[LEC] UNIT 6 Myelodysplastic Syndrome Flashcards

1
Q

T or F: MDA is a group of morphological abnormalities seen among elderly px

A

T

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2
Q

T or F: MDS is heterogeneous, and it affects all cell lines

A

T

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3
Q

Abnormalities of MDS include

A

Refractory aenmia
smoldering leukemia
oligoblastic leukemia
preleukemia

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4
Q

Term coined by FAB in 1982

A

Myelodysplastic Syndrome

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5
Q

Newer classification of WHO is based on

A

Molecular
Cytogenetic
Immunological
morphological

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6
Q

Patients with MDs have an increased risk of
developing

A

AML

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7
Q

median age of MDS diagnosis

A

76

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8
Q

MDS is usually a consequence of

A

chemotherapy or radiation

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9
Q

MDS are described as what type of disorders

A

clonal hematologic disorders

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10
Q

T or F: MDS originate from the myeloid cell line

A

F

phenotypically normal HSC

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11
Q

CHIP

A

clonal hematopoiesis of indeterminate potential

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12
Q

Risk of transformation to MDS due to a complex of interaction

A

clonal hematopoiesis of indeterminate potential

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13
Q

Predisposition to MDS

A

Inherited BM failure syndromes

FA
DBA
SDA

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14
Q

Morphological findings: _______ BM w/ progressive _______

A

Normocellular; cytopenia

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15
Q

There can be ________ programmed cell death during the
early stage of the disease therefore, peripheral
cytopenias are evident

A

Increased

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16
Q

Transformation to leukemia is apparent when apoptosis is _______

17
Q

Defective development of RBCs
Dimorphic RBC population

A

Dyserythropoiesis

18
Q

observed in vit b12 and
folic acid deficiency anemia thus, their levels
must be determined

A

Oval microcytes

19
Q

levels and adequacy of stored iron

A

Hypochromic microcytes

20
Q

Observed in PB

A

poikilocytosis
basophilic stippling
howell jolly bodies
siderocytes

21
Q

Morphologic abnormalities in BM

A

dyserythropoiesis
dysmyelopoiesis
dysmegakaryotoiesis

22
Q

Morphologic abnormalities in PB

A

dysmyelopoiesis
dysmegakaryopoiesis

23
Q

T or F: Micromegakaryocyte may be present in PBS

24
Q

Abnormal cellular fxn: WBC

A

Decreased adhesion, deficient phagocytosis
Decreased chemotaxis, impaired microbicidal capacity

25
Abnormal cellular fxn: RBC
Shortened life span Decrease response to EPO causing anemia
26
Abnormal cellular fxn: PLT
Increased bleeding despite normal platelet count
27
basis of FAB classification
Morphology
28
FAB classification of MDS
RA RARS RAEB CMML RAEB-t
29
WHO classification of MDS
MDS with single lineage dysplasia (MDS-SLD) MDS with ring sideroblasts (MDS-RS) MDS with multilineage dysplasia (MDS-MD) MDS with excess blasts (MDS-EB) Myelodysplastic syndrome with isolated del(5q) Myelodysplastic syndrome, unclassifiable Childhood myelodysplastic syndrome