HISTO-LEC-LE-2 (2024/5) Flashcards

1
Q

1.Which biochemical component of the red blood cell surface is primarily responsible for determining blood type?
A.Nucleic acid
B.Fatty acid
C.Protein
D.Carbohydrate

A

D.Carbohydrate

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2
Q

2.What cell in circulating blood is the precursor to most antigen-presenting cells?
A.Monocyte
B.Eosinophil
C.Lymphocyte
D.Basophil

A

A.Monocyte

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3
Q

3.What is the approximate life span of a circulating erythrocyte?
A.4 months
B.120 hours
C.4 weeks
D.20 days

A

A.4 months/ 120 days

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4
Q

4.Which cell type has cytoplasmic granules that contain heparin and histamine?
A.Eosinophil
B.Lymphocytes
C.Neutrophils
D.Monocytes
E.Basophils

A

Basophils

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5
Q

5.A differential cell count of a blood smear from a patient with a parasitic infection is likely to reveal an increase in the circulating numbers of which cell type?
A.Basophils
B.Monocytes
C.Lymphocytes
D.Eosinophils
E.Neutrophils

A

D.Eosinophils

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6
Q

6.Which of the following blood cells differentiate outside of the bone marrow?
A. Neutrophils
B. Eosinophils
C. Basophils
D. T lymphocytes

A

D.T lymphocytes

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7
Q

7.Examination of a normal peripheral blood smear reveals a cell more than twice the diameter of an erythrocyte with a kidney- shaped nucleus. These cells are <10% of the total leukocytes. Which of the following cell types is being described?
A.Eosinophils
B.Basophils
C.Neutrophils
D.Monocyte

A

D.Monocyte

Neutrophils : 50-70%
Lymphocytes: 20-40%
Monocytes: 2-8%
Eosinophils: 1-4%
Basophils: 0.5-1%

P238-Junquiera

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8
Q

8.A gardener tending to rose accidentally deeply pricked his finger. The next day the area has become infected. He removed the tip of the horn but there is still pus remaining at the wound site. Which of the following cells function in the formation of pus?
A.Biconcave cells with no nuclei
B.Cells with polymorphic, multiply lobed nuclei
C.Cells with spherical nuclei and scant cytoplasm
D.Cells with bilobed nuclei and many acidophilic cytoplasmic granules

A

B.Cells with polymorphic, multiply lobed nuclei

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9
Q

9.Fresh blood is drawn and centrifuged in the presence of heparin as an anticoagulant to obtain a haematocrit. From top to bottom, the fractions resulting from centrifugation are which of the following?
A.Plasma, buffy coat, and packed erythrocytes
B.Fibrinogen, platelets, buffy coat and erythrocytes
C.Serum, packed erythrocytes and leukocytes
D.Leukocytes, erythrocytes and serum proteins

A

A.Plasma, buffy coat, and packed erythrocytes

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10
Q

10.A 34-year-old woman was diagnosed with idiopathic thrombocytic purpura (ITP). Which of the following symptoms/characteristics would one expect in this patient?
A.Abnormal bruising
B.Hypercoagulation
C.Normal blood count
D.Decreased clotting time

A

A.Abnormal bruising

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11
Q

11.Which of the following blood cells is involved in anaphylaxis and type 1 hypersensitivity reaction?
A.Lymphocyte
B.Neutrophil
C.Monocyte
D.Basophil

A

D.Basophil

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12
Q

12.Mature lymphocytes can be distinguished by their;
A.Glycosylated protein
B.Amount of cytoplasm
C.CD markers
D.Size of the nucleus

A

C.CD markers

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13
Q

13.The amount of oxygen carried by the hemoglobin in erythrocytes is lowest in the;
A.Arterial blood
B.Capillaries
C.Lung capillaries
D.Venous blood

A

D.Venous blood

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14
Q

14.The attraction of white blood cells to bacteria which leads to their rapid accumulation in the site of injury is called.
A.Migration
B.Chemotaxis
C.Diapedesis
D.Granulocytosis

A

B.Chemotaxis

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15
Q

15.On the fifth month of gestation, hemopoiesis occurs primarily at the.
A.Kidneys
B.Liver
C.Bone marrow
D.Mesoderm

A

C.Bone marrow

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16
Q

16.In which of the following cells involved in erythropoiesis does haemoglobin synthesis begin?
A.Orthochromic erythroblast
B.Basophilic erythroblast
C.Polychromatophilic erythroblast
D.Reticulocyte

A

B.Basophilic erythroblast

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17
Q

17.Which process occurs during granulopoiesis but not during erythropoiesis?
A.Nucleus becomes increasingly lobulated
B.Cells lose their capacity for mitosis
C.Overall cell diameter decreases
D.Euchromatin content increases

A

A.Nucleus becomes increasingly lobulated

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18
Q

18.A smear of blood from a 70-year-old leukemia patient reveals a larger than normal population of cells that have large, round nuclei with 1 or 2 nuceloli. The cytoplasm of these cells shows azurophilic granules. Which of the following forms of leukemia would you suspect?
A.Lymphoblastic leukemia
B.Promyelocytic leukemia
C.Basophilic leukemia
D.Stem cell leukemia

A

B.Promyelocytic leukemia

Granulopoiesis

Promyelocyte: azuro non-sp
Myelo: azuro non-sp, lilac sp
Metamyelo: lilac sp
Band: lilac sp (Horse-shoe nucleus)
Granulo: nucleus segmented into lobes

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19
Q

19.Which of the following blood cell is capable of further mitosis after leaving the bone marrow?
A.Eosinophil
B.Neutrophil
C.Monocyte
D.Lymphocyte

A

D.Lymphocyte

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20
Q

20.A 30-year-old patient diagnosed with end-stage renal disease is noted to be very anemic. Which of the following can be given to stimulate erythropoiesis in this patient?
A.Thrombopoietin
B.GM-CSF
C.G-CSF
D.Erythropoietin

A

D.Erythropoietin

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21
Q

21.A 30-year-old patient was noted to have severe bacterial sepsis. Clinically, he has temperatures of 40’C with chills, tachypnea and tachycardia. As the attending physician, you requested for a complete blood count. The result will show a shift to the left which means;
A.Increase in lymphocytes
B.Increase in RBCs
C.Increase in reticulocytes
D.Increase in band cells

A

D.Increase in band cells

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22
Q

22.This neutrophilic compartment acts as a buffer system where the cells stay and is capable of releasing a large amount of neutrophils when needed;
A.Granulopoietic
B.Storage
C.Marginating
D.Circulating

A

B.Storage

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23
Q

23.This stage in granulopoiesis is where the initial production of specific granules appear;
A.Myeloblast
B.Metamyelocyte
C.Promyelocyte
D.Myelocyte

A

D.Myelocyte

Promyelocyte: azuro non-sp
Myelo: azuro non-sp, lilac sp
Metamyelo: lilac sp
Band: lilac sp (Horse-shoe nucleus)
Granulo: nucleus segmented into lobes

