Hematology-Oncology Q20

A 28-year-old woman undergoes follow-up consultation regarding a pre-employment physical examination. She reports feeling well, with no recent illness. Medical history is notable for gastroesophageal reflux disease. Her only medication is omeprazole. She is Black. On physical examination, vital signs and other examination findings are normal. A peripheral blood smear shows decreased neutrophils, normal lymphocytes, normochromic erythrocytes, and normal platelets.

Which of the following is the most likely diagnosis?

A Autoimmune neutropenia

B Benign ethnic neutropenia

C Cyclical neutropenia

D Drug-induced neutropenia

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