left shift;15% or more metamyelocytes, myelocytes, and even promyelocytes is present. Basophils are increased. Response: APML - acute promyelocytic leukemia t(15;17) -- Tx= ATRA (all-trans retinoic acid)
True False
20.
Response: Sickle cell anemia -- in kids, RBCs get sequestered in spleen, splenomegaly, autoinfarction, then spleen shrinks as they go into adulthood; risk of aplastic crisis if Folate deficiency or infected with Parvo B19; Tx by hydroxyurea
Response: Spherocytes - hereditary spherocytosis; or warm autoimmune hemolytic anemia; splenomegaly; risk of aplastic crisis if infected with Parvo B19
True False
24.
Response: Megaloblastic anemia - due to B12 deficiency, folate deficiency, myelodysplasia, or anything that inhibits DNA synthesis (chemotherapy, etc)
True False
Matching Answers
(Please enter the letter of the correct answer)
25.
Hairy cell leukemia - B-cell leukemia; generally good prognosis (Tx by Cladrabine) TRAP test; *** NO LYMPHADENOPATHY**;
Reed-Sternberg cell (owl eyes) - marker for Hodgkin's Lymphoma -- CD15+; CD30+ ; CD45- ; nodular sclerosing HL is most common subtype
C.
28.
unilobate megakaryocytes in MDS
D.
29.
Megaloblastic Anemia - impaired DNA synth due to B12 or Folate deficiency
E.
30.
Pelger-Heuetoid cell - characteristic of MDS
F.
31.
Rouleux - forming in patient with Multiple myeloma (clonal proliferation of plasma cells); hypercalcemia; lytic bone lesions; M-spike (due to homogeneous Ig production); Bence-Jones proteins (toxic to renal tubules); Tx by autologus BMT, thalidomide, bort
G.
32.
Megaloblastic anemia - due to B12 deficiency, folate deficiency, myelodysplasia, or anything that inhibits DNA synthesis (chemotherapy, etc)
A. Cytokeratin stain to visualize cancer metastatis to bone marrow
B. Cytokeratin stain to visualize cancer metastatis to bone marrow
C. Megaloblastic anemia - due to B12 deficiency, folate deficiency, myelodysplasia, or anything that inhibits DNA synthesis (chemotherapy, etc)
D. Cytokeratin stain to visualize cancer metastatis to bone marrow
46.
A. Neutrophil Toxic granulation
B. Nodular Sclerosing Hodgkin's Lymophoma
C. Neutrophil Toxic granulation
D. Neutrophil Toxic granulation
47.
A. Basophil
B. Peautrier Microabscesses - T-cells aggregate in the skin -- T-cell lymphoma (Just memorize for the Boards)
C. Basophil
D. Basophil
48.
A. Eosinophils
B. Basophil
C. Eosinophils
D. Eosinophils
49.
A. Auer Rod --> AML Acute Myelogenous Leukemia -- Acquired mutation arrests marrow stem cell maturation at various stages
B. Auer Rod --> AML Acute Myelogenous Leukemia -- Acquired mutation arrests marrow stem cell maturation at various stages
C. Auer Rod --> AML Acute Myelogenous Leukemia -- Acquired mutation arrests marrow stem cell maturation at various stages
D. Basophil
50.
A. Rouleux - forming in patient with Multiple myeloma (clonal proliferation of plasma cells); hypercalcemia; lytic bone lesions; M-spike (due to homogeneous Ig production); Bence-Jones proteins (toxic to renal tubules); Tx by autologus BMT, thalidomide, bort