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24
Q

24.A 3-year-old patient was admitted due to abdominal distention. In the morning, he defecated bolus of ascaris worms. If CBC was requested, what cells will predominate?
A.Plasma cells
B.Neutrophils
C.Lymphocytes
D.Eosinophils

A

D.Eosinophils

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25
25.A chef was slicing meat to cook, but he accidentally cut his finger. Which one releases serotonin to vasoconstrict and reduce blood flow to clot the injured area? A.Basophil B.Lymph C.Thrombocytes D.Lymphocyte
C.Thrombocytes
26
26.What are the supporting cells in the central nervous system called? A.Satellite cells B.Basket cells C.Neuroglia D.Ganglion E.Schwann cells
C.Neuroglia
27
27.Which of the following is an element of the peripheral nervous system? A.All of the above B.Brachial plexus C.Receptors D.Ganglia E.Sciatic nerve
A.All of the above
28
28.What are most neurons in the body? A.Multipolar B.Pseudounipolar C.Both A and B D.Bipolar E.Unipolar
A.Multipolar
29
29.What is the cell body of a neuron called? A.Terminal bouton B.Astrocyte C.Ganglion D.Perikaryon E.Nissl
D.Perikaryon
30
30.Which cell is a macrophage found in the central nervous system? A.Kupffer cells B.Langerhans cell C.Microglia D.Dust cell E.Histiocyte
C.Microglia
31
31.Which type of neuron is multipolar? A.Interneurons B.Motor neurons C.Sensory neurons D.Both a and b E.All of the above
D.Both a and b ## Footnote Sensory neurons only occur as unipolar and bipolar neurons.
32
32.What provides tensile strength to a neuron? A.Cell bodies B.Meninges C.Myelinated nerve fibers D.Nodes of Ranvier E.Neurofilaments
E.Neurofilaments
33
33.Which meninx is made of a delicate web like connective tissue? A.Dura mater B.Pia mater C.All of the above D.Arachnoid E.Both a and b
D.Arachnoid
34
34.What are the conglomerations of gray matter deep within the cerebrum and cerebellum called? A.Nuclei B.Islets C.Cortex D.Soma E.Tracts
A.Nuclei
35
35.Which of the following is involved in the blood brain barrier? A.Astrocytes B.Ependymal cells C.Microglia D.Schwann cells E.Oligodendrocytes
A.Astrocytes
36
36.Which of the following forms myelin in the peripheral nervous system? A.Schwann cells B.Ganglion C.Basket cells D.Neuroglia E.Satellite cells
A.Schwann cells
37
37.What is a group of fibers traveling together? A.Cortex B.Soma C.Nuclei D.Tracts E.Islets
D.Tracts
38
38.What are motor neurons? A.Multipolar B.Unipolar C.Pseudounipolar D.Bipolar E.Both a and b
A.Multipolar
39
39.What is a collection of cell bodies outside the CNS called? A.Ganglion B.Astrocyte C.Nissl D.Perikaryon E.Terminal bouton
A.Ganglion
40
40.What is tissue which surrounds a nerve fascicle? A.Perimysium B.Periosteum C.Endosteum D.Perineurium E.Perichondrium
D.Perineurium
41
41.What percentage of neurons are interneurons? A.99.9% B.20% C.80% D.1% E.0.1%
A.99.9%
42
42.Where is the cerebrospinal fluid found? A.Between the pia mater and brain B.Subarachnoid space C.Subdural space D.None of the above E.Between the dura mater and bone
B.Subarachnoid space
43
43.Which of the following are considered to be part of the meninges? A.Arachnoid B.All of the above C.Dura mater D.Both a and c E.Pia mater
B.All of the above
44
44.What is the outer gray matter of the brain called? A.Nuclei B.Tracts C.Islets D.Soma E.Cortex
E.Cortex
45
45.Which of the following is a supporting cell found in the ganglia? A.Neuroglia B.Ganglion C.Satellite cells D.Schwann cells E.Basket cells
C.Satellite cells
46
46.How many neurons are in the body of man? A.10,000,000 (10 to the 7th) B.10,000,000,000,000 (10 to the 13th) C.10,000,000,000,000,000 (10 to the 16th D.10,000 (10 to the 4th) E.10,000,000,000 (10 to the 10th)
E.10,000,000,000 (10 to the 10th)
47
47.What are the gaps that occur within the myelin sheath? A.Myelinated nerve fibers B.Cell bodies C.Meninges D.Neurofilaments E.Nodes of Ranvier
E.Nodes of Ranvier
48
48.What is the dura mater composed of? A.Nervous tissue B.Dense irregular connective tissue C.Loose irregular connective tissue D.Dense regular connective tissue E.Simple squamous epithelium
B.Dense irregular connective tissue
49
49.Where is gray matter located in the CNS? A.Both a and c B.Both c and d C.Outer surface of the cerebrum and cerebellum D.Inner portion of the spinal cord E.Outer surface of the spinal cord
B.Both c and d
50
50.What surrounds a nerve? A.Epineurium B.Neurium C.Perineurium D.Endoneurium E.None of the above
A.Epineurium
51
51.Which one is secreted by plasma cells arising from proliferation of B lymphocytes? A.Helper cells B.Antigen C.Cytokine D.Antibody
D.Antibody
52
52.What immunoglobulin crosses the placental barrier and is produced in large amounts during immune responses? A.IgG B.IgA C.IgD D.IgE
A.IgG
53
53.Where is the origin of precursors of all types of lymphocyte? A.Spleen B.Blood C.Liver D.Bone marrow
D.Bone marrow
54
54.Which type of T cells act directly against foreign cells or virus-infected cells? A.Regulatory cells B.Helper cells C.Cytotoxic cells D.Memory cells
C.Cytotoxic cells
55
55.In a patient with AIDS, which one is killed by the infecting retrovirus? A.Antigen-presenting cells B.Macrophages C.β lymphocytes D.Helper T cells
D.Helper T cells
56
56.Which one is not a mucosa-associated lymphoid tissue (MALT)? A.Spleen B.Payer’s patch C.Tonsils D.Appendix
A.Spleen
57
57.Which of the following statements is true regarding the lymphatic system? A.Lymphatic nodules surround a vessel called central artery B.Epithelial reticular cells form whorls called Hassall’s corpuscles C.The bone marrow is not a part of the lymphoid system D.Splenic cords are interconnected blood channels that drain blood
B. Epithelial reticular cells form whorls called Hassall’s corpuscles.
58
58.Identify which of the following cells carry out an immune response? A.Lymphocytes B.Macrophage C.Plasma cells D.Red blood cells
A.Lymphocytes | Adaptive Immunity
59
59.Recognition and destruction of antigenically virus-infected and malignant cells are functions of which of the following? A.Suppressor T cells B.Memory T cells C.Cytotoxic T cells D.Helper T cells
C.Cytotoxic T cells
60
60.Which cells are part of the mononuclear phagocytic system and function to phagocytose and process antigens? A.Antigen-presenting cells B.Plasma cells C.Natural killer cells D.Suppressor T cells
A.Antigen-presenting cells
61
61.Which statement regarding the cell-mediated immune response is not correct? A.Cytotoxic T cells destroy foreign cells and induce apoptosis B.Antigen induces transformation of the B cells into plasma cells C.Activated lymphocytes destroy microorganisms and tumor cells D.Stimulation of T cell is due to the surface of antigen-presenting cells
