Exam 21: Myeloproliferative Disorders

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A known CML patient's blood is received in the lab for a routine CBC.The technologist counts 55% blasts in his smear.What is the most likely reason for this occurrence? The patient is in:

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C

Which of the following tests would help differentiate ET from other causes of thrombocytosis?

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B

CML is characterized by which of the following?

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A

The characteristic poikilocyte often seen in the peripheral blood of patients with CIMF that is indicative of extramedullary hematopoiesis is:

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The myeloproliferative disorder best described by increased leukocytes, immature granulocytes, and decreased LAP with the Philadelphia chromosome present is which of the following?

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Explain how a variant of CML is identified utilizing laboratory values.

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What cell appears to be the primary site for the defect in MPD?

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A 45-year-old patient visits his physician for a routine examination to address his hypertension.The patient has prominent splenomegaly and rosy cheeks.He is also a smoker.Lab values are: -EPO: elevated; -WBC count: 18.4 x 109/L4; -RBC count: 6.84 x 1012/L; -PLT count: 705 x109/L. Based on these findings, what would you expect to find in the bone marrow?

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A routine CBC is ordered on a patient.Results are as follows: -WBC count = 22.0 x 109/L -PLT count = 957 x 109/L -RBC count = 5.00 x 1012/L -PB smear = moderate platelet clumping and giant platelets noted These results are characteristic of which disorder?

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Which of the following test results is most consistent with a diagnosis of CIMF?

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Increased sensitivity to which cytokine(s) is thought to be partially responsible for the increased megakaryocyte proliferation of ET?

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Which of the following would be the best way to differentiate a myeloproliferative disorder from a myelodysplastic disorder?

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What is the first step in identifying a variant of CML?

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What is the role of PDGF in CIMF?

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A patient's CBC revealed the following: marked leukocytosis with an increased number of immature granulocytes.A few promyelocytes and blasts were seen.There were also an increased number of eosinophils and basophils with rare immature forms.The hemoglobin and hematocrit were normal but platelets were slightly decreased.Which is disorder is associated with these findings?

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What is the significance of detecting only the G6PD A isoenzyme in a G6PD heterozygote patient with a myeloproliferative disorder?

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Which is a characteristic of ET that would help distinguish it from reactive thrombocytosis?

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Which is found in >90% of cases of PV and promotes EPO receptor activation?

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Which myeloproliferative disorder typically produces a dramatic increase in all cell lines?

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Which age range is nearest to the peak incidence of CML?

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