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Heme/Onc Exam 2 Terms and Tests
Terms and Tests for Heme/Onc Exam 2
72
Medical
Professional
09/12/2011

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Term
LAP score (leukocyte acid phosphatase)
Definition
determines between leukemoid reaction/acute infection/pregnancy
Term
RT-PCR
Definition
detects abnormal nucleotide sequences and viral nucleic acid (Ebola/Marburg, Borreliosis)
Term
FISH
Definition
detects abnormal chromosomal arrangement
Term
DNA microarray
Definition
quantitative measurement of gene expression
Term
Pseudo Pelget-Huer Anomaly
Definition
bilobed PMNs, acquired in myelodysplasia
Term
PNH 55/59
Definition
test for CD55/CD59 on surface (PIG-related proteins, PNH)
Term
t(9;22)
Definition
BCR-abl fusion
Term
JAK2 mutation
Definition
test with PCR
Term
standard stains, MPO stains/non-specific esterases, flow cytometry, cytogenetics
Definition
tests for AML
Term
t(8;21), inversion 16, t(15;17), <60yo
Definition
good prognosis for AML
Term
5(-), 7(-), 11q23 abnormality, prior marrow disorder
Definition
poor prognosis for AML
Term
Flow cytometry for CD10/CD3/CD20
Definition
tests for ALL
Term
2-10 yo, t(12;21), hyperdiploid (>50 chromosomes/cell)
Definition
good prognosis for ALL
Term
t(9;22), 11q23 abnormality
Definition
poor prognosis for ALL
Term
Protein electrophoresis
Definition
distinguishes monoclonal/polyclonal Igs, extensively kappa or lamda light chain, "M-spike band" in myeloma
Term
Serum electrophoresis, urine electrophoresis, Xrays for lesions
Definition
Tests for multiple myeloma, DO NOT DO BONE SCANS
Term
Bone marrow biopsy, serum electrophoresis, viscosity (>4)
Definition
tests for Waldenstrom's Macroglobulinemia
Term
Biopsy with congo red
Definition
test for amyloidosis
Term
t(8;14)
Definition
c-myc/IgH fusion (Burkitt lymphoma)
Term
t(14;18)
Definition
Bcl-2/IgH fusion (follicular lymphoma)
Term
t(11;14)
Definition
cyclin D1/IgH fusion (mantle cell lymphoma)
Term
Hodgkin International Prognostic Index (HIPI)
Definition
GASLAW- Gender (male), Anemia (hgb<10.5, albumin<4), Stage (IV), Lymphocytopenia (<8% or <600), Age (>45), WBC (>15K)
Term
Ann Arbor Stage I
Definition
single lymph node region (usually cervical) or single extralymphatic site
Term
Ann Arbor Stage II
Definition
two or more lymph nodes on same side of diaphragm -or- one lymph node region and contiguous extralymphatic site
Term
Ann Arbor Stage III
Definition
lymph nodes on both sides of diaphragm, may include spleen and/or limited contiguous extralymphatic organ or site
Term
Ann Arbor Stage IV
Definition
disseminated involvement of one or more extralymphatic organs
Term
biopsy, lumbar puncture, ki-67
Definition
tests for Burkitt lymphoma
Term
biopsy of colon polyps/lymph nodes, cyclin D1 immunostaining
Definition
tests for mantle cell lymphoma
Term
Rai Staging (CLL)
Definition
0-lymphocytosis, 1-adenopathy, 2-splenomegaly, 3-anemia, 4-thrombocytopenia
Term
Bone marrow biopsy, lymph node biopsy
Definition
tests for CLL
Term
V-region mutation before malignancy
Definition
good prognosis for CLL
Term
Malignant before rearrangement, CD38/Zap70, 11Q(-), 17P(-)
Definition
poor prognosis for CLL
Term
Marrow biopsy, TRAP stain, CD103
Definition
tests for hairy cell leukemia
Term
Binbeck granule (HX body), LOH 9p/22q, CD15/S-100/HLA-DR/CD1a
Definition
tests for Langerhans Cell Histiocytosis (Histiocytosis X)
Term
EBV/CMV herpes virus
Definition
dsDNA, linear, enveloped
Term
Marburg/Ebola virus (filovirus)
Definition
ssRNA, negative sense, enveloped
Term
heterophile antibodies
Definition
nonspecific, may or not be produced in EBV mononucleosis, never in CMV mononucleosis
Term
ELISA
Definition
tests for antigen (CMV, Ebola/Marburg, schistosomiasis)
Term
2step PCR 238bp/154bp amplification
Definition
test for babesiosis
Term
PCR, IHC/culture of skin biopsy, antibody titer
Definition
test for Rickettsia
Term
Group-specific antigens, type-specific antigens, Weill-Felix Reaction
