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MedicalCareer版 - CK NBME 1- B1- Q4 请教
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4. A 21-year-old African American college student has had increasing fatigue
over the past 3 weeks. Since an episode of cystitis treated with
trimethoprim-sulfamethoxazole 3 weeks ago, he has been unable to keep up
with his physical education classes. For 6 months, he has been following a
vegetarian diet that has been supervised by student health services.
Examination shows no abnormalities. His hemoglobin level is 10 g/dL, mean
corpuscular volume is 85 μm3, and reticulocyte count is 15%. Which of the
following is the most likely cause of anemia in this patient?
A ) Anemia secondary to infection
B ) Antibiotic therapy
C ) Gastrointestinal blood loss
D ) Sickle cell disease
E ) Vegetarian diet
I choose B, he should have G6PD.
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