A 54-Year-Old Man Is Brought to the Emergency Department with 2

question 981

Multiple Choice

A 54-year-old man is brought to the emergency department with 2 days of severe diarrhea and 6 hours of abdominal pain.  He is confused and lethargic.  His daughter, who is at the bedside, notes that the patient has a history of hypertension and was recently treated for "strep throat."  Temperature is 38.7 C (101.6 F) , blood pressure is 92/58 mm Hg, pulse is 128/min, and respirations are 24/min.  The patient appears agitated.  The abdomen is mildly distended, and the patient winces with deep palpation of the left lower quadrant.  Laboratory results are as follows: Intravenous fluids and antibiotics are administered.  The next morning, the patient's temperature is still elevated.  Repeat laboratory examination shows a leukocyte count of 52,000/mm³ with a similar differential.  The leukocyte alkaline phosphatase score is high.  Which of the following is the likely cause of this patient's hematologic abnormalities?

• A)Chronic lymphocytic leukemia
• B)Chronic myeloid leukemia
• C)Drug reaction
• D)Leukemoid reaction
• E)Myelodysplastic syndrome
• F)Secondary polycythemia

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Definitions:

Balance Sheet

A financial statement that summarizes a company's financial position at a specific point in time, detailing assets, liabilities, and shareholders' equity.

Sales On Account

Transactions where goods or services are sold but payment is deferred to a future date, typically recorded as accounts receivable.

Cost Of Goods Sold

Costs directly related to creating products for sale by a company, encompassing expenditures for labor and materials.

Inventory Turnover

A ratio showing how many times a company's inventory is sold and replaced over a specific period, indicating the efficiency of inventory management.