USMLE Step 2 Quiz
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HEMATOLOGY-AND-ONCOLOGY
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A 25-year-old man presents with a 3-month history of progressive fatigue, recurrent sinusitis, and gingival bleeding when brushing his teeth. He denies any medication use or toxic exposures. Complete blood count shows: Hemoglobin 7.1 g/dL, Hematocrit 22%, Platelet count 25,000/µL, WBC count 1,800/µL with an absolute neutrophil count of 300/µL. The reticulocyte count is 0.2%. A peripheral smear is remarkable only for a paucity of all cell lines.
Which of the following investigations is required to establish a definitive diagnosis?
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