2 Months Of Repeatedly in Pediatrics — 3yo Child | Pediatric Gastroenterology | SMLE Q#17783

SMLE Question #17783

Pediatrics Pediatric Gastroenterology

Objective: OBJ-289

Last updated: February 2026
A 3-year-old child is brought to a primary care clinic for 2 months of repeatedly eating non-food items such as soil and chalk. The parents report pallor and easy fatigability. There is no fever, bleeding, abdominal pain, or chronic diarrhea. Physical examination shows conjunctival pallor; the remainder is unremarkable. Laboratory results are shown below. Which of the following is the most likely explanation for this child’s presentation?

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