White Blood Cells Overview

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Questions and Answers

Which white blood cell type is primarily responsible for fighting pathogens?

  • Basophils
  • Eosinophils
  • Lymphocytes
  • Neutrophils (correct)

What condition is characterized by an increased number of lymphocytes?

  • Lymphopenia
  • Leukocytopenia
  • Lymphocytosis (correct)
  • Hyperleukocytosis

What is the primary function of eosinophils in the immune response?

  • Fighting bacterial infections
  • Promoting blood clotting
  • Regulating temperature
  • Controlling allergic responses (correct)

What is the most common type of leukemia in children?

<p>Acute Lymphocytic Leukemia (ALL) (B)</p> Signup and view all the answers

Which symptom is NOT typically associated with leukemia?

<p>Shortness of breath (B)</p> Signup and view all the answers

Which drug specifically targets the BCR-ABL fusion gene in Chronic Myeloid Leukemia (CML)?

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

What is characterized by a low number of leukocytes?

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

Which type of leukocyte is primarily involved in inflammatory reactions by releasing heparin and histamine?

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

In which type of leukemia are there often increased numbers of mature but dysfunctional lymphocytes?

<p>Chronic Lymphocytic Leukemia (CLL) (A)</p> Signup and view all the answers

What condition can lead to leukocytosis as a normal physiological response?

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

Which cells are primarily responsible for Hodgkin Lymphoma?

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

What is a common symptom associated with Hodgkin Lymphoma?

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

What differentiates Non-Hodgkin Lymphoma from Hodgkin Lymphoma?

<p>Presence of chromosomal translocations (B)</p> Signup and view all the answers

Burkitt Lymphoma is categorized under which type of lymphoma?

<p>B cell Non-Hodgkin Lymphoma (B)</p> Signup and view all the answers

What does the acronym CRAB stand for in the context of Multiple Myeloma?

<p>Calcium, Renal insufficiency, Anemia, Bone lesions (B)</p> Signup and view all the answers

What is a treatment option for Multiple Myeloma?

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

Which viral infection is associated with Burkitt Lymphoma?

<p>Epstein Barr Virus (D)</p> Signup and view all the answers

In Multiple Myeloma, what do malignant plasma cells increase the production of?

<p>M-protein (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Non-Hodgkin Lymphoma?

<p>Is exclusively a childhood disease (A)</p> Signup and view all the answers

Which of the following conditions involves the destructive breakdown of bone tissue?

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

Flashcards

Leukocytosis

A high number of white blood cells (WBCs) in the blood.

Leukocytopenia

A low number of white blood cells (WBCs) in the blood.

Acute Lymphocytic Leukemia (ALL)

Fast-growing cancer of the blood, starting with immature blood cells in bone marrow.

Chronic Lymphocytic Leukemia (CLL)

Slow-growing cancer of the blood, affecting mature but dysfunctional lymphocytes, often affecting elderly people.

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Acute Myeloid Leukemia (AML)

Fast-growing cancer of the blood, starting with immature blood cells and often affecting neutrophils(granulocytes).

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Chronic Myeloid Leukemia (CML)

Slow-growing cancer of the blood, affecting mature but dysfunctional granulocytes, often neutrophils.

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Philadelphia Chromosome

A genetic abnormality causing leukemia (CML), formed by breaks in chromosomes 9 and 22.

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Gleevac

A drug that targets the BCR-ABL fusion gene, effectively treating chronic myeloid leukemia (CML).

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Infectious Mononucleosis

A viral infection, often called "mono," often affecting B lymphocytes.

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Lymphocytes

A type of white blood cell (WBC), responsible for producing B and T cells, essential part of the immune system.

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Hodgkin Lymphoma cause

Caused by Reed-Sternberg cells, which are malignant B cells.

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Hodgkin Lymphoma symptom pattern

Accumulates in the upper body; symptoms include fever, weight loss, night sweats, and pruritus.

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Non-Hodgkin Lymphoma key feature

Does NOT have Reed-Sternberg cells.

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Non-Hodgkin Lymphoma causes

Linked to chromosome translocations, viral and bacterial infections, environmental factors, immunodeficiencies, and autoimmune disorders.

