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Pediatrics · Haematology
Sample itemWhich feature should prompt consideration of iron-deficiency anaemia in a toddler?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pallor with excessive cow's-milk intake and poor dietary iron
Toddlers consuming excessive cow's milk with inadequate iron-rich foods are at risk of iron-deficiency anaemia and may present with pallor or poor appetite.
Option by option
A. Jaundice after birth only
Neonatal jaundice has a different time course and cause.
B. Persistent ankle swelling
Ankle swelling is not typical iron deficiency.
C. Pallor with excessive cow's-milk intake and poor dietary iron (correct)
Correct: dietary iron deficiency is common in this setting.
D. A loud systolic murmur from birth
Congenital murmur does not establish dietary anaemia.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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