Week 2 - Hematologic Neoplasms Quiz
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Questions and Answers

Which of the following is the most common site for lymph node enlargement in Hodgkin Disease?

  • Nodes below the diaphragm
  • Cervical nodes (correct)
  • Inguinal nodes
  • Bone marrow
  • What does the 'B' modifying characteristic refer to in the Ann Arbor staging system?

    Symptoms present at time of staging

    Localized tumors are most commonly treated with ______ therapy.

    radiation

    Which of the following best describes leukemias?

    <p>Circulating tumors primarily involving blood and bone marrow. (C)</p> Signup and view all the answers

    Lymphomas are characterized by their tendency to remain localized in lymph tissues and are rarely disseminated at diagnosis.

    <p>False (B)</p> Signup and view all the answers

    What is the primary cell type that undergoes malignant transformation in plasma cell myeloma?

    <p>B-cell plasma cells</p> Signup and view all the answers

    The myeloid lineage includes red blood cells, platelets, monocytes, and __________.

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

    Which category of hematologic neoplasms includes B cells, T cells, and natural killer (NK) cells?

    <p>Lymphoid lineage (A)</p> Signup and view all the answers

    Match the following characteristics with the correct type of malignant disorder:

    <p>Leukemia = Disseminated circulating tumors Lymphoma = Tends to localize in lymph tissues, often disseminated at diagnosis Plasma cell myeloma = Malignant B-cell plasma cells, localized tumors</p> Signup and view all the answers

    In hematologic neoplasms, the classification is based on the _____ of the neoplasm.

    <p>cell type</p> Signup and view all the answers

    What is the optimal initial therapy for Plasma Cell Myeloma?

    <p>Autologous stem cell transplant (B)</p> Signup and view all the answers

    Hodgkin disease is more common in females and also has a worse prognosis for them.

    <p>False (B)</p> Signup and view all the answers

    What type of cells characterize Hodgkin disease?

    <p>Reed-Sternberg cells</p> Signup and view all the answers

    Hodgkin disease usually metastasizes along contiguous __________ pathways.

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

    Approximately what percentage of malignant lymphomas does Hodgkin disease represent?

    <p>30% (A)</p> Signup and view all the answers

    The histologic pattern of Hodgkin disease is a strong predictor of prognosis.

    <p>False (B)</p> Signup and view all the answers

    What virus is frequently found in the genome of transformed Reed–Sternberg cells?

    <p>Epstein-Barr virus</p> Signup and view all the answers

    The classical type of Hodgkin disease accounts for approximately _____ % of diagnoses.

    <p>95</p> Signup and view all the answers

    What is the overall 5-year survival rate for all stages of treated Hodgkin disease?

    <p>85% (A)</p> Signup and view all the answers

    What is a characteristic of malignant plasma cells in multiple myeloma?

    <p>They produce excessive identical monoclonal antibodies. (A)</p> Signup and view all the answers

    Bence Jones proteins are heavy-chain antibody fragments.

    <p>False (B)</p> Signup and view all the answers

    What is the typical range of plasma cell occupation in bone marrow that confirms a diagnosis of multiple myeloma?

    <p>30%-95%</p> Signup and view all the answers

    The accumulation of Bence Jones proteins in the blood and urine can help to _________ the diagnosis of multiple myeloma.

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

    Match the following diagnostic findings with their clinical implications in multiple myeloma:

    <p>Monoclonal antibody peak = Excessive production of identical antibodies Bence Jones protein = Light chain antibody fragments in blood and urine Hypercalcemia = Increased calcium levels in the blood due to bone destruction Bone lesions = Damage and destruction of bone tissue</p> Signup and view all the answers

    What is a common consequence of bone destruction in multiple myeloma?

    <p>Hypercalcemia (B)</p> Signup and view all the answers

    Malignant plasma cells typically accumulate in the bloodstream, not in the bone.

    <p>False (B)</p> Signup and view all the answers

    What specific test is used to detect monoclonal antibodies in the bloodstream?

    <p>serum protein electrophoresis</p> Signup and view all the answers

    Pathological fractures are a common complication in multiple myeloma due to the accumulation of malignant plasma cells in the ________.

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

    What is the premalignant stage of plasma cell myeloma called?

    <p>Monoclonal gammopathy of undetermined significance (MGUS) (D)</p> Signup and view all the answers

    Bone pain is often the first symptom of plasma cell myeloma.

    <p>True (A)</p> Signup and view all the answers

    What percentage of individuals with MGUS progress to a malignant plasma cell disease?

    <p>25%</p> Signup and view all the answers

    Multiple myeloma diagnosis may occur when routine examination reveals high ______ levels.

    <p>serum calcium</p> Signup and view all the answers

    What is one common characteristic of bone involvement in plasma cell myeloma as seen on X-rays?

