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Wednesday, 12 February 2014



A 6-year-old boy is brought to the physician by his mother because of "sleepiness:' she says that he has been so tired lately that he cannot even play with friends after school. Physical examination shows pale skin and mucous membranes. Laboratory studies show a decreased hemoglobin and hematocrit. Basophilic stippling is seen on a peripheral blood smear. Which of the following is the most likely diagnosis?
A. Arsenic poisoning
B. Carbon monoxide poisoning
C. Cyanide poisoning
D. Lead poisoning
E. Mercury poisoning

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