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What is the most likely cause of anaemia in CP?

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PANS QUIZ

CP, a 28-year-old male, presents with weakness, dizziness, and sweating. A gastroscopy reveals a duodenal ulcer, and a Helicobacter pylori urea breath test is negative. Lab results confirm that he has anaemia. His current medications are:

  • Gliclazide 40 mg once daily
  • Esomeprazole 20 mg once daily
  • Aluminium–magnesium antacid 10 ml four times daily
  1. What is the most likely cause of anaemia in CP?
    A. Gastrointestinal bleeding
    B. Splenomegaly
    C. Inadequate dietary intake
    D. Autoimmune condition
    E. Congenital disorder
  2. . Which of the following actions are appropriate for managing CP’s anaemia?
    1. ❏ Start oral ferrous sulphate
    2. ❏ Administer iron sorbitol injection
    3. ❏ Perform gastric lavage

    Choose the correct combination:
    A. ❏ 1, 2, and 3
    B. ❏ 1 and 2 only
    C. ❏ 2 and 3 only
    D. ❏ 1 only
    E. ❏ 3 only

  3.  What advice should CP receive upon discharge?
    1. ❏ Avoid the use of NSAIDs
    2. ❏ Eat small, frequent meals
    3. ❏ Reduce fibre intake

    Choose the correct combination:
    A. ❏ 1, 2, and 3
    B. ❏ 1 and 2 only
    C. ❏ 2 and 3 only
    D. ❏ 1 only
    E. ❏ 3 only

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