04-13-2008, 12:34 AM
9. A 63-year-old female experiences a burning sensation
in the hands and feet, and she has had an episode of deep
venous thrombosis in the past 2 months. On physical ex-
amination, the spleen and liver appear to be enlarged. The
peripheral blood smear shows abnormally large platelets.
The complete blood count shows a hemoglobin concentra-
tion of 13.3 g/dL, hematocrit of 40.1%, MCV of 91 fL,
platelet count of 657,000//xL, and WBC of count 17,400/
/xL. The most likely diagnosis is
O (A) Essential thrombocythemia
O (B) Chronic myelogenous leukemia (CML)
O © Myelofibrosis with myeloid metaplasia
C) (D) Acute myelogenous leukemia
O (E) Polycythemia vera
in the hands and feet, and she has had an episode of deep
venous thrombosis in the past 2 months. On physical ex-
amination, the spleen and liver appear to be enlarged. The
peripheral blood smear shows abnormally large platelets.
The complete blood count shows a hemoglobin concentra-
tion of 13.3 g/dL, hematocrit of 40.1%, MCV of 91 fL,
platelet count of 657,000//xL, and WBC of count 17,400/
/xL. The most likely diagnosis is
O (A) Essential thrombocythemia
O (B) Chronic myelogenous leukemia (CML)
O © Myelofibrosis with myeloid metaplasia
C) (D) Acute myelogenous leukemia
O (E) Polycythemia vera