Macrocytic anemia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 15-month-old girl is brought by her caretakers out of concern that she is not growing as fast as other children of her age. The patient was adopted shortly after birth and her family history is unknown. The patient’s height, weight, and head circumference are below the 5th percentile. The patient’s hand radiograph reveals findings similar to those in the image below:  

A black and white X-ray image shows bones of a human hand and wrist. Fingers are extended, palm up. All major bones are visible, from distal phalanges to wrist bones.

Laboratory testing reveals a hemoglobin of 6.5 g/dL, leukocyte count of  6,800/mm3 and platelet count of 175,000/mm3. A peripheral smear reveals enlarged red blood cells. Which of the following additional laboratory findings would be most likely found in this patient?  

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