Question: QUESTION 1 History: 37 Year Old Male. Lifelong History Of A Seizure Disorder, Treated Since Age Two. At Routine Check With His Neurologist, He Complained Of Fatigue Exertional Dyspnes, And Lightheadedness Over The Past 2-3 Months. He Appeared Pale, But Otherwise His Physical Exam Was Within Normal Limits. He Was Found To Ho A Decreased Hemoglobin And …
QUESTION 1 History: 37 year old male. Lifelong history of a seizure disorder, treated since age two. At routine check with his neurologist, he complained of fatigue exertional dyspnes, and lightheadedness over the past 2-3 months. He appeared pale, but otherwise his physical exam was within normal limits. He was found to ho a decreased hemoglobin and was referred to Hematology Clinic. CBC Results: RBC 1.26 x 10/12/L: Hgb 5.7 g/dL; Hot 16.3%: MCV 130 ft; MCH 452 pg; MCHC 34.9 g/dl; RDW 18.1: WBC 6.2 x 109/L. Neurophils 73%; Lymphs 21%; Monocytes 1%; Eos 4%; Baso 1%, Platelets 219×109: What are the Morphologic alterations? A Sight macrocytosis, ovulocytes, slight aniocytosis: hypersegmented neutrophils. Normal platelets B. 2+ macro: 3+ ariso; 2+ ovalocytes; 3+ polychromatophila; oot heardrop coils. Hypersegmented neutraphil. Normal platelets OC. microcytes, polychromatophils, hypersegmented neutrophile, tear drop cells. Normal platelets D. Normocytic/Normochromis OE None of the answers are correct QUESTION 2 What is the most likely diagram? O A Leukemia B. Normocytic/hypochromie nema C. ACD DIDA E. Megaloblationer QUESTION 3 What other tests would be helpful in the diagnosis? A Bone marrow aspirate Serum folate C. Serum B12 DRBC folate E Al of the above
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