mechanism behind hypertension in Cushing’s syndrome?
Anonymous Quiz
18%
A) Low renin secretion
15%
B) Increased catecholamines
60%
C) Cortisol acting on mineralocorticoid receptors
7%
D) High levels of insulin
What is the reason for hyperglycemia in patients with Cushing’s syndrome?
Anonymous Quiz
10%
A) Increased insulin secretion
8%
B) Glucose loss in urine
75%
C) Insulin resistance due to cortisol
8%
D) Decreased glucagon levels
Which of the following symptoms is NOT typically seen in Cushing’s syndrome?
Anonymous Quiz
12%
A) Truncal obesity
62%
B) Hypoglycemia
13%
C) Osteoporosis
14%
D) Hirsutism
Which of the following lab findings supports a diagnosis of Cushing's syndrome?
Anonymous Quiz
19%
A) Morning serum cortisol < 1.8 µg/dL
39%
B) 24h urinary free cortisol > 50 µg/day
19%
C) ACTH > 200 pg/m
9%
C) ACTH > 200 pg/mL
15%
D) Midnight salivary cortisol < 0.18 µg/dL
A patient with Cushing’s syndrome presents with proximal muscle weakness and easy bruising. What is the most likely mechanism?
Anonymous Quiz
16%
A) Hypercalcemia and vasculitis
22%
B) Increased insulin sensitivity
47%
C) Protein catabolism and capillary fragility
16%
D) Autoimmune vasculitis