Hematology: Acute Myeloid Leukemia

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Questions and Answers

What is the characteristic chromosomal abnormality associated with chronic myeloid leukemia (CML)?

  • t(9; 22) (q11; q34) translocation (correct)
  • t(22; 11) (q9; q34) translocation
  • t(22; 9) (q34; q11) translocation
  • t(11; 22) (q34; q9) translocation

Which symptoms are commonly associated with chronic myeloid leukemia?

  • Tachycardia, pallor, and decreased leukocyte count
  • Weight loss, anorexia, and splenomegaly (correct)
  • Visual disturbances, hypotension, and hyperuricemia
  • Weight gain, euphoria, and decreased platelet count

What is the male to female ratio in chronic myeloid leukemia?

  • 3 : 1
  • 2 : 1
  • 1 : 2
  • 1.4 : 1 (correct)

What is the most frequently affected age group in chronic myeloid leukemia?

<p>40-60 years (C)</p> Signup and view all the answers

Which laboratory finding is characteristic of chronic myeloid leukemia?

<p>Increased circulating basophils (C)</p> Signup and view all the answers

What is the gene fusion associated with chronic myeloid leukemia?

<p>BCR - ABL1 fusion (C)</p> Signup and view all the answers

What type of stem cells are affected in chronic myeloid leukemia?

<p>Pluripotent stem cells (D)</p> Signup and view all the answers

Which translocation results in the Ph chromosome in chronic myeloid leukemia?

<p>(9; 22) (q34; q11) (C)</p> Signup and view all the answers

In what percentage of cases is the BCR - ABL1 gene fusion present in chronic myeloid leukemia?

<p>~90% (A)</p> Signup and view all the answers

What is the most common form of acute leukemia in adults?

<p>Acute myeloid leukemia (B)</p> Signup and view all the answers

At what age does acute myeloid leukemia become increasingly common?

<p>65 years (C)</p> Signup and view all the answers

What is the typical presentation of anemia in acute myeloid leukemia?

<p>Normochromic normocytic anemia (C)</p> Signup and view all the answers

What is typically observed in the blood film examination of acute myeloid leukemia?

<p>Variable numbers of blast cells (B)</p> Signup and view all the answers

What is the typical characteristic of blast cells in acute myeloid leukemia?

<p>Contain prominent granules or multiple Auer rods (D)</p> Signup and view all the answers

Which tests are often positive in patients with the promyelocytic variant of AML?

<p>DIC tests (C)</p> Signup and view all the answers

What are used to classify the majority of cases of AML?

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

How are chronic leukemias distinguished from acute leukemias?

<p>By their slower progression (A)</p> Signup and view all the answers

Which genes are commonly affected by cytogenetic abnormalities in AML?

<p>Core binding factor genes CBF α or CBF β (C)</p> Signup and view all the answers

What is typically revealed by biochemical tests in AML before treatment begins?

<p>Raised uric acid or lactate dehydrogenase (A)</p> Signup and view all the answers

What is the defining characteristic of macrocytic anemia?

<p>Abnormally large red blood cells (B)</p> Signup and view all the answers

Which vitamin deficiency can cause defective DNA synthesis and lead to megaloblastic anemia?

<p>Vitamin B12 (D)</p> Signup and view all the answers

How is vitamin B12 acquired by animals?

<p>By consuming other animal foods (B)</p> Signup and view all the answers

What is the glycoprotein that combines with vitamin B12 to facilitate its absorption?

<p>Intrinsic factor (IF) (D)</p> Signup and view all the answers

Which type of food does not naturally contain vitamin B12?

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

What is the main effect of a deficiency in folate or vitamin B12 on red blood cells?

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

What is the specific surface receptor for IF that can bind to the IF-B12 complex?

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

What protein directs the endocytosis of the cubilin IF-B12 complex in the distal ileum?

<p>Amnionless (D)</p> Signup and view all the answers

Which plasma-binding protein delivers B12 to bone marrow and other tissues?

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

What is the coenzyme for methionine synthase, responsible for methylation of homocysteine to methionine?

<p>Transcobalamin (C)</p> Signup and view all the answers

What is thought to cause megaloblastic anemia by inhibiting thymidylate synthesis?

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

Which deficiency can cause a progressive neuropathy affecting the peripheral sensory nerves and posterior and lateral columns?

<p>Transcobalamin (C)</p> Signup and view all the answers

What does deficiency in the mother predispose to in the fetus?

<p>Neural tube defect (A)</p> Signup and view all the answers

What is typically used for the treatment of B12 deficiency?

<p>Hydroxocobalamin injections (D)</p> Signup and view all the answers

How are dietary folates converted once inside the cell?

<p>They are converted to folate polyglutamates (D)</p> Signup and view all the answers

What results from increased ineffective erythropoiesis in the bone marrow?

<p>Jaundice (D)</p> Signup and view all the answers

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