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RBC & WBC

Total questions: 20

Worksheet time: 20mins

Name
Class
Date
1.

Reed Sternberg cells are found in:

a)

Hodgkin's disease

b)

Thalassemia

c)

Sickle cell carcinoma

d)

CML

2.

Dohle bodies are seen in which of the following?

a)

Multiple Myeloma

b)

May-hegglin anomaly

c)

Waldenstrom Macroglobulinemia

d)

Lymphoma

3.

Malignant hyperplasia of the multipotential myeloid stem cell causes an increase in all cell lines.

a)

Polycythemia Vera

b)

Acute Myeloproliferative Disorders

c)

Hairy B cell Leukemia

d)

Prolymphocytic Leukemia

4.

Laboratory: Bone marrow plasma cells >30%, marked rouleaux, increased erythrocyte sedimentation rate (ESR), the blue background to blood smear, plasma cells and lymphocytes on a blood smear. Presence of Bence Jones proteins in the urine

a)

Polycythemia Vera

b)

Acute Myeloproliferative Disorders

c)

Hairy B cell Leukemia

d)

Multiple Myeloma

5.

What is the term for cell movement through blood vessels to a tissue site?

a)

Diapedesis

b)

Opsonization

c)

Margination

d)

Chemotaxis

6.

Which of the following represents the principal defect in chronic granulomatous disease (CGD)?

a)

Chemotactic migration

b)

Phagocytosis

c)

Lysosomal formation and function

d)

Oxidative respiratory burst

7.

Which of the following are the contents of basophilic granules?

a)

Heparin

b)

Histamine

c)

Myeloperoxidase

d)

Both Heparin and Histamine

8.

The nucleus is a dumbbell or peanut-shaped referred to as “pince-nez”

a)

Pelger-Huet Anomaly

b)

May-Hegglin

c)

Alder-Reilly

d)

Chediak-Higashi

9.

Laboratory: Pancytopenia; cytoplasm of lymphocytes shows hair-like projections; hairy cells are tartrate-resistant acid phosphatase (TRAP) stain positive

a)

Acute Lymphocytic Leukemia

b)

Chronic Lymphocytic Leukemia

c)

Hairy B cell Leukemia

d)

Prolymphocytic Leukemia

10.

Laboratory: Neutropenia, anemia, and thrombocytopenia; variable WBC count; hypercellular marrow with bone marrow blasts >20% (WHO) or >30% (FAB)

a)

Acute Lymphocytic Leukemia

b)

Acute Myeloproliferative Disorders

c)

Hairy B cell Leukemia

d)

Prolymphocytic Leukemia

11.

Transport non-heme iron across the mucosal membrane of the intestines

a)

Transferrin

b)

DMT

c)

IRP-1 & IRP-2

d)

Ferritin

12.

Plummer-Vinson Syndrome includes the following except:

a)

Glossitis

b)

Dysphagia

c)

IDA

d)

none of the above

13.

The only vitamin exclusively synthesized by microorganisms

a)

Folic Acid

b)

Thiamine

c)

Cobalamin

d)

Pyridoxine

14.

Characterized by reduced reticulocyte response accompanied by low serum iron despite adequate iron stores with the presence of high levels of cytokines

a)

Pernicious Anemia

b)

IDA

c)

Anemia of Renal Insufficiency

d)

Anemia of Chronic Disease

15.

Associated with marrow replacement by abnormal cells or tissue component such as metastatic carcinoma, multiple myeloma, leukemia, lipidoses, or storage disease

a)

Porphyria

b)

Myelopthisic Anemia

c)

Aplastic Anemia

d)

Fanconi’s Anemia

16.

Laboratory findings are those of a chronic extravascular hemolytic process: evidence of increased pigment catabolism, erythroid hyperplasia, and reticulocytosis

a)

Hereditary Spherocytosis

b)

Hereditary Stomatocytosis

c)

Hereditary Sickle Cell disease

d)

Paroxysmal Nocturnal Hemoglobinuria

17.

In sickle cell disease, the glutamic acid in the sixth position on the β-chain is replaced by ____________

a)

Phenylalanine

b)

Glutamine

c)

Arginine

d)

Valine

18.

A subgroup of alpha-thalassemia characterized by one defective gene

a)

Hb H disease

b)

Hydrops fetalis

c)

Thalassemia minor

d)

Silent carrier

19.

A 24-year-old woman was rushed to the emergency room due to severe anemia secondary to pneumonia. Genetic studies show her red cells have increased susceptibility to oxidation during intercurrent illness. Peripheral blood shows poikilocytes, some spherocytes, bite cells, and irregularly contracted cells.

a)

Sickle cell disease

b)

G6PD deficiency

c)

Hereditary Pyropoikilocytosis

d)

Hereditary Sideroblastic Anemias

20.

A type of polycythemia wherein the red cell mass is often high normal and the plasma volume is low normal and patients with these type have been regarded as an extreme of the normal physiologic state

a)

Spurious

b)

Absolute

c)

Relative

d)

Intermediate