A patient has hemolytic anemia. An instrument printout reveals a reticulocyte count of 8, marked polychromasia and moderate schistocytes, and an MCV of 88 fl. What can be concluded about the bone marrow response to this hemolytic anemia?
a. It is adequate.
b. It is not adequate for the degree of hemolysis.
c. The reticulocyte count indicates that the marrow is responding at its maximum rate.
d. There is not enough information to determine whether bone marrow response is adequate.
Question 2
A patient with a bleeding problem is complaining to her physician about excessive fatigue. Physical examination reveals a thin, pale woman with pale mucosal membranes. Significant CBC findings include an MCV of 70 fl.
Based on these findings, follow-up testing should be ordered for:
a. Iron studies
b. Vitamin B12 and folate assays
c. Coagulation screening tests
d. A bone marrow aspirate
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