SQs Leukocyte Disorders Flashcards
Inherited leukocyte disorders caused by a mutation in the lamin B receptor.
Pelger-Huet anomaly
Inherited leukocyte disorder that is one of a group of disorders with mutations in nonmuscle myosin heavy-chain IIA.
May-Hegglin anomaly
Inherited leukocyte disorders that might be seen in Hurler syndrome.
Alder-Reilly anomaly
A lysosomal storage disease characterized by macrophages with striated cytoplasm and storage of glucocerebroside.
Gaucher disease
The neutrophils in chronic granulomatous disease are incapable of producing:
Hydrogen peroxide
Hypochlorite
Superoxide
Individuals with X-linked SCID have a mutation that affects their ability to synthesize:
IL-2 receptor
An absolute lymphocytosis with reactive lymphocytes suggests what condition?
Viral infection
What leukocyte cytoplasmic inclusion is composed of ribosomal RNA?
Dohle bodies
The expected complete blood count results for women in active labor would include:
High total WBC count with a slight shift to the left in neutrophils
Which is true of an absolute increase in lymphocytes with reactive morphology?
a. The population of lymphocytes appears morphologically homogeneous.
b. They are usually effector B cells.
c. The reactive lymphocytes have increased cytoplasm with variable basophilia.
d. They are most commonly seen in bacterial infections.
C. The reactive lymphocytes have increased cytoplasm with variable basophilia
Leukocytosis can be caused by
a. increased movement of immature cells out of the bone marrow’s proliferative compartment
b. increased mobilization of granulocytes from the maturation-storage compartment
c. increased movement of granulocytes from the marginating pool to the circulating pool
All of the choices (hehe)
Neutrophilia can be related to a variety of conditions or disorders. Select the appropriate conditions.
a. surgery
b. burns
c. stress
All of the choices
Surgery
Burns (tissue necrosis)
Stress (physiologic)
Charcot-Leyden crystals can be found in the ff. of patients with active eosinophilic inflammation, except:
a. sputum
b. tissues
c. stool
d. AOTC
e. NOTC
None of the choices.
Monocytosis can be observed in
a. tuberculosis
b. fever of unknown origin
c. rheumatoid arthritis
d. AOTC
e. NOTC
All of the choices
Neutropenia can be observed in the ff., except:
a. bone marrow injury
b. nutritional deficiency
c. increased destruction and utilization
d. AOTC
e. NOTC
None of the choices
Indicate the abnormality based on the characteristic stated below:
Precipitated mucopolysaccharides
Alder-Reilly inclusions
Indicate the abnormality based on the characteristic stated below:
Gigantic peroxidase-positive deposits
Chediak-Higashi syndrome
Indicate the abnormality based on the characteristic stated below:
Single or multiple pale-blue staining inclusions
Dohle body inclusions
Indicate the abnormality based on the characteristic stated below:
Dohle body-like inclusions
May-Hegglin anomaly
What abnormality is being described:
Failure of the nucleus to segment/decreased nuclear segmentation
Pelger-Huet anomaly
What abnormality is being described:
Dark blue-black precipitates of RNA
Toxic granulation
What abnormality is being described:
Five or more nuclear segments
hypersegmentation
What abnormality is being described by the following condition:
Associated with frequent infections in children or young adults
Chediak-Higashi syndrome
What abnormality is being described by the following condition:
Associated with viral infections and burns
Dohle Bodies
What abnormality is being described by the following condition:
May be related to a maturational arrest in some acute infections
Pelger-Huet anomaly
What abnormality is being described by the following condition:
Associated with a deficiency of vitamin B12 or folic acid
Hypersegmentation
What is the appropriate cell type involved in this disorder:
Gaucher disease
A. Neutrophilic series
B. Monocytic-macrophagic series
Monocytic-macrophagic series
What is the appropriate cell type involved in this disorder:
Niemann-pick disease
A. Neutrophilic series
B. Monocytic-macrophagic series
Monocytic-macrophagic series
What is the appropriate cell type involved in this disorder:
Chediak-higashi syndrome
A. Neutrophilic series
B. Monocytic-macrophagic series
Neutrophilic series
What is the appropriate cell type involved in this disorder:
Chronic granulomatous disease
A. Neutrophilic series
B. Monocytic-macrophagic series
Neutrophilic series
What is the appropriate cell type involved in this disorder:
Lazy leukocyte syndrome
A. Neutrophilic series
B. Monocytic-macrophagic series
Neutrophilic series
Gaucher cells have
a. wrinkled cytoplasm
b. one to three nuclei
c. a deficiency of B-glucocerebrosidase
All of the choices :)
A peripheral blood film that shows increased neutrophils, basophils, eosinophils, and platelets is highly suggestive of __________.
Chronic Myelogenous Leukemia (CML)
What chromosome abnormality is associated with CML?
t (9;22)
A patient has a WBC count of 30x10^9/L and the following WBC differential:
Segmented neutrophils: 38%
Bands: 17%
Metamyelocytes: 7%
Myelocytes: 20%
Promyelocytes: 10%
Eosinophils: 3%
Basophils: 5%
What test would be helpful in determining whether the patient has CML?