    <p>“Honeycomb” appearance (A)</p> Signup and view all the answers

    Autologous stem cell transplantation is not a considered treatment for plasma cell myeloma.

    <p>False (B)</p> Signup and view all the answers

    Which of the following is NOT typically associated with bone marrow depression in multiple myeloma?

    <p>Increased blood clotting (B)</p> Signup and view all the answers

    What is a major contributing factor to renal insufficiency in multiple myeloma?

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

    The presence of _______ in urine is a potential diagnostic indicator of plasma cell myeloma.

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

    Match the following factors with their potential association to renal complications in multiple myeloma:

    <p>Hyperproteinemia = Excessive protein levels in the blood, contributing to kidney stress Bence Jones protein = Light chain proteins that can damage kidney tubules Hypercalcemia = Elevated calcium levels contributing to kidney dysfunction Hyperuricemia = Elevated uric acid levels that may compromise renal function</p> Signup and view all the answers

    Flashcards

    Types of leukemia

    Types of leukemia differ based on malignant transformation processes.

    Acute vs Chronic leukemia

    Acute leukemia progresses quickly; chronic leukemia develops slowly.

    Bone marrow depression

    Malignant disorders of white blood cells lead to decreased bone marrow function.

    Hodgkin disease

    A type of lymphoma differentiated by clinical and histological features.

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    Staging of lymphomas

    Staging procedures assess the extent of lymphoma spread.

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    Plasma cell myeloma

    A cancer resulting from malignant transformation of B-cell plasma cells, forming tumors in bones.

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    Hematologic neoplasms classification

    Hematologic neoplasms are categorized by cell types: myeloid and lymphoid lineages.

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    Monoclonal Antibodies

    Identical antibodies produced by a single clone of plasma cells, characteristic of myeloma.

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    Bence Jones Protein

    Light-chain antibody fragments produced by malignant plasma cells; found in blood and urine.

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    Hypercalcemia

    Increased calcium in the bloodstream, often due to bone destruction in myeloma.

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    Bone Lesions

    Abnormal areas in bones caused by plasma cell accumulation, leading to fractures.

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    Serum Protein Electrophoresis

    A diagnostic test to detect specific proteins in blood, helping confirm myeloma.

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    Pathological Fractures

    Fractures occurring from bone damage due to myeloma, highlighting weakened bones.

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    Bone Marrow Biopsy

    A diagnostic procedure to examine plasma cells in the bone marrow for confirming myeloma.

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    Plasma Cell Accumulation

    Abnormal increase of plasma cells in bone marrow, essential for diagnosing myeloma.

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    Asymptomatic early stages

    Hodgkin Disease often shows no symptoms in the early phases.

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    Painless lymphadenopathy

    Swelling of lymph nodes without pain, common in Hodgkin Disease.

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    Ann Arbor staging system

    A classification system that stages Hodgkin Disease based on symptoms and node locations.

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    Stage A vs Stage B

    Stage A indicates no symptoms; Stage B indicates symptoms present.

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    Localized vs Disseminated disease

    Localized means confined to one area, disseminated means spread throughout the body.

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    Monoclonal Gammopathy of Undetermined Significance (MGUS)

    A premalignant condition with excess monoclonal antibodies but no symptoms.

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    Asymptomatic Phase of MGUS

    Period where individuals show no symptoms despite having MGUS.

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    Routes of Diagnosis for Myeloma

    Diagnosis may occur during routine examinations with protein in urine or high serum calcium.

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    First Symptom of Multiple Myeloma

    Bone pain is usually the first indicator of the disease.

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    Bone Marrow Depression Indicators

    Signs of low bone marrow activity include anemia, recurrent infections, and bleeding tendencies.

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    Renal Insufficiency in Myeloma

    50% of patients experience kidney issues due to various factors related to myeloma.

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    Honeycomb Appearance on X-Ray

    X-rays of affected bones show a 'honeycomb' pattern, indicating damage.

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    Prognosis for Multiple Myeloma

    Prognosis can vary with treatment, but often involves maintaining remission.

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    Stem Cell Transplantation

    A treatment option for multiple myeloma includes autologous stem cell transplantation.

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    Autologous stem cell transplant

    A procedure where a patient's own stem cells are used for treatment.

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    Renal dysfunction treatment

    Pharmacologic management to address kidney problems in patients.

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    Narcotic pain relievers

    Medications used for severe pain, derived from opium.

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    Reed–Sternberg cells

    Malignant cells that are characteristic of Hodgkin Disease.

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    Epstein–Barr virus

    A virus often found in Reed–Sternberg cells, linked to Hodgkin Disease.

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    5-year survival rate

    The percentage of patients alive five years after diagnosis or treatment.

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    Classical Hodgkin Disease

    The most common form of Hodgkin Disease, accounting for 95% of cases.

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    Lymphocyte predominance type

    A rare type of Hodgkin Disease affecting 5% of cases.

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