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Asked by kikity
A previously healthy 12-year-old girl presents to the clinic for a well-child visit. Recent history is notable for decreased oral intake due to a sore, red tongue. The patient and her family adhere to a strict vegan diet. She has not started her menses yet. Laboratory evaluation shows a hemoglobin of 10 g/dL and MCV of 110 fL. Peripheral smear reveals large RBCs and neutrophils with four to six lobes each. Which of the following is most consistent with this patient’s likely diagnosis? A High methylmalonic acid (MMA), high homocysteine, high cobalamin B High MMA, high homocysteine, low cobalamin C Low iron, low ferritin, high total iron-binding capacity (TIBC) D Low iron, high ferritin, low TIBC E Normal MMA, high homocysteine, high cobalamin
SCIENCE
HEALTH SCIENCE
NURSING

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