Paper I
2025 March (Supplementary (SAY)) (2019 Scheme) · 100 marks · 180 min

Question

Leukocyte alkaline phosphatase is markedly reduced in:

  • a) Acute Lymphoblastic Leukaemia
  • b) Acute Myeloblastic Leukaemia
  • c) Chronic Myeloid Leukaemia
  • d) Chronic Lymphocytic Leukaemia
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Answer

Correct answer: c) Chronic Myeloid Leukaemia

Leukocyte alkaline phosphatase (LAP) score is characteristically markedly reduced/absent in CML (reflecting the abnormal, Philadelphia chromosome-driven neutrophils), which is a key laboratory feature used to distinguish CML from a benign leukemoid reaction (where LAP score is elevated).

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