A patient has a white blood count of 35 ´ 109/L with a left shift. The leukocyte alkaline phosphatase stain is 220. Which of the following is most likely?
a. Severe bacterial infection
b. Chronic myelogenous leukemia
c. Paroxysmal nocturnal hemoglobinuria
d. Values normal
ANS: A
A normal leukocyte alkaline phosphatase score should be roughly 20 to 100; therefore this score of 220 is very elevated. An elevated leukocyte alkaline phosphatase is consistent with a severe bacterial infection. Both chronic myelogenous leukemia and paroxysmal nocturnal hemoglobinuria have below-normal scores.
You might also like to view...
Your patient is a 37-year-old man who collapsed while playing soccer. He is confused, and his skin is hot and dry. He has rapid and shallow breathing and a rapid and weak pulse. Appropriate care for this patient should include:
A. covering the patient with a blanket to preserve modesty. B. encouraging him to drink an electrolyte replacement drink. C. administering oral glucose. D. aggressive cooling with ice packs and cold water.
What is the inferior-most portion of the sternum?
A) Sternal notch B) Xiphoid process C) Body D) Manubrium
If premature delivery is anticipated, all of the following will help determine lung maturity, ex-cept:
a. the presence of oligohydramnios. b. lecithin-sphingomyelin (L:S) ratio. c. phosphatidylglycerol (PG) concentration. d. body mass index (BMI).
If a physician requests a peer review that results in confirmation that services were NOT medically necessary:
A) the patient should be billed for the review. B) the insurance carrier will pay for the review. C) there is no charge for the review. D) the physician must pay for the review.