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Retired NBME 18 Answers

nbme18/Block 1/Question#45 (reveal difficulty score)
A 4-year-old boy, fatigue and irritability, ...
Microcytic Anemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc repeat

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submitted by โˆ—flapjacks(110)
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Macrocytes (Choice A) refer to larger than normal erythrocytes and are seen in the setting of folate or vitamin B 12 deficiency. This patient has chronic blood loss most likely leading to iron deficiency and is likely to have adequate stores of folate and vitamin 612, which are consumed in high amounts in most vegetarian diets.



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