53-year-old man has had constant dull pain in his lower right back for the past 4 months. On physical examination there is tenderness on percussion of his right costovertebral angle. An abdominal CT scan reveals a 6 cm mass in the upper pole of the right kidney. A CBC shows: Hgb 21.3 g/dL, Hct 64.0%, MCV 96 fL, platelet count 199,000/microliter, and WBC count 8230/microliter. Which of the following is the most likely cause for his increased hemoglobin? Hemophilia A Diabetes insipidus Erythroleukemia Polycythemia rubra vera • Increased erythropoietin

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53-year-old man has had constant dull pain in his lower right back for the past 4 months. On physical examination there is tenderness on percussion of his right costovertebral angle. An abdominal CT scan reveals a 6 cm mass in the upper pole of the right kidney. A CBC shows: Hgb 21.3 g/dL, Hct 64.0%, MCV 96 fL, platelet count 199,000/microliter, and WBC count 8230/microliter. Which of the following is the most likely cause for his increased hemoglobin?

Hemophilia A

Diabetes insipidus

Erythroleukemia

Polycythemia rubra vera

• Increased erythropoietin

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