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The DNA content of a patient's tumor cells is reported as 2.0,and the DNA content of diploid cells is 1.0.What is the DNA index?


A) 2.0
B) 3.0
C) 1.0
D) 0.5

E) All of the above
F) B) and C)

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A single group of cells possessing identical aberrant phenotypes is defined as:


A) Monoclonal
B) Clonal
C) Tumorigenic
D) Contour gated

E) None of the above
F) A) and D)

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Explain why flow cytometry is of limited use in identifying AML.

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The WHO classification of AML employs cy...

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A blood sample from a patient suspected of having ALL is received in the flow lab for immunophenotyping.The analysis is performed,and standard B-cell markers are present,but the patient is also CD33-positive.What is the most likely reason for this occurrence?


A) The patient has a poorer prognosis than standard ALL.
B) The patient is responding to the chemotherapy.
C) The patient has ALL with aberrant myeloid cellular antigens.
D) It cannot be determined by the information given.

E) A) and B)
F) None of the above

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What is one advantage to using monoclonal antibodies rather than polyclonal antibodies in immunophenotyping?


A) They are commercially available.
B) The antigen can be recognized even if some parts of it are abnormal.
C) They have high purity and reproducibility.
D) They can be directly attached to fluorochromes.

E) A) and C)
F) B) and C)

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C

Which of the following is(are) the clinical application(s) of flow cytometry?


A) Assessment of total body iron
B) Immunophenotyping
C) DNA amplification
D) Cytogenetic analysis

E) B) and D)
F) A) and B)

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Name at least two pitfalls in immunophenotyping mature lymphoid malignancies,and explain how you would correct this.

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Some malignant B- cell lymphoproliferati...

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A flow instrument printout reveals a single scatter population of small size and low complexity.Ninety percent of the cells in that population have CD2 on their surface.What is the most probable lineage of the unknown population?


A) NK cells
B) T cells
C) B cells
D) Monocytes

E) All of the above
F) A) and C)

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CD34 enumeration is useful in bone marrow and peripheral blood stem cell transplantation.For this enumeration,the EWGCCA recommendations include proper technique and interpretation of the flow cytometry analysis.Which of the following standards was recommended for proper acquisition of events?


A) Include platelets and unlysed red blood cells and debris
B) Include only CD34 dim staining populations
C) Use bright fluorochrome conjugates of class II or III monoclonal antibodies that detect all glycoforms of CD34
D) Acquire only 10 CD34 positive cells

E) A) and B)
F) C) and D)

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Cells can be separated during data analysis by gating.This process of isolating cells can be based on what properties?


A) Cell size and granularity
B) Cell density
C) Shape of the nucleus
D) Color of the cytoplasm

E) B) and C)
F) A) and D)

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In diagnosing PNH,which of the following assays is most sensitive to its detection?


A) GPI anchor phenotype
B) Ham test
C) Sucrose lysis test
D) Osmotic fragility test

E) A) and D)
F) None of the above

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Which markers are useful in immunophenotyping for leukemia/lymphoma of T cell-lineage?


A) CD103,CD61,and CD59
B) CD38,CD59,and CD13
C) CD2,CD3,CD4,CD5,CD7,and CD8
D) CD55,CD25,and kappa

E) C) and D)
F) B) and D)

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Neoplasms are made up of a population of identical cells or a clone of cells.When identified,clone can lead to the discovery of a lymphoid malignancy or other lymphoproliferative disorder.Clonality be detected by:


A) The uniform expression of one immunoglobulin light chain
B) A mixture of cells with either kappa or lambda light chains
C) A surface immunoglobulin detection
D) The bright intensity of all monoclonal markers

E) A) and B)
F) C) and D)

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Which analyte is the best indicator of the overall picture of the immune system in an HIV-positive patient?


A) Absolute CD4 count
B) Relative lymphocyte count
C) WBC count
D) Relative CD4 count

E) A) and D)
F) A) and B)

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A

Choose the correct statement regarding the IRF from the following choices:


A) It is directly proportional to the degree of bone marrow turnover.
B) It is indirectly proportional to the average age of the reticulocytes.
C) It cannot be used to monitor erythropoietin therapy.
D) It cannot be used to monitor bone marrow recovery after transplant.

E) All of the above
F) None of the above

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Which of the following is not the component(s) of a flow cytometer?


A) Photomultiplier tubes
B) Sheath fluid
C) Flow chamber
D) Hemoglobin chamber

E) B) and C)
F) A) and D)

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An unknown cell resembling a hematogone has CD19 and CD20 antigens.What is the unknown cell's lineage?


A) Myeloid
B) Monocytic
C) Lymphoid
D) Erythroid

E) None of the above
F) B) and D)

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The expression of several antigens from two different lineages complicates the categorizing the diagnosis as AML or ALL.This biphenotypic expression toward more than one lineage restricts the use of immunophenotyping.In differentiating AML and ALL,staining with which of the following cytochemical stains indicates AML?


A) PAS
B) Giemsa
C) Myeloperoxidase
D) Thiazole orange

E) A) and B)
F) B) and C)

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The percentage of CD4 positive lymphocytes is determined by flow cytometry using staining with fluorescent-tagged antibodies against CD3 and CD4 followed by whole blood RBC lysis.What calculations does the dual platform use to determine the absolute number of CD4 positive cells?


A) Absolute CD4 count × 100
B) Number of CD4+ cells × 100
C) Absolute lymphocyte count × % CD4+ lymphocytes/100
D) % lymphocytes × % CD4+ lymphocytes/100

E) None of the above
F) C) and D)

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C

An HIV-positive patient has his blood drawn to get his CD4 count.His results are as follows: WBC count: 2.0 × 10⁹/L with 15% lymphocytes.CD4 positive cells are 10% of the total lymphocyte count.What is this patient's absolute CD4 count,and what does this mean?


A) The patient's absolute CD4 count is 300/mcL,and he has AIDS.
B) The patient's absolute CD4 count is 180/mcL,and he has AIDS.
C) The patient's absolute CD4 count is 300/mcL,and he does not have AIDS.
D) The patient's absolute CD4 count is 120/mcL,and he does have AIDS.

E) B) and D)
F) A) and B)

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