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Due to Nausea and Stomach Ache, a 6-Year-Old Child Is

Question 588

Multiple Choice

Due to nausea and stomach ache, a 6-year-old child is taken to the clinic by her mother. Despite having Down syndrome, the patient is overall in good health. Upon abdominal examination, the liver edge is shown to be 3 cm below the costal margin and the spleen tip to be above the umbilicus. A subsequent peripheral blood smear showed many lymphoblasts and a leukocyte count of 104,000/mm3. Acute lymphoblastic leukemia has been identified in the patient, and combination cytotoxic chemotherapy is being considered. Which of the above laboratory alterations is most likely to be observed in this patient after the start of treatment? Due to nausea and stomach ache, a 6-year-old child is taken to the clinic by her mother. Despite having Down syndrome, the patient is overall in good health. Upon abdominal examination, the liver edge is shown to be 3 cm below the costal margin and the spleen tip to be above the umbilicus. A subsequent peripheral blood smear showed many lymphoblasts and a leukocyte count of 104,000/mm<sup>3</sup>. Acute lymphoblastic leukemia has been identified in the patient, and combination cytotoxic chemotherapy is being considered. Which of the above laboratory alterations is most likely to be observed in this patient after the start of treatment?   A) A B) B C) C D) D E) E F) F


A) A
B) B
C) C
D) D
E) E
F) F

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