COPY: Haematological Malignancies - CML Overview
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Questions and Answers

What percentage of all leukaemias does Chronic Myeloid Leukaemia (CML) represent?

  • 15-20% (correct)
  • 5-10%
  • 25-30%
  • 40-50%
  • CML progresses faster than Acute Myeloid Leukaemia (AML).

    False

    What is the defining genetic abnormality associated with CML?

    Philadelphia chromosome

    CML is characterized by massive overproduction of __________ precursors.

    <p>myeloid</p> Signup and view all the answers

    Which laboratory parameter would typically indicate anaemia in CML?

    <p>Haemoglobin of 94 g/L</p> Signup and view all the answers

    Patients in the chronic phase of CML are typically asymptomatic.

    <p>True</p> Signup and view all the answers

    Name one common symptom of CML upon presentation.

    <p>Weight loss, splenomegaly, or pallor</p> Signup and view all the answers

    Match the lab parameters with their corresponding results in CML:

    <p>Haemoglobin = 94 g/L White Cell Count = 21 x 10^9/L Platelets = 119 x 10^9/L Eosinophils = 0.8 x 10^9/L</p> Signup and view all the answers

    The BCR-ABL fusion gene leads to __________ tyrosine kinase activity.

    <p>constitutive</p> Signup and view all the answers

    What causes the overproduction of myeloid cells in CML?

    <p>Acquired genetic change in stem cells</p> Signup and view all the answers

    What is the hallmark genetic change associated with Chronic Myeloid Leukaemia (CML)?

    <p>Philadelphia chromosome</p> Signup and view all the answers

    Stem cell transplant is considered a curative treatment for Chronic Myeloid Leukaemia (CML).

    <p>True</p> Signup and view all the answers

    What laboratory techniques are used for the diagnosis of CML?

    <p>FBC, blood film, bone marrow examination, PCR, cytogenetics</p> Signup and view all the answers

    Chronic Lymphocytic Leukaemia (CLL) is characterized by clonal proliferation of __________ cells found in the blood.

    <p>mature B</p> Signup and view all the answers

    Match the CLL stages with their corresponding life expectancy:

    <p>Stage A = 13 years Stage B = Varies Stage C = 2 years</p> Signup and view all the answers

    What is the normal reference range for haemoglobin levels?

    <p>120-170 g/L</p> Signup and view all the answers

    What is the first line treatment typically used for CML?

    <p>Tyrosine Kinase Inhibitors</p> Signup and view all the answers

    Lymphocytosis is indicated when the white cell count is within the normal range.

    <p>False</p> Signup and view all the answers

    Chronic Lymphocytic Leukaemia (CLL) can present with symptoms such as fatigue and swollen abdomen.

    <p>True</p> Signup and view all the answers

    What treatment combines Rituximab with chemotherapy for significant symptoms?

    <p>Rituximab + Chemotherapy</p> Signup and view all the answers

    What is the most common type of white cell malignancy?

    <p>Leukaemia</p> Signup and view all the answers

    Acute Myeloid Leukaemia typically has a slow onset.

    <p>False</p> Signup and view all the answers

    The most common leukaemia in the Western world is _____ .

    <p>CLL</p> Signup and view all the answers

    What are the two subcategories of Chronic Lymphocytic Leukaemia based on the immunoglobulin heavy chain variable region?

    <p>Unmutated and mutated</p> Signup and view all the answers

    What are the two classifications of leukaemia based on the maturity of cells?

    <p>Acute and Chronic</p> Signup and view all the answers

    Match the following laboratory tests to their results or findings:

    <p>FBC = Provides parameters like haemoglobin, red cell count, etc. Peripheral Blood Film = Presence of smudge cells Immunophenotyping = CD markers to identify cell types Cytogenetics = Identifies chromosomal abnormalities like del13q14</p> Signup and view all the answers

    The primary symptom of CLL that relates to the immune system is __________.

    <p>recurrent infections</p> Signup and view all the answers

    Which of the following markers is used in the immunophenotyping for CLL diagnosis?

    <p>CD19</p> Signup and view all the answers

    CML stands for _______.

    <p>Chronic Myeloid Leukaemia</p> Signup and view all the answers

    Which of the following is NOT a characteristic symptom of CLL?

    <p>Increased energy</p> Signup and view all the answers

    Match the leukaemia types with their characteristics:

    <p>Acute Myeloid Leukaemia = Rapid onset, immature cells Chronic Myeloid Leukaemia = Slow onset, more mature cells Acute Lymphoblastic Leukaemia = Rapid onset, immature cells Chronic Lymphocytic Leukaemia = Subclinical/incidental</p> Signup and view all the answers

    Corticosteroids are primarily used to treat CLL by improving immune response.

    <p>False</p> Signup and view all the answers

    Which statement describes the clinical features of chronic leukaemias?

    <p>They typically have a slow onset and may be asymptomatic.</p> Signup and view all the answers

    List one common symptom of CLL.

    <p>Anaemia, recurrent infections, weight loss, lymphadenopathy, hepatosplenomegaly</p> Signup and view all the answers

    Laboratory diagnosis is not important in the classification of leukaemias.

    <p>False</p> Signup and view all the answers

    Low antibody levels in CLL are assessed during _____ tests.

    <p>Biochemistry</p> Signup and view all the answers

    What should be done when symptoms become significant in CLL?

    <p>Administration of Rituximab and Chemotherapy</p> Signup and view all the answers

    Name one type of acute leukaemia.

    <p>Acute Myeloid Leukaemia (AML) or Acute Lymphoblastic Leukaemia (ALL)</p> Signup and view all the answers

    Chronic leukaemia is generally considered _______.

    <p>controllable</p> Signup and view all the answers

    Match the following terms with their corresponding leukaemia type:

    <p>CML = Chronic Myeloid Leukaemia AML = Acute Myeloid Leukaemia ALL = Acute Lymphoblastic Leukaemia CLL = Chronic Lymphocytic Leukaemia</p> Signup and view all the answers

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