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: Pediatrics
Following are the findings in sickle cell Anemia, except – 
Select and explain. 
A. Fish vertebra, B. Enlarged heart, C. Splenomegaly usually seen, D. Leukocytosis
C: Splenomegaly usually seen
Answer: C: Splenomegaly usually seen 
Explanation: Splenomegaly is found in the early stage of sickle cell anemia. By continued infarction and hypoxia - leads to progressive scaring and shrinkage of the spleen, so that by adolescent or adulthood, only a small nubbin of fibrous tissue may be left; this is called autosplenctomy.

About other options
Option 'a'
Bone changes in sickle cell anemia are -

Crew haircut appearance of skull bone
Fish mouth vertebrae

Option 'b'

Cardiomegaly particularly increases in left ventricular dimension and mass results from an increase in cardiac output caused by chronic anaemia and has its onset in early childhood.

Option 'd'

The WBC count is consistently elevated owing to an increase in the number of mature granulocytes. This increase is explained to a large extent by a shift of granulocytes from the marginated to the circulating compartments.