C.Activated lymphocytes destroy microorganisms and tumor cells
62
62.Which of the following is not a feature of a lymph node? A.Associated with afferent and efferent lymphatic vessels B.Presence of high endothelial venules in its paracortical zone C.The outer cortex populated by the T lymphocytes D.Contains dendritic cells, which are antigen-presenting cells
C.The outer cortex populated by the T lymphocytes The organ that has an outer cortex populated by T lymphocytes is the thymus.
63
63.The physical blood-thymus barrier is not formed by which of the following? A.macrophages B.endothelial cells C.epithelial reticular cells D.plasma cells
D.plasma cells
64
64.This organ filters blood and is the site of immune responses to blood borne antigens. A.thymus B.lymph node C.tonsil D.spleen
D.spleen
65
65.Which one of the following does not reside in the splenic white pulp? A.Antigen-presenting cells B.T cells C.Macrophages D.Erythrocytes
D.Erythrocytes
66
66.Identify which one of the following populates the periarterial sheath of the central arteries in the white pulp? A.Macrophages B.lymphocytes C.T lymphocytes D.Plasma cells
C.T lymphocytes
67
67.What is the protective epithelial lining that covers the palatine tonsil? A.Simple cuboidal epithelium B.Stratified squamous keratinized epithelium C.Stratified squamous nonkeratinized epithelium D.Stratified columnar epithelium
C.Stratified squamous nonkeratinized epithelium
68
68.Which of the following surrounds and promotes proliferation, and maturation of lymphocytes in the thymus? A.dendritic cells B.stellate reticular cells C.epithelial reticular cells D.macrophages
C.epithelial reticular cells
69
69.Which of the following is not found in the splenic red pulp? A.cords of Billroth B.germinal center C.reticular fiber networks D.venous sinusoids
B.germinal center
70
70.The peripheral white pulp and germinal center of the spleen is highly populated with: A.Macrophage B.B lymphocytes C.Plasma cells D.T lymphocytes
D.T lymphocytes
71
71.In the lymph nodes, the dendritic cells are the: A.antigen presenting cells B.reticular cells C.nurse cells D.lymphocytes
A.antigen presenting cells
72
72.What stimulate B cells to differentiate into plasma cells and to secrete antibodies? A.Cytokines B.Langerhans cells C.Bone marrow D.Macrophage
A.Cytokines
73
73.Which of the following is not found in the medullary cords of the lymph node? A.lymphocytes B.red blood cells C.macrophages D.plasma cells
B.red blood cells
74
74.Lymph enters the lymph node via: A.Efferent lymphatic vessels B.Medullary cords C.Bloodstream D.Afferent lymphatic vessels
D.Afferent lymphatic vessels
75
75.Which of the following cells inhibit the functions of helper T cells and modulate the immune response? A.Memory T cells B.Kupffer cells C.Suppressor T cells D.Cytotoxic T cells
C.Suppressor T cells
76
76.This basic tissue has the ability to convert chemical energy into mechanical work. A.Epithelium B.Nervous tissue C.Bone D.Muscle tissue E.Connective tissue
D.Muscle tissue
77
77.The following are functions of smooth muscles except: A.expel glandular products B.peristalsis C.flexes hip D.changes caliber of lumen E.mixing dense bodies
C.flexes hip
78
78.These are widely spaced, ill-defined fusiform densities within the cytoplasm of smooth muscles: A.Endoplasmic reticulum B.Golgi complex C.Cytoplasmic dense bodies D.Mitochondria E.Ribosomes
C.Cytoplasmic dense bodies
79
79.Vesicular invaginations of plasmalemma of smooth muscles A.Caveolae B.Subplasmalemmal dense plaques C.Intermediate filaments D.Actin E.Myosin
A.Caveolae
80
80.This connective tissue layer intimately covers each muscle fiber: A.Endomysium B.Elysium C.Epimysium D.Perimysium E.Paramysium
A.Endomysium
81
81.Made up of a single motor neuron, its terminal axonal branches, and a muscle fiber: A.Motor unit B.Synaptic clefts C.Motor end plate D.Neuromuscular junction E.Nerve endings
A.Motor unit
82
82.A sarcomere is the basic contractile unit of skeletal muscles and is defines as a/an: A.segment between 2 Z-lines B.segment between 2 M-lines C.I – band D.A – band E.segment between 2 H-zones
A.segment between 2 Z-lines
83
83.Site of sequestration of calcium during muscle relaxation: A.Sarcoplasmic reticulum B.Mitochondria C.Sarcolemma D.Transverse (T) tubule E.Sarcoplasm
A.Sarcoplasmic reticulum
84
84.TRUE of cardiac muscles, EXCEPT: A.Centrally placed nuclei B.Presence of branching of fibers C.Indistinct longitudinal striations D.more abundant sarcoplasm E.Exhibits cross striations
D.more abundant sarcoplasm
85
85.What muscle type is in the Inferior Vena Cava?
Cardiac Muscle
86
86.What muscle type is in the Gastric glands?
Smooth Muscle
87
87.What muscle type is in the Biceps brachii?
Skeletal Muscle
88
89.What muscle type is in the Gastric glands?
Smooth Muscle
89
90.What muscle type/s exhibit/s cross striations?
Skeletal and Cardiac Muscle
90
91.What muscle type/s function/s through myogenic contractions?
Cardiac Muscle
91
92.What muscle type/s is/are in the Terminal cisternae?
Skeletal and Cardiac Muscle
92
93.What muscle type/s is/are in the transverse axial tubular system?
Skeletal and Cardiac Muscle
93
94.What muscle type/s has/have filaments occur in longitudinally oblique bundles?
Smooth and Skeletal Muscle
94
95.What muscle type exhibits branching of fibers?
Cardiac Muscle
95
96.What muscle fiber type are in the Red fibers?
Type 1 slow oxidative
96
97.What muscle fiber type are in the White fibers?
Type 2 B fast glycolytic
97
98.What muscle fiber type is abundant in 400- 800-meter sprinters?
Type 2 A fast oxidative glycolytic
98
99.What muscle fiber type has the Highest resistance to fatigue?
Type 2 A fast oxidative glycolytic
99
1. Which biochemical component of the red blood cell surface is primarily responsible for determining blood type? A. Carbohydrate B. Protein C. Fatty acid D. Nucleic Acid
Carbohydrate
100
2. What cell in circulating blood is the precursor to most antigen-presenting cells? A. Lymphocyte B. Basophil C. Eosinophil D. Monocyte
Monocyte
101
3. What is the approximate life span of a circulating erythrocyte? A. 120 hours B. 20 days C. 4 weeks D. 4 months
4 months
102
4. Which cell type has cytoplasmic granules that contain heparin and histamine? A. Basophils B. Monocytes C. Eosinophils D. Lymphocytes E. Neutrophils
Basophils
103
5. A differential cell count of a blood smear from a patient with a parasitic infection is likely to reveal an increase in the circulating numbers of which cell type? A. Neutrophils B. Eosinophils C. Lymphocytes D. Basophils
Eosinophils
