1. Viral infections

2. Felty's syndrome

3. Typhoid fever

4. Myocardial infarction

5. Congenital

Answer: D* Myocardial infarction

***) Which of the following is not a recognized cause of neutropenia:

1. Multiple myeloma

2. Corticosteroids

3. Cytotoxic drugs

4. Typhoid fever

5. Felty's syndrome

Answer: B* Corticosteroids

***) Neutropenia is least likely to be caused by one of the following:

1. Cytotoxic therapy

2. Bone marrow transplant

3. Radiotherapy

4. Diabetic ketoacidosis

5. Splenic enlargement

Answer: D* Diabetic ketoacidosis

10. Eosinophilia.

***) Which of the following would be least likely to be associated with eosinophilia: Q2012

1. Asthma

2. Contact dermatitis

3. Parasitic infection

4. Mycobacterial infection

5. Prednisone administration

Answer: E* Prednisone administration

***) Which of the following would be least likely to be associated with eosinophilia:

1. Toxoplasmosis

2. Hypoadrenocorticism

3. Loeffler's endocarditis

4. Allergic vasculitis

5. Myxedema

Answer: E* Myxedema

3. Microcytic Anemia.

1. Microcytic Anemia.

***) Which of the following may be a cause of microcytosis:

1. Vitamin B₁₂ deficiency

2. Folic acid deficiency

3. Beta-thalassemia

4. Reticulocytosis

5. Aplastic anemia

Answer: C* Beta-thalassemia

***) Which of the following would be most likely to be a cause of hypochromic microcytic anemia:

1. Thalassemia

2. Immune hemolytic anemia

3. Methotrexate therapy

4. Obstructive jaundice

5. Phenytoin therapy

Answer: A* Thalassemia

***) Microcytic anemia can be caused by all of the following, except:

1. Iron deficiency

2. Anemia of chronic disease

3. Thalassemia

4. Sideroblastic anemia

5. Folate deficiency

Answer: E* Folate deficiency

***) Microcytic hypochromic anemia is associated with all except:

1. Thalassemia

2. Iron deficiency anemia

3. Vitamin B₁₂ deficiency

4. Chronic infection

5. Lead poisoning

Answer: C* Vitamin B₁₂ deficiency

***) Microcytic hypochromic blood picture is seen in all of the following, except:

1. Iron deficiency anemia

2. Lead poisoning

3. Thalassemia

4. Sideroblastic anemia

5. Sickle cell anemia

Answer: E* Sickle cell anemia

2. Iron Metabolism.

***) All of the following increase iron absorption in the small intestine, except:

1. Increased acidity

2. When iron is complemented with lactose

3. Ascorbic acid

4. Tea drinking

5. Iron of animal source

Answer: D* Tea drinking

***) All of the following about iron are true, except:

1. Ferrous iron absorbed better than ferric

2. Iron absorption takes place in the terminal ileum

3. The average daily iron intake is 10-20 mg

4. Alcohol increases iron absorption

5. Iron deficiency is the commonest anemia

Answer: B* Iron absorption takes place in the terminal ileum

3. Iron Deficiency Anemia.

***) All of the following about iron deficiency anemia are true, except:

1. Is the commonest type of anemia in Jordan

2. May occur during pregnancy

3. Stomatitis may occur

4. Treatment of choice is intravenous iron

5. Causes microcytosis with hypochromia

Answer: D* Treatment of choice is intravenous iron

***) In iron deficiency anemia which of the following is true:

1. Serum binding capacity is decreased

2. Marrow iron stores are normal

3. Sideroblasts in the marrow are increased

4. Serum iron concentration is decreased

5. Tear drop cells on blood film

Answer: D* Serum iron concentration is decreased

***) In a patient with anemia all of the following might suggest the presence of iron deficiency anemia, except:

1. Microcytosis

2. Koilonychia

3. Peripheral neuropathy

4. High iron binding capacity

5. Low serum ferritin

Answer: C* Peripheral neuropathy

***) The appropriate treatment of iron deficient anemia is:

1. Just encourage red meat in the diet

2. Iron and vitamins must be supplemented

3. Elemental iron is mandatory at a dose of 4-6 mg/kg/day orally

4. Blood transfusion to supply RBSs as well as iron

5. Injectable iron

Answer: C* Elemental iron is mandatory at a dose of 4-6 mg/kg/day orally