A 5-year-old has easy bruising, pallor and bone pain, with a white cell count of 80,000 per microlitre and blasts on the film. What is the most likely diagnosis?

Answer and explanation

Correct answer: B. Acute lymphoblastic leukaemia

  1. Step 1: Blasts with cytopenias in a child indicate acute lymphoblastic leukaemia. Answer: Acute lymphoblastic leukaemia. Why not the others: Chronic myeloid leukaemia, Aplastic anaemia and Immune thrombocytopenia don't fit.

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