nbme1-2-2 - doc_vic

[ArchivalUser]

A 32-year-old man has had malaise, a low-grade fever, and a 4.5-kg(10-lb)weight loss over the past 3 months. He has unilateral cervical lymphadenopathy. Laboratory studies show:

Hb 11g/dl
Hct 33%
MCV 80
reticulocyte count 0.5%
serum iron 25ug/dl
TIBC 150(N=250-460)

Examination of tissue obtained on biopsy of a LN shows HD's disease, nodular sclerosing type. The most likely cause of the anemia is:

A. abnormal utilization of iron
B. extravascular hemolysis
C. folate deficiency
D. iron def
E. marrow aplasia

[ArchivalUser]

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[ArchivalUser]

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