Use This Case to Answer the Follwing Questions:
During a Discussion

question 8

Multiple Choice

Use this case to answer the follwing questions:
During a discussion of RBC indices, a medical technologist of Cambodian origin mentioned that her own red cells were small in a CBC per?formed two years earlier in a routine physical. A more recent CBC showed the following results.
$\begin{array}{ll}\text { TEST } & \text { RESULTS } \\\text { WBC } & 9.3 \times 10^{9} / \mathrm{L} \\\text { RBC } & 6.11 \times 10^{12} / \mathrm{L} \\\mathrm{HGB} & 13.0 \mathrm{~g} / \mathrm{dL} \\\mathrm{HCT} & 41.8 \% \\\text { MCV } & 69.6 \mathrm{fL} \\\text { MCH } & 22.5 \mathrm{pg} \\\text { MCHC } & 31.0 \mathrm{~g} / \mathrm{dL} \\\mathrm{RDW} & 15.8 \\\mathrm{PLT} & 351 \times 10^{9} / \mathrm{L}\\\text { Differential }& \text { Within normal limits }\\\end{array}$
-What reflex test is most appropriate to investigate these results?

• A)Hemoglobin electrophoresis and iron studies
• B)Bone marrow aspirate
• C)Vitamin B?? and folate assays
• D)Cytogenetic analysis

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Definitions:

Peripheral Pulse

A pulse located in the periphery of the body (e.g., foot, wrist).

Rhythm

A repeated pattern of movement or sound, often associated with music, speech, and various forms of art, but also found in natural phenomena.

Depth

The measurement from the surface to the bottom of something, or the profoundness of a person's knowledge or feeling.

Dorsalis Pedis Pulse

The pulse felt on the top of the foot, over the dorsalis pedis artery, indicative of blood flow and circulation in the area.