A 7-Year-Old Boy Is Brought to the Office Due to Easy

question 551

Multiple Choice

A 7-year-old boy is brought to the office due to easy bruising and frequent epistaxis for 2 weeks.  Temperature is 36.7 C (98 F) , blood pressure is 106/60 mm Hg, pulse is 94/min, and respirations are 18/min.  Examination shows pale lips with mucositis in the oropharynx.  The neck is supple.  The abdomen is soft, and pulses are 2+.  Laboratory results are as follows: Findings from a bone marrow biopsy are shown in the image below: Which of the following is the most likely diagnosis?

• A)Acute lymphoblastic leukemia
• B)Aplastic anemia
• C)Myelodysplastic syndrome
• D)Myelofibrosis
• E)Parvovirus B19 infection

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Definitions:

Congressional Review

A process by which Congress can nullify new federal regulations by passing a joint resolution of disapproval.

Captured Agency

A regulatory agency that, instead of serving the public interest, acts in favor of the industries it is supposed to regulate.

Hybrid Rules

Regulations or guidelines that blend elements from different sources or systems, often applied in complex or interdisciplinary fields.

Administrative Procedures Act

A United States federal statute that governs the way administrative agencies of the federal government may propose and establish regulations.