Exam 21: Nonmalignant Disorders of Leukocytes: Granulocytes and Monocytes

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A healthy individual has his blood drawn as a part of a routine physical. The laboratician performing the differential notes a neutrophil with a nucleus that appears dumbbell shaped. After scanning the entire slide, it appears that the vast majority of neutrophils have the same, bi-lobed nuclei with highly clumped nuclear chromatin. All other leukocytes appear normal. The conclusion from this is that the patient has:

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A patient has a fever and a WBC of 25 × 109/L with bands and metamyelocytes present. Which of the following conditions describes these results?

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A 78-year-old female receiving chemotherapy for breast cancer had a CBC performed after her last treatment. Her absolute neutrophil count was 1.0 × 109/L. What information can be concluded from this?

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A benign condition has the following characteristics: WBC count of 45 × 109/L with a left shift and normal RBC count. What is this condition?

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In the identification of Pelger-Huët cells, what nuclear characteristic other than the dumbbell shape aids in differentiating these cells from bands?

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A patient presents with splenomegaly and bone pain. Laboratory findings reveal large macrophages with small eccentric nuclei and cytoplasm with a wrinkled appearance. Further testing shows leukopenia, thrombocytopenia, and anemia. What is the probable cause?

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Which of the following anomalies is morphologically similar to toxic granulation and is often seen in patients who have poor mucopolysaccharide degradation?

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A patient's smear shows clumping of neutrophils. The absolute neutrophil count shows a neutropenia. What can be done to obtain a reliable neutrophil count?

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A neutrophil contains many giant gray-green peroxidase-positive bodies and giant lysosomes. Which of the following anomalies is associated with these findings?

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The processing of a sample in a lavender top tube received in the lab at 10 a.m. is delayed because of a sudden fire drill. The sample is processed and analyzed at 2 p.m. Significant findings on this patient include an absolute neutrophil count of 1.5 × 109/L. What can be concluded from this?

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Which of the following can result in basophilia?

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A patient presents with splenomegaly and bone pain. Laboratory findings reveal large macrophages with small eccentric nuclei and cytoplasm with a wrinkled appearance. Further testing shows leukopenia, thrombocytopenia, and anemia. How can the diagnosis be confirmed?

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A neutrophilia that results from a redistribution of neutrophils from the marginating pool into the circulating pool is called:

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Which of the following diseases is characterized by a defect in sphingomyelinase, which results in macrophages with a foamy appearance?

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What disease state correlates highly with the presence of cytoplasmic vacuoles in freshly drawn blood?

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How does immediate neutrophilia differ from acute neutrophilia?

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