C. Hypoplastic anemia
D. Hemolytic anemia
E. Metaplastic anemia
52. Patient R. aged 12 was operated on for acute phlegmonous appendicitis. At the examination of his blood, the amount of leukocytes is 12.109/L. On the blood smear there are: basophils – 0%; eosinophils – 2%; monocytes – 2%; juvenile neutrophils – 0%; stab neutrophils – 30%; segmented neutrophils – 43%; lymphocytes – 23%; monocytes – 0%. Stab (immature) neutrophils have pyknosis of nuclei. There is anisocytosis of neutrophils; some of them have toxic granulation. What form of change of leukocyte blood composition takes place in this case?
A. Neutrophilia with degenerative shift to the left.
B. Neutrophilia with regenerative shift to the left.
C. Neutrophilia with hyperegenerative shift to the left.
D. Leukemoid reaction of neutrophil type.
E. Neutrophilia with the shift to the right.
53. Which of the below given hematological characteristics corresponds to chronic post-hemorrhagic anemia?
A. Hyperregenerative, hypochromic with erythroblasts type of bleeding.
B. Regenerative, hypochromic with erythroblasts type of bleeding.
C. Hyporegenerative, hypochromic with megaloblasts type of bleeding.
D. Hyporegenerative, hypochromic with erythroblasts type of bleeding.
E. Hyporegenarative, hyperchromic with megaloblasts type of bleeding.
54. A female patient, aged 25, was admitted to the hematological department with complains of the appearance of hemorrhages of different sizes on the body; during menstruation there are uterine bleedings. She has been ill for ten years. Paleness of skin and mucous membranes were determined on examination; there are hemorrhages of different size and color on the upper and lower extremities. Pulse = 100 beats/minute, AP 110/70 mmHg. Blood analysis shows: erythrocytes 3.3*1012 /L, Hb 80g/L, thrombocytes 33*109/L; time of blood coagulation: beginning is at 2nd minute, end is at 6th minute; time of bleeding (according to Duke) - 15 minutes. What is the possible diagnosis?
A. Marchiafava-Michelli disease.
B. Thrombocytopoenic purpura.
C. Glanzman’s thrombasthenia.
D. Willeberandt-Yurgens thrombocytopathia
E. Chronic myelogenous leukemia.
55. Neutrophil leukocytosis is determined in a patient with chronic myelogenous leukemia. Which variant of nuclear shift of differential count to the left is the most typical for chronic myelogenous leukemia?
A. Regenerative
B. Degenerative.
C. Hyper regenerative.
D. Regenerative and degenerative.
E. Hyporegenerative.
56. A patient with atrophic gastritis has vitamin B12 deficiency. What variant of nuclear shift of differential count is most typical for B12 hypovitaminosis?
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