1. A 43-year-old woman presents with sudden onset of blurred vision in both eyes. She is tired and has suffered from recurrent aphthous ulcers. Ophthalmological examination shows multiple bilateral retinal haemorrhages without exudates; optic discs appeared normal. Visual acuity is reduced. FBC shows Hb 48 g/l, MCV 119 fl, WBC 6.1 _109 /l and platelet count 86 _109 /l. The blood film showed macrocytes, oval macrocytes and hypersegmented neutrophils. The most likely cause of the retinal haemorrhages is: a Anaemia b Impaired platelet function c Raised intracranial pressure d Malignant hypertension e Thrombocytopenia
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