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WBC Anomaly Part II
  • MAHATHIR ALPHA

  • 問題数 67 • 11/23/2023

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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