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!

Learning videos

Flashcards

Expert reviewed

Spaced Repetition

Mobile app

Custom Quizzes

1 of 4

A 60-year-old woman visits her primary care physician due to a 3-day history of fever, cough, and dyspnea. On review of symptoms, she reports that she has been experiencing ongoing fatigue, night sweats, and abdominal discomfort for the last two months. Past medical history is notable for type 2 diabetes managed with metformin. She does not smoke or drink alcohol. Temperature is 38.6°C (101.5°F), heart rate is 88/min, respiratory rate is 16/min, blood pressure is 130/80 mm Hg, and oxygen saturation is 94% on room air. There is no peripheral lymphadenopathy or skin findings. The abdominal exam reveals splenomegaly without tenderness to palpation. Lung auscultation is significant for crackles on the right. Laboratory evaluation is shown below. Chest x-ray shows a lobar consolidation in the middle lobe of the right lung. Which of the following is the most likely underlying cause of this patient's presentation?

 Complete Blood Count       Reference Range  
 Hemoglobin     12.2 g/dL    12-16 g/dL    
 
 Platelets     500,000/µL    150,000-400,000/µL  
  
 White blood cells (WBC)     130,000/µL     4,500-11,000/µL  
  
 Neutrophils     10%    54-62%  
   
 Lymphocytes     5%    25-33%
     
 Eosinophils     7%    1-3%
    
 Basophils     10%    0-0.75%
    
 Monocytes     3%    3-7%
    
 Segmented Neutrophils     20%    54-62%  
  
 Metamyelocytes     15%    0%
     
 Myelocytes     30%    0%
    
 Leukocyte alkaline phosphatase (LAP) score     Low    30-130
    

Elimination tool

Choose an option: