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Medgard Surgery
May 20, 2026, 08:03 AM
555 - A 46-year-old man comes to the clinic with dyspnea on exertion and palpitations. On examination, he
has patches of vitiligo (see lab results).
Test Result Normal Values
Hb 89 130-1t0 g/ (Male)
120-160 g/L (Female)
137
MCV 103 80-95 f1
Platelets count 128 150-400 Γ 109/L
Ferritin 105 20-300 g/L. (Male)
20-120 g/L (Female)
Vitamin B12 (Men) 122 160-900 ng/L
Folic Acid (Men) 8 <4 ug/L
Which of the following is the most appropriate test to be ordered next?
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Medgard Surgery
May 20, 2026, 08:03 AM
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Medgard Surgery
May 20, 2026, 08:03 AM
554 - A 59-year-old man has unsteady gait. On examination, he has decreased proprioception in the lower
limbs with positive planter reflexes (positive Babinski) and absent ankle and knee's reflexes. He has
anemia. Peripheral smear done (see image).
Which of the following is the most likely diagnosis?
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Medgard Surgery
May 20, 2026, 08:03 AM
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Medgard Surgery
May 20, 2026, 08:03 AM
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Medgard Surgery
May 20, 2026, 08:03 AM
553 - A 65-year-old-woman has decreased concentration (see lab results).
Test Result Normal Values
Hb 89 130-170 g/L (Male)
120-160 g/L (Female)
MCV 106 80-95 f
Platelets count 129 150-400 x 109/L
Vitamin B12 (Women) 0.46 0.12-0.66 mol/L
Folic Acid (Women) 0.03 <0.1 mol/L
Which of the following would be found on further testng?
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Medgard Surgery
May 20, 2026, 08:03 AM
[poll]
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Medgard Surgery
May 20, 2026, 08:03 AM
551 - A 40-year-old man patient comes to the clinic after developing hoarseness of the voice and aspiration
when drinking fluids. History reveals, he underwent thyroidectomy surgery 2 weeks prior to these
symptoms.
Which of the following is the most likely damaged laryngeal nerve?
136
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Medgard Surgery
May 20, 2026, 08:03 AM
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Medgard Surgery
May 20, 2026, 08:03 AM
552 - A 73-year-old man recently underwent radical prostatectomy. 2 months later, investigation revealed
metastatic spread of cancer cells.
Which of the following is the first site for venous spread?
