A 24 Year Old Nursing Student Was Having Difficulty Keeping

question 1

Multiple Choice

A 24 year old nursing student was having difficulty keeping up in class because of extreme fatigue.She sought help from the Students' Health Service.A full blood count (FBC) showed anaemia with increased RBC (red blood cell) size (macrocytic anaemia) .An upper GI endoscopy was performed,and biopsies taken.A representative section of the biopsy is shown in the accompanying photomicrograph,with normal small bowel shown on the left for comparison (villi are identified as "V") .Which one of the following is the best diagnosis?

• A)Adenocarcinoma
• B)Coeliac disease
• C)Crohn's disease
• D)Iron deficiency anemia
• E)Ulcerative colitis

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Definitions:

Mesoderm

The middle layer of an embryo in early development, from which most of the body's tissues and structures are derived, including muscle, bone, and the circulatory system.

Ectoderm

The outermost of the three primary germ layers in the embryo, giving rise to the nervous system, skin, and various other tissues and organs.

Mesoderm

The mesoderm is the middle layer of an embryo in early development, giving rise to the musculoskeletal, circulatory, and other systems.

Thyroid

A gland in the neck that produces hormones regulating metabolism, growth, and development of the human body.