#july2020mccqe1
A 60-year-old post-menopausal woman presents with fatigue, mild jaundice, and tingling in the lower extremities. Laboratory studies show elevated serum levels of homocysteine and methyl malonic acid, and complete blood cell count shows a mild thrombocytopenia. Which of the following findings would be expected on a peripheral blood smear from this patient?
(A) A megaloblastic anemia with hypersegmented polymorphonuclear leukocytes
(B) A microcytic anemia with hypersegmented polymorphonuclear leukocytes
(C) A microcytic hypochromic anemia with decreased serum iron and increased total iron-binding capacity
(D) A normochromic normocytic anemia with decreased serum iron and decreased total iron-binding capacity
(E) Normal peripheral blood smear with normal serum iron and normal total ironbinding capacity
A 60-year-old post-menopausal woman presents with fatigue, mild jaundice, and tingling in the lower extremities. Laboratory studies show elevated serum levels of homocysteine and methyl malonic acid, and complete blood cell count shows a mild thrombocytopenia. Which of the following findings would be expected on a peripheral blood smear from this patient?
(A) A megaloblastic anemia with hypersegmented polymorphonuclear leukocytes
(B) A microcytic anemia with hypersegmented polymorphonuclear leukocytes
(C) A microcytic hypochromic anemia with decreased serum iron and increased total iron-binding capacity
(D) A normochromic normocytic anemia with decreased serum iron and decreased total iron-binding capacity
(E) Normal peripheral blood smear with normal serum iron and normal total ironbinding capacity
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