Hematology Intern Exam 3 Updated Actual Questions and CORRECT Answers

Hematology Exam 3 Updated Questions
and CORRECT Answers
Newborn - CORRECT ANSWER The normal WBC count range is 4 - 40 x 10 9/L at
what age?
2 to 12 years

Newborn

Male adult

1 month old



Eosinophilia - CORRECT ANSWER A 17 year-old boy is admitted to the hospital with
a fever of unknown origin. His WBC count is 20.0 x 109/L. The physician suspects a
leukemoid reactions rather than CML. All of the following can be seen on a peripheral smear
of a patient with a leukemoid reaction except:

Eosinophilia, Dohle bodies, Toxic granulation, Increased band neutrophils



Lymphocytosis without anemia and many reactive lymphocytes - CORRECT
ANSWER A typical blood picture in infectious mononucleosis is an absolute:

Monocytosis and anemia with many atypical monocytes

Lymphocytosis and anemia with many reactive lymphocytes
Lymphocytosis without anemia and many reactive lymphocytes

Monocytosis without anemia and many atypical monocytes



Alder's anomaly - CORRECT ANSWER Which of the following is NOT a lipid storage
disease?

Tay-Sach disease,

Alder's anomaly,

Gaucher's disease,

Niemann-Pick disease

,Ribosomes RNA - CORRECT ANSWER Dohle bodies consist of:



Alder's anomaly - CORRECT ANSWER In which white cell disorder will you see
prominent deposition of granules in every cell line?

Alder's anomaly, Chediak-Higashi syndrome, Pelger-Huët, May-Hegglin anomaly



Monocyte - CORRECT ANSWER Which cell type becomes a macrophage after
leaving the peripheral blood and then enters tissue?



B-cell - CORRECT ANSWER Which type of lymphocyte produces antibodies?



Shift to the left - CORRECT ANSWER What do you call an increased number of band
neutrophils, metamyelocytes and myelocytes in the peripheral circulation?



Decreased iron production - CORRECT ANSWER The basic clinical features of AML
-M2 include all of the following except:
Decreased iron production,

Some maturation to or beyond promyelocyte stage, Auer rods are common, myeloblasts
predominate



Chronic lymphocytic leukemia - CORRECT ANSWER The most common leukemia in
the adult population is:



Peroxidase and Sudan Black - CORRECT ANSWER Stains that will differentiate AML
from ALL are:



many blasts are seen - CORRECT ANSWER Which of the following is NOT seen in
patients with CLL (chronic lymphocytic leukemia)?

patients usually older adults, relatively mature lymphocytes are seen, many blasts are seen,
smudge cells are seen

,9.5 x 109/L times 75% - CORRECT ANSWER The CBC results for a 3-month-old
child are as follows:

WBC 9.5 x 109/L RBC 3.4 x 1012/L

Hgb 6.7 g/dL Differential

Lymphocytes 75% Segmented neutrophils 25% Hct 25%

The calculation for the absolute lymphocyte count in this patient would be:


AML, type M5

(Monocytic - CORRECT ANSWER The WBC count is 20 x 109/L, with 89% blasts,
7% segs, and 4% monos. The blasts are relatively large and have abundant cytoplasm. You
identify them as monoblasts. More than 90% of them are positive with the alpha-naphthyl
acetate esterase stain. What is the possible diagnosis?
AML, type M4

(Myelomonocytic),

AML, type M1

(without maturation),

AML, type M6

(Erythroid Leukemia),

AML, type M5
(Monocytic)



Large vacuolated blasts - CORRECT ANSWER The L3 classification of leukemia is
defined by:



Rapid onset, anemia, thrombocytopenia - CORRECT ANSWER Acute leukemic
processes are marked by:



Hypercellular bone marrow with greater than 20% blasts - CORRECT
ANSWER According to current WHO classification criteria, acute leukemia is
characterized by which of the following?
Hypocellular bone marrow with less than 20% blasts,

, Hypercellular bone marrow with less than 20% blasts,

Hypercellular bone marrow with greater than 20% blasts,

Hypocellular bone marrow with greater than 20% blasts



ALL - L1 - CORRECT ANSWER This is predominantly a disease of children.

ALL - L3,

CLL,

CML,

ALL - L1



All of the above - CORRECT ANSWER AML - M4 is marked by:

Increased early myelogenous cells with 20% monocytic cells,

Blasts which may have indented and convoluted nucleiB,

Pseudo Pleger-Huet anomaly,

All of the above



Hodgkin's lymphoma - CORRECT ANSWER Reed Sternberg cells are associated with:

Multiple myeloma,

CLL, Hodgkin's lymphoma,

Sèzary syndrome



Pseudo Pelger-Huët - CORRECT ANSWER One of the key white cell features in MDS
is: Auer rods,

Pseudo Pelger-Huët,

Hypersegmented neutrophils,
Dohle bodies



2.45 - CORRECT ANSWER A patient has the following CBC results: WBC count: 35
x 109/L