Fish positive for BCR/ABL1 fusion
A patient in whom CML has previously been diagnosed has circulating blasts and promyelocytes that total 30% of leukocytes. The disease is considered to be in what phase?
Transformation to acute leukemia
The most common mutation found in patients with primary polycythemia vera (PV) is:
JAK2 V617F
The peripheral blood in polycythemia vera (PV) typically manifests:
erythrocytosis, thrombocytosis, and granulocytosis
A patient has a platelet count of 700x10^9/L with abnormalities in the size, shape, and granularity of platelets; a WBC count of 12x10^9/L; and hemoglobin of 11g/dL. The philadelphia chromosome is not present. The most likely diagnosis is:
Essential Thrombocythemia (ET)
Complications of essential thrombocythemia include all of the following except:
a. thrombosis
b. hemorrhage
c. seizures
d. infections
d. infections
Which of the following patterns is a characteristic of the peripheral blood in patients with PMF?
a. Teardrop-shaped erythrocytes, nucleated, RBCs, immature granulocytes
b. abnormal platelets only
c. Hypochromic erythrocytes, immature granulocytes, and normal platelets
d. Spherocytes, immature granulocytes, and increased number of platelets
A. Teardrop-shaped erythrocytes, nucleated RBCs, immature granulocytes
The myelofibrosis associated with PMF is a result of:
Enhanced activity of fibroblasts owing to increased stimulatory cytokines.
The most characteristic morphological features of variant lymphocytes include:
a. increased overall size, possibly 1 to 3 nucleoli, and abundant cytoplasm
b. increased overall size, round nucleus, and increased granulation in the cytoplasm
c. segmented nucleus, light-blue cytoplasm, and no nucleoli
d. enlarged nucleus, six to eight nucleoli, and dark-blue cytoplasm
a. increased overall size, possibly 1 to 3 nucleoli, and abundant cytoplasm
Match the following with the given choices:
Rieder cells
A. Niemann-pick disease and burkitt lymphoma
B. CLL
C. Leukosarcoma
D. Natural artifact
B. CLL (Chronic Lymphogenous Leukemia)
Match the following with the given choices:
Vacuolated lymphocytes
A. Niemann-pick disease and burkitt lymphoma
B. CLL
C. Leukosarcoma
D. Natural artifact
A. Niemann-pick disease and burkitt lymphoma (plus tay sachs disease and hurley syndrome)
Match the following with the given choices:
Crystalline inclusions
A. Niemann-pick disease and burkitt lymphoma
B. CLL
C. Leukosarcoma
D. Natural artifact
C. Leukosarcoma
Match the following with the given choices:
Smudge cells
A. Niemann-pick disease and burkitt lymphoma
B. CLL
C. Leukosarcoma
D. Natural artifact
D. natural artifact
Also usually seen in CLL
T cells are
A. lymphocytes
B. monocytes
C. helper or suppressor types
D. Both A and C
D. Lymphocytes & Helper or Suppressor Types
B cells are
A. lymphocytes
B. associated with antigen recognition
C. found in thymus and bone marrow
D. AOTC
All of the choices
NK cells are classified as
A. macrophages
B. monocytes
C. effector lymphocytes
D. K-type lymphocytes
C. effector lymphocytes
Which of the ff. statements is (are) true of T cells?
A. Responsible for humoral responses
B. Responsible for cellular immune responses
C. Responsible for chronic rejection in organ transplantation
D. Both A and B
E. Both B and C
E. Both B and C
Which of the ff. statements is (are) true of B cells?
A. Responsible for antibody responses
B. Protect against intracellular pathogens
C. Responsible for chronic rejection in transplantation
D. Both A and B
A. Responsible for antibody responses
According to the WHO classification, except in leukemias with specific genetic anomalies, the minimal percentage of blasts necessary for a diagnosis of acute leukemia is:
20%
Sudan Black B stains what component of the cell?
Lipids
MDSs (Myelodysplastic Syndromes) are common in which age group?
Older than 50 years
What is a major indication of MDS in the peripheral blood and bone marrow?
Dyspoiesis (hematopoiesis is ineffective)
An alert hematologist should recognize all of the following peripheral blood abnormalities as diagnostic clues in MDS except:
a. Oval macrocytes
b. Target cells
c. Agranular neutrophils
d. Circulating micromegakaryocytes
b. Target cells
For an erythroid precursor to be considered a ring sideroblast, the iron-laden mitochondira must encircle how much of the nucleus?
1/3
According to the WHO classification of MDS, what percentage of blasts would constitute transformation to an acute leukemia?
20%
A patient has anemia, oval macrocytes, and hypersegmented neutrophils. Which of the following tests would be most efficient in differential diagnosis of this disorder?
Vitamin B12 and folate levels
Which of the following is least likely to contribute to the death of patients with MDS?
a. neutropenia
b. thrombocytopenia
c. organ failure
d. neuropathy
neuropathy
In what other hematologic disease does MDS often convert?
AML