<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 6-year-old boy is brought to the emergency department due to a severe infection. Laboratory work shows leukocytosis of 60 × 109L with marked left shift, but no blast cells. The patient is febrile and dehydrated. The physician believes that this is a severe reaction to the infection and orders a leukocyte alkaline phosphatase LAP stain on a peripheral smear. The LAP score is elevated. Which of the following statements best describes an additional characteristic of the condition this child is suffering from?? A: This condition can lead to chronic myelocytic leukemia., B: Myeloblasts and promyelocytes are expected to be found., C: A blood count will contain band forms, metamyelocytes, and myelocytes., D: Chemotherapy is the treatment of choice., E: The patient may develop anemia secondary to infection.,  <response>: This is a clinical vignette describing a 6-year-old boy with a severe infection presenting with leukocytosis and left shift on CBC. The elevated LAP score indicates increased myeloid cell production and turnover. The key findings are severe infection, marked leukocytosis with left shift, no blast cells, and elevated LAP score. This indicates a leukemoid reaction, which is an extreme leukocytosis due to a physiologic response to infection, rather than a primary bone marrow disorder like leukemia. The correct answer should indicate a feature of a leukemoid reaction, not leukemia. My analysis of the choices is:A Incorrect - A leukemoid reaction does not lead to leukemia. B Incorrect - Myeloblasts and promyelocytes are immature myeloid precursors seen in leukemia, not expected in a leukemoid reaction.C Correct - A leukemoid reaction shows immature myeloid cells like bands, metamyelocytes and myelocytes.D Incorrect - Chemotherapy is used for leukemia, not for a leukemoid reaction. E Incorrect - While anemia can occur with severe infection, this does not describe a key feature that distinguishes a leukemoid reaction.C: A blood count will contain band forms, metamyelocytes, and myelocytes. 