Chronic Illness Practice Test 2026 - Free Chronic Illness Practice Questions and Study Guide

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Which CBC finding suggests an allergic or hypersensitivity reaction?

Elevation of eosinophils

Elevated eosinophils signal an allergic or hypersensitivity process because eosinophils are key players in IgE-mediated allergic responses. They are recruited to sites of allergic inflammation by cytokines like IL-5 and release mediators that contribute to symptoms seen in conditions such as allergic rhinitis, asthma, atopic dermatitis, and drug hypersensitivity. So a higher absolute eosinophil count on a CBC is a clue that an allergic reaction may be involved.

Neutrophils, by contrast, rise mainly with acute bacterial infections or general inflammation; platelets that are low point to a thrombocytopenic process; and monocytes tend to be elevated in chronic inflammatory states or certain infections. Those patterns fit different clinical pictures, not the classic allergic reaction.

Elevation of neutrophils

Decreased platelets

Increased monocytes

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