A 46-year-old man presents with fatigue, bruising, and infections. CBC shows Hb 80 g/L, platelets 22 ×10⁹/L, and WBC 48 ×10⁹/L with circulating blasts...

Question

A 46-year-old man presents with fatigue, bruising, and infections. CBC shows Hb 80 g/L, platelets 22 ×10⁹/L, and WBC 48 ×10⁹/L with circulating blasts. What is the most appropriate next step in management?

Accepted Answer

Urgent haematology consultation and hospital admission for suspected acute leukaemia

Answer

Start oral prednisone and review in one week

Answer

Start iron and vitamin B12 supplementation

Answer

Arrange routine outpatient bone marrow biopsy in 4 weeks

Answer

Reassure and repeat CBC in 3 months

ca-mccqe1 MCQ (SBA): Acute leukaemia

A 46-year-old man presents with fatigue, bruising, and infections. CBC shows Hb 80 g/L, platelets 22 ×10⁹/L, and WBC 48 ×10⁹/L with circulating blasts. What is the most appropriate next step in management?