**Core Concept**
Thalassemia major, also known as beta-thalassemia major or Cooley's anemia, is a severe form of thalassemia characterized by a significant reduction in the production of the beta-globin chains of hemoglobin. This leads to severe anemia, bone deformities, and other systemic complications.
**Why the Correct Answer is Right**
Thalassemia major is associated with **hypochromic microcytic anemia**, splenomegaly, and **osteoporosis** due to marrow expansion. The reduced production of beta-globin chains results in the accumulation of alpha-globin chains, which are toxic to the red blood cell membrane, leading to **hemolysis**. Regular blood transfusions are often required to manage the anemia.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not provided, so we cannot evaluate it.
* **Option B:** This option is not provided, so we cannot evaluate it.
* **Option C:** This option is not provided, so we cannot evaluate it.
* **Option D:** This option is not provided, so we cannot evaluate it.
**Clinical Pearl / High-Yield Fact**
Thalassemia major is often diagnosed in childhood, and regular blood transfusions can lead to **iron overload**, which can be managed with chelation therapy.
**Correct Answer:** Not provided
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