Leukaemia Flashcards

1
Q

For which is there better treatment available? Chronic myeloid leukaemia or chronic myelomonocytic leukaemia

A

Chronic myelomonocytic leukaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

How do Hairy cell leukaemic cells appear?

A

They possess hair cell projections from their cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

What does imatinib target?

A

BCR-ABL - a fusion gene that drives the leukaemic process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are Auer rods?

A

Clumps of azurophilic granular material that form elongated needles seen in the cytoplasm of leukaemic blasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is radiotherapy used for leukaemia treatment?

A

To ablate tumour masses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The myeloblast is a progenitor for which leukocytes?

A

Eosinophils

Basophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In which type of leukaemia are Auer rods found?

A

Acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which has a better survival rate, acute or chronic myeloid leukaemia?

A

Chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The L-blast is the progenitor for which leukocyte?

A

Lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most common mechanism of causing the mutations that lead to leukaemia?

A

Chromosomal translocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The myelocyte is a progenitor for which leukocyte?

A

Neutrophil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the consequence of accumulation of immature blasts?

A

Block capillaries to block oxygenation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What don’t you necessarily treat chronic leukaemia patient if the disease it at an early stage?

A

Because the treatments are very toxic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some common symptoms of leukaemia?

A

Lymphenopathy

Fatigue, loss of appetite

Weight loss, fever, frequent infection

SOB

Weakness

Splenomegaly

Purplish patches or spots

Easy bleeding and bruising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are smear cells? What are they pathonemonic of?

A

Smear of cells damaged in

Characteristic of chronic lymphocytic leukaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the cells of the erythropoiesis pathway?

A

Proerythroblast > Early erythroblast > Intermediate erythroblast > Late erythroblast > Polychromatic erythrocyte > Mature erythrocyte

16
Q

How do acute leukaemic cells appear?

A

Abnormal looking blasts

Sometimes with Auer rods and granules

18
Q

What cells are presence in a smear from a patient with chronic myeloid leukaemia?

A

Mature WBCs

Increased neutrophils, basophils and eosinophils

19
Q

What type of transplants are used for treatment of leukaemia?

A

Autologous haemapoietic stem cells

Allogenic if autologous fail or there isn’t enough time

20
Q

What are the main predisposing factor for acute leukaemia?

A

The are mostly unknown but:

Environmental factor eg radiation benzene

Acquired diseases eg clonal myeloid diseases

Inherited conditions eg Down’s