Exam 18: Nonmalignant Granulocyte and Monocyte Disorders

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A 45-year-old male goes to his physician for a routine checkup.His ANC (absolute neutrophil count) result comes back as 8.5 x 109/L.Which of the following conditions could explain these results?

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A

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

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D

How does immediate neutrophilia differ from acute neutrophilia?

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B

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

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Interpret the following results: WBC count 1.4 x 109/L; bone marrow shows myeloid hypoplasia with a decreased M:E ratio of 1:1.There is no history of medications or drug Exposure.What can be concluded from this?

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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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A patient has a high fever, leukopenia, thrombocytopenia, and elevated liver enzymes.A blood smear shows WBCs with large basophilic, spherical cellular inclusions.What could be The cause?

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Name a type of condition which might cause the following alterations in morphology. a.Toxic granulation b.Vacuolization c.Morulae d.Eosinophilia

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A patient presents with neutrophilia of 50 x 109/L with many circulating immature cells.The blood contains many bands, metamyelocytes, myelocytes, promyelocytes, and a rare blast.There are no nucleated erythrocytes present.What disease state is most likely with these results?

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A technologist is scanning a blood smear and notices that many of the neutrophils have more than six lobes.Which of the following would be consistent with that finding?

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A patient presents with a leukocyte count of 120 x 109/L and splenomegaly.The blood smear reveals a shift to the left with promyelocytes and blasts.The platelets are increased, and the LAP is decreased.Which condition is associated with these results?

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Define leukoerythroblastosis, and name a condition in which this is seen.

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List three laboratory results that can distinguish a leukemoid reaction from CML.

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Which of the following characteristics is associated with the neutrophilia that accompanies bacterial infection?

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A patient has a WBC count of > 50 x 109/L with many circulating leukocyte precursors and a normal RBC count.What can be concluded from these findings?

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A 45-year-old female came back from a trip abroad having had nausea and diarrhea, and then later muscle aches, fever, and chills.She is admitted to a local hospital, and is diagnosed With trichinosis.Which of the following is most consistent with this disease?

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

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A peripheral blood smear examination shows many WBCs with many blue-staining round inclusions present.There is thrombocytopenia with giant platelets present.What autosomal dominant disease is associated with these findings?

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Acute infection, inflammatory reaction, and administration of glucocorticosteroids may result in:

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What causes sea-blue histiocytosis, and how is the sea-blue histiocyte identified?

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