A 37-Year-Old Man Comes to the Emergency Department Due to Blood-Tinged

question 399

Multiple Choice

A 37-year-old man comes to the emergency department due to blood-tinged vomiting and abdominal discomfort.  Six months ago, he lost his job as an investment banker and began drinking large amounts of whiskey on a daily basis.  He has since been hospitalized several times with alcohol intoxication.  His temperature is 36.7 C (98 F) , blood pressure is 110/70 mm Hg, pulse is 84/min, and respirations are 18/min.  Physical examination shows a firm, enlarged liver.  Peripheral blood smear results show neutrophils with 6-8 nuclear lobes.  Which of the following is the most likely explanation for this patient's abnormal hematologic findings?

• A)Blood lipid abnormality
• B)Chronic blood loss
• C)Cobalamin deficiency
• D)Folate deficiency
• E)Hypothyroidism
• F)Myelodysplasia

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Definitions:

Retail Clothing Store

A business establishment that purchases clothing from manufacturers or wholesalers and sells these directly to consumers.

Product

Anything that can be offered to a market that might satisfy a want or need, including physical goods, services, and experiences.

Period

A length of time during which a series of events or an action takes place or is completed.

Absorption Costing

A cost calculation method within accounting that assimilates all expenses incurred during manufacturing, covering direct materials, direct labor costs, and all overheads, whether fixed or variable, into the product’s price.