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Use the Following Information to Answer the Next Few Questions

Question 34

Multiple Choice

Use the following information to answer the next few questions.
CML (chronic myelogenous leukemia) results from a translocation between human chromosomes 9 and 22. The resulting chromosome 22 is significantly shorter than usual, and it is known as a Philadelphia (Ph') chromosome. The junction at the site of the translocation causes overexpression of a thymine kinase receptor. A new drug (Gleevec or imatinib) has been found to inhibit the disease if the patient is treated early.
-Which of the following would be a reasonably efficient technique for confirming the diagnosis of CML?


A) searching for the number of telomeric sequences on chromosome 22
B) looking for a Ph' chromosome in a peripheral blood smear
C) enzyme assay for thymine kinase activity
D) FISH study to determine the chromosomal location of all chromosome 22 fragments
E) identification of the disease phenotype in review of the patient's records

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