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MMLU / A 75-year-old female presents to the office for a health maintenance…

Problem

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question

A 75-year-old female presents to the office for a health maintenance examination. She says that she is more fatigued than she was at 65, but she still gardens and drives to the grocery store. Routine laboratory studies reveal a leukocyte count of 25.0 × 103/mcL (reference range 4.5-11.0 × 103/mcL) and 97% mature-appearing lymphocytes on a peripheral blood smear. Immunohistochemical stains demonstrate the lymphocytes to be of B-cell origin. The most likely diagnosis is

choices

  1. acute lymphocytic leukemia
  2. acute myelogenous leukemia
  3. chronic lymphocytic leukemia
  4. chronic myelogenous leukemia

subject

professional_medicine

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