104
6. Which of the following blood cells differentiate outside of the bone marrow? A. Basophils B. T lymphocytes C. Neutrophils D. Eosinophils
T lymphocytes
105
7. Examination of a normal peripheral blood smear reveals a cell more than twice the diameter of an erythrocyte with a kidney-shaped nucleus. These cells are < 10% of the total leukocytes. Which of the following cell types is being described? A. Eosinophils B. Monocyte C. Neutrophil D. Basophils
Monocyte N 50-70% L 20-40% M 2-8% E 1-4% B 0.5-1%
106
8. A gardener tending to roses accidentally deeply pricked his finger. The next day the area has become infected. He removed the tip of the thorn but there is still pus remaining at the wound site. Which of the following cells function in the formation of pus? A. Cells with spherical nuclei and scant cytoplasm B. Biconcave cells with no nuclei C. Cells with bilobed nuclei and many acidophilic cytoplasmic granules D. Cells with polymorphic, multiply lobed nuclei
Cells with polymorphic, multiply lobed nuclei
107
9. Fresh blood is drawn and centrifuged in the presence of heparin as an anticoagulant to obtain a hematocrit. From top to bottom, the fractions resulting from centrifugation are which of the following? (1/1 Point) A. Serum, packed erythrocytes, and leukocytes B. Leukocytes, erythrocytes, and serum proteins C. Plasma, buffy coat, and packed erythrocytes D. Fibrinogen, platelets, buffy coat, and erythrocytes
Plasma, buffy coat, and packed erythrocytes
108
10. A 34-year-old woman was diagnosed with idiopathic thrombocytic purpura (ITP). Which of the following symptoms/ characteristics would one expect in this patient? A. Hypercoagulation B. Normal blood count C. Decreased clotting time D. Abnormal bruising
Abnormal bruising
109
11. Which of the following blood cells is involved in anaphylaxis and type 1 hypersensitivity reaction? A. Neutrophil B. Basophil C. Lymphocyte D. Monocyte
Basophil
110
12. Which of the following cells is most likely affected in a patient with chronic kidney disease? A. Platelets B. Erythrocyte C. Monocyte D. Lymphocyte
Erythrocyte
111
13. The amount of oxygen carried by the hemoglobin in erythrocytes is lowest in the: A. Capillaries B. Venous blood C. Lung capillaries D. Arterial blood
Venous blood
112
14. The attraction of white blood cells to bacteria which leads to their rapid accumulation in the site of injury is called: A. Migration B. Granulocytosis C. Diapedesis D. Chemotaxis
Chemotaxis
113
15. The differentiation of eosinophils is called? A. Erythropoiesis B. Granulopoiesis C. Both D. Not mentioned
Granulopoiesis
114
16. In which of the following cells involved in erythropoiesis does hemoglobin synthesis begin? A. Orthochromatic erythroblast B. Reticulocyte C. Basophilic erythroblast D. Polychromatophilic erythroblast
Basophilic erythroblast
115
17. Which process occurs during granulopoiesis but not during erythropoiesis? A. Euchromatin content increases B. Cells lose their capacity for mitosis C. Overall cell diameter decreases D. Nucleus becomes increasingly lobulated
Nucleus becomes increasingly lobulated
116
18. Which of the following cells will significantly change in ALL? A. Monocyte B. Erythrocyte C. Platelet D. Lymphocyte
Lymphocyte
117
19. T cells mature in which organ? A. Kidneys B. Thymus C. Bone Marrow D. Liver
Thymus
118
20. A 30 year old patient diagnosed with End Stage Renal Disease is noted to be very anemic. Which of the following can be given to stimulate erythropoiesis in this patient? A. GM-CSF B. G-CSF C. Thrombopoietin D. Erythropoietin
Erythropoietin
119
21. A 30 year old patient was noted to have severe bacterial sepsis. Clinically, he has temperatures of 40 C with chills, tachypnea and tachycardia. As the attending physician, you requested for a complete blood count. The result will show a shift to the left which means: A. Increase in reticulocytes B. Increase in red blood cells C. Increase in band cells D. Increase in lymphocytes
Increase in band cells ## Footnote The appearance of large numbers of immature neutrophils (band cells) in the blood, sometimes called a “shift to the left,” is clinically significant, usually indicating a bacterial infection. (Junqueira’s 15th edition p. 261)
120
22. In acute blood loss, there is a sudden increase in which of the following cells? A. Lymphocytes B. Reticulocytes C. Band cells D. Megakaryocyte
Reticulocytes
121
23. This stage in granulopoiesis is where the initial production of specific granules appear: A. Metamyelocyte B. Myeloblast C. Myelocyte D. Promyelocyte
Myelocyte | PM-MBM
122
24. This cell is the precursor of macrophages A. Lymphocyte B. Monocyte C. Platelet D. Eosinophil
Monocyte
123
25. This cell releases histamine during anaphylaxis or an allergic reaction? (1/1 Point) A. Basophil B. Erythrocyte C. Lymphocyte D. Monocyte
Basophil
124
26. This basic tissue has the ability to convert chemical energy into mechanical work. A. Bone B. Connective tissue C. Nervous tissue D. Epithelium E. Muscle tissue
Muscle tissue
125
27. The following are striated muscles, EXCEPT: pharyngeal muscles A. none B. upper esophagus C. ventricular muscles D. anal sphincter
anal sphincter
126
28. Which of the following contains cardiac muscles? A. left main bronchus B. lower esophagus C. diaphragm D. inferior vena cava E. pectoralis major
inferior vena cava
127
29. The following organs contain visceral-striated muscles, EXCEPT: A. upper esophagus B. pharynx C. none D. gastric glands E. tongue
gastric glands
128
30. Smooth muscles are found in: A. tongue B. lower esophagus C. biceps brachii D. right atrium E. gluteus
lower esophagus
129
31. In general, glands possess this type of muscle: A. skeletal – striated B. smooth C. cardiac D. All E. skeletal – striated
smooth
130
32. This/These muscle/muscles exhibit cross-striations: A. smooth muscle and skeletal muscle B. smooth muscle C. skeletal muscle and cardiac muscle D. skeletal muscle E. cardiac muscle
skeletal muscle and cardiac muscle
131
33. The following are functions of smooth muscles, EXCEPT: A. mixing of gastric contents B. expel glandular products C. peristalsis D. flexes hip E. changes caliber of lumen
flexes hip
132
34. These are widely-spaced, ill-defined fusiform densities within the cytoplasm of smooth muscles: A. Endoplasmic reticulum B. Mitochondria C. Golgi complex D. Ribosomes E. Cytoplasmic dense bodies
Cytoplasmic dense bodies
133
This skeletal muscle fiber arrangement exhibits a sphincter-like appearance A. Parallel B. Fusiform C. convergent D. pennate E. circular
E. circular
134
