PANCE Exam Practice Questions: Quiz 33

A 62-year-old male requests sleeping pills. His sleep is often disturbed by drenching sweats requiring him to change his pajamas two to three times per night. He has daytime fatigue, which he attributes to his poor sleep. On physical examination, he is tender over the sternum and his spleen is easily palpable. A complete blood count is remarkable for a WBC count of 165,000/µL with a left shift. Both basophils and eosinophils are noted on peripheral smear. He has no red cell abnormalities and his platelet count is within normal limits. PCR demonstrates presence of the bcr/abl gene. What is the most likely diagnosis?
- A. acute lymphoblastic leukemia
- B. acute myeloid leukemia
- C. chronic lymphocytic leukemia
- D. chronic myeloid leukemia

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