<prompt> A peripheral smear with increased neutrophils,basophils,esinophils,and paltelets is highly suggestive of:Acute myeloid leukemiaAcute lymphoblastic leukemiaChrnoic myelogenous leukemiaMyelodysplastic syndrome  <response>: The peripheral blood picture of this patient is quite characteristic of chronic myeloid leukemia. Chronic myeloid leukemia is a stem cell disease that is characterized by leukocytosis with granulocytic immaturities.basophilia,splenomegaly and distinct chromosomal abnormality philadelphia chromosome.ref Harrisons 17th683-684 