Leukocytosis
1.What a leukocytosis?
a) Increase in the number of leukocytes in the bone marrow
+ b) Increasing the number of leucocytes per unit volume of blood (usually over 9.0 gig / liter)
c) Increasing the number of leukocytes in tissues.
2. What is the number of white blood cells indicates a leukocytosis?
a) 2.0 gig / liter; + b) 15.0 gig / liter; c) 9.0 gig / liter.
3. What mechanisms play a major role in the emergence of leukocytosis?
+ a) Stimulation leukopoiesis
+ b) Accelerated exit of leukocytes in peripheral blood
c) Increased capillary pressure
d) Decrease capillary pressure
4. Index of nuclear shift - is:
+ a) the ratio of all non-segmentonuclear neutrophils in percent to the percentage of
segmentonuclear cells
b) the ratio of all segmentonuclear to the sum of all non-segmentonuclear neutrophils.
5. What is the index of the nuclear shift of neutrophils in normal?
+ a) 0.06 - 0.08; b) 0.9 - 1.0; c) 1.2 - 2.0.
6. Neutrophilic leukocytosis observed in:
a) Allergic reactions
+ b) pyoseptic processes
c) helminthic invasion
+ d) Traumatic brain injury
+ e) Myocardial Infarction
7. What leukocytosis usually occurs after acute blood loss?
+ a) neutrophilic; b) eosinophilic; c) lymphocytic.
8. Physiological leukocytosis observed in:
a) Myocardial Infarction
b) Pneumonia
c) Bone fractures
+ d) Neonatal
e) Acute posthemorrhagic anemia
9. General mechanism is pathological leukocytosis
a) The redistribution of blood in the vessels
+ b) Stimulation leukopoiesis
c) The emigration of leukocytes
d) diapedesis of leukocytes
e) phagocytosis of leukocytes
10. Eosinophilia characterized by:
a) acute purulent process
+ b) for asthma
c) Sepsis
d) For infectious mononucleosis
e) For Measles
11. Eosinophilia is characteristic for:
a) acute purulent process; + b) helminthic infestation; c) sepsis;
d) infectious mononucleosis; e) myocardial infarction
12. Eosinophilia observed in:
a) purulent inflammation; + b) allergy; c) myocardial infarction;
d) acute post-hemorrhagic anemia; + e) parasitic infestations
13. Lymphocytosis characterized by:
+a) for tuberculosis
b) For septic diseases
c) For measles
d) For asthma
e) For the myocardial infarction
14. Lymphocytosis observed in:
a) purulent inflammation; b) acute post-hemorrhagic anemia; + c) tuberculosis
d) helminthic infestation; + e) brucellosis
15. In acute purulent inflammation occurs:
a) eosinophilia; b) basophilic leukocytosis; + c) neutrophilic leukocytosis; d) monocytic
leukocytosis; e) lymphocytic leukocytosis
16. Nuclear neutrophilic shift to the left is called the increase in the percentage of blood:
a) agranulocytes
b) Granulocytes
+ c) immature forms of neutrophils
d) of the mature form of neutrophils
e) Hypersegmentated forms of neutrophils
17. Nuclear shift of leukocytic formula to the left shows:
a) an increase in the percentage of segmentonuclear neutrophils
b) an increase in the percentage of lymphocytes and monocytes
+ c) an increase in the percentage of young neutrophils (metamyelocytes and band)
d) reducing the percentage of young forms of neutrophils
e) reducing the percentage of lymphocytes and monocytes
18. Neutrophilic leukocytosis with regenerative nuclear shift to the left is:
a) Leukocytosis with increasing band neutrophils
b) leukocytosis with a predominance of neutrophils hypersegmentated
+ c) Leukocytosis with increasing band neutrophils and the emergence of metamyelocytes
d) The appearance of myeloblasts hemogram
e) The appearance of myelocytes hemogram
19. Neutrophilic leukocytosis with hyperregenerative nuclear shift to the left usually occurs
when:
a) radiation sickness; b) bone marrow aplasia; c) benzene poisoning
+ d) severe septic processes; e) fasting
20. The increase in the blood levels of band and the appearance of metamyelocytes is
called:
a) nuclear shift to the right
b) degenerative nuclear shift to the left
c) hyperregenerative nuclear shift to the left
+ d) regenerative nuclear shift to the left
e) agranulocytosis
21. The concept of "leukopenia" corresponds to the content of leukocytes in the blood:
a) 5 x 109 / L
+ b) 3 x 109 / L
c) 100 x 109 / L
d) 8 x 109 / L
e) 8 x 1012 / L
22.Leykopeniya most often develops due to the decrease:
a) lymphocytes; b) monocytes; + c) neutrophils; d) basophils; e) eosinophils.
