Live, Laugh, Lab
Live, Laugh, Lab II
Division I Med Student
Fusion Confusion
Can you resist?
100

Four components of this panel include RBCs, WBCs, Platelets, and Hemoglobin.

What is a CBC?

100

This technique uses a probe with a fluorescent dye that can bind to specific DNA sequences.

What is FISH?

100

These proteins, abbreviated TYKs, are central to immune response and cell division, and activate the Ras/MAP Kinase pathway upon ligand binding.

What are Receptor Tyrosine Kinases?

100

This fused cytoplasmic protein, formed from a translocation between chromosomes 9 and 22, results in constitutively activated kinase activity.

What is BCR-ABL?

100

This drug targets the BCR::ABL1 fusion protein and is used as first-line therapy in chronic myeloid leukemia.

What is Imatinib?

200

Four components of this panel include Lymphocytes, Monocytes, Eosinophils, and Basophils.

What is a differential blood count?

200

 This technique allows for visualization of all chromosomes arranged in numerical order.

What is a karyotype?

200

This chromosome abnormality is caused by a translocation between chromosomes 9 and 22, producing a constitutively active BCR-ABL protein.

What is the Philadelphia chromosome?

200

This gene, involved in cell growth, division, adhesion, and differentiation, is normally not part of a receptor and is localized in cytoplasmic and nuclear compartments.

What is the ABL oncogene?

200

Imatinib treats CML by inhibiting this class of enzyme that becomes constitutively active due to the BCR::ABL1 fusion.

What is a receptor tyrosine kinase?

300

This is essential for evaluation of cytopenias, hemolytic anemias, and certain types of cancer.

What is a peripheral blood smear?

300

This technique utilizes components such as a template, polymerase, primers, and dNTPs.

What is PCR?

300

Under normal conditions, Receptor Tyrosine Kinases do this upon ligand binding to trigger downstream signaling.

What is dimerize and undergo autophosphorylation?

300

The BCR-ABL fusion leads to enhanced dimerization and increased activity of this type of enzyme, due to more phosphotyrosine residues available for downstream interactions.

What is tyrosine kinase?

300

When CML becomes resistant to first-line RTK inhibitors like Imatinib, patients may be treated with second-generation drugs such as these.

What is Dasatinib?

400

This method looks for cell qualities such as normocellularity, hypercellularity, and ratio between cells.

What is a bone marrow biopsy?

400

These methods combined allow for the visualization of structural abnormalities in chromosomes.

What are FISH and a karyotype?

400

This is the consequence of constitutively active BCR-ABL RTK signaling in cells, leading to reduced apoptosis and excessive proliferation.

What is uncontrolled cell growth (cancer)?

400

BCR-ABL activation is associated with the activation of these three major signaling pathways.

What are PI3K, JAK/STAT5, and RAS pathways?

400

A common side effect of imatinib

What is (fluid retention, headache, diarrhea, loss of appetite, weakness, nausea and vomiting, abdominal distention, edema, rash, dizziness, and muscle cramps) all accepted

500

150 - 400 is the normal range for this type of cell.

What are platelets?

500

This method is useful for validating microarray results.

What is qRT-PCR?

500

This type of leukemia is commonly associated with the Philadelphia chromosome and abnormal TYK signaling.

What is chronic myeloid leukemia (CML)?

500

BCR-ABL activity in CML causes these three main abnormal cell outcomes.

What are uncontrolled proliferation, halted DNA repair, and blocked apoptosis?

500

One of the most well-known mutations leading to Imatinib resistance, this "gatekeeper" mutation alters the drug binding site in BCR::ABL1.

What is the T315I mutation?