Question

Past Medical History: Term delivery. Normal newborn screen. Specifically, no hemoglobinopathy on screen. Normal development. Past Surgical History: None. Family History: Father with hereditary spherocytosis. Medications: Daily vitamin. According to the patient’s medical history, which of the following statements is TRUE?

• The father’s blood cells have multiple shapes and the patient has a history of hemoglobin disease.

• The father’s blood cells are spherical in shape and the patient has a history of hemoglobin disease.

• The father’s blood cells are sickle in shape and the patient did not exhibit any signs of hemoglobin disease in the past.

• The father’s blood cells are spherical in shape and the patient did not exhibit any signs of hemoglobin disease in the past.

• The father’s blood cells are normal in shape and the patient has a history of hemoglobin disease.

Answer 1

Answer: The father’s blood cells are spherical in shape and the patient did not exhibit any signs of hemoglobin disease in the past.

First two statements are wrong, because its clearly says patient has no medical historyapart from term delivery.

Third statement is wrong because, in spherocytosis condition blood cells will appear in spherical shape, not in sicke shape

Fifth statement is wron because it says - father’s blood cells are normal in shape and the patient has a history of hemoglobin disease- when the father actually has a blood cell disorder and patient has no heamoglobin disease.