A 6-Year-Old Boy Is Brought to the Office Due to Fatigue

question 557

Multiple Choice

A 6-year-old boy is brought to the office due to fatigue and abdominal distension.  The parents state that the patient bruises easily and appears pale.  Physical examination shows subconjunctival pallor and several ecchymoses on the boy's extremities.  His abdomen is distended with nontender massive splenomegaly and moderate hepatomegaly.  Laboratory studies reveal that his hemoglobin level is 8 g/dL, leukocyte count is 3,800 cells/mm³, and platelet count is 90,000 cells/mm³.  Bone marrow aspirate results are shown in the exhibit.  Which of the following is the most likely diagnosis?

• A)Acute lymphoblastic leukemia
• B)Epstein-Barr virus
• C)Fanconi anemia
• D)Gaucher disease
• E)Parvovirus B19

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Definitions:

Specific Assets And Liabilities

Items on a company's balance sheet that are clearly identified and quantified, including cash, inventory, debt, and equity.

Incorporated Business

A business entity that is legally recognized as separate from its owners, with its own rights and liabilities.

Proportionately Adjusted

Refers to the method of adjusting figures or data in financial statements to reflect the ownership interest accurately.

Joint Operation

A business activity in which two or more parties share control and management.