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ENIGMA Pre-Test

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

The most common immunophenotypic finding in MPAL

a)

B/ myeloid

b)

T/ myeloid

c)

B/T lymphoblastic

d)

Trilineage co-expression

2.

True of mixed phenotype acute leukemia EXCEPT:

a)

CNS involvement are relatively infrequent

b)

There is no difference in survival between patients who underwent HSCT in first or second CR

c)

Blinatumomab and Donor lymphocyte infusion may be considered in relapsed MPAL patients

d)

Has bimodal age distribution

3.

Most sensitive test to detect myeloperoxidase

a)

Enzyme cytochemistry

b)

Flow cytometry

c)

IHC

d)

RT-PCR

4.

TRUE of Mixed phenotypic leukemia except:

a)

Median age at diagnosis is 20-30 years old

b)

Slight female predominance

c)

Incidence higher in adults than children

d)

Bimodal age distribution

5.

True in the treatment of mixed phenotypic leukemia until first remission

a)

Use ALL based regimen

b)

Use AML based regimen

c)

Use ALL based regimen followed by HSCT

d)

Use AML based regimen followed by HSCT

6.

Mutation in this signaling were previously described in the context of lineage switch from AML to T-ALL

a)

NOTCH1

b)

NOTCH2

c)

NOTCH3

d)

NOTCH4

7.

Diagnosis of Mixed phenotypic acute leukemia according to the European Group for Immunological characterization of Leukemias

a)

Score >1 for myeloid and/ lymphoid lineages

b)

Score >2

c)

Score >4

d)

Score > 6

8.

Treatment guidelines for MPAL is not clearly established

a)

TRUE

b)

FALSE

9.

Patients with Philadelphia positive (Ph+) MPAL who received TKIs had a significant reduction in the risk of death in comparison to Ph (-) MPAL patients

a)

TRUE

b)

FALSE

10.

Cases of CNS involvement are relatively frequent in MPAL

a)

TRUE

b)

FALSE