Audio Qbank – HY USMLE Q #409 – Internal medicine / Surgery

A 54-year-old man comes to the physician for a 3-day history of double vision, dizziness, and burning pain in his right big toe. He also reports a 3-month history of burning sensations over his legs. Vitals are within normal limits. Examination shows a bluish hue of the right big toe. Laboratory studies show:

Hemoglobin                                                            19.0 g/dL
Leukocytes                                                              12,000/μL
Platelets                                                                    400,000/μL
Hb O2 saturation                                                 94%
Ferritin                                                                       250 ng/mL

Which of the following interventions will most likely rapidly correct this patient’s visual disturbances?

Aspirin
Deferoxamine
Fresh frozen plasma
Hydroxyurea
Ringer lactate