MIELOMA Flashcards

1
Q

QUE ES EL MIELOMA

A

NEOPLASIA DE CELS PLASMATICAS

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2
Q

EDAD Y SEXO MAS FREC DEL MIELOMA

A

MASCULINOS ARRIBA DE 65 AÑOS

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3
Q

CLINICA DEL MIELOMA

A

DOLOR OSEO POR LESIONES OSTEOLITICAS EN SACABOCADO

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4
Q

ELECTROLITOS PRICNIPLAMENTE ALTERADO EN MIELO

A

HIPERCALCEMIA

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5
Q

PROTEINAS EN ORINA DE MIELOMA

A

BENCE JONES

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6
Q

CARACTE EN MO EN MIELOMA

A

MAS DE 10% DE CELS PLASMATICAS

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7
Q

CARAC EN ELECTROFORESIS EN MIELOMA

A

PICO ONOCLONAL

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8
Q

RAZA MAS FREC AFECTADA EN MIELOMA

A

RAZA NEGRA

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9
Q

DX ESCALONADO DE MIELOMA

A

HIPERGAMAGLOBULINEMIA….ELECTROFORESIS….BIOPSIA DE HUESO Y ASPIRADO DE MEDULA OSEA …CITOGENETICA

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10
Q

CARACT DEL PICO MONOCONAL EN SUERO PARA HACER DX

A

MAS DE 3G/DL DE IGG Y 3.5 EN IGA

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11
Q

TX EN MAYORES DE 70 AÑOS

A

TALIDOMIDA MAS PREDNISONA MAS MELFALAN

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12
Q

TX EN MENORES DE 70 AÑOS

A

BORTEZUMAB O TALIDOMINA O LENALIDOMIDA MAS DEXAMETASONA SEGUIDO DE AUTOTRANSPLANTE DE PROGENITORES HEMATOPOYE

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13
Q

CUAL ESQUEMA DE QUIMIO ES EL MAS EFICZ

A

LENALIDOMIDA MAS DEXAMETASONA

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14
Q

CUAL ESQUEMA DE QUIMIO ES EL MAS USADO EN BAJO RIESGO

A

TALIDOMIDA MAS DEXAMETASONA

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15
Q

TALIDOMIDA Y LINELOMIDA

A

AUEMTNAN EL RIESGO DE TROMBOISI

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16
Q

CUANDO ES DE ELECCION EL BORTEZUMAB

A

CUANDO HAY IR

17
Q

CON QUIEN HACES DIAGNOSTICO EN MIELOMA

A

CON GAMAPATIA MONOCLONAL EN ANCIANOS….NO CUMPLE EL CRIT DE PICO SERICO MONOCLONAL

18
Q

CARACT DE FONDO DE OJO EN MIELOMA

A

VASOS EN SALCHICHA POR HIPERVISCOSIDAD