This skeletal muscle fiber arrangement exhibits an oblique orientation in relation to longitudinal band of connective tissue: A. Parallel B. Fusiform C. convergent D. pennate E. circular
D. pennate
135
This skeletal muscle fiber arrangement exhibits a spindle-shaped that is round and thick: A. Parallel B. Fusiform C. convergent D. pennate E. circular
B. Fusiform
136
This skeletal muscle fiber arrangement exhibits a short, connected with bands: A. Parallel B. Fusiform C. convergent D. pennate E. circular
A. Parallel
137
35. This skeletal muscle fiber arrangement exhibits a fan-like distribution of fibers with a single attachment: A. Parallel B. Fusiform C. convergent D. pennate E. circular
convergent
138
36. Which of the following muscles demonstrate a parallel arrangement of its fibers? A. rectus abdominis B. pectoralis major C. orbicularis oris D. deltoid E. biceps brachii
rectus abdominis
139
37. This band / line in skeletal muscle cross-striations, “shortens” during muscle contraction: A. Z line B. A band C. H zone D. M line E. I band
I band
140
38. This band / line bisects each I band: A. H zone B. A band C. Z line D. M line E. sarcolemma
Z line
141
39. Actual contractile elements of skeletal muscles: A. myofilaments B. sarcoplasmic reticulum C. transverse tubule D. terminal cisternae E. mitochondria
myofilaments
142
40. In cardiac muscles, the transverse tubules (T-tubules) are located at the: A. A-I junction B. A band C. M line D. I band E. Z line
Z line | DYAD (T-Tubule & SR)
143
41. Vesicular invaginations of plasmalemma of smooth muscles: A. Caveolae B. Intermediate filaments C. Myosin D. Subplasmalemmal dense plaques E. Actin
Caveolae
144
42. Muscles used in competition by 400-meter sprinters belong to this classification: A. Type 2A / Fast oxidative glycolytic B. Type 2B / Fast glycolytic and Type 2B / Fast glycolytic C. Type 2b / Fast glycolytic D. Type 1 / Slow oxidative E. Type 1 / Slow oxidative and Type 2A / Fast oxidative glycolytic
Type 2A / Fast oxidative glycolytic
145
43. This is the origin of all impulses in cardiac muscles: A. SA node B. nucleus C. endoplasmic reticulum D. intercalated discs E. mitochondria
SA node
146
44. Regarded as the neuromuscular junction, where the myelin sheath ends: A. Motor end plate B. Endomysium C. Neurotransmitter D. Synaptic clefts E. Motor unit
Motor end plate
147
45. Terminal end of the cardiac conduction system: A. Bundle of His B. Internodal tracts C. AV node D. Purkinje fibers E. SA node
Purkinje fibers
148
46. This connective tissue layer intimately covers each muscle fiber: A. Epimysium B. Perimysium C. Elysium D. Paramysium E. Endomysium
Endomysium
149
47. Made up of a single motor neuron, its terminal axonal branches, and a muscle fiber: A. Motor end plate B. Motor unit C. Neuromuscular junction D. Nerve endings E. Synaptic clefts
Motor unit
150
48. A sarcomere is the basic contractile unit of skeletal muscles and is defined as a/an: A. segment between 2 M-lines B. A-band C. I-band D. segment between 2 Z-lines E. segment between 2 H-zones
segment between 2 Z-lines
151
49. Site of sequestration of calcium during muscle relaxation: A. Transverse (T) tubule B. Sarcolemma C. Mitochondria D. Sarcoplasmic reticulum E. Sarcoplasm
Sarcoplasmic reticulum
152
*50. TRUE of cardiac muscles, EXCEPT: A. Presence of branching of fibers B. Indistinct longitudinal striations C. Exhibits cross striations D. more abundant sarcoplasm E. Centrally placed nuclei
Exhibits cross striations
153
51. What are the conglomerations of gray matter found deep within the cerebrum and the cerebellum A. Tracts B. Islets C. Soma D. Ganglia E. Nuclei
Nuclei
154
52. What provides tensile strength to neurons A. Neurofilaments B. Nodes of Ranvier C. Cell bodies D. Myelinated nerve fibers
Neurofilaments
155
53. What cell is called the macrophage of the CNS A. Dendritic cell B. Histiocyte C. Microglia D. Ependymal cell E. Astrocyte
Microglia
156
54. In nerve injury, the part close to the soma survives while the distal portion degenerates. The healing process may be evidenced by the following events EXCEPT A. Degeneration of the proximal segment B. Nuclear migration to the periphery C. RER dissolution D. Mitotic activity
Mitotic activity
157
55. Which of the cell components will NOT undergo dissolution as the distal segment degenerates when injured A. Myelin B. Connective tissue C. Axon D. Not in list
Connective tissue
158
56. What term is given to this nerve cell feature when new communications are established in newly formed synapses resulting from growth of nerve processes A. Regeneration B. Not in list C. Plasticity D. Myelination E. Reproduction
Plasticity
159
57. Which of the following contain neuronal bodies and glial cells supported by connective tissue serving as relay station in nerve impulse transport A. Schmidt-Lanterman cleft B. Ganglia C. Not in list D. Node of Ranvier
Ganglia
160
58. What particular cell is infected by HIV1 manifested as AIDS Dementia A. Neurolemmocyte B. Astrocyte C. Ependyma D. Oligodendrocyte
Neurolemmocyte
161
59. What autoimmune disease damages myelin sheaths A. Neuropathy B. Myasthenia Gravis C. Guillain Barre D. Multiple Sclerosis
Multiple Sclerosis
162
60. What peripheral nerve cell is responsible for producing myelin A. Neurolemmocyte B. Astrocyte C. Ependyma D. Oligodendrocyte E. E. Microglia
Neurolemmocyte
163
61. What are the functional contact sites between neurons or between neurons and effector cells A. Terminal buttons B. Where promotion of impulses are carried out C. All are included D. Where neurotransmitters are contained
All are included
164
62. What layer in the cerebellar cortex approximates the cerebellar medulla A. Molecular layer B. Granular layer C. Central layer D. Purkinje layer E. Not in list
Granular layer
165
63. What is the primary component of myelin A. Lipids B. Carbohydrates C. Proteins D. Amino acid
Lipids
166
64. What innervates an apocrine sweat gland A. Adrenergic parasympathetic B. Cholinergic parasympathetic C. Cholinergic sympathetic D. Adrenergic sympathetic
Adrenergic sympathetic
167
65. What innervates an eccrine sweat gland A. Cholinergic parasympathetic B. Adrenergic parasympathetic C. Adrenergic sympathetic D. Cholinergic sympathetic
Cholinergic sympathetic
168
66. Which neuron is the most abundant A. Sensory B. Not in list C. Interneuron D. Motor
Interneuron
169
67. What composes white matter A. Myelinated nerve fibers B. Cell bodies C. Meninges D. Nodes of Ranvier
Myelinated nerve fibers
170
68. Where can ependymal cells be found A. Lining the ventricle B. Visceral Lining of the brain C. Covering of the brain D. Covering of the spinal cord
Lining the ventricle
171
