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問題一覧
1
When there is fat-containing vacuoles in WBC cytoplasm, Ichthyosis
Jordan's anomaly
2
rod-like structure seen in the cytoplasm of myeloblasts, diagnostic for Acute myeloblastic leukemia (AML)
Auer rod
3
What are the diff kinds of Clonal(neoplastic) disorders of WBC?
Myeloproliferative disorders, Lymphoproliferative disorders, Immunoproliferative disorders
4
Giant platelets, Dohle-bodies like inclusions seen even in monocytes indicates what anomaly?
May-Hegglin anomaly
5
Dense azurophilic granules, mucopolysaccharidoses indicates what anomaly?
Alder-Reilly anomaly
6
Failure of normal segmentation of nucleus, bi-lobed nucleus or stab forms only, "pince-nez nucleus" indicates what anomaly?
Pelger Huet anomaly
7
•Degeneration of cytoplasm begins to acquire holes or as result of active phagocytosis •May reflect increased lysosomal activity •Found in: -septicemia -severe infection
Vacuolated neutrophil
8
Where is Vacuolated neutrophil found?
Septicemia, Severe infection
9
• Result from condensing of nuclear chromatin into a solid structure mass with no pattern • Not counted in differential cell count
Degenerated Neutrophil w/ pyknotic nucleus
10
• Can be seen occasionally in normal peripheral blood smear Larger than normal neutrophils and generally hyperlobulated • Found in frequency of 1 in every 20,000 neutrophils but increase in disease states
Giant Neutrophils
11
•Disintegrating nucleus of ruptured WBC
Smudge or Basket cells
12
• Autosomal dominant trait •m, blue-gray Döhle bodies •Aggregates of mRNA •Leukopenia •Thrombocytopenia •Giant platelets
May-Hegglin anomaly
13
•Large azurophilic granules •Caused by: -Infections -Serious burns -Septicemia -drug poisoning
Toxic granule
14
Class I and II are interpreted as what?
Young forms
15
Class III are interpreted as what?
Mature forms
16
Class IV and V are interpreted as what?
Old forms
17
What are the Classes under Arneths?
Class I to Class V
18
One round or indented nucleus (blasts) =5%
CLASS I
19
2 lobes of nucleus =35%
CLASS II
20
3 lobes of nucleus=41%
CLASS III
21
4 lobes of nucleus=17%
CLASS IV
22
5 lobes or more of nucleus (oldest)- 2%
CLASS V
23
•Increase in Classes IV and V or the mature and old forms -Congenital hypersegmentation, liver disease, pernicious anemia, sprue and steatorrhea
SHIFT TO THE RIGHT
24
•INCREASE- I & II OR YOUNG FORMS -acute infection, acidosis, leukemia, malignant tumor, MI, severe hemorrhage
SHIFT TO THE LEFT
25
What is the Normal Index of Arneths and how it is obtained?
60% obtained by adding the percentages of classes I and II and 1⁄2 of class |||.
26
Give the complete Schilling Classification
1. Myeloblasts and promyelocytes -0 2. Myelocytes- 0 3. Metamyelocytes 0-1% 4. Stab- 3-5% 5. Segmented Neutrophils 51-67%
27
Increase in young forms
Shift to the left
28
Increased in young forms with high WBC-acute infections like appendicitis and acute sepsis
Regenerative shift to the left
29
Increase in young forms accompanied by normal or low WBC-typhoid fever and TB
Degenerative shift to the left
30
Increased in mature and old forms-pernicious anemia
Shift to the right
31
What are the Schillings normal values?
NEUTRO-51-67% LYMPHO-25-33% MONO-2-6% EOSINO-1-4% BASO-0-1%
32
_____________________ together with Hydrogen peroxide and halide kills bacteria.
Myeloperoxidase (MPO)
33
_____________ or _____________present in primary and 2ndary granules degrades glycopeptides & hydrolyzes carbohydrates of the bacterial cell wall
Lysozyme or muramidase
34
Derived from a single precursor cell with all the affected cells(progeny) showing features of deviation frim the precursor cell
Clonal disorders of WBC
35
Squash- degenerated nucleus of WBCs
Smudge or basket cells
36
It is highly contagious viral disease caused by Epstein-Barr virus; excessive # of agranulocytes; fatigue, sore throat, recover in a few weeks
Mononucleosis
37
In this stage of the granulocyte, the size of the cell is 10-15 um, has a kidney/indented nucleus, a coarse and clumped chromatin and no Nucleoli.
Metamyelocyte
38
It refers to cancerous conditions involving WBCs and is named according to the abnormal WBC clone involved.
Leukemias
39
In this stage of the granulocyte, the size of the cell is 9-15 um, has a Elongated/band nucleus, a coarse and clumped chromatin and no Nucleoli.
