Question:easy

A patient has Hb 9 g/dL, MCV 68 fL and a low serum ferritin. The most likely type of anemia is:

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Low MCV + low ferritin is the classic iron-deficiency signature.
Updated On: Jun 25, 2026
  • Iron deficiency anemia
  • Megaloblastic anemia
  • Aplastic anemia
  • Hemolytic anemia
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The Correct Option is A

Solution and Explanation

Approach any anemia by cell size first, then iron studies. Here the $MCV$ is $68\,\text{fL}$, well below the $80\,\text{fL}$ lower limit, placing this in the microcytic category.

Among microcytic anemias, the serum ferritin separates them cleanly. Ferritin reflects total body iron stores; a low ferritin means the iron tank is empty, which is specific for iron deficiency. In thalassemia and anemia of chronic disease ferritin is normal or elevated, so a low value rules them out.

The distractors fail on size or stores: megaloblastic anemia is macrocytic (high $MCV$), aplastic anemia gives pancytopenia with normal/high ferritin, and hemolytic anemia is normocytic with high reticulocyte count, $LDH$ and bilirubin rather than a low ferritin. Everything converges on iron deficiency.

\[\boxed{\text{Low } MCV + \text{low ferritin} \Rightarrow \text{Iron deficiency anemia}}\]
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