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Hematology and Oncology · USMLE Step 1 · Healthcare and Nursing

USMLE Hematology: Leukemia and Lymphoma Classification

Leukemia and lymphoma subtype classification, characteristic cytogenetics, and distinguishing clinical features, one subtype per card.

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40 basic cards for USMLE Step 1 Hematology and Oncology. Set 2 of 2 in USMLE Hematology. It opens with "In chronic myeloid leukemia (CML), the ____ translocation produces the" and "What physical exam finding is classically massive in chronic myeloid leukemia?". Study it alongside the other USMLE Step 1 sets below.

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In chronic myeloid leukemia (CML), the ____ translocation produces the Philadelphia chromosome.
Show answert(9;22) BCR-ABL
What physical exam finding is classically massive in chronic myeloid leukemia?
Show answerSplenomegaly
What complication can chronic myeloid leukemia progress to over time?
Show answerBlast crisis (transformation to acute leukemia)
Acute promyelocytic leukemia (AML M3) is characterized by the ____ translocation.
Show answert(15;17) PML-RARA
What life-threatening coagulopathy is classically associated with acute promyelocytic leukemia?
Show answerDisseminated intravascular coagulation (DIC)
What rod-shaped cytoplasmic inclusions are seen in acute promyelocytic leukemia blasts?
Show answerAuer rods
What characteristic artifact appears on peripheral blood smear in chronic lymphocytic leukemia?
Show answerSmudge cells
Which two CD markers are co-expressed on the malignant B cells of chronic lymphocytic leukemia?
Show answerCD5 and CD23
What is it called when CLL transforms into an aggressive diffuse large B-cell lymphoma?
Show answerRichter transformation
What special cytochemical stain is classically positive in hairy cell leukemia?
Show answerTartrate-resistant acid phosphatase (TRAP)
Hairy cell leukemia typically causes splenomegaly without which other common leukemic finding?
Show answerLymphadenopathy
Bone marrow aspiration in hairy cell leukemia often yields what result due to marrow fibrosis?
Show answerA dry tap
Burkitt lymphoma is driven by the ____ translocation, placing MYC under control of the immunoglobulin heavy chain promoter.
Show answert(8;14)
What histologic pattern, caused by macrophages engulfing apoptotic tumor cells among sheets of lymphocytes, is seen in Burkitt lymphoma?
Show answerStarry sky pattern
The endemic (African) form of Burkitt lymphoma, associated with EBV, classically presents with a mass in what location?
Show answerThe jaw

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