Chapter 13 - Disease of the WBCs, etc Flashcards

1
Q

All of the following are TRUE about Non-Hodgkin Lymphomas EXCEPT:

A. Most often localized
B. Noncontiguous spread
C. Waldeyer ring and mesenteric nodes involved
D. Extranodal presentation common

A

A. Most often localized

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2
Q

According to the WHO classification of Hodgkin lymphoma, which of the following is the most common subtype?

A. Nodular sclerosis
B. Mixed cellularity
C. Lymphocyte-rich
D. Lymphocyte depletion
E. Nodular lymphocyte predominant
A

A. Nodular sclerosis = stage I or II

MC = stage III or IV; males

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3
Q

Which of the following cells are diagnostic of Hodgkin Lymphoma?

A. Large B-cells
B. Reed-Sternberg cells
C. Tubercle cells
D. Carbuncle cells

A

B. Reed-Sternberg cells

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4
Q

What stage of Hodgkin and non-Hodgkin lymphoma involves single lymph node region?

A. I
B. II
C. III
D. IV

A

A. I

II = 2 or more
III = both sides of diaphragm
IV = diffuse / extralymphatic
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5
Q

At least how much of myeloid blasts must be present to diagnose AML?

A. 10%
B. 20%
C. 30%
D. 40%

A

B. 20%

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6
Q

What type of leukemia has the presence of BCR-ABL gene?

A. AML
B. ALL
C. CML
D. CLL

A

C. CML

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7
Q

Philadelphia chromosome is translocation b/w what chromosomes?

A. 11 and 22
B. 9 and 22
C. 5 and 7
D. 9 and 17

A

B. 9 and 22

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8
Q

Histiocytosis is a proliferative disorder of what type of cells?

A. Monocytes
B. Dendritic cells
C. Lymphocytes
D. Neutrophils

A

B. Dendritic cells

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9
Q

This is also seen in DiGeorge syndrome which is marked by severe defects in cell-mediated immunity
and variable abnormalities of parathyroid
development

A. Thymic hypoplasia
B. Thymic hyperplasia
C. Isolated thymic cysts
D. Thymoma

A

A. Thymic hypoplasia

Thymic hyperplasia = encountered in MG; “follicular hyperplasia”

Isolated thymic cysts = postmortem / surgery

Thymoma = tumor

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10
Q

Most of the thymic carcinoma are ________

A. Small cell carcinoma
B. Squamous cell carcinoma
C. Stratified cell carcinoma
D. Cuboidal cell carcinoma

A

B. Squamous cell carcinoma

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11
Q

Most of the thymomas arise in the ________

A. Anterior superior mediastinum
B. Anterior inferior mediastinum
C. Posterior superior mediastinum
D. Posterior inferior mediastinum

A

A. Anterior superior mediastinum

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12
Q

What type of thymoma is cytologically benign and
penetrates through the capsule into surrounding
structures?

A. Noninvasive thymoma
B. Invasive thymoma
C. Thymic carcinoma
D. All of the above

A

B. Invasive thymoma

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13
Q

CML usually presents which of the following blood results?

A. Leukopenia
B. Leukocytosis
C. Neutropenia
D. Thrombocytopenia

A

B. Leukocytosis

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14
Q

What subtype of Hodgkin Lymphoma is CD 15+ and CD30+?

A. Nodular sclerosis 
B. Mixed cellularity
C. Lymphocyte-rich
D. Lymphocyte-depletion
E. All of the above
A

E. All of the above

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15
Q

Presence of Birbeck granules are seen in what disease?

A. AML
B. CML
C. LCH
D. CLL

A

C. LCH

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16
Q

Auer rods are seen in what type of disease?

A. AML
B. CML
C. ALL
D. CLL

A

A. AML

17
Q

This refers to the enlargement of the spleen that occurs in any blood-borne infection

A. Nonspecific acute splenitis
B. Specific chronic splenitis
C. Congestive splenomegaly
D. Splenic infarcts

A

A. Nonspecific acute splenitis

Congestive = venous flow obstruction

infarcts = cirrhosis