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42 yr woman for annual and Pap. Increased fatigue and difficulty sleeping over past year. 2 college kids. Looking for a part-time job outside home. Husband?s busy. Lab: Hb 15, MCV 95, WBC 6000, Na+ 145, Cl- 102, K+ 4.5, HCO3- 25, BUN 18, Creatinine 1.0, ALP 70, AST 22, ALT 19, GGT 83 (n=5 to 50). Explanation for lab abnormality?

a. acetaminophen
b. alcohol
c. diphenhydramine
d. estrogen effect
e. ibuprofen
Mimi

b.