leukemia Flashcards

1
Q

acute myeloid leukemia (AML) is common in what age group

A

adults

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2
Q

acute lymphoblastic leukemia (ALL) is common in what age group

A

children

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3
Q

common side effect of AML

A

DIC

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4
Q

leukemia

A

neoplasia within the hemopoietic stem cell pathway

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5
Q

acute promyelocyte leukemia has what translocation?

A

(15;17)

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6
Q

ALL has what common markers?

A

CD10, CD19 and TdT

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7
Q

AML is commonly know to have what on the peripheral smear?

A

auer rods

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8
Q

treatment for acute promyelocyte leukemia ?

A

ATRA

all trans retinoic acid + arsenic

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9
Q

what translocation is a bad prognosis cytogenetic marker for ALL?

A

(9;22)

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10
Q

what is a good prognosis cytogenetic marker for ALL?

A

(12,21)

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11
Q

what is a bad prognosis comorbity for ALL?

A

down syndrome

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12
Q

What is the common finding for hemoglobin, platelet, and neutrophil and leukocyte count for acute leukemia?

A

anemia, neutropenia, thrombocytopenia, and leukocytosis

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13
Q

acute myeloid leukemia arrests cells in what stage?

A

myeloblast

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14
Q

ALL arrest cells in what stage?

A

lymphoblast pre-b and pre-t cells

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15
Q

B-Cell/T-cell ALL has a worse prognosis?

A

T-cell

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16
Q

what is common with T-cell ALL

A

mediastinal mass that is termed t cell lymphoblastic lymphoma

17
Q

AML can arise from

A

other disease like myeloproliferative or de novo mutation

18
Q

three factors for bad prognosis for AML

A
  1. increased age
  2. having previous disease or treatment
  3. deletion of 5 and 7 chromosome
19
Q

CLL effects what type of cell?

A

mature B cells

20
Q

CLL can cuase hyperglobinuremia/hypoglobinuremia and what is the importance of this?

A

hypoglobinuremia , number one cause of death is infection because does not have Ig

21
Q

what type of cell is seen on a blood smear for CLL?

A

smudge cell

22
Q

what cytogenetic markers are seen in a patient with CLL?

A

CD5 and CD23

23
Q

what type of anemia is common in CLL?

A

autoimmune hemolytic anemia

24
Q

does CLL have to be treated?

25
what cytogenic marker is found in CML?
t(9,22)
26
how do you treat CML?
imatinib
27
how do you diagnose CML?
FISH, QPCR, karyotype
28
what is characteristic of CML blood smear?
increased basophils heterogenous Increased myeloid to erythroid ratio
29
what happens if CML is not treated?
it can form acute leukemia
30
Rai classification for leukemia?
``` o Stage 0- Lymphocytosis o Stage I- + Lymphadenopathy o Stage II- + Splenomegaly o Stage III- + Anemia o Stage IV- + Thrombocytopenia ```
31
B cell markers
CD 19, 20, 21, 22, 23
32
T cell markers-
CD 1, 2, 3, 4, 5, 7, 8
33
CD34
Stem Cell Marker
34
Myelomonocytic Marker
CD33
35
Monocyte Markers
granulocyte: CD 13 and 15, monocyte CD 14
36
Flow Cytometry Positional: - Forward spread: - Reverse spread:
Positional: - Forward spread: size - Reverse spread: complexity
37
what has the largest revers and forward spread?
neutrophils