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nbme1 forum1 q4 - dddr
#1
A 21-year-old African American college student has had increasing fatigue over the past 3 weeks. Since an episode of cystitis treated with trimethoprim-sulfamethoxazole 3 weeks ago, he has been unable to keep up with his physical education classes. For 6 months, he has been following a vegetarian diet that has been supervised by student health services. Examination shows no abnormalities. His hemoglobin level is 10 g/dL, mean corpuscular volume is 85 μm3, and reticulocyte count is 15%. Which of the following is the most likely cause of anemia in this patient?

A ) Anemia secondary to infection

B ) Antibiotic therapy

C ) Gastrointestinal blood loss

D ) Sickle cell disease

E ) Vegetarian diet
intrestinigly i have 3 keys and all have diffrent answers.anyway i think it is b(g-6 pdh deficiencey),whats is your opinion
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#2
BB
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#3
B. G6PD african american, sulfa drugs, normal MCV, regenerative anemia
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