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m36
A Blood transfusion
B Intravenous iron
C Oral iron
D Erythropoietin
Question
m23
Laboratory Studies:
Hemoglobin 10.1 g/dL; WBC 6200/L; Mean
corpuscular volume 90 fL
Platelet count 234,000/L
Reticulocyte count 0.1% of erythrocytes
Serum ferritin 250 ng/mL; Serum iron 37 g/dL;
Serum total iron-binding capacity 175 g/dL
The peripheral blood smear is normal
Question
m59
A 69-year-old man is evaluated for fatigue. He has a history of aortic stenosis and
underwent aortic valve replacement with a mechanical prosthesis 6 months ago. He did
well during his postoperative course, returning to his normal preoperative level of
activity within 2 to 3 months. However, over the past 3 weeks, he has noted mild,
progressive exertional dyspnea while walking uphill during his daily walks. He reports
no fevers, chills, weight loss, dental procedures, or sick contacts. His medications
include warfarin and an antihypertensive medication.
He is afebrile, with a heart rate of 86/min and blood pressure of 134/82 mm Hg. His
cardiac examination reveals a mechanical S2 and a normal S1 without S3 or S4. There is
a nonradiating, mid-peaking grade 2/6 systolic ejection murmur heard at the upper left
sternal border. The rest of his physical examination is unremarkable.
Pertinent laboratory results include a hematocrit of 29% and an MCV of 76, a normal
leukocyte and platelet count, and an INR of 2.6. The basic metabolic panel is normal.
Serum lactate dehydrogenase and haptoglobin levels are normal. The blood smear shows
hypochromic, microcytic erythrocytes. Transthoracic echocardiogram demonstrates a
normally functioning aortic prosthesis without regurgitation and is otherwise
unremarkable.
A Colonoscopy
B Transesophageal echocardiography
C Bleeding time
D Fluoroscopy of the mechanical prosthesis
E Stool testing for occult blood
Question
m13
Question
m45
Question
m50
Laboratory Studies
Hemoglobin 7.8 g/dL
Leukocyte count 2,300/L
Mean corpuscular volume 110 fL
Platelet count 118,000/L
Serum lactate dehydrogenase 565 U/L
Serum direct bilirubin 0.3 mg/dL
Serum total bilirubin 4.8 mg/dL
Serum vitamin B12 level is 325 pg/mL (normal is > 300)
Serum folate 12 ng/mL
A Aplastic anemia
B Vitamin B12 deficiency
C Autoimmune hemolytic anemia
D Acute leukemia
E Folate deficiency
A Ferritin
B Methylmalonic acid
C TIBC
D Coombs test
Question
m22
Question
m10
Laboratory studies:
Hemoglobin 9.7 g/dL
Leukocyte count 5800/L
Platelet count 265,000/L
Mean corpuscular volume72 fL
Reticulocyte count 0.5% of erythrocytes
Lactate dehydrogenase 80 U/L
Iron 40 g/dL
Total iron-binding capacity 200 g/dL
Ferritin 210 ng/mL
Results of the peripheral blood smear are normal
A Inflammatory anemia
B Hemoglobin C disease
C Iron deficiency
D Thalassemia
Question
m17
Laboratory studies:
Hemoglobin7.3 g/dL (73 g/L)
Mean corpuscular volume58 fL
Reticulocyte count 0.2% of erythrocytes
Iron 13 g/dL (2.3 mol/L)
Total iron-binding capacity427 g/dL (76.4
mol/L)
Ferritin1 ng/mL