Clin Path-Lymphocytes

Descrição

DVM Clin Path Quiz sobre Clin Path-Lymphocytes, criado por Courtney Walsh em 04-02-2020.
Courtney Walsh
Quiz por Courtney Walsh, atualizado more than 1 year ago
Courtney Walsh
Criado por Courtney Walsh mais de 4 anos atrás
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Resumo de Recurso

Questão 1

Questão
[blank_start]Pluripotent stem cell[blank_end]: a self-renewing cell which gives rise to committed stem cells when stimulated. [blank_start]Colony forming units (CFU)[blank_end]: stem cells committed to production of a single cell type (for example, eosinophils). An exception to this is CFU-GM (colony forming unit - granulocyte-monocyte), which splits further into neutrophil and monocyte producing stem cells. [blank_start]Blast cell[blank_end]: a young undifferentiated cell with one or more visible nucleoli. It is one step beyond the CFU stage and can be recognized in bone marrow aspirates as rubriblasts or myeloblasts. [blank_start]Granulocyte[blank_end]: a white blood cell (leukocyte) with cytoplasmic granules (neutrophil, eosinophil and basophil). Therefore, lymphocytes and monocytes are leukocytes but are not granulocytes. This designation ignores the fact that some lymphocytes contain granules, but life isn=t perfect, is it?
Responda
  • Pluripotent stem cell
  • Colony forming units (CFU)
  • Blast cell
  • Granulocyte

Questão 2

Questão
2 types of neutrophils are present in the circulation of a healthy animal: the vast majority are mature [blank_start]segmented[blank_end] neutrophils, with a few [blank_start]band[blank_end] neutrophils also seen. Higher numbers of [blank_start]band neutrophils[blank_end] signify inflammation. In clinical pathology, we mean a segmented neutrophil if we just say neutrophil and band neutrophils are specifically called bands or band neutrophils. Segmented neutrophils have a segmented nucleus (with a dark condensed chromatin pattern) connected by thin strands. Segmented neutrophils from female animals may have a [blank_start]Barr body[blank_end] - a drumstick shaped extension of the nucleus. Band neutrophils classically have a U-shaped nucleus (can be other shapes, such as C or S shaped). Cytoplasm of neutrophils is typically [blank_start]non-staining[blank_end] or very faintly pink or blue - granules are present but they are not usually possible to see with a light microscope. The same cell type in birds, fish, rats, guinea pigs and rabbits have [blank_start]pinker[blank_end] staining granules and are sometimes (not always, depends on the reference) called [blank_start]heterophils[blank_end]. The current preferred term is still neutrophils
Responda
  • segmented
  • band
  • band neutrophils
  • Barr body
  • non-staining
  • pinker
  • heterophils

Questão 3

Questão
Select all the following that may cause neutrophilia
Responda
  • toxins
  • neoplasia
  • fungal and viral infections
  • immune-mediated disease
  • all can cause neutrophilia

Questão 4

Questão
Which of the following is part of the proliferation pool of neutrophils?
Responda
  • myeloblast
  • metamyelocytes
  • band neutrophil

Questão 5

Questão
Select the following that are stages of neutrophil life stages?
Responda
  • bonemarrow
  • intravascular
  • tissue
  • diapedetic
  • adhesion
  • proliferation

Questão 6

Questão
In most species, approximately equal numbers of neutrophils in the blood are in the circulating (50 %) and marginating (50 %) pools
Responda
  • True
  • False

Questão 7

Questão
In most species, approximately equal numbers of neutrophils in the blood are in the circulating ([blank_start]50[blank_end] %) and marginating (50 %) pools. The cat differs in that ~[blank_start]75[blank_end] % of blood neutrophils are in the marginating pool, with only ~[blank_start]25[blank_end] % freely circulating.
Responda
  • 75
  • 25
  • 50

Questão 8

Questão
It generally takes [blank_start]3[blank_end]-[blank_start]5[blank_end] days before you will see any evidence of increased segmented neutrophil numbers in the bloodstream as a result of increased bone marrow production.
Responda
  • 3
  • 5

Questão 9

Questão
Which of the following is not a morphological characteristic of monocytes?
Responda
  • mottled lacy chromatin pattern
  • round to lobulated nucleus
  • crisp vacuoles in the cytoplasm
  • grey-neutral staining cytoplasm

Questão 10

Questão
monocytes are short-lived cells that remain in the tissue and can produce more macrophages.
Responda
  • True
  • False

Questão 11

Questão
Connective tissue histiocytes, osteoclasts, microglial cells in the nervous system, Kupffer cells in the liver and Langerhan's cells in the skin are all examples of tissue fixed monocytes
Responda
  • True
  • False

Questão 12

Questão
which of the following does NOT cause increased monocytosis?
Responda
  • trauma
  • excitement
  • stress
  • type 1 hypersensitivity reactions

Questão 13

Questão
a marked monocytosis is often seen with acute inflammation
Responda
  • True
  • False

Questão 14

Questão
neutrophils, eosinophils and basophils cannot be differentiated visually until the myelocyte stage when specific granules appear
Responda
  • True
  • False

Questão 15

Questão
Eosinophilia due to parasites occurs only when sensitivity to parasite proteins has developed and these proteins are then exposed to body tissues or the bloodstream to trigger an increase in eosinophil production and release into the blood.
Responda
  • True
  • False

Questão 16

Questão
basophils
Responda
  • have a segmented nucleus like neutrophils and eosinophils
  • The nuclear chromatin is more condensed than in neutrophils
  • often make up 10 % of a differential count in a normal animal.

