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A 7-Year-Old Boy Comes to the Office for Follow-Up

question 663

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A 7-year-old boy comes to the office for follow-up.  A week ago, the patient began having episodes of bloody diarrhea that have since resolved.  His current laboratory studies show elevated blood urea nitrogen and serum creatinine levels.  Complete blood count reveals anemia and thrombocytopenia.  Coagulation studies are within normal limits.  His peripheral blood smear is shown in the image below. A 7-year-old boy comes to the office for follow-up.  A week ago, the patient began having episodes of bloody diarrhea that have since resolved.  His current laboratory studies show elevated blood urea nitrogen and serum creatinine levels.  Complete blood count reveals anemia and thrombocytopenia.  Coagulation studies are within normal limits.  His peripheral blood smear is shown in the image below.   Which of the following is the most likely cause of this patient's anemia? A) Autoimmune hemolytic anemia B) Erythropoietin deficiency C) Hemolytic anemia due to oxidative stress D) Bone marrow fibrosis E) Microangiopathic hemolytic anemia Which of the following is the most likely cause of this patient's anemia?

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Definitions:

Predetermined Overhead Rate

A rate used to allocate overhead costs to products or services, calculated before the accounting period begins based on estimated costs and activity levels.

Direct Labor-Hours

The total hours worked by employees directly involved in the production of goods or services.

Machine-Hours

A measure of the amount of time a machine is operated, used in allocating manufacturing costs based on machine usage.

Underapplied Overhead

A condition where the allocated manufacturing overhead costs are less than the actual overhead costs incurred.

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