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Hematology and Oncology · USMLE Step 1

USMLE Hematology: Leukemia and Lymphoma Classification

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

40 cards · basic cards · AI-written, checked twice. Edit anything.

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In chronic myeloid leukemia (CML), the ____ translocation produces the Philadelphia chromosome.
t(9;22) BCR-ABL
What physical exam finding is classically massive in chronic myeloid leukemia?
Splenomegaly
What complication can chronic myeloid leukemia progress to over time?
Blast crisis (transformation to acute leukemia)
Acute promyelocytic leukemia (AML M3) is characterized by the ____ translocation.
t(15;17) PML-RARA
What life-threatening coagulopathy is classically associated with acute promyelocytic leukemia?
Disseminated intravascular coagulation (DIC)
What rod-shaped cytoplasmic inclusions are seen in acute promyelocytic leukemia blasts?
Auer rods
What characteristic artifact appears on peripheral blood smear in chronic lymphocytic leukemia?
Smudge cells
Which two CD markers are co-expressed on the malignant B cells of chronic lymphocytic leukemia?
CD5 and CD23
What is it called when CLL transforms into an aggressive diffuse large B-cell lymphoma?
Richter transformation
What special cytochemical stain is classically positive in hairy cell leukemia?
Tartrate-resistant acid phosphatase (TRAP)
Hairy cell leukemia typically causes splenomegaly without which other common leukemic finding?
Lymphadenopathy
Bone marrow aspiration in hairy cell leukemia often yields what result due to marrow fibrosis?
A dry tap
Burkitt lymphoma is driven by the ____ translocation, placing MYC under control of the immunoglobulin heavy chain promoter.
t(8;14)
What histologic pattern, caused by macrophages engulfing apoptotic tumor cells among sheets of lymphocytes, is seen in Burkitt lymphoma?
Starry sky pattern
The endemic (African) form of Burkitt lymphoma, associated with EBV, classically presents with a mass in what location?
The jaw

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