Audio Qbank – HY USMLE Q #363 – Obgyn / Hematology

A 29-year-old woman at 8 weeks’ gestation comes to the obstetrician for her first prenatal visit. She has no past medical history and her pregnancy has been uncomplicated. Laboratory studies show:

Hemoglobin:                                                         10 mg/dL
Mean corpuscular volume:                           70 μm3
Serum ferritin:                                                     90 ng/mL
Serum iron                                                             130 μg/dL

Which of the following is the most appropriate next step in diagnosis?

α-globin DNA testing
Hemoglobin electrophoresis
Hemoglobin solubility testing
Measurement of serum folate
Measurement of serum cyanocobalamin