Step1 quiz time!
A 13-year-old girl is brought to the physician by her parents because of a 1-week history of fever and fatigue. During this period, she has also had decreased appetite and a 1.5-kg 3.5-lb weight loss. Her temperature is 39.2C 102.5F, pulse is 118min, respirations are 16min, and blood pressure is 11070 mm Hg. Physical examination shows cervical lymphadenopathy. Laboratory studies show a hemoglobin concentration of 15 gdL, a leukocyte count of 21,000mm3, and a platelet count of 320,000mm3. A peripheral blood smear is shown. Which of the following is the most likely cause of the findings on this patients peripheral blood smear?
A - Acute viral infection
B - Burkitt lymphoma
C - Acute lymphoblastic leukemia
D - Acute bacterial infection
E - Acute myeloid leukemia
F - Acute parasitic infection
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