Western Governors University (WGU) NURS6800 D116 Advanced Pharmacology for the Advanced Practice Nurse Practice Exam

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The Philadelphia chromosome results from which translocation?

t(9;22)

This translocation creates the Philadelphia chromosome by fusing the BCR gene on chromosome 22 with the ABL1 gene on chromosome 9, resulting in the BCR-ABL fusion. That fusion produces a constitutively active tyrosine kinase that drives uncontrolled cell growth, a hallmark of chronic myeloid leukemia and a key target for tyrosine kinase inhibitors like imatinib. The other translocations involve different genes and drive other cancers (for example, 8;14 with c-MYC in Burkitt lymphoma, 11;14 with cyclin D1 in mantle cell lymphoma, and 15;17 with PML-RARA in acute promyelocytic leukemia).

t(8;14)

t(11;14)

t(15;17)

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