NBME CBSE FINAL PAPER REVIEW SHEET
UPDATED QUESTIONS AND SOLUTIONS
●● Anemia Classification: Normocytic
Answer: MCV 80-100 fL.
●● Anemia Classification: Macrocytic
Answer: MCV > 100 fL.
●● Iron Deficiency Anemia: Lab Findings
Answer: ↓ Ferritin, ↑ TIBC, ↓ Iron.
●● Iron Deficiency Anemia: Clinical Buzzwords
Answer: Pica, spoon nails (koilonychia), fatigue.
●● Anemia of Chronic Disease: Mechanism
Answer: Inflammation → ↑ Hepcidin → Iron trapped in macrophages.
●● Anemia of Chronic Disease: Lab Findings
Answer: ↑ Ferritin, ↓ Iron, ↓ TIBC.
●● α-thalassemia: Chromosome
, Answer: Chromosome 16.
●● β-thalassemia: Chromosome
Answer: Chromosome 11.
●● Sideroblastic Anemia: Pathophysiology
Answer: Inability to incorporate iron into heme.
●● Sideroblastic Anemia: Key Finding
Answer: Ring sideroblasts.
●● Sideroblastic Anemia: Common Causes
Answer: Lead poisoning, alcohol, B₆ deficiency.
●● B₁₂ Deficiency: Hematologic Findings
Answer: Macrocytosis and hypersegmented neutrophils.
●● B₁₂ Deficiency: Neurologic Mechanism
Answer: Demyelination of dorsal columns and lateral corticospinal tract.
●● Folate vs. B₁₂ Deficiency
Answer: Folate deficiency lacks neurologic symptoms.
UPDATED QUESTIONS AND SOLUTIONS
●● Anemia Classification: Normocytic
Answer: MCV 80-100 fL.
●● Anemia Classification: Macrocytic
Answer: MCV > 100 fL.
●● Iron Deficiency Anemia: Lab Findings
Answer: ↓ Ferritin, ↑ TIBC, ↓ Iron.
●● Iron Deficiency Anemia: Clinical Buzzwords
Answer: Pica, spoon nails (koilonychia), fatigue.
●● Anemia of Chronic Disease: Mechanism
Answer: Inflammation → ↑ Hepcidin → Iron trapped in macrophages.
●● Anemia of Chronic Disease: Lab Findings
Answer: ↑ Ferritin, ↓ Iron, ↓ TIBC.
●● α-thalassemia: Chromosome
, Answer: Chromosome 16.
●● β-thalassemia: Chromosome
Answer: Chromosome 11.
●● Sideroblastic Anemia: Pathophysiology
Answer: Inability to incorporate iron into heme.
●● Sideroblastic Anemia: Key Finding
Answer: Ring sideroblasts.
●● Sideroblastic Anemia: Common Causes
Answer: Lead poisoning, alcohol, B₆ deficiency.
●● B₁₂ Deficiency: Hematologic Findings
Answer: Macrocytosis and hypersegmented neutrophils.
●● B₁₂ Deficiency: Neurologic Mechanism
Answer: Demyelination of dorsal columns and lateral corticospinal tract.
●● Folate vs. B₁₂ Deficiency
Answer: Folate deficiency lacks neurologic symptoms.