Questão 17

Questão
Basophils, like mast cells, they are involved in immediate (type 1) hypersensitivity reactions. • When a specific antigen binds to [blank_start]IgE[blank_end] bound to the basophil surface, degranulation and release of granule components occurs. • Granules contain numerous substances, including [blank_start]histamine[blank_end] and heparin
Responda
  • IgE
  • histamine

Questão 18

Questão
After neutrophils, these are the most common circulating leukocyte in domestic animals, including mature cattle
Responda
  • monocytes
  • basophils
  • lymphocytes

Questão 19

Questão
Which of the following is FALSE regarding Production and kinetics of lymphocytes?
Responda
  • They are not stored in the marrow
  • A unique feature of lymphocytes is that they
  • lifespan of lymphocytes is generally longer than for other cells
  • causes of mild to moderate lymphocytosis include cortisol release or antigenic stimulation

Questão 20

Questão
Which of the following can alter WBC count numbers?
Responda
  • nucleated RBC's
  • thrombocytopenia
  • age of patient
  • sex of patient

Questão 21

Questão
Which of the following statements regarding neutrophil toxicity is true?
Responda
  • • Neutrophil toxicity is evidence that systemic toxins are present in the body. Since neutrophil toxicity is a sign of abnormal maturation of neutrophil cytoplasm, it indicates that the microenvironment of the marrow was not ideal when those cells were being produced.
  • The causes of neutrophil toxicity include endogenous toxins (such as inflammatory mediators) and exogenous toxins
  • Neutrophil toxicity is characterized by cytoplasmic changes, whereas neutrophil degeneration is characterized by nuclear changes
  • All are correct
  • None are true

Questão 22

Questão
Degenerate neutrophils were once normal but have been altered at the tissue site. Toxic neutrophils were never normal since the alteration is one of cytoplasmic maturation.
Responda
  • True
  • False

Questão 23

Questão
These are pale blue-grey variably shaped and shaped aggregates of abnormal rough endoplasmic reticulum in the cytoplasm. They are one of the earliest changes to occur with toxicity, so they can be seen in any situation of mild toxicity
Responda
  • Dhole bodies
  • foamy basophilia
  • toxic granulation

Questão 24

Questão
This is due to escape of hydrolytic enzymes and the presence of increased amounts of basophilic staining RNA. The cytoplasm has a foamy appearance and is more blue than normal.
Responda
  • cytoplasmic foamy basophilia
  • toxic granulation
  • dhole bodies

Questão 25

Questão
Physiologic leukocytosis -Mild [blank_start]neutrophilia[blank_end] without a left shift -Lymphocytes are most often mildly to moderately [blank_start]increased[blank_end] -no evidence of monocytosis Corticosteroid (stress) response -neutrophilia with [blank_start]no left shift[blank_end] -[blank_start]lymphopenia[blank_end] often mild to marked -[blank_start]monocytosis[blank_end]
Responda
  • neutrophilia
  • increased
  • monocytosis
  • no left shift
  • lymphopenia

Questão 26

Questão
Protein/fibrinogen ratios are calculated as P/F or rarely as (P-F)/F • If the reason for the increased fibrinogen concentration is dehydration, the total protein concentration should also be increased, and the P/F ratio will be [blank_start]15[blank_end] or higher. • If the reason for the increased fibrinogen concentration is inflammation, the total protein concentration will not rise proportionately, and the P/F ratio will be [blank_start]10[blank_end] or less. • If we calculate a P/F ratio of [blank_start]10[blank_end]-[blank_start]15[blank_end], we cannot really make any conclusions (grey zone).
Responda
  • 15
  • 10
  • 10
  • 15

Questão 27

Questão
If you see a low (<10) P/F ratio
Responda
  • inflammation!
  • Dehydration!

Questão 28

Questão
There is individual variability in P/F ratios in animals
Responda
  • True
  • False

Questão 29

Questão
select the following responsible for neutropenia
Responda
  • genetic disease
  • toxins
  • excitement
  • bone marrow insufficiency

Questão 30

Questão
in cattle specifically, which would cause lymphocytosis?
Responda
  • BLV
  • genetic bone marrow hyperactivity
  • chronic leukemia

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