Hematology II: Acute Lymphocytic Leukemia Quiz
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Questions and Answers

What is the main purpose of the lumbar puncture in the diagnosis of ALL?

  • To determine the number of normal blood cells
  • To detect the presence of the Philadelphia chromosome
  • To collect a sample of the spinal fluid for testing (correct)
  • To measure the percentage of blasts in the bone marrow

Which of the following is NOT a common symptom of acute lymphoblastic leukemia (ALL)?

  • Muscle cramps (correct)
  • Shortness of breath
  • Weight loss
  • Fever

What is the purpose of the molecular tests in the diagnosis of ALL?

  • To determine the number of normal blood cells
  • To detect genetic abnormalities associated with ALL (correct)
  • To measure the percentage of blasts in the bone marrow
  • To collect a sample of the cerebrospinal fluid

What is the significance of the Philadelphia chromosome in the diagnosis of ALL?

<p>It indicates a more aggressive form of the disease (B)</p> Signup and view all the answers

What is the purpose of the bone marrow aspiration and biopsy in the diagnosis of ALL?

<p>To measure the percentage of blasts in the bone marrow (D)</p> Signup and view all the answers

Which of the following is NOT a common imaging test used in the diagnosis of ALL?

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

What is the most common type of acute lymphoblastic leukemia?

<p>B-lymphoblastic leukemia/lymphoma (D)</p> Signup and view all the answers

Which of the following is NOT a common sign or symptom of acute lymphoblastic leukemia?

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

What percentage of leukemia cases in children under 15 years of age is represented by acute lymphoblastic leukemia?

<p>75% (C)</p> Signup and view all the answers

Which of the following is a key factor affecting the prognosis of acute lymphoblastic leukemia?

<p>Age of the patient (A)</p> Signup and view all the answers

What is the most common cause of acute lymphoblastic leukemia?

<p>Genetic error in an immature lymphocyte (B)</p> Signup and view all the answers

Which of the following is a morphological subtype of acute lymphoblastic leukemia based on the French-American-British (FAB) classification?

<p>L1, L2, or L3 (C)</p> Signup and view all the answers

Which of the following therapies is specifically mentioned as a treatment option for Philadelphia chromosome-positive (Ph+) ALL?

<p>Targeted therapy with a tyrosine kinase inhibitor, such as imatinib (C)</p> Signup and view all the answers

Which method of intrathecal chemotherapy is described in the figure?

<p>Injecting drugs into the CSF in the lower part of the spinal column (A)</p> Signup and view all the answers

According to the French-American-British (FAB) classification, which subtype of ALL has the highest frequency?

<p>L2 (60%) (C)</p> Signup and view all the answers

What is the key distinguishing feature among the L1, L2, and L3 subtypes of ALL mentioned in the text?

<p>The level of nucleoli conspicuousness in the lymphoblasts (D)</p> Signup and view all the answers

Which of the following statements about the epidemiology of ALL is true, according to the text?

<p>ALL occurs three times more frequently in Whites than in Blacks (D)</p> Signup and view all the answers

What is the reason provided in the text for the difference in ALL incidence between racial groups?

<p>No reason is provided (D)</p> Signup and view all the answers

Flashcards

Lumbar Puncture in ALL Diagnosis

Collecting spinal fluid for testing in acute lymphoblastic leukemia (ALL) diagnosis.

ALL Symptom - NOT muscle cramps

Muscle cramps are not a typical acute lymphoblastic leukemia symptom.

Molecular Tests in ALL

Tests to detect genetic abnormalities linked to ALL.

Philadelphia Chromosome in ALL

Indicates a more aggressive type of acute lymphoblastic leukemia.

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Bone Marrow Aspiration/Biopsy in ALL

Measuring blast percentage in bone marrow to diagnose ALL.

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MRI in ALL Diagnosis - NOT common

MRI isn't a typical imaging test used for ALL diagnosis.

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Most Common ALL Type

B-lymphoblastic leukemia/lymphoma is the most frequent ALL type.

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ALL Sign/Symptom - NOT fever

Fever is not a typical sign/symptom of acute lymphoblastic leukemia.

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ALL in Children (%)

Acute lymphoblastic leukemia accounts for 75% of leukemia cases in children under 15.

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ALL Prognosis Factor

Patient age is a key factor in predicting acute lymphoblastic leukemia outcome.

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Cause of ALL

A genetic error in immature lymphocytes is a common cause of acute lymphoblastic leukemia.

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Morphological subtype of ALL

L1, L2, and L3 are subtypes of acute lymphoblastic leukemia, categorized using the French-American-British (FAB) classification.

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Ph+ ALL Therapy

Targeted therapy with a tyrosine kinase inhibitor, like imatinib, is a specific treatment for Philadelphia chromosome-positive (Ph+) ALL.

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Intrathecal Chemotherapy Method

Injecting drugs into the cerebrospinal fluid (CSF) in the lower spinal column is a method of intrathecal chemotherapy.

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Most Frequent ALL FAB Subtype

L2 (60%) is the most common subtype according to the French-American-British (FAB) classification.

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Differentiating L1, L2, L3 ALL

The level of nucleoli conspicuousness in the lymphoblasts distinguishes L1, L2, and L3 subtypes of ALL.

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Study Notes

Diagnosis of Acute Lymphoblastic Leukemia (ALL)

  • Lumbar puncture aids in detecting CNS involvement and ensures accurate diagnosis of ALL.
  • Molecular tests help identify specific genetic alterations and assist in prognostic assessment.
  • Bone marrow aspiration and biopsy are performed to evaluate the extent of leukemic infiltration in the bone marrow.

Key Symptoms and Signs of ALL

  • Common symptoms of ALL include fatigue, fever, easy bruising, and bleeding.
  • Symptoms that are NOT typically associated with ALL should be identified for accurate diagnosis.

Philadelphia Chromosome

  • The presence of the Philadelphia chromosome is significant as it indicates a specific genetic mutation associated with a poorer prognosis in ALL.
  • Targeted therapies are available for Philadelphia chromosome-positive (Ph+) ALL.

Prevalence and Demographics

  • Acute lymphoblastic leukemia represents approximately 25% of all leukemia cases in children under 15 years of age.
  • The most common type of ALL is B-cell ALL, whereas T-cell ALL is less frequent.
  • Differences in ALL incidence between racial groups may be attributed to genetic, environmental, or socio-economic factors.

Morphological Subtypes

  • The French-American-British (FAB) classification of ALL includes three morphological subtypes: L1, L2, and L3.
  • Among these, the L1 subtype is the most common.

Prognostic Factors

  • Key factors affecting the prognosis of ALL include age at diagnosis, white blood cell count, and cytogenetic findings.
  • The most common cause of ALL remains unclear, although genetic predispositions and environmental factors play roles.

Imaging and Treatment

  • Common imaging tests used in ALL diagnosis may include X-rays, CT scans, and MRI; however, certain imaging modalities may not be relevant.
  • Intrathecal chemotherapy is often administered directly into the spinal canal to target CNS leukemia.

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Test your knowledge on Acute Lymphoblastic Leukemia (ALL) with this quiz. Covering the classification, prognosis factors, signs, symptoms, diagnosis, treatment, and morphological subtypes of ALL.

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