69. Which area in the nervous system can white matter be found A. Inner portion of the spinal cord B. Inner portion of the brain C. Not in list D. Outer portion of the brain
Inner portion of the brain
172
70. Which type of neuron is multipolar A. Interneuron B. Both C. Sensory neuron
Interneuron
173
71. What are the support cells in the nervous system called A. Ganglion B. Satellite C. Neuroglia D. Schwann E. Basket
Neuroglia
174
72. Which of the following is NOT part of the meninges A. Arachnoid B. Dura matter C. Not in list D. Pia matter
Not in list
175
73. What is the most abundant support cell in nervous tissue A. Ependymal B. Astrocyte C. Not in list D. Microglia E. Oligodendrocyte
Astrocyte
176
74. What forms the covering of a nerve A. Endoneurium B. Perineurium C. Epineurium D. Mesoneurium
C. Epineurium
177
75. What are Nissl bodies A. Mitochondria B. Golgi apparatus C. Rough endoplasmic reticulum D. Smooth endoplasmic reticulum E. Lysosomes
Rough endoplasmic reticulum
178
76. How does the lymph enters the lymph node? A. Bloodstream B. Efferent lymphatic vessels C. Afferent lymphatic vessels D. Medullary cords
Afferent lymphatic vessels
179
77. What cells are highly populated in the germinal center of the spleen? A. T lymphocytes B. Macrophage C. B lymphocytes D. Plasma cells
B lymphocytes
180
78. What stimulates B cells to secrete antibodies? A. Macrophage B. Cytokines C. Langerhans cells D. T lymphocytes
Cytokines
181
79. Which are dendritic cells of the lymph nodes? A. Nurse cells B. Lymphocytes C. Antigen presenting cells D. Reticular cells
Antigen presenting cells
182
80. What is secreted by plasma cells that originate from the proliferation of B lymphocytes? A. Helper cells B. Cytokine C. Antigen D. Antibody
Antibody
183
81. Which immunoglobulin crosses the placental barrier and is highly secreted in an immune response? A. IgA B. IgG C. IgD D. IgE
IgG
184
82. Which organ is NOT a mucosa-associated lymphoid tissue (MALT)? A. Payers patch B. Tonsils C. Appendix D. Spleen
Spleen
185
83. Which cells carry out an immune response? A. Red blood cells B. Lymphocytes C. Macrophages D. Plasma cells
Lymphocytes
186
84. Which cells are part of the mononuclear phagocytic system and function to phagocytose and process antigens? A. Suppressor T cells B. Antigen-presenting cells C. Plasma cells D. Natural killer cells
Antigen-presenting cells
187
85. The function of this cell is to recognize and destroy antigenically virus-infected and malignant cells? A. Suppressor T cell B. Cytotoxic T cell C. Memory T cell D. Helper T cell
Cytotoxic T cell
188
86. The physical blood-thymus barrier is NOT formed by which of the following? A. Macrophages B. Epithelial reticular cells C. Endothelial cells D. Plasma cells
Plasma cells
189
87. What organ is the site of immune responses to blood borne antigens that filters blood? A. Spleen B. Tonsil C. Thymus D. Lymph node
Spleen
190
88. Which cells do not reside in the splenic white pulp? A. Antigen-presenting cells B. T cells C. Erythrocytes D. Macrophages
Erythrocytes
191
89. What cells populate in the periarterial sheath of the central arteries in the white pulp? A. Macrophages B. Lymphocytes C. T lymphocytes D. Plasma cells
T lymphocytes
192
90. Which structure is NOT found in the splenic red pulp? A. Venous sinusoids B. Reticular fiber networks C. Cords of Billroth D. Germinal center
Germinal center
193
91. What surrounds and promotes proliferation, and maturation of lymphocytes in the thymus? A. Macrophage B. Epithelial reticular cell C. Stellate reticular cell D. Dendritic cell
Epithelial reticular cell
194
92. What is the protective epithelial lining that covers the palatine tonsil? A. Simple cuboidal epithelium B. Stratified columnar epithelium C. Stratified squamous non-keratinized epithelium D. Stratified squamous keratinized epithelium
Stratified squamous non-keratinized epithelium
195
93. Which statement is NOT a feature of a lymph node? A. Presence of high endothelial venules in its paracortical zone B. Contains dendritic cells, which are antigen-presenting cells C. The outer cortex populated by the T lymphocytes D. Associated with afferent and efferent lymphatic vessels
The outer cortex populated by the T lymphocytes
196
94. Which statement regarding the cell-mediated immune response is not correct? A. Activated lymphocytes destroy microorganisms and tumor cells B. Antigen induces transformation of the B cells into plasma cells C. Stimulation of T cell is due to the surface of antigen-presenting cells D. Cytotoxic T cells destroy foreign cells and induce apoptosis
Activated lymphocytes destroy microorganisms and tumor cells
197
95. Which statement is true regarding the lymphatic system? A. Lymphatic nodules surround a vessel called central artery. B. Epithelial reticular cells form whorls called Hassall’s corpuscles C. Splenic cords are interconnected blood channels that drain blood. D. The bone marrow is not a part of the lymphoid system.
Epithelial reticular cells form whorls called Hassall’s corpuscles
198
96. What type of T cells act directly against foreign cells or virus-infected cells? A. Cytotoxic cells B. Memory cells C. Helper cells D. Regulatory cells
Cytotoxic cells
199
97. Which cell is killed by the infecting retrovirus in a patient with AIDS? A. Macrophage B. Antigen-presenting cell C. Helper T cell D. β lymphocyte
Helper T cell
200
98. Where is the origin of precursors of all types of lymphocyte? A. Bone marrow B. Spleen C. Liver D. Blood
Bone marrow
201
99. Which cell is found in the medulla of thymus? A. Reticular B. Hassall’s C. Thymic nurse cell D. Lymphoblast
Hassall’s
202
100. What cells are found in the germinal centres of lymphatic tissues? A. Plasma B. Suppressor T C. Helper D. Lymphocyte
Helper
203
1. Which of the following is characteristic of the chromatophilic material called Nissl substance in neural tissue? a. Found throughout neurons b. Site of mRNA translation for proteins of the axolemma c. Most abundant in unipolar neurons d. Becomes more abundant as an individual gets older e. An example of intermediate filament proteins
b. Site of mRNA translation for proteins of the axolemma
204
2. Which of the following events occurs immediately after an action potential reaches a synapse at an axon terminal? a. Vesicle fusion with the presynaptic terminal membrane b. Calcium ion influx at the presynaptic terminal c. Neurotransmitter binding to receptors on the postsynaptic membrane d. Neurotransmitter release into the synaptic cleft e. Binding of the neurotransmitter at the presynaptic terminal
b. Calcium ion influx at the presynaptic terminal
205
