Clin Path-Lymphocytes

Description

DVM Clin Path Quiz on Clin Path-Lymphocytes, created by Courtney Walsh on 04/02/2020.
Courtney Walsh
Quiz by Courtney Walsh, updated more than 1 year ago
Courtney Walsh
Created by Courtney Walsh about 4 years ago
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Resource summary

Question 1

Question
[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?
Answer
  • Pluripotent stem cell
  • Colony forming units (CFU)
  • Blast cell
  • Granulocyte

Question 2

Question
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
Answer
  • segmented
  • band
  • band neutrophils
  • Barr body
  • non-staining
  • pinker
  • heterophils

Question 3

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

Question 4

Question
Which of the following is part of the proliferation pool of neutrophils?
Answer
  • myeloblast
  • metamyelocytes
  • band neutrophil

Question 5

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

Question 6

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

Question 7

Question
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.
Answer
  • 75
  • 25
  • 50

Question 8

Question
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.
Answer
  • 3
  • 5

Question 9

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

Question 10

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

Question 11

Question
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
Answer
  • True
  • False

Question 12

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

Question 13

Question
a marked monocytosis is often seen with acute inflammation
Answer
  • True
  • False

Question 14

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

Question 15

Question
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.
Answer
  • True
  • False

Question 16

Question
basophils
Answer
  • 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.

Question 17

Question
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
Answer
  • IgE
  • histamine

Question 18

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

Question 19

Question
Which of the following is FALSE regarding Production and kinetics of lymphocytes?
Answer
  • 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

Question 20

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

Question 21

Question
Which of the following statements regarding neutrophil toxicity is true?
Answer
  • • 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

Question 22

Question
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.
Answer
  • True
  • False

Question 23

Question
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
Answer
  • Dhole bodies
  • foamy basophilia
  • toxic granulation

Question 24

Question
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.
Answer
  • cytoplasmic foamy basophilia
  • toxic granulation
  • dhole bodies

Question 25

Question
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]
Answer
  • neutrophilia
  • increased
  • monocytosis
  • no left shift
  • lymphopenia

Question 26

Question
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).
Answer
  • 15
  • 10
  • 10
  • 15

Question 27

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

Question 28

Question
There is individual variability in P/F ratios in animals
Answer
  • True
  • False

Question 29

Question
select the following responsible for neutropenia
Answer
  • genetic disease
  • toxins
  • excitement
  • bone marrow insufficiency

Question 30

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