Band
40
Abnormally low WBC count---- drug induced
Leukopenia
41
In this stage of the granulocyte, the size of the cell is 9-15 um, has a 2-5 lobes nucleus, a highly condensed nucleus and no Nucleoli.
Neutrophil
42
In this stage of the granulocyte, the size of the cell is 9-15 um, has a 2 lobes nucleus, a condensed nucleus and no Nucleoli.
Eosinophil
43
What are the different types of Abnormal granulocyte morphology (acquired)?
-Toxic granulation, cytoplasmic vacuole -Dohle bodies (Amato bodies) -Azurophilic granules -Hypersegmentation
44
What is the cytoplasm staining of myeloblast?
Basophilic
45
Where is Chediak-Higashi Syndrome (Autosomal recessive disorder) found?
Anemia, Neutropenia, Thrombocytopenia
46
•Rare,fatal disorder found in children • Inherited as an autosomal recessive char. • Contain very large,reddish- purple or greenish-gray staining granules in the cytoplasm of granulocytes • In monocytes & lymphocytes, stain bluish-purple •These granules represent abnormal lysosomes Found in: -anemia -neutropenia -thrombocytopenia
Chediak-Higashi Syndrome (Autosomal recessive disorder)
47
•Heavy,coarse blue-black granules of BEN & sometimes lymphocytes & monocytes • Inherited condition • Associated with Hurler's syndrome & Hunter's syndrome
Alder-Reilly anomaly
48
Where is toxic granulation found?
Acute infection, Drug poisoning, Burns
49
• Dark blue-black cytoplasmic granules in neutrophil •Thought as primary granules • Show inc.alkaline phosphatase activity Found in: -acute infections -drug poisoning -burns
Toxic granulation
50
-Sex chromatin -Represents the second X chromosome in females (2-3% of neutrophils in females) -Small, well-defined,round projection of nuclear chromatin -These cells are not found in normal males
Barr body
51
Where are Hypersegmented Neutrophils found?
Pernicious anemia, Folic acid deficiency, Chronic infections
52
-Neutrophils with six or more lobed nucleus -Represents an abnormality in maturation of neutrophil -Acquired (in megaloblastic erythropoiesis) or inherited (Undritz anomaly) • Found in: pernicious anemia
Hypersegmented Neutrophils
53
-Indicates failure of neutrophil to segment properly -Bi-lobed nucleus; chromatin is coarsely clumped -May be inherited or acquired (as in leukemias) -Heterozygous for this char.shows numerous bi- lobed (dumbell shape); homozygous-round neutrophil
Pelger-Huet Anomaly
54
Abnormal High count of WBC count may be due to:
Anemia, Certain drugs and medication, Cigarette smoking, Infections, Inflammatory disease, Leukemia, Severe mental or physical strss, Etc.
55
What are the functions of Monocytes and Macrophages?
-Defense against microorganisms -Role in antigen-induced blast transformation of lymphocytes -Destruction of aged blood cells, denatured plasma proteins and lipids -w/heme oxidase activity w/c enables tissue macrophage to break down RBC Hb and recycle it
56
What does monocytes secretes that activates helper cells?
Lymphokine activating factor
57
Describe the nucleus of Macrophages
Oblong/indented nucleus
58
-The tissue component of the monocyte system -Larger than monocytes and measures 15-80um -Have irregular cell membrane, often with blebs and psuedopodia
Macrophages
59
In this stage of the Plasma cells production, the size of the cell is 8-20 um. Its nucleus is eccentric and exhibits cartwheel appearance. And it has a deeply basophilic, Non granular, abundant large, well-defined hof/perinuclear halo cytoplasm.
Plasmacyte/Plasma cell
60
In this stage of the Plasma cells production, the size of the cell is 15-25 um. Its nucleus is eccentric. And it has an intensely Basophilic cytoplasm.
Proplasmacyte
61
In this stage of the Plasma cells production, the size of the cell is 18-25 um. Its nucleus is eccentric (off center). And it has a Basophilic, abundant and Non-granular cytoplasm.
Plasmablast
62
In this stage of the Monocyte production, the size of the cell is 14-20 um, and it has a Round, kidney shaped nucleus, showing brain like convultions, with no nuclei visible, and Blue-gray cytoplasm with many fine azurophilic granules.
Monocyte
63
In this stage of the Monocyte production, the size of the cell is 14-18 um, and it has a Oval, indented or folded nucleus, Blue-gray cytoplasm
Promonocyte
64
In this stage of the Monocyte production, the size of the cell is 12-20 um, and it has a Round with folding and clefting nucleus, 1-2 nuclei, and has a Basophilic and Non granular cytoplasm.
Monoblast
65
What are the stages of Monocyte production?
Monoblast, Promonocyte, Monocyte
66
A high number of WBCs is called as what?
Leukocytosis
67
It is a stage of lymphocyte wherein its cytoplasm is abundant, clear and very pale blue in color
Large lymphocyte