This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Forensic Medicine
The earliest manifestations of Chronic lead poisoning include - 
Select and explain. 
A. Colic and constipation, B. Encephalopathy, C. Punctate basophilia, D. Lower limb paralysis
C: Punctate basophilia
Answer: C: Punctate basophilia 
Explanation: Facial pallor is the earliest and most consistent symptom. However, among the given options, punctate basophilia is the earliest manifestation.