HY USMLE Q #686 – Hematology

A 32-year-old woman comes to the physician for a 2-day history of fever and dysuria. She has no past medical history. She works in a clothing factory using aniline dyes. Hemoglobin is 13 g/dL, WBCs 38,000/μL, platelets 250,000/μL. Temperature is 102F. Urinalysis is (+) for leukocyte esterase and nitrites. There are 3-4 RBCs/hpf on light microscopy. A blood smear is shown.

Which of the following is most likely to be seen in this patient?

Squamous neoplasia
Transitional cell neoplasia
t(9;22) translocation
Reactive granulocytosis
Reactive lymphocytosis