Hem/Onc Quiz #13: Normocytic Anemias

1. A 45-year-old male presents with fatigue, jaundice, and dark urine. Laboratory findings include hemoglobin of 8 g/dL, MCV of 85 fL, and an elevated reticulocyte count. Direct Coombs test is positive. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 23-year-old woman with a history of lupus presents to the clinic with generalized weakness and pallor. Lab tests reveal hemoglobin of 9.5 g/dL, MCV of 88 fL, and low haptoglobin levels. The peripheral smear shows schistocytes. Which of the following is the most appropriate next step in management? 

Question 2 of 5

3. A 65-year-old male with a history of chronic kidney disease presents with weakness and exertional dyspnea. Laboratory tests show a hemoglobin of 10 g/dL and an MCV of 87 fL. Serum creatinine is elevated. Which of the following is the most likely cause of his anemia? 

Question 3 of 5

4. A 30-year-old male presents with fatigue and a sore throat. His spleen is palpable on examination. Laboratory findings show a hemoglobin of 11 g/dL, MCV of 86 fL, and atypical lymphocytes on peripheral smear. A heterophile antibody test is positive. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 50-year-old female with no significant past medical history presents with fatigue and dizziness. Laboratory evaluation reveals a hemoglobin of 8 g/dL, MCV of 89 fL, and normal white blood cell and platelet counts. A bone marrow biopsy shows a hypocellular marrow with no abnormal cells or increased fibrosis. Which of the following is the most likely diagnosis? 

Question 5 of 5


 

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