WBCs, MCQs regarding wbc and more Health exams preparation study tips health science

WBC-White blood cells  MCQs regarding wbc and more Health exams preparation

Dr Chaitanya Joshi

Revision

RBC revision class

WBC stands for White Blood Cells, which are a component of the immune system responsible for defending the body against infections and diseases.

Normal character of WBC

Anemia classification

Anemia causes

Treatment of anemia?

Introduction

WBC= white blood cells

WBC Types normal
WBC Types normal


AKA-> leukocytes

Leuko=white

Normal count? 4-11

Increased count=leukocytosis

Decreased count= leukopenia


Types Normal character of WBC

  • Granulocytes
    • Neutrophils
    • Basophils
    • Eosinophils
  • Agranulocytes
    • Lymphocytes
    • Monocytes


Neutrophils

40-70% of total WBC in blood

Also called polymorphonuclear cells

Have multilobed nucleus

Job description: Phagocytosis and killing of pathogen

Have enzyme for digestion in their granules


Neutrophilia- in infection

Leukemia in cancer (hematological malignancy)


Eosinohils 

1-4% of total WBC

Destroy parasites (helminths)

Increases in

allergic conditions

Parasitic infestation

Aasthma

Allergic rhinitis

Urticaria etc

Degrade histamine

They stain by eosin pigment in H&E stain so called eosinophil


Basophil 

Less than 1%

Role in anti-inflammatory process

Resemble in structure of mast cell of the connective tissues

Have IgE receptor in their cell surface

Secrete histamine leading to IgE mediated immune reaction(type I hypersensitivity)



Lymphocytes

20-40% of total WBC

Types

B lymphocytes (maturation in 

bone marrow then goes to secondary lymphoid tissues)



T lymphocytes (maturation/activation in thymus)

B-lymphocytes

Humoral immune response

They differentiate into plasma cells and memory cells

Secrete/synthesize antibodies

Remember antigen for long run

Immunization?

T-lymphocytes

Cell mediated immune response

Have t-cell receptors

Different types according to receptors

CD4-helper, CD8-cytotoxic, memory t-celletc

They recognize and destroy antigen/viruses


Monocytes 

2-8 % of total WBCs

If they go to the tissue they change into the macrophages 

Macrophges are antigen presenting cells-process the antigen

Osteoclasts, Kupffer cells, mesangial cells, microglial cells, sinusoidal cells, histocytes all are monocytes 

NK cells

Role in virus infected cell elimination 

Cancecr cell killing

Help neutrophils and macrophages

Thank you


Multiple Choice Questions in WBC

1. The average life span of WBC is: 

2 to 4 hours 

2 to 4 days 

120 days 

365  days

Ans: b (2 to 4 days)

2. Leukemia normally means:

Excessive production of RBC

Excessive production of Platelets 

Excessive production of WBC

Reduction in number of WBC


Ans: c (Excessive production of WBC)


3. The process of development and maturation of WBC is known as: 

Erythropoiesis 

Hematopoiesis

Leucopoiesis 

Neuropoiesis 


Ans: c ( Leucopoiesis)

4. In adults, WBCs count should be…………………… of blood.

1000-2500/mm3

2500-3000/mm3

3000-3500/mm3

4000-11000/mm3

Ans: d (4000- 11000/mm3)

5. White Blood Cells are also known as ……………….. blood cells.

Colorless

Red 

Black 

Green 

Ans: a (Colorless)

6. The basophils of white blood cells liberates…………….

Heparin

Serotonin 

Histamine 

All of these 

Ans: d (all of these)

7. Which of the following is correct subtype of lymphocytes?

G cell

P cell

T cell

U cell 

Ans: c (T cell)

8. Lymphocytes and phagocytes are the types of 

Erythrocytes 

Leukocytes 

Platelets 

Antibodies 

Ans: b ( Leukocytes)

9. What do WBCs do?

 Carry oxygen from the lungs.

Carry waste products from the cells.

Fight against infection.

Help stop bleeding by forming clots. 


Ans: c ( fight against infection) 

10. What are neutrophils?

Immature Red Blood Cell

A type of White Blood Cell

A type of Platelet

A type of Bacteria

Ans: b (A type of White Blood Cell)

11. What is severe neutropenia?

An absolute neutrophil count (ANC) of less than 500

An ANC of less than 1000

An ANC of less than 50

An ANC of less than 25

Ans: a (An ANC of less than 500)



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