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Clinical Medicine WBC Disorders | 150+ Questions with Answers | MED204 | Leukocytosis, Leukopenia, Leukemia, Lymphoma

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This document provides over 150 exam-style questions and verified answers covering White Blood Cell (WBC) physiology, pathology, and clinical correlations—tailored for students in MED204 Clinical Medicine or hematology-related modules in the 2025–2026 academic year. It serves as an in-depth Q&A-based guide to mastering the immune cell types, their roles in disease, and the diagnostic approach to hematologic disorders. Key topics include: Core concepts of neutrophils, eosinophils, basophils, monocytes, and lymphocytes, including their development, function, and migration Detailed understanding of leukocytosis vs. leukopenia, including causes like infection, marrow failure, sequestration, and drug effects Clinical scenarios explaining Felty’s Syndrome, hypersplenism, drug-induced leukopenia, leukemoid reactions, and vitamin B12 deficiency Clear comparisons between AML vs. ALL, with insights into bone marrow pathology, Auer rods, pancytopenia, and leukostasis Thorough coverage of Hodgkin’s and non-Hodgkin’s lymphoma, staging, Reed-Sternberg cells, mediastinal nodes, constitutional symptoms, and prognosis Mechanisms and treatment phases of acute leukemia (induction, consolidation, intensification, maintenance) Concepts of plasma cell disorders, including multiple myeloma, MGUS, Bence-Jones proteins, and the CRAB criteria Immunology basics: T and B cell functions, CD4/CD8 roles, antigen presentation, and the difference between innate and adaptive responses This comprehensive question bank is ideal for students and trainees in: Medical school (MD, DO, MBBS) Physician Assistant (PA) programs Nursing (BSN, RN, Nurse Practitioner) Hematology, Oncology, or Internal Medicine rotations Biomedical and Health Sciences (Pre-Med, A&P) Perfect for OSCE prep, shelf exams, USMLE Step 1, and hematology boards, this resource supports active recall, rapid learning, and high-level clinical reasoning. Keywords: white blood cells, leukocytosis, leukopenia, neutrophils, monocytes, eosinophils, basophils, lymphocytes, lymphoma, leukemia, AML, ALL, Hodgkin’s lymphoma, non-Hodgkin’s lymphoma, Reed-Sternberg cells, myelodysplasia, plasma cell disorders, multiple myeloma, Bence-Jones proteins, CRAB criteria, WBC count, immunodeficiency, G-CSF, CD4, CD8, acute leukemia

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2025/2026
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Clin Med WBCs 2025/2026 Exam
Questions and Verified Answers |
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What's a shift to the left mean? - 🧠 ANSWER ✔✔Increase # of bands

(immature neutrophils)


What's the most common cause of a shift to the left? - 🧠 ANSWER ✔✔Any

acute inflammation, but most commonly caused by bacterial infections.

What's the difference between a neutrophil and a band on a cellular level? -

🧠 ANSWER ✔✔Neutrophils have a segmented nucleus while bands do not.

(Think PMN)

How long after an infection occur does it take for a dramatic increase in

neutrophils/bands? - 🧠 ANSWER ✔✔Pretty quickly (within hours)

,What are the most common opsonins? - 🧠 ANSWER ✔✔C3b and IgG


T/F. Pathology with immunoglobulin and/or C3b would affect neutrophil's

ability to kill microbes? - 🧠 ANSWER ✔✔True. Neutrophils can only target

bacteria that has been opsonized.

Once engulfed, how does the neutrophil kill the microbe? - 🧠 ANSWER

✔✔Contents of the granules and lysozymes inside the neutrophil break

down the cell wall and kill the microbe. Superoxides and enzymes play a

role as well.

What are the primary granules of neutrophils responsible for? - 🧠 ANSWER

✔✔Aid in digestion/killing of bacteria through the use of myeloperoxidase,

acid hydrolases, and proteases.

What are the secondary granules of neutrophils responsible for? - 🧠

ANSWER ✔✔Sequestering Fe+ and B12 from bacteria and break down

connective tissue through the use of lactoferrin, transcobalamin,

collagenase, and gelatinase.


What are neutrophils responsible for in general? - 🧠 ANSWER ✔✔Bacterial

infections. Ingests/Digests microbes.

, What are eosinophils responsible for in general? - 🧠 ANSWER

✔✔Parasitic/helminthic infections and allergies.


What are basophils responsible for in general? - 🧠 ANSWER ✔✔Allergic

reactions. Secrete histamine that cause vasodilation and allows WBCs to

leak through.

What do monocytes turn into when they leave the blood and enter

peripheral tissue? - 🧠 ANSWER ✔✔Macrophages


What do monocytes turn into when they leave the blood and enter liver

tissue? - 🧠 ANSWER ✔✔Kapffer cells


What do monocytes turn into when they leave the blood and enter lung

tissue? - 🧠 ANSWER ✔✔Alveolar macrophages


What are monocytes responsible for in general? - 🧠 ANSWER

✔✔Ingest/digest foreign microbes and present the antigen of the microbe

to T cells. Secrete cytokines to promote inflammation. Also play a role in

tumor cytotoxicity

Big differences between neutrophils and monocytes? - 🧠 ANSWER

✔✔Monocytes present antigens, neutrophils do not. Monocytes survive



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