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10-3

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
EPO levels in Polycythemia Vera?   low (high would imply theres hypoxia...which there isnt)  
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what do you give for refractory pruritis in PV?   IFN-a  
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What Ig's are increased in multiple myeloma? What cell types are incrased?   IgG, IgA (IgM is Waldenstrom's Macroglobulinemia). Cell type= plasma cell  
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Bence Jones proteins are found in the urine of which dz?   Multiple Myeloma. B-J proteins = kappa/gamma light chains  
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What do serum protein levels look like in MM   total proteins are raised, but albumin is normal (IgG/IgA cause the protein increase)  
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HL age, and unique cell type? Most common type?   age = bimodal (young and elderly). unique cell= Reed Sternberg ((o)(o)). common type of HL= nodular sclerosing  
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Starry sky appearance is what dz? what chromosomal abnormality is present?   Burkitt Lymphoma (a type of NHL)..due to EBV infxn. t8;14  
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Chemo therapy in HL can lead to ________   secondary malignancy in breast/lung  
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Leukemia common in Downs?   ALL  
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what cell type precursors are present in ALL   B cell  
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myoloperoxidase postive blasts are found in ________   AML (duh, myeloid cells stain with MYELOperoxidase)  
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a-naphthylesterase+ implies ?   M5 variant of AML  
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smudge cells are found in ________   CLL  
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Chromosomal abn in CML?   9;22  
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What type of leukemia has blast crisis?   CML  
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drug used to treat CML?   imatinib (tyrosine kinase inh, since BCR-ABL is tyrosine kinase gene)  
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TRAP+ stain is in _______   hairy cell leukemia  
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tumor lysis causes __K+, ____Ca, ____PO4, ______uric acid   all raised except Ca (it binds the PO4)  
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Rx for anorexia caused by cancer?   Megestrol Acetate (progesterone derivative)  
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difference in cell's involved btwn Fanconi Anemia and Diamond Blackfan (both have a shitload of congenital malformations)   FA= all blood cells involved (hypocellular bone marrow). DBF= only RBCs  
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