question: Q:A 34-year-old gravida 2, para 1 woman at 37+6 weeks of gestation presents for elective cesarean delivery. She says she has been having increased fatigue over the past few weeks. Past medical history includes gestational hypertension for which she has been taking an antihypertensive drug twice daily since week 24. Her vital signs include: temperature 36.7°C (98.0°F), blood pressure 120/75 mm Hg, pulse 127/min. Physical examination reveals generalized pallor. Her laboratory results reveal microcytic, hypochromic anemia with anisocytosis, hemoglobin of 9 g/dL, a differential with 14% lymphocytes, an ESR of 22 mm/hr, and a reticulocyte production index of 3.1. A direct antiglobulin test is positive. LFTs, creatinine, ferritin level, vitamin B12 level, coagulation studies, and urinalysis are normal. Which of the following is the most likely diagnosis in this patient?? 
  {'A': 'Preeclampsia', 'B': 'Hereditary spherocytosis', 'C': 'HELLP syndrome', 'D': 'Drug-induced immune hemolytic reaction', 'E': 'Normal pregnancy'},