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Exam questionKROK 2Medicine · 2010

A 3-year-old child has been admi- tted to a hospital because of ostealgia and body temperature rise up to 39°C. Objectively: the patient is in grave condition, unable to stand for ostealgia, there is apparent intoxication, lymph nodesare enlarged up to 1,5 cm. Liver can be palpated 3 cm below the costal margin, spleen - 2 cm below the costal margin. In blood: RBCs - 3,0- 1012/l, Hb- 87 g/l, colour index - 0,9, thrombocytes - 190 - 109/l, WBCs - 3,2 - 109/l, eosinophils - 1, stab neutrophils - 1, segmented neutrophils -0, lymphocytes - 87, monocytes - 2, ESR - 36 mm/h. What examination should be conducted in order to specify the diagnosis?

Answer options

  1. Ultrasound
  2. Lymph node biopsy
  3. Lymph node puncture
  4. Computer tomography
  5. Sternal puncture
Correct answer

Sternal puncture

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