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Question : 13 /50A 51-year-old female has been feeling tired for months. She is found to have decreased sensationover the lower extremities on physical examination. A CBC demonstrates the following findings:Hob 9.5 g/dL, Hct 29.1%, and MCV 124 IL The reticulocyte Index is low. Hyper segmented PMNsare seen on the peripheral blood smear. Which of the following tests should be ordered next :Options Available AnswersChaloe(A)(B)(C)(D)Bone marrow biopsyHemoglobin electrophoresisSerum B12 and falaleSerum ferritinSave​

Answer»

ᴛʜᴇ ᴍᴀꜱᴛᴇʀ ᴀɴᴅ ᴛʜᴇ ᴍɪꜱᴛʀᴇꜱꜱ ᴡᴀɴᴛᴇᴅ ᴛᴏ ᴍᴀᴋᴇ ᴘᴀɢᴇ 4 ᴛʜᴇ ʟɪᴠᴇꜱ ᴏꜰ ᴀɴɪᴍᴀʟꜱ ʙᴇᴛᴛᴇʀ ʙᴇᴄᴀᴜꜱᴇ ᴀᴄᴄᴏʀᴅɪɴɢ ᴛᴏ ᴛʜᴇᴍ ᴇᴠᴇʀʏ ᴄʀᴇᴀᴛᴜʀᴇ ꜱʜᴏᴜʟᴅ ʙᴇ ᴛʀᴇᴀᴛᴇᴅ ᴡɪᴛʜ ʟᴏᴠᴇ ᴀɴᴅ ᴋɪɴᴅɴᴇꜱꜱ.ʀᴇᴍᴏᴠɪɴɢ ᴛʜᴇ ᴄʜᴇᴄᴋ ʀᴇɪɴꜱ ᴏɴ ᴛʜᴇ ᴄᴀʀᴛ ʜᴏʀꜱᴇꜱ ᴀɴᴅ ʙʏ ᴛᴇʟʟɪɴɢ ᴘᴇᴏᴘʟᴇ ᴛʜᴀᴛ ᴀɴɪᴍᴀʟꜱ ꜱʜᴏᴜʟᴅ ʙᴇ ᴛʀᴇᴀᴛᴇᴅ ᴡɪᴛʜ ᴋɪɴᴅɴᴇꜱꜱ ᴛᴏᴏ.



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