This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hemolytic Anemias: Basic concepts and classification, Subject name: Pathology
A 25-year-old woman with a history of systemic lupus erythematosus presents with diffuse petechiae and fatigue. Physical examination demonstrates lymphadenopathy and splenomegaly. Laboratory findings include normocytic anemia (hemoglobin = 6.1 g/dL) and thrombocytopenia (30,000/mL). A peripheral blood smear shows polychromasia with 10% reticulocytes. This patient most likely has which of the following hematologic diseases? 
Select and explain. 
A. Anemia of chronic renal failure, B. Aplastic anemia, C. Hemolytic anemia, D. Iron deficiency anemia
C: Hemolytic anemia
Answer: C: Hemolytic anemia 
Explanation: - Given features suggests the diagnosis of Hemolytic anemia, idiopathic thrombocytopenic purpura - Hemolytic anemias are characterized by compensatory increase in production & release of red cells by bone marrow - It is manifested in blood by polychromasia of red cells & increased reticulocyte count. - Other options given presents with decreased reticulocyte count