Chromosomal abnormalities · USMLE Step 1

Which chromosomal finding is most consistent with chronic myelogenous leukemia (CML)?

  1. Deletion of chromosome 7q
  2. Translocation t(9;22)
  3. Trisomy of chromosome 8
  4. Isochromosome of 12p
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Correct answer: Translocation t(9;22)

CML is associated with the Philadelphia chromosome, a t(9;22) translocation forming the BCR-ABL fusion gene. This leads to uncontrolled tyrosine kinase activity. Other abnormalities relate to different malignancies.

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