Acute leukemia Quiz: Ace Your Exams

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A 4-year-old boy is brought to the emergency department by his parent because of a sore throat for the past 2 days. The patient’s parent reports that the patient feels tired all the time and has not been interested in playing his favorite video games over the last several weeks. Temperature is 38.3°C (101°F), pulse is 110/min, respirations are 24/min, and blood pressure is 105/65 mmHg. Physical examination shows pharyngeal erythema without exudates, mucosal pallor and petechiae on lower extremities. Abdominal examination reveals hepatosplenomegaly. Peripheral blood smear reveals lymphoblasts and is shown below:  


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The cells stain positive for terminal deoxynucleotidyl transferase (TdT) and CD10. The cells identified in this patient’s peripheral blood smear are precursors to which of the following cell types?  

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