<prompt> In megaloblastic anemia, the cells are:Macrocytic hyperchromicMacrocytic hypochromicMacrocytic normochromicNone of the above  <response>: Megaloblastic Anemia The blood film can point towards vitamin deficiency:Decreased red blood cell RBC count and hemoglobin levels.Increased mean corpuscular volume MCV 100 fL and mean corpuscular hemoglobin MCH.Normal mean corpuscular hemoglobin concentration MCHM 32-36 gdL. Decreased reticulocyte count due to destruction of fragile and abnormal megaloblastic erythroid precursor. The platelet count may be reduced.Neutrophil granulocytes may show multisegmented nuclei senile neutrophil. This is thought to be due to decreased production and a compensatory prolonged lifespan for circulating neutrophils, which increase the numbers of nuclear segments with age.Anisocytosis increased variation in RBC size and poikilocytosis abnormally shaped RBCs.Macrocytes larger than normal RBCs are present.Ovalocytes oval-shaped RBCs are present.Howell-Jolly bodies chromosomal remnant also present. 