A 64-Year-Old Man Comes to the Office for Follow-Up

question 5

Multiple Choice

A 64-year-old man comes to the office for follow-up.  He has a history of chronic kidney disease due to hypertensive and diabetic nephropathy.  Six months ago, he developed significant fatigue and exercise intolerance.  Evaluation at that time revealed normocytic anemia and normal serum iron studies so recombinant erythropoietin was initiated.  Today, the patient states that his symptoms have significantly improved.  Laboratory evaluation reveals a hemoglobin of 12 g/dL.  If the erythropoietin treatment is continued, this patient is at greatest risk for which of the following complications?

• A)Autoimmune hemolysis
• B)Bone marrow fibrosis
• C)Gallstone formation
• D)Iron overload
• E)Venous thrombosis

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Definitions:

Sleepwalking

A sleep disorder where a person walks or performs other complex behaviors while in a state of sleep.

REM Sleep

A phase of sleep characterized by rapid eye movements, during which the most vivid dreams occur, and is considered critical for memory consolidation and learning.

Psychological Effects

The impact of psychological factors on an individual's mental well-being and behavior.

Physical Effects

The tangible or observable impacts or changes on the body resulting from various factors, such as disease, environmental conditions, or treatments.