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Index
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White Blood Cell Disorders
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Chapter 1
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Easy
level: Easy
Questions and Answers List
level questions: Easy
Question
Answer
normal WBC count
5-10 K/uL
syndrome caused by developmental failure of the 3rd and 4th pharyngeal pouch
Di George Syndrome
Also known as kissing disease
Infectious Mononucleosis
Most common pathogen in kissing disease
EBV
T-cell hyperplasia in kissing disease occurs in what part of the lymph node
paracortex
T-cell hyperplasia in kissing disease occurs in what part of the spleen?
periarterial lymphatic sheath
Test used for screening of kissing disease
Monospot test
A negative monospot test is suggestive of what kissing diseae etiology?
CMV
Monospot test turns positive within how many weeks after infection?
1 week
What cell is in the picture?
Atypical lymphocyte
Dormancy of virus in B cells leads to an increased risk for recurrence and what?
B-cell lymphoma
defined as the accumulation of >20% blasts n the bone marrow
Leukemia
large immature cells with punched out nucleoli
Blasts
Lymphoblasts have a positive nuclear staining for what?
TdT
Most common type of ALL
B-ALL
usually presents n teenagers as mediastinal (thymic) mass
acute lymphoblastic lymphoma
neoplastic accumulation of myeloblasts (>20%) in the bone marrow
Acute myeloid leukemia
Myeloblasts are usually characterized by positive cytoplasmic staining for what?
Myeloperoxidase (MPO)
Crystal aggregates of MPO may be seen as what?
Auer rods
subtype of AML which involves translocation of the retinoic acid receptor
Acute promyelocytic leukemia
treatment for APL
all-trans-retinoic acid (ATRA)
subtype of AML wherein monoblasts prolferates and usually lacks MPO
Acute monocytic leukemia
subtype of AML wherein megakaryoblasts proliferates and usually lacks MPO
Acute megakaryoblastic anemia
Blasts characteristically inflitrate what part of the body in acute monocytic anemia?
Gums
most common leukemia overall
Chronic Lymphocytic Leukemia (CLL)
Neoplastic proliferation of mature B-cells characterized by hairy cytoplasmic processes
Hairy Cell Leukemia
accumulation of hairy cells occurs in what part of the spleen?
Red pulp
associated with HTLV-1
Adult T-cell Leukemia/Lymphoma (ATLL)
radiologic finding in ATLL
lytic (punched-out) bone lesions
neoplastic proliferation of mature CD4 T-cells in the epidermis
Mycosis fungoides
aggregates of neoplastic cells in the epidermis
Pautrier microabscesses
neoplastic proliferation of mature cells of the myeloid lineage
Myeloproliferative disoders
neoplastic proliferation of mature myeloid cells especially granulocytes and their precursors
Chronic Myeloid Leukemia (CML)
Basophils are characteristically increased in this disease
Chronic Myeloid Leukemia (CML)
What fraction of CML can transform to AML?
two-thirds
What fraction of CML can transform to ALL?
one-third
neoplastic proliferation of mature myeloid cells especially RBCs
Polycythemia Vera (PV)
First line treatment in PV
phlebotomy
second-line treatment in PV
hydroxyurea
neoplastic proliferation of lymphoid cells that forms a mass
Lymphoma
two major types of Lymphoma
Hodgkin Lymphoma (HL) and Non-Hodgkin lymphoma (NHL)
malignant cells of HL
Reed-Sternberg cells
overall frequency of NHL
60%
overall frequency of HL
40%
malignant cells of NHL
Lymphoid cells
age group of NHL
Late adulthood
age group of HL
Young adults
spread of NHL
diffuse; often extranodal
spread of HL
contiguous; rarely extranodal
neoplastic proliferation of small B cells (CD20) that form follicle-like nodules
Follicular lymphoma
neoplastic proliferation of small B cells (CD20) that expands the mantle zone
Mantle cell lymphoma
region immidately adjacent to lymph node follicles
Mantle zone
neoplastic proliferaton of small B cells (CD20) that expands the marginal zone
Marignal zone lymphoma
region immidately adjacent to lymph node mantle zone
Marginal zone
marginal zone lymphoma in mucosal sites
MALToma
neoplastic proliferation of intermediate-sized B cells (CD20) associated with EBV
Burkitt lymphoma
characteristiic finding of Burkitt lymphoma under microscopy
starry-sky apperance
most common form of NHL
Diffuse Large B-cell Lymphoma
neoplastic proliferatoin of large B cells (CD 20) that grow diffusely in sheets
Diffuse Large B-cell Lymphoma
large B cells with multilobed nuclei and prominent nucleoli
Reed-Sternberg cells
most common type of HL
Nodular sclerosis
most common demographics of nodular sclerosis
young adult female
subtype of HL that has the best prognosis
Lymphocyte-rich
this HL subtype is characterized by abundant eosinophiils
Mixed cellularity
most aggressvie subtype of HL usually seen in the elderly and HIV positivie individuals
Lymphocyte-depleted
Malignant proliferation of plasma cells in the bone marrow
Multiple myeloma
Most common primary malignancy of the bone
Multiple myeloma
Most common malignant lesion of the bone overall
Metastasis
Most common cause of death in multiple myeloma
infection
free light chain excreted in the urine of patients with multiple myeloma
Bence Jones protein