HY USMLE Q #1083 – Hematology

A 55-year-old man is evaluated in hospital. A blood smear is shown. Which of the following is the most likely explanation for this patient’s findings?

  Increased leukocyte alkaline phosphatase
  Increased production of hematopoietic stem cells
  Increased release of leukocytes from bone marrow reserve pool
  Reactive lymphocytosis
  Synthesis of fusion protein