3. A report from a hospital pathology laboratory indicates that a microscope slide with a small specimen of neural tissue contains “numerous GFAP-positive” cells. What is the most likely source of this specimen? a. A region of white matter b. A sensory ganglion c. An autonomic ganglion d. A region of gray matter e. Pia mater
d. A region of gray matter
206
4. In the choroid plexus water from capillaries is transported directly into the cerebrospinal fluid by what structure(s)? a. Ependyma b. Astrocytes c. Cells of the arachnoid mater d. Lining of the central canal e. Microglial cells
a. Ependyma
207
5. What term applies to collections of neuronal cell bodies (somata) in the central nervous system? a. Ganglia b. Neuroglia c. Nodes d. White matter e. Nuclei
e. Nuclei
208
6. Which structure contains trabeculae around which cerebrospinal fluid (CSF) flows? a. Arachnoid mater b. Ependyma c. Dura mater d. Pia mater e. Gray matter
a. Arachnoid mater
209
7. Which of the following is a characteristic of the connective tissue layer that surrounds individual fascicles in large peripheral nerves? a. A delicate region of connective tissue in contact with Schwann cells b. Called the dura mater c. Important as part of the blood-nerve barrier in the nerve d. Rich in myelin e. The thickest sheath of connective tissue in the nerve
c. Important as part of the blood-nerve barrier in the nerve
210
8. A 35-year-old woman presents with weakness and spasticity in the lower left extremity, visual impairment and throbbing in the left eye, and difficulties with balance, fatigue, and malaise. There is an increase in CSF protein, elevated gamma globulin, and moderate pleocytosis. MRI confirms areas of demyelination in the anterior corpus callosum. Imaging identifies plaques that are hyperintense on T2-weighted and fluid attenuated inversion recovery (FLAIR) images, and hypointense on T1-weighted scans. Which of the following cells are specifically targeted in her condition? a. Microglia b. Oligodendrocytes c. Astrocytes d. Schwann cells e. Multipolar neurons
b. Oligodendrocytes
211
9. A 22-year-old man receives a severe, traumatic compression injury to his radial nerve during a motorcycle crash. He shows an advancing Tinel sign. Which one of the following characterizes regeneration of axons after this nerve injury? a. It occurs in the absence of motor nerve action potentials. b. It occurs at a rate of about 100 mm/d. c. It occurs in the segment distal to the site of axon damage. d. It occurs by a process that involves Schwann cell proliferation. e. It occurs in conjunction with degeneration and phagocytosis of the endoneurium.
d. It occurs by a process that involves Schwann cell proliferation.
212
10. A 2-year-old boy presents with hearing impairment, poliosis (a white shock of hair), complete heterochromia and sectoral heterochromia, hypertelorism, a low hairline with eyebrows that touch in the middle, white pigmentation of the skin, and suspected neurologic deficits. He is diagnosed with Waardenburg syndrome with a mutation in the PAX-3 gene that affects neural crest differentiation. Which of the following structures would most likely also be affected in this patient? a. Purkinje cells b. Pyramidal neurons c. Ventral horns of the spinal cord d. Astrocytes e. Neurons and satellite cells of the spinal ganglion
e. Neurons and satellite cells of the spinal ganglion
213
1. The basal lamina of a muscle fiber is part of which structure? a. Perimysium b. Epimysium c. Fascia d. Endomysium e. Sarcoplasmic reticulum
d. Endomysium
214
2. With the transmission electron microscope skeletal muscle fibers can be seen to contain structures called triads. What do the two lateral components of a triad represent? a. Attachment sites for thick myofilaments b. Sites for calcium sequestration and release c. Sites for impulse conduction into the fiber d. Sites for ATP production e. Sites for synthesis of proteins to be secreted outside the cell
b. Sites for calcium sequestration and release
215
3. Which characteristic is unique to cardiac muscle? a. Contain centrally located nuclei b. Striated c. Often branched d. Multinucleated e. Lack T-tubules
c. Often branched
216
4. In smooth muscle calcium released by the smooth ER initiates contraction by binding to what protein? a. Actin b. Calmodulin c. Desmin d. Myosin light chain kinase e. Tropomyosin
b. Calmodulin
217
5. Which feature typifies T-tubules? a. Evaginations of the sarcoplasmic reticulum b. Sequester calcium during muscle relaxation, releasing it during contraction c. Carry depolarization to the muscle fiber interior d. Overlie the A-I junction in cardiac muscle cells e. Rich supply of acetylcholine receptors
c. Carry depolarization to the muscle fiber interior
218
6. Which characteristic is unique to smooth muscle? a. T-tubules lie across Z lines b. Each thick filament is surrounded by six thin filaments c. Thin filaments attach to dense bodies d. Cells are multinucleated e. Cells have centrally located nuclei
c. Thin filaments attach to dense bodies
219
7. In one type of muscle, numerous gap junctions, desmosomes, and adherens junctions are specifically localized in which structures? a. Myofilaments b. Dense bodies c. Sarcomeres d. Neuromuscular spindles e. Intercalated discs
e. Intercalated discs
220
8. A 66-year-old man who lives alone has a severe myocardial infarction and dies during the night. The medical examiner’s office is called the following morning and describes the man’s body as being in rigor mortis. This state of rigor mortis is due to which one of the following? a. Inhibition of Ca2+ leakage from the extracellular fluid and sarcoplasmic reticulum b. Enhanced retrieval of Ca2+ by the sarcoplasmic reticulum c. Failure to disengage tropomyosin and troponin from the myosin active sites d. Absence of ATP preventing detachment of the myosin heads from actin e. Increased lactic acid production
d. Absence of ATP preventing detachment of the myosin heads from actin
221
9. A 5-year-old boy sustains a small tear in his gastrocnemius muscle when he is involved in a bicycle accident. Regeneration of the muscle will occur through which of the following mechanisms? a. Dedifferentiation of muscle cells into myoblasts b. Differentiation of muscle satellite cells c. Fusion of damaged myofibers to form new myotubes d. Hyperplasia of existing muscle fibers e. Differentiation of fibroblasts to form myoblasts
b. Differentiation of muscle satellite cells
222
