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Exam questionKROK 2Medicine · 2020

A 58-year-old man complains of weakness and tumor-like formations that appeared on the anterior surface of his neck and in the inguinal region. Palpation detects soft painless mobile cervical and inguinal lymph nodes up to 2 cm in diameter. The liver protrudes by 2 cm from the edge of the costal margin, the lower splenic pole is at the umbilical level. In blood: erythrocytes - 3.5 × 1012/L, Hb- 88 g/L, leucocytes - 86 × 109/L, band neutrophils - 1%, segmented neutrophils - 10%, lymphocytes - 85%, eosinophils - 2%, basophils - 0%, monocytes - 2%, erythrocyte sedimentation rate - 15 ram/hour, Gumprecht shadows. What is the most likely diagnosis?

Answer options

  1. Lymphocytic leukemoid reaction
  2. Lymphogranulomatosis
  3. Acute leukemia
  4. Chronic myeloid leukemia
  5. Chronic lymphocytic leukemia
Correct answer

Chronic lymphocytic leukemia

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