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Multiple Myeloma cause

Malignant plasma cells accumulate in bone marrow and produce M-protein.

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Multiple Myeloma CRAB symptoms

Characterized by elevated calcium (C), renal insufficiency (R), anemia (A), and bone lesions (B).

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Multiple Myeloma treatment (example)

Thalidomide inhibits DNA synthesis.

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Burkitt Lymphoma type

A common type of Non-Hodgkin lymphoma.

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Epstein Barr Virus (EBV) link

EBV found in nose secretions, linked to production abnormal B lymphocytes.

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Rituximab

A treatment for Non-Hodgkin's lymphoma.

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Study Notes

White Blood Cells (Leukocytes)

  • Granulocytes (60-65% of WBCs):
    • Neutrophils: Primary pathogen fighters.
    • Eosinophils: Control allergic responses, fight parasites (1-3%).
    • Basophils: Inflammatory reactions (allergy), release heparin and histamine (0.3-0.5%).
  • Agranulocytes:
    • Lymphocytes: Produce B and T cells.
      • Lymphocytosis: High lymphocyte count.
      • Lymphopenia: Low lymphocyte count.
      • B cells: Produce antibodies.
      • T cells: CD4+ and CD8+ immune response, crucial for immunity.
        • Infectious Mononucleosis (Mono): Viral infection targeting B lymphocytes, often called "the kissing disease."
          • Symptoms: fever, sore throat, increased lymphocytes, atypical lymphocytes.
          • Caused by Epstein-Barr virus.
          • Resolves in 1-4 weeks with OTC analgesics.

Leukocyte Alterations

  • Leukocytosis: High white blood cell count.
  • Leukocytopenia: Low white blood cell count, reduced ability to fight infection.
  • Causes: physiologic stressors, malignancy/cancer, HIV.
  • Important: Look at cell characteristics, not just count.

Leukemia

  • 4 types:
    • Acute Lymphocytic Leukemia (ALL): Fast-growing, immature (blast) cells from bone marrow, fail to mature in blood. Most common in children.
    • Chronic Lymphocytic Leukemia (CLL): Slow-growing, increased production of mature, dysfunctional lymphocytes, observed in B cells. Can progress to acute. Common in elderly, watch and wait approach.
    • Acute Myeloid Leukemia (AML): Fast-growing, lots of blasts in blood, cancerous WBCs (most common neutrophils).
    • Chronic Myeloid Leukemia (CML): Slow-growing, increased numbers of mature, dysfunctional leukocytes, cancerous WBCs (most common neutrophils), watch and wait approach

Leukemia Symptoms

  • Weight loss
  • Petechiae (purplish skin patches) - disruption of platelet function.
  • Bleeding gums, hypertrophy.
  • Bone/joint pain
  • Fever, night sweats
  • Enlarged liver/spleen

Leukemia Treatment

  • Chemotherapy
  • Radiation
  • Monoclonal antibodies

Philadelphia Chromosome

  • Crucial for Chronic Myeloid Leukemia (CML)
  • Formed from breaks in chromosomes 9 & 22 that fuse creating a BCR-ABL gene fusion.
  • Leads to the development of Gleevec (treatment).

Gleevec

  • Targets BCR-ABL, selectively killing cancer cells with the fusion gene.
  • Improves CML prognosis.

Lymphomas

  • Hodgkin Lymphoma: Caused by Reed-Sternberg cells (malignant B cells), accumulating in upper body. Symptoms: fever, weight loss, night sweats, pruritus.
  • Non-Hodgkin Lymphoma: No Reed-Sternberg cells. Tumors throughout the body, linked to chromosome translocations, viral/bacterial infections, environmental factors, immunodeficiencies, autoimmune disorders. Affects B cells, T cells, and NK cells. Burkitt lymphoma common type

Multiple Myeloma (CRAB)

  • Caused by malignant plasma cells, accumulating in bone marrow. Produce M-protein, leading to increased osteoclastic bone destruction.
  • CRAB:
    • C: Calcium elevated
    • R: Renal insufficiency (M-protein/Bence Jones protein accumulation)
    • A: Anemia
    • B: Bone lesions/fractures

Multiple Myeloma Treatment

  • Thalidomide: Inhibits DNA synthesis.

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