Exam 22: Myelodysplastic Syndromes

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An unknown cell possesses the following characteristics: blast-like characteristics including open chromatin pattern, prominent nucleoli, absence of granules and a high N:C ratio.Based on this information, what is the most probable identity of the cell?

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A

Which of the following MDS/MPDclassifications includes the immunophenotype CD33, CD13 + MPO +?

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C

Which of the following represents the granularity pattern of an abnormal in MDS?

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D

All of the following are included in the SHOMDS/MPD family except:

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Explain the IPSS score system for prognosis and treatment of MDS.

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Which of the following is considered an MDS/MPD variant in the WHO classification?

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The WHO classification system for each subgroup of myelodysplastic syndrome is based on which characteristics?

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A patient blood smear shows oval macrocytes, a dimorphic population, and basophilic stippling.There are also 6% blasts in the peripheral blood.What is the presumptive classification based on these findings?

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Which WHO classification for MDS is best supported when the peripheral blood shows a general cytopenia, 5-19% blasts with Auer rods, and less than 1 x109 /L monocytes?

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A 60-year-old patient visits his general practitioner because of fatigue and unexplained bruising.Physical examination revealed a frail, thin, pale man with widespread bruising.A CBC is ordered, and comes back abnormal.Peripheral blood smear examination revealed abnormal granularity of platelets and leukocytes.Red cells appear dimorphic.Bone marrow analysis is performed, and there were 20% ringed sideroblasts with dysplastic changes in RBC and WBC precursors.No cytogenetic abnormalities were detected.Based on this information, what is a probable diagnosis?

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A patient presents with general anemia and rare or no blasts.The bone marrow smear reveals 3% blasts, no Auer rods and 12% ringed sideroblasts.Which MDS classification is the associated with these findings?

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Which type of blasts contains fewer than 20 primary granules in the cytoplasm, has a centralized nucleus, and can be found in both AML and MDS?

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The 5q-syndrome frequently shows dysplasia in which cell lineage?

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Explain how the FAB and WHO classifications of the MDS differ.

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Many of the myelodysplastic syndromes share a common cytogenetic abnormality.What is it?

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Which of the following IPSS scores has the highest survival rate in MDS?

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Which test or tests support the theory that the abnormal cells in MDS are clones derived from an abnormal pluripotent stem cell?

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Which of the six WHO MDS subgroups contains two or more cytopenias, rare or no blasts, less than 1 x 109 /L monocytes in the peripheral blood and less than 5% blasts and less than 15% ringed sideroblasts in the bone marrow?

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The chromosomal abnormalities present in most cases of MDS are located on which of the following chromosomes?

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According to the WHO classification, how many blasts must be present in the bone marrow to classify a patient with acute leukemia?

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