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Exam questionKROK 2Medicine · 2021

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 pole is at the umbilical level lower splenic In blood: erythrocytes 3.5 × 1012/L, Hb 88 g/L, leukocytes 86 × 10/L, ban neutrophils - 1%, segmented neutrophils- 10%, lymphocytes - 85%, eosinophilia 2%, basophil - 0%, monocytes 2%, erythrocyte sedimentation rate mm/hour, Gumprecht shadows. What is the most likely diagnosis?

Answer options

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

Chronic lymphoid leukemia

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