Approach to leukemia Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 68-year-old man presents to the emergency department with a fever for the past 6 hours. He is currently undergoing chemotherapy for acute myeloid leukemia (AML) and reports that his most recent cycle was completed 10 days ago. His temperature is 38.6°C (101.5°F), heart rate is 110/min, respiratory rate is 20/min, blood pressure is 126/70 mm Hg, and oxygen saturation is 97% on room air. Physical examination reveals pallor without skin lesions or erythema and evidence of mucositis. The abdomen is soft and nontender, without hepatosplenomegaly. Lung auscultation is within normal limits, and cardiac exam shows regular heart rhythm with normal heart sounds. Laboratory tests are shown below. Blood cultures are drawn. Which of the following is the best next step in management?
| Complete Blood Count | |
| Hemoglobin | 10.2 g/dL |
| White blood cells | 1,000/µL |
| Platelets | 100,000µL |
| Absolute neutrophil count (ANC) | 300/µL |
| Neutrophils | 30% |
| Lymphocytes | 65% |
| Monocytes | 3% |
| Eosinophils | 1% |
| Basophils | 1% |
| General Chemistry | |
| Creatinine | 2.1 mg/dL |
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