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welcome everybody to this first of three pass test video presentations designed for the MRCP part one examination the first session deals with anemias insight of pias my name is Keith Patterson Im a consultant hematologist I have both DGH and Teaching Hospital experience and Ive been teaching on behalf of past tests for a number of years so if you will now look at and consider the first question a 51 year old man is rejected as a blood donor because he is found to be anemic at his screening blood tests he has a hemoglobin of 9.2 with a microcytic hypochromic blood picture with a low MCV and a low MCH but with a normal white cell count and a normal platelet count his routine biochemistry tests including electrolytes and of a function are normal his serum on is elevated his TI BC is normal and his serum ferritin is elevated he has a normal ESR of 10 millimeters per hour and his hemoglobinopathies screen and hemoglobin a 2 level are in the normal range the questions relating to this s