問題一覧
1
It is known to be the hyposegmentation of the granulocytes
PELGER-HUET ANOMALY
2
What are the two types of Pelger-Huet Anomaly?
True and Pseudo
3
It is associated with malignant myeloproliferative disorders. It contain round nuclei. Cytoplasm is hypogranular.
PSEUDO PELGER-HUET ANOMALY
4
How many lobes in PELGER-HUET ANOMALY?
2
5
PELGER-HUET ANOMALY IS RESEMBLES A?
PINCE-NEZ SPECTACLES, PEANUT, DUMBELL
6
UNDRITZ ANOMALY IS ALSO KNOWN AS?
Hereditary Hypersegmentation of Neutrophils
7
What deficiency is related in Undritz Anomaly?
Vitamin B12 and Folic Acid
8
How many lobes those the Undritz Anomaly have?
4
9
It is characterized by: ○ Leukopenia ○ Giant platelets ○ Gray-blue spindle-shaped inclusions in the cytoplasm of the granulocytes and monocytes
MAY-HEGGLIN ANOMALY
10
Abnormally large azurophilic granules resembling severe toxic granulation in the cytoplasm of granulocytes
ALDER-REILLY ANOMALY
11
Associated with a group of storage diseases “mucopolysaccharidosis”
ALDER-REILLY ANOMALY
12
Enumerate the Proper Function of a Granulocyte
Move randomly, Move directionally, Recognize and ingest the offending agent, Release their granule content
13
Who has problems in the movement?
Job’s Syndrome and Lazy Leukocyte Syndrome
14
This diseases has a random movement is normal but directional motility is impaired, thus cells respond very slowly to chemotactic agents.
JOB’S SYNDROME
15
Biblical job is known that the patient suffer from ______ and _____ staphylococcal abscesses
persistent boils and recurrent “cold” staphylococcal abscesses
16
A disease that both random and directed movement of the cells are defective
LAZY LEUKOCYTE SYNDROME
17
Studies suggest that cells in lazy leukocyte syndrome contain ________
defective actin filaments
18
Neutropenia is consistent finding, Low-grade fever, Recurrent infections (gums, mouth, and ears)
LAZY LEUKOCYTE SYNDROME
19
Inability to kill microorganisms secondary to a failure of granule release
CHEDIAK-HIGASHI SYNDROME
20
First recognized because of the presence of giant cytoplasmic granules in the phagocytes and lymphocytes
CHEDIAK-HIGASHI SYNDROME
21
What are the 6 species that affects Chediak-Higashi Syndrome?
man, mink, cattle, mice, cats, and killer whales
22
Basic defect in Chediak-Higashi Syndrome
Golgi Complex (packaging)
23
It has Partially albinism, More susceptible to infectious agents, Hepatosplenomegaly, liver failure lymphadenopathy (later stages)
CHEDIAK-HIGASHI SYNDROME
24
WHAT ARE THE MODE/S OF INHERITANCE OF CHRONIC GRANULOMATOUS DISEASE?
Sex-linked and Autosomal recessive
25
Condition in which phagocytes ingest but cannot kill catalase positive organisms
CHRONIC GRANULOMATOUS DISEASE LAZY LEUKOCYTE SYNDROME
26
Recurrent chronic pyogenic infections, Healing accompanied by granuloma formation, Recurrent pneumonia (often caused of death)
CHRONIC GRANULOMATOUS DISEASE
27
ACUTE MYELOID LEUKEMIA (AML) is also known as?
Acute Nonlymphocytic Leukemia (ANLL)
28
All are (+) Auer rods, except:
M3
29
Most common subtype of AML
M2
30
2nd most common AML
M4
31
All are Myelocytic, except:
M5
32
Naegeli leukemia
M4
33
Di Guglielmo Syndrome
M6
34
Erythrocytic, Myelocytic
M6
35
Predominance of megakeryoblasts
M7
36
What abnormal chromosome known in CML?
philadelphia chromosome
37
○ Increased WBC count >50,000/uL (same as leukemoid reaction) ○ Decreased LAP score ○ Basket Cells may be observed
CHRONIC MYELOID LEUKEMIA (CML)
38
POLYCYTHEMIA VERA is also known as?
Primary Polycythemia
39
POLYCYTHEMIA VERA: Erythrocyte count: ___ in women and ____ in men
Erythrocyte count: >5.9 x 10^12/L in women and 6.6 x 10^12/L in men
40
○ Erythrocyte count is high ○ Leukocytosis ○ Thrombocytosis
POLYCYTHEMIA VERA
41
What is the treatment in POLYCYTHEMIA VERA?
Phlebotomy
42
Characterized by thrombocytosis: >1,000 x 10^9/L
ESSENTIAL THROMBOCYTHEMIA
43
○ Seen in all age groups (most patients between 50-60 years old) ○ Headaches, vertigo, ringing in the ears, blurred vision, itching eyes, thrombotic events ○ Ruddy cyanotic (reddish-purple appearance)
POLYCYTHEMIA VERA (PV)
44
Clinical Presentation: Epistaxis, vomiting of blood, easy bleeding after minor dental surgery, GI bleeding
ESSENTIAL THROMBOCYTHEMIA
45
ESSENTIAL THROMBOCYTHEMIA cause ____
JAK2 gene mutation
46
Secondary or Reactive Thrombocythemia is cause by ____
Infections, Splenectomy
47
It is the most common malignant disease in children
ACUTE LYMPHOBLASTIC LEUKEMIA
48
It is most common type of ALL; best prognosis
L1
49
Cell size: Small Chromatin: Homogenous Nuclear Shape: Regular Nucleoli: Not Visible
L1
50
Cell size: Larhe Chromatin: Heterogenous Nuclear Shape: Irregular Nucleoli: One or more present
L2
51
Cell size: Large Chromatin: Homogenous Nuclear Shape: Regular Nucleoli: One or more present
L3
52
Most common form of leukemia in adults
CHRONIC LYMPHOBLASTIC LEUKEMIA (CLL)
53
Involves mostly B cells, rarely T cells
CHRONIC LYMPHOBLASTIC LEUKEMIA (CLL)
54
Increased in SMUDGE CELLS because cells are more fragile than normal, thus rupture during blood smear prep
CHRONIC LYMPHOBLASTIC LEUKEMIA (CLL)
55
Absolute lymphocytosis (>15,000/uL) of the blood and bone marrow only
Stage 0
56
RAI CLASSIFICATION OF CLL
RAI CLASSIFICATION OF CLL
57
large lymphoid cells with vesicular multilobed nuclei
Popcorn cell
58
large lymphoid cells with bilobed nucleus and eosinophilic nucleoli (owl’s eye)
Classical HL (+) Reedsternberg cell
59
(+) Popcorn cell
Nodular Lymphocyte-Predominant HLi
60
Most common HL
Nodular sclerosis
61
Best prognosis HL
Lymphocyte-rich
62
Least common; worst prognosis HL
Lymphocyte-depleted
63
● Proliferation of malignant lymphocytes that are arrested at certain stages of maturation ● Primarily neoplasms of B cells ● Unknown cause ● Spreads in a less predictable way ● Associated with EBV and HTLV-1
NON-HODGKIN’S LYMPHOMA