23. Leukopenia may occur when:
a) allergies; b) worm infestations; + c) radiation sickness;
d) emotional excitation; e) leukemoid reactions
24. Long-term use of cytotoxic drugs leads to:
a) monocytosis; b) lymphocytosis; c) eosinophilia; d) basopenia; + e) neutropenia
25. Leukopenia when receiving of sulfonamides is connected with:
+ a) destruction of leukocyte by antibodies
b) hypersplenism
c) a decrease in the formation of hematopoietic factors
d) the loss of the ability of hematopoietic progenitor cells to differentiation
e) redistribution of leukocytes
26. Agranulocytosis is:
a) Increase in the number of lymphocytes and monocytes in the blood
+ b) The acute decrease in the number of neutrophils and eosinophils in the blood
c) Increase the number of agranulocytes
d) Increase in the number of blood neutrophils hypersegmentated
e) The acute decrease in the number of reticulocytes in the blood
27. The classic clinical manifestation of agranulocytosis is:
a) stomach ulcer; + b) necrotizing tonsillitis;
c) trophic ulcers of the skin; d) ulcer disease of the duodenum 12
e) ulcerative conjunctivitis.
28. Leukopenia may lead to:
a) a decrease in blood clotting; + b) a decrease in resistance of the organism
c) the development of sensitization of the organism; d) the development of leukemia;
e) reticulocytosis
29. The effects of long-term pronounced leukopenia include:
a) enhancing phagocytosis; + b) violation of the immunity; + c) reduction of antineoplastic
resistance; + d) generalization of infection; e) strengthening the processes of regeneration
30. Determine the nature of the violations in leucogram. The total number of leukocytes
0,9x109/L, band neutrophils - 0%, segmented neutrophiles - 8%, basophils - 0%,
eosinophils - 0%, lymphocytes - 72%, monocytes - 20%
a) neutrophilia; + b) agranulocytosis; c) granulocytosis; d) monocytosis; e) lymphocytosis
31. Leukocytes 17.0 x 109/L
Neutrophils: metamyelocytes - 4%, band - 16%, segmented - 60%, eosinophils – 1,5%,
basophils – 0%, Lymphocytes - 15%, monocytes - 3,5%
This leukogram indicates on
a) neutrophilic leukocytosis with hyporegenerative nuclear shift to the left, relative
lymphocytosis
+ b) neutrophilic leukocytosis with regenerative nuclear shift to the left, relative
lymphopenia
c) leukopenia, agranulocytosis
d) eosinophilia
e) leukocytosis with hyperregenerative nuclear shift to the left
32. What diseases are accompanied by eosinophilia?
+ a) pollinosis; + b) hydatid disease of the liver; c) chronic lymphocytic leukemia
d) bacterial pneumonia; + e) chronic myeloid leukemia
33. What diseases are accompanied by eosinophilia?
a) acute appendicitis; + b) atopic asthma; + c) trichinellosis; + d) opisthorchosis;
e) acute purulent otitis
34. What diseases often are accompanied by the development of monocytosis?
+ a) measles; b) typhoid fever; c) myocardial infarction; + d) infectious mononucleosis
+ e) rubella
35. Indicate which diseases are accompanied by a relative lymphocytosis?
+ a) immune form of agranulocytosis; b) viral infection; c) tuberculosis;
+ d) hypoplastic anemia; e) infectious mononucleosis
36. At what conditions is observed neutrophilic leukocytosis with regenerative nuclear shift
to the left?
a) myogenic leukocytosis; b) digestive leukocytosis; + c) lobar pneumonia; + d) acute
myocardial infarction
37. Pathological leukocytosis is observed in:
+ a) furunculosis; b) pregnancy; + c) otitis; d) a sense of fear; + e) myocardial infarction
38. What changes in neutrophils can be regarded as a manifestation of their degeneration?
+ a) the presence in the cytoplasm roughly pronounced granularity
b) the presence in the cytoplasm of a dustlike granularity
c) the rod-shaped nucleus
+ d) vacuolization of the cytoplasm
+ e) pyknosis of the nucleus
39. Physiological leukocytosis include:
+ a) myogenic
b) inflammatory
+ c) digestive
d) infectious
+ e) leukocytosis of newborns
40. What changes in peripheral blood is observed in agranulocytosis?
+ a) significant reduction of neutrophils in the blood; b) neutrophilia;
+ c) aneosinophilia; d) absolute lymphocytosis; + e) relative lymphocytosis