Definition
tests for ricketts
Term
Weill-Felix Reaction
Definition
antibody reaction to Proteus O polysaccharides, cross-reactive agglutination is positive for Rickettsia/Proteus
Term
Morula
Definition
intracytoplasmic colonies in vacuoles (ehrlichosis)
Term
Serology, PCR, blood smear
Definition
tests for ehrlichosis
Term
Culture, IFA/ELISA, silver stain, skin biopsy
Definition
tests for bartonellosis
Term
Factor V Leiden mutation, Lupus anticoagulant, Homocystine levels, Prothrombin G20210A mutation, Antithrombin III levels, Protein C levels, itssue factor C536T mutation
Definition
tests for thrombophilia
Term
increased aPTT
Definition
factor VIII,IX,XI,XII deficiency, intrinsic pathway disturbance, hemophilia
Term
VIIIC activation/quantitation, vWF concentration, vWFRCA, multimer structure/molecular analysis
Definition
test for Von Willebrand Disease
Term
Thrombin formation, fibrinolysis, consumption of factors
Definition
reasons to test for DIC
Term
first thrombosis <50yo, thrombosis of hepatic/mesenteric/cerebral venules, recurrent/familial thrombosis, thrombosis during pregnancy/contraceptives, MI in female smokers <50yo
Definition
reasons to test for thrombophilia
Term
4-fold increase in titer (antibodies persist, does not distinguish acute/chronic), direct fluorescence
Definition
tests for tularemia
Term
isolation from bubos, specific serology, culture on blood agar, Wayson's Stain for tiny rods
Definition
tests for Yersinia pestis
Term
titer >1:160 presumptive, definitive culture
Definition
tests for brucellosis
Term
iodine-positive inclusions, ELISA/IF for antigens, high titer (can't determine acute/chronic), nucleic acid probes (high frequency false positives)
Definition
tests for lymphogranuloma venereum (chlamydia)
Term
Mixing study
Definition
1:1 mixture normal plasma and patient plasma, factor deficiency will be correct on PTT, inhibitors (Abs,drugs) block clotting and will maintain a prolonged PTT
Term
Increased PTT
Definition
test for deficiency of Factors VIII,IX,XI,XII, Lupus inhibitor, Factor VIII,IX inhibitor
Term
increased aPTT/PT
Definition
deficiency of Factors VII,V,X, combined deficiency of Factors II,VII,IX,X, vitamin K deficiency, lupus inhibitor
Term
increased aPTT/PT/bleeding time
Definition
deficiency of fibrinogen, impaired cleaveage of fibrinogen to fibrin (heparin)
Term
increased PT
Definition
deficiency of Factor VII, combined deficiency of Factors II,VII,IX, vitamin K deficiency
Term
PFA100
Definition
test for platelet function, replaces bleeding time
Term
Thrombocytopenia (non-genetic)
Definition
due to drugs, chemo, radiation, benzene
Term
Apheresis
Definition
plasma exchange, cell removal, RBC exchange
Term
ABO group, Rh type, antibody screen, viral markers, syphilis
Definition
tests for transfusion donors
Term
HIV antigen/NA, HBV antigen/antibody, HCV antibody/NA, HTLV I/II antibodies, syphilis, west nile virus, chagas disease, CMV
Definition
infectious markers tested before transfusion
Term
Whole blood (5wks), RBCs (6wks), Thawed FFP (1day)
Definition
component products stored at 1-6C
Term
Thawed cryoproducts (4h), platelets (5dy)
Definition
component products stored at 20-24C
Term
Factor V Leiden mutation
Definition
resistance to APC cleavage, R506Q due to A5070G
Term
Melting point
Definition
test for prothrombing (Factor II) mutation, two peaks indicates heterozygote
Term
White thrombi
Definition
platelets/vWF (arterial)
Term
Red thrombi
Definition
fibrin/RBCs (venules)
Term
Cast on extremity (immobile), recent operation (gynecologic/orthopedic), medication (thalidomide), systemic disorders (AI hemolysis/nephrotic syndrome/lupus/cancer)
Definition
reasons to NOT test for hypercoagulability
Term
ATIII/mixing studies, protein C/S, FVL, Prothrombin 20210, homocystine levels, anticardiolipin antibodies, Factor VIII/IX levels
Definition
tests for thrombophilia
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