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Hematology 2 - WBC
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  • 問題数 63 • 11/2/2023

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  • 1

    It is known to be the hyposegmentation of the granulocytes

    PELGER-HUET ANOMALY

  • 2

    What are the two types of Pelger-Huet Anomaly?

    True and Pseudo

  • 3

    It is associated with malignant myeloproliferative disorders. It contain round nuclei. Cytoplasm is hypogranular.

    PSEUDO PELGER-HUET ANOMALY

  • 4

    How many lobes in PELGER-HUET ANOMALY?

    2

  • 5

    PELGER-HUET ANOMALY IS RESEMBLES A?

    PINCE-NEZ SPECTACLES, PEANUT, DUMBELL

  • 6

    UNDRITZ ANOMALY IS ALSO KNOWN AS?

    Hereditary Hypersegmentation of Neutrophils

  • 7

    What deficiency is related in Undritz Anomaly?

    Vitamin B12 and Folic Acid

  • 8

    How many lobes those the Undritz Anomaly have?

    4

  • 9

    It is characterized by: ○ Leukopenia ○ Giant platelets ○ Gray-blue spindle-shaped inclusions in the cytoplasm of the granulocytes and monocytes

    MAY-HEGGLIN ANOMALY

  • 10

    Abnormally large azurophilic granules resembling severe toxic granulation in the cytoplasm of granulocytes

    ALDER-REILLY ANOMALY

  • 11

    Associated with a group of storage diseases “mucopolysaccharidosis”

    ALDER-REILLY ANOMALY

  • 12

    Enumerate the Proper Function of a Granulocyte

    Move randomly, Move directionally, Recognize and ingest the offending agent, Release their granule content

  • 13

    Who has problems in the movement?

    Job’s Syndrome and Lazy Leukocyte Syndrome

  • 14

    This diseases has a random movement is normal but directional motility is impaired, thus cells respond very slowly to chemotactic agents.

    JOB’S SYNDROME

  • 15

    Biblical job is known that the patient suffer from ______ and _____ staphylococcal abscesses

    persistent boils and recurrent “cold” staphylococcal abscesses

  • 16

    A disease that both random and directed movement of the cells are defective

    LAZY LEUKOCYTE SYNDROME

  • 17

    Studies suggest that cells in lazy leukocyte syndrome contain ________

    defective actin filaments

  • 18

    Neutropenia is consistent finding, Low-grade fever, Recurrent infections (gums, mouth, and ears)

    LAZY LEUKOCYTE SYNDROME

  • 19

    Inability to kill microorganisms secondary to a failure of granule release

    CHEDIAK-HIGASHI SYNDROME

  • 20

    First recognized because of the presence of giant cytoplasmic granules in the phagocytes and lymphocytes

    CHEDIAK-HIGASHI SYNDROME

  • 21

    What are the 6 species that affects Chediak-Higashi Syndrome?

    man, mink, cattle, mice, cats, and killer whales

  • 22

    Basic defect in Chediak-Higashi Syndrome

    Golgi Complex (packaging)

  • 23

    It has Partially albinism, More susceptible to infectious agents, Hepatosplenomegaly, liver failure lymphadenopathy (later stages)

    CHEDIAK-HIGASHI SYNDROME

  • 24

    WHAT ARE THE MODE/S OF INHERITANCE OF CHRONIC GRANULOMATOUS DISEASE?

    Sex-linked and Autosomal recessive

  • 25

    Condition in which phagocytes ingest but cannot kill catalase positive organisms

    CHRONIC GRANULOMATOUS DISEASE LAZY LEUKOCYTE SYNDROME

  • 26

    Recurrent chronic pyogenic infections, Healing accompanied by granuloma formation, Recurrent pneumonia (often caused of death)

    CHRONIC GRANULOMATOUS DISEASE

  • 27

    ACUTE MYELOID LEUKEMIA (AML) is also known as?

