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CML & PV Hema

Total questions: 14

Worksheet time: 14mins

Name
Class
Date
1.

A peripheral blood film that shows increased neutrophils, basophils, eosinophils, and platelets is highly suggestive of:

a)

AML

b)

CML

c)

MDS

d)

Multiple myeloma

2.

Which of the following chromosome abnormalities is associated with CML?

a)

t (15;17)

b)

t (8;14)

c)

t (9;22)

d)

Monosomy 7

3.

A patient has a platelet count of 700 X 109 /L with abnormalities in the size, shape, and granularity of platelets; a WBC count of 12 X 109 /L; and hemoglobin of 11 g/dL. The Philadelphia chromosome is not present. The most likely diagnosis is

a)

PV

b)

ET

c)

CML

d)

Leukemoid reaction

4.

The peripheral blood in PV typically manifests:

a)

Erythrocytosis only

b)

Erythrocytosis and thrombocytopenia

c)

Erythrocytosis, thrombocytosis, and granulocytosis

d)

Anemia and thrmbocytopenia

5.

The most common mutation found in patients with primary PV is:

a)

BCR - ABL1

b)

Philadelphia chromosome

c)

JAK2 V617F

d)

t (15;17)

6.

A patient in whom CML has previously been diagnosed has circulating blasts and promyelocytes that total 30% of leukocytes. The disease is considered to be in what phase?

a)

Chronic stable phase

b)

Accelerated phase

c)

Transformation to acute leukemia

d)

Temporary remission

7.

A patient has a WBC count 30 X 10^9 /L and the following WBC differential count:

Segmented neutrophils - 38%

Bands - 17%

Metamyelocytes - 7%

Promyelocytes - 10%

Eosinophils - 3%

Basophils - 5%

Which of the following test results would be helpful in determining whether the patient has CML?

a)

Nitroblue tetrazolium reduction product increased

b)

Myeloperoxidase increased

c)

Periodic acid - Schiff staining decreased

d)

FISH positive for BCR-ABLI fusion

8.

Complications of ET include all of the following except:

a)

Thrombosis

b)

Hemorrhage

c)

Seizures

d)

Infections

9.

Which of the following patterns is characteristic of the peripheral blood in patients with PMF?

a)

Teardrop-shaped erythrocytes, nucleated RBCs, immature granulocytes

b)

Abnormal platelets only

c)

Hypochromic erythrocytes, immature granulocytes, and normal platelets

d)

Spherocytes, immature granulocytes, and increased numbers of platelets

10.

this mutation is observed in 50% to 60% of patients with ET and PMF and contributes to the pathogenesis of the disorders

a)

JAK2 V617F

b)

PCM1-JAK2

c)

T315I

d)

PDGFRA

11.

The myelofibrosis associated with PMF is a result of:

a)

Apoptosis resistance in the fibroblasts of the bone marrow

b)

Impaired production of normal collagenase by the mutated cells

c)

Enhanced activity of fibroblasts as a result of increased stimulatory cytokines

d)

Increased numbers of fibroblasts as a result of cytokine stimulation of the pluripotential stem cells

12.

no longer considered an MPN and is divided into three subcategories

a)

Mastocytosis

b)

Microcytosis

c)

Leucocytosis

d)

Anisocytosis

13.

is currently treated with phlebotomy, hydroxyurea, and low-dose aspirin; and in the future JAK2 inhibitors will be a treatment alternative.

a)

ET

b)

PV

c)

AML

d)

CML

14.

Approximately 4% of CML patients given ______ as firstline therapy develop imatinib resistance.

a)

asciminib

b)

retinoic acid

c)

indirubin

d)

imatinib