Exam 33: Myeloproliferative Neoplasms

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A patient has a normal white blood count,a moderately high platelet count,and mild anemia.The differential shows immature granulocytes,nucleated red cells,and teardrop-shaped red cells.Which of the following is most likely?

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C

A patient has a platelet count of 1200 × 10⁹/L.Many platelets are giant and have abnormal shapes.A mild anemia is present.The bone marrow has increased megakaryocytes in clusters;iron stores are present.Which of the following is most likely?

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A

Although found in most chronic myeloproliferative disorders,increased fibrosis detected by the silver techniques and trichrome stain is the key feature of

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D

Which of the following would be an unexpected finding in chronic myelogenous leukemia?

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The Janus kinase (JAK)mutation is seen in more than 90% of cases of what disease?

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A patient has an increased red count,hemoglobin,and hematocrit.Which of the following features points to secondary polycythemia over polycythemia vera?

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All of the following are included in the chronic myeloproliferative disorders except

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The bone marrow fibrosis observed in primary myelofibrosis is due to

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What clinical feature is more often associated with essential thrombocytosis than with the other chronic myeloproliferative disorders?

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Chronic myelogenous leukemia often progresses to

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Which of the following is the most specific laboratory test to diagnose chronic myelogenous leukemia?

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Which of the following would be an unexpected finding in primary myelofibrosis?

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Which chronic myeloproliferative disorder is treated with imatinib mesylate (Gleevec),a drug that inhibits tyrosine kinase?

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Which of the following is true for chronic myelogenous leukemia?

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Which of the following is true for the mutated erythroid progenitors in polycythemia vera?

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Bone marrow or stem cell transplantation is the therapy of choice for patients younger than 55 years old with

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The Philadelphia chromosome

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A high red count,hemoglobin,and hematocrit are found in all of the following except

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Which of the following is an expected finding in polycythemia vera?

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What do all chronic myeloproliferative disorders share?

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