A College Student Seeks Medical Care for Extreme Fatigue and Swollen

question 17

Multiple Choice

A college student seeks medical care for extreme fatigue and swollen lymph nodes in the neck. The WBC count is 11.3 *10⁹/L. The differential shows a relative and absolute lymphocytosis. Many of the lymphocytes are larger than normal, with a basophilic cytoplasm indented by the red blood cells (RBCs) . The nuclei are less clumped than normal and some have nucleoli. The rest of the complete blood count (CBC) is normal. What is the most likely diagnosis?

• A) Infectious lymphocytosis
• B) Infectious mononucleosis
• C) Lymphoma
• D) Lymphocytic leukemia

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Definitions:

Emergency Department

A specialized department in hospitals that provides immediate treatment to patients with acute illnesses or injuries.

Initial Planning

The process of setting preliminary objectives and courses of action before starting a project or activity.

Outcomes Identification

The process of defining what results are expected from a particular health care intervention or treatment.

American Nurses Association

A professional organization that represents the interests of registered nurses in the United States through advocacy and education.