NEUROLOGY
SURGERY
| Question 
 [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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 The nurse is assessing a patient who reports feeling “constantly tired and very weak.” The patient reports a very sore tongue, and upon observing the patient’s oral cavity, the nurse notices the tongue is beefy red. Which type of anemia do these findings correlate with? 
|  |  Iron deficiency anemia 
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|  |  Megaloblastic anemia 
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|  |  Sickle cell disease 
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|  |  Aplastic anemia 
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 Explanation: 
Detailed explanation-1: -Megaloblastic anemia is diagnosed through a physical exam and other tests, including: complete blood count. reticulocyte count. blood tests to measure of vitamin B12, methylmalonic acid (MMA), or homocysteine levels.
Detailed explanation-2: -Vitamin B12 deficiency is a cause of macrocytosis. Because DNA synthesis requires cyanocobalamin (vitamin B12) as a cofactor, a deficiency of the vitamin leads to decreased DNA synthesis in the erythrocyte, thus resulting in macrocytosis.
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