WBCs, MCQs regarding wbcNNC license exams preparation Nepali

WBC-White blood cells  MCQs regarding wbc NNC License Preparation Lecture Recorded Videos

Table of Content(toc)

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

  1. Neutrophilia- in infection
  2. 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

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)

Video inWBC lecture for NHPC & NNC license examination

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