KROK 1 2021 – Question 116 · KROK (Medicine) · Pathophysiology
Hematologic study shows the following pattern: erythrocytes – 2.8 · 10¹²/L, Hb – 80 g/L, color index – 0.85, reticulocytes – 0.1%, platelets – 160 thousand per microliter, leukocytes – 60 · 10⁹/L, basophils – 2%, eosinophils – 8%, promyelocytes – 5%, myelocytes – 5%, juvenile – 16%, stab neutrophils – 20%, segmented neutrophils – 34%, lymphocytes – 5%, monocytes – 5%. This clinical presentation indicates the following blood pathology:
- A. Chronic myeloleukemia
- B. Hemolytic anemia
- C. Hypoplastic anemia
- D. Acute myeloleukemia
- E. Undifferentiated leukemia
Hint
Note the full range of immature granulocyte stages, from promyelocytes to segmented forms, with eosinophils and basophils, in a markedly raised white count.
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