A 50-year-old white man comes to see you because he was told he had "high blood." Physical exam is normal except for a ruddy complexion, which he says he has had most of his adult life .He has smoked two packs of cigarettes per day since he was 16 years old. A CBC shows a normal WBC count and differential, normal platelet count, a hemoglobin of 18.4 g/dL, and a hematocrit of 57%. To work up this elevated hematocrit, what is the next most appropriate test to order?
A. Serum EPO level
B. Arterial blood gas analysis
C. RBC mass study
D. Bone marrow aspirate and biopsy
E. Pulmonary function tests
AnswerTags:
MCQ, Hematology, Polycythemia
Category:
Hematology MCQs
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