10. A healthy 32-year-old man lifts weights regularly as part of his workout. In one of his biceps muscle fibers at rest, the length of the I band is 1.0 μm and the A band is 1.5 μm. Contraction of that muscle fiber results in a 10% shortening of the length of the sarcomere. What is the length of the A band after the shortening produced by muscle contraction? a. 1.50 μm b. 1.35 μm c. 1.00 μm d. 1.90 μm e. 0.45 μm
a. 1.50 μm
223
1. Which biochemical component of the erythrocyte cell surface is primarily responsible for determining blood type (eg, the A-B-O system). a. Fatty acid b. Carbohydrate c. Nucleic acid d. Protein e. Cholesterol
b. Carbohydrate
224
2. What cell in circulating blood is the precursor to microglia and most antigen-presenting cells? a. Eosinophil b. Basophil c. Lymphocyte d. Monocyte e. Mast cell
d. Monocyte
225
3. What is the approximate life span of a circulating erythrocyte? a. 8 days b. 20 days c. 5 weeks d. 4 months e. 1 year
d. 4 months
226
4. Which cell type has cytoplasmic granules that contain heparin and histamine? a. Eosinophils b. Basophils c. Lymphocytes d. Monocytes e. Neutrophils
b. Basophils
227
5. A differential cell count of a blood smear from a patient with a parasitic infection is likely to reveal an increase in the circulating numbers of which cell type? a. Neutrophils b. Lymphocytes c. Monocytes d. Basophils e. Eosinophils
e. Eosinophils
228
6. Which of the following blood cells differentiate outside of the bone marrow? a. Neutrophils b. Basophils c. Eosinophils d. T lymphocytes e. Megakaryocytes
d. T lymphocytes
229
7. Examination of a normal peripheral blood smear reveals a cell more than twice the diameter of an erythrocyte with a kidneyshaped nucleus. There cells are less than 10% of the total leukocytes. Which of the following cell types is being described? a. Monocyte b. Basophil c. Eosinophil d. Neutrophil e. Lymphocyte
a. Monocyte
230
8. A 43-year-old anatomy professor is working in her garden, pruning rose bushes without gloves, when a thorn deeply penetrates her forefinger. The next day the area has become infected. She removes the tip of the thorn, but there is still pus remaining at the wound site. Which of the following cells function in the formation of pus? a. Cells with spherical nuclei and scant cytoplasm b. Biconcave cells with no nuclei c. Cells with bilobed nuclei and many acidophilic cytoplasmic granules d. Very small, cell-like elements with no nuclei but many granules e. Cells with polymorphic, multiply lobed nuclei
e. Cells with polymorphic, multiply lobed nuclei
231
49. A 35-year-old woman’s physician orders laboratory blood tests. Her fresh blood is drawn and centrifuged in the presence of heparin as an anticoagulant to obtain a hematocrit. From top to bottom, the fractions resulting from centrifugation are which of the following? a. Serum, packed erythrocytes, and leukocytes b. Leukocytes, erythrocytes, and serum proteins c. Plasma, buffy coat, and packed erythrocytes d. Fibrinogen, platelets, buffy coat, and erythrocytes e. Albumin, plasma lipoproteins, and erythrocytes
c. Plasma, buffy coat, and packed erythrocytes
232
10. A hematologist diagnoses a 34-year-old woman with idiopathic thrombocytic purpura (ITP). Which of the following symptoms/ characteristics would one expect in this patient? a. Normal blood count b. Hypercoagulation c. Decreased clotting time d. Abnormal bruising e. Light menstrual periods
d. Abnormal bruising
233
1. In which of the following cells involved in erythropoiesis does hemoglobin synthesis begin? a. Orthochromatic erythroblast b. Polychromatophilic erythroblast c. Reticulocyte d. Basophilic erythroblast e. Proerythroblast
d. Basophilic erythroblast | PB-PORE
234
2. Which of the following can be used to describe megakaryocytes? a. Multinucleated b. Formed by fusion of haploid cells c. Precursors to bone marrow macrophages d. A minor but normal formed element found in the circulation e. Possess dynamic cell projections from which one type of formed element is released
e. Possess dynamic cell projections from which one type of formed element is released
235
3. Which cytoplasmic components are the main constituents of the dark precipitate that forms in reticulocytes upon staining with the dye cresyl blue? a. Golgi complexes b. Hemoglobin c. Nucleoli d. Nuclear fragments e. Polyribosomes
e. Polyribosomes
236
4. Which process occurs during granulopoiesis but not during erythropoiesis? a. Cells lose their capacity for mitosis b. Euchromatin content increases c. Nucleus becomes increasingly lobulated d. Overall cell diameter decreases e. Overall nuclear diameter decreases
c. Nucleus becomes increasingly lobulated
237
5. What fate often awaits granulocytes that have entered the marginating compartment? a. Undergo mitosis b. Crossing the wall of a venule to enter connective tissue c. Cannot reenter the circulation d. Differentiate into functional macrophages e. Begin to release platelets
b. Crossing the wall of a venule to enter connective tissue
238
6. What is the earliest stage at which specific granulocyte types can be distinguished from one another? a. Myelocyte b. Band form c. Reticulocyte d. Metamyelocyte e. Promyelocyte
a. Myelocyte Pro(non-specific) Myelo(non-sp&sp) Meta(sp) Band(sp)
239
7. Which cell type is capable of further mitosis after leaving the hemopoietic organ in which it is formed? a. Basophil b. Eosinophil c. Reticulocyte d. Lymphocyte e. Neutrophil
d. Lymphocyte
240
8. Shortly after her birth a baby is diagnosed with a mutation in the erythropoietin receptor gene which leads to familial erythrocytosis (familial polycythemia). During the seventh to ninth months of fetal development, the primary effect on her red blood cell production was in which of the following? a. Liver b. Yolk sac c. Spleen d. Thymus e. Bone marrow
e. Bone marrow
241
9. A 54-year-old man presents with recurrent breathlessness and chronic fatigue. After routine tests followed by a bone marrow biopsy he is diagnosed with lymphocytic leukemia. Chemotherapy is administered to remove the cancerous cells, which also destroys the precursor cells of erythrocytes. To reestablish the erythrocytic lineage, which of the following cells should be transplanted? a. Reticulocytes b. Orthochromatophilic erythroblasts c. Megakaryoblasts d. Basophilic erythroblasts e. Metamyelocytes
d. Basophilic erythroblasts | PB-PORE
242
10. A smear of blood from a 70-year-old leukemia patient reveals a larger than normal population of cells that have large, round nuclei with one or two nucleoli. The cytoplasm of these cells shows azurophilic granules. Which of the following forms of leukemia would you suspect? a. Promyelocytic leukemia b. Basophilic leukemia c. Lymphoblastic leukemia d. Stem cell leukemia e. Eosinophilic leukemia
a. Promyelocytic leukemia