Question 1
Answer
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Neoplastic proliferation of haemopeoietic or lymphoid cells
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Neoplastic proliferation of lymphoid cells
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Neoplastic proliferation of bone marrow
Question 2
Question
In acute leukaemia, abnormality occurs in mature cells
Question 3
Question
Acute leukaemia is described as a block in differentiation
Question 4
Question
Acute leukaemia is caused by acute proliferation of...
Answer
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Myeloblasts
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Lymphoblasts
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Both (rare)
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Both (most common)
Question 5
Question
What are the symptoms of chronic leukaemia?
Question 6
Question
Acute leukaemia is recognised by a certain type of cell being up to 50% of bone marrow cells?
Answer
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Blasts
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Reticulocytes
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Lympocytes
Question 7
Question
In A.L, there are often reticulocytes in the peripheral blood
Question 8
Question
Leukaemia is caused by clonal proliferation from a single cell
Question 9
Question
How can you (sometimes) differentiate between a myeloblast and a lymphoblast?
Answer
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Myeloblasts have auer rods
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Lymphoblasts have auer rods
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Myeloblasts have a large, pale nucleus
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Lymphoblasts have a large, pale nucleus
Question 10
Answer
-
Matched Unrelated Donor
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Myeloblast Unknown Death
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Myeloblasts Under Duress
Question 11
Question
Remission - no disease in the blood
Question 12
Question
Why use the Minimal Residual Disease (MUD)?
Question 13
Question
BMT - Bone Marrow Transplant
Question 14
Question
B Cell Acute Lymphoblastic Leukaemia has a poor prognosis for children but a good one for adults
Question 15
Question
Which of the following is has the poorer prognosis
Question 16
Question
What is found in cytogenetic testing of ALL?
Answer
-
Hyperploidy
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Aneuploidy
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Nullosomy
Question 17
Question
Which of the following are found in ALL cytochemistry?
Answer
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MPX/SB are neg
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MPX/SB are pos
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PAS block pos
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PAS block neg
Question 18
Question
Which of the following are found in Immunophenotyping for ALL?
Question 19
Question
What is true of AML?
Answer
-
Inc WBC
-
Dec RBC
-
Dec Plateles
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Inc RBC
-
Inc Platelets
Question 20
Question
AML means there is no normal cells
Question 21
Question
What markers are used in Flow Cytometry to identify AML?
Question 22
Question
AML is more common in adult women
Question 23
Question
When is AML called 'De Novo'
Question 24
Question
Which of the following is common in AML (as opposed to ALL)
Question 25
Question
Match up the following- A = Fatigue, B= Fever/Infections, C= Spontaneous Bruising
1 = Low Platelets 2= Low Hb 3 = Low WBC
Answer
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A2, B3, C1
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A1, B2, C3
-
A3 B2 C1
Question 26
Question
CML- accumulation of mature myeloid cells
Question 27
Question
Genetic anomalies in CML occur low down where they effect cells
Question 28
Question
What happens in 95% of cases to cause AML?
Question 29
Question
In indentifying CML, immunophenotyping is useless
Question 30
Question
CML is more common in adult men
Question 31
Question
What is the WBC in CML?
Answer
-
>50 x 10^9/l
-
<30 x 10^9/l
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>75 x 10^9/l
Question 32
Question
What will be found in a CML bone marrow sample?
Answer
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Bone marrow is hypercellular
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Bone marrow is hypocellular
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Myeloid cells are present at all developmental stages
-
Inc Neutraphil Alkaline Phosphatase
-
Red Neutraphil Alkaline Phosphatase
Question 33
Question
Glivec stops CML cells dividing, but is expensive
Question 34
Question
CLL- Neoplastic proliferation of mature looking lymphocytes
Question 35
Question
What ususally happens in CML?
Answer
-
Lymphoids form masses in the bone marrow, spleen and lymph nodes
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Lymphoids lyse and release contents as they are made poorly
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Lymphs begin attacking body cells
Question 36
Question
In CLL, the lymph population can be over 300x the normal
Question 37
Question
What are smear cells?
Answer
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Cells that rupture during a smear
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Cells so malleable they look like smudges
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Cells so deformed they form masses, which look like smears
Question 38
Question
In CLL, the bone marrow is <25% lymphocytes
Question 39
Question
What does immunophenotyping in CLL tell us?
Question 40
Question
CLL is more common in old men