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Thrombocytosis

Quiz by Sadeq K. Ali Al-Salait

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13 questions
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  • Q1

    Which of the following is NOT a category of thrombocytosis?

    Infectious

     Clonal

    Reactive

    Spurious

    30s
  • Q2

    What is a common characteristic of spurious thrombocytosis?

    Increased megakaryocyte production

    Laboratory artifact

    Autosomal dominant inheritance

    Elevated serum IL-6levels

    30s
  • Q3

    Which cytokine is predominantly elevated in reactivethrombocytosis (RT)?

    IL-1

    IL-6

    IL-3

    TNF-α

    30s
  • Q4

    Familial thrombocytosis is characterized by again-of-function mutation in which gene?

     JAK2

    CALR

    TPO or c-MPL receptorgene

     TET2

    30s
  • Q5

    What percentage of patients with polycythemia vera (PV)present with thrombocytosis?

    30%

    90%

    50%

    10%

    30s
  • Q6

    What is a major cause of morbidity and mortality in patients with clonal thrombocytosis, especially in ET and PV?

    Vasomotor symptoms

    Microvascular inflammation

    Thrombotic complications

    BM failure syndrome

    30s
  • Q7

    Which treatment is typically NOT recommended for reactive thrombocytosis?

    Monitoring and treating the underlying cause

    Cytoreductive therapy

    Antiplatelet therapy

    Plateletpheresis

    30s
  • Q8

    Which of the following cytokines is NOT typically elevatedin reactive thrombocytosis (RT)?

    IL1

    IL6

    IL2

    IL3

    30s
  • Q9

    What laboratory findings would support a diagnosis ofreactive thrombocytosis (RT) over clonal thrombocytosis?

    increased RBC count

    Elevated serum IL-6and C-reactive protein levels

    Presence of JAK2V617F mutation

    Elevated TPO levels

    30s
  • Q10

    Which mutation is most commonly associated with essential thrombocythemia (ET) and is absent in familial thrombocytosis?

    MPL exon 10

    TET2

    JAK2 V617F

    CALR

    30s
  • Q11

    What is the primary role of the peripheral blood smear inthe diagnosis of thrombocytosis?

    To determine megakaryocyte production levels

    Platelet morphology

    presence of blast or immature cells

    To confirm the platelet count and identify non-platelet artifacts

    30s
  • Q12

    What is the significance of finding elevated TPO levels inboth reactive and clonal thrombocytosis?

    It is a diagnosticcriterion for essential thrombocythemia

    It suggests a physiological feedback mechanism

    It differentiates between the two conditions

    It indicates a common underlying genetic mutation

    30s
  • Q13

    In the context of thrombocytosis, what is acquired vonWillebrand syndrome (AVWS) primarily caused by?

    Decreased degradation of vWF

    Increased productionof vWF multimers

    Increased adsorptionof large vWF multimers onto platelets

    Genetic mutation inthe vWF gene

    30s

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