KROK 1 2018 – Question 86 · KROK (Medicine) · Pathophysiology
A 54-year-old man complains of general weakness, frequent colds, and bruises constantly appearing on his body. Blood test: erythrocytes - 2.5 · 10¹²/L; Hb- 80 g/L; color index - 0.9; reticulocytes - absent; platelets - 50 · 10⁹/L; leukocytes - 58 · 10⁹/L; leukogram: basocytes - 5%, eosinophils 15%, myeloblasts - 6%, myelocytes - 10%, juvenile - 18%, stab neutrophils - 26%, segmented neutrophils - 10%, lymphocytes - 8%, monocytes - 2%, ESR - 40 mm/hour. What hematologic conclusion can be made?
- A. Myeloblastic leukemia
- B. Leukemoid response
- C. Chronic myelogenous leukemia
- D. Chronic lymphocytic leukemia
- E. Basophilic eosinophilic leukocytosis
Hint
Look at the left-shifted granulocyte precursors together with the rise of basophils and eosinophils, and decide whether this is a reactive change or a clonal marrow disorder and how fast it runs.
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