    Acute Nonlymphocytic Leukemia (ANLL)

  • 28

    All are (+) Auer rods, except:

    M3

  • 29

    Most common subtype of AML

    M2

  • 30

    2nd most common AML

    M4

  • 31

    All are Myelocytic, except:

    M5

  • 32

    Naegeli leukemia

    M4

  • 33

    Di Guglielmo Syndrome

    M6

  • 34

    Erythrocytic, Myelocytic

    M6

  • 35

    Predominance of megakeryoblasts

    M7

  • 36

    What abnormal chromosome known in CML?

    philadelphia chromosome

  • 37

    ○ Increased WBC count >50,000/uL (same as leukemoid reaction) ○ Decreased LAP score ○ Basket Cells may be observed

    CHRONIC MYELOID LEUKEMIA (CML)

  • 38

    POLYCYTHEMIA VERA is also known as?

    Primary Polycythemia

  • 39

    POLYCYTHEMIA VERA: Erythrocyte count: ___ in women and ____ in men

    Erythrocyte count: >5.9 x 10^12/L in women and 6.6 x 10^12/L in men

  • 40

    ○ Erythrocyte count is high ○ Leukocytosis ○ Thrombocytosis

    POLYCYTHEMIA VERA

  • 41

    What is the treatment in POLYCYTHEMIA VERA?

    Phlebotomy

  • 42

    Characterized by thrombocytosis: >1,000 x 10^9/L

    ESSENTIAL THROMBOCYTHEMIA

  • 43

    ○ Seen in all age groups (most patients between 50-60 years old) ○ Headaches, vertigo, ringing in the ears, blurred vision, itching eyes, thrombotic events ○ Ruddy cyanotic (reddish-purple appearance)

    POLYCYTHEMIA VERA (PV)

  • 44

    Clinical Presentation: Epistaxis, vomiting of blood, easy bleeding after minor dental surgery, GI bleeding

    ESSENTIAL THROMBOCYTHEMIA

  • 45

    ESSENTIAL THROMBOCYTHEMIA cause ____

    JAK2 gene mutation

  • 46

    Secondary or Reactive Thrombocythemia is cause by ____

    Infections, Splenectomy

  • 47

    It is the most common malignant disease in children

    ACUTE LYMPHOBLASTIC LEUKEMIA

  • 48

    It is most common type of ALL; best prognosis

    L1

  • 49

    Cell size: Small Chromatin: Homogenous Nuclear Shape: Regular Nucleoli: Not Visible

    L1

  • 50

    Cell size: Larhe Chromatin: Heterogenous Nuclear Shape: Irregular Nucleoli: One or more present

    L2

  • 51

    Cell size: Large Chromatin: Homogenous Nuclear Shape: Regular Nucleoli: One or more present

    L3

  • 52

    Most common form of leukemia in adults

    CHRONIC LYMPHOBLASTIC LEUKEMIA (CLL)

  • 53

    Involves mostly B cells, rarely T cells

    CHRONIC LYMPHOBLASTIC LEUKEMIA (CLL)

  • 54

    Increased in SMUDGE CELLS because cells are more fragile than normal, thus rupture during blood smear prep

    CHRONIC LYMPHOBLASTIC LEUKEMIA (CLL)

  • 55

    Absolute lymphocytosis (>15,000/uL) of the blood and bone marrow only

    Stage 0

  • 56

    RAI CLASSIFICATION OF CLL

    RAI CLASSIFICATION OF CLL

  • 57

    large lymphoid cells with vesicular multilobed nuclei

    Popcorn cell

  • 58

    large lymphoid cells with bilobed nucleus and eosinophilic nucleoli (owl’s eye)

    Classical HL (+) Reedsternberg cell

  • 59

    (+) Popcorn cell

    Nodular Lymphocyte-Predominant HLi

  • 60

    Most common HL

    Nodular sclerosis

  • 61

    Best prognosis HL

    Lymphocyte-rich

  • 62

    Least common; worst prognosis HL

    Lymphocyte-depleted

  • 63

    ● Proliferation of malignant lymphocytes that are arrested at certain stages of maturation ● Primarily neoplasms of B cells ● Unknown cause ● Spreads in a less predictable way ● Associated with EBV and HTLV-1

    NON-HODGKIN’S LYMPHOMA