颗粒增多的早幼粒细胞白血病骨髓细胞学表现为

试卷相关题目

• 1原粒细胞白血病未分化型的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 2红白血病的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 3急性巨核细胞白血病的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 42岁男孩，因反复发热10余天来诊。查体:T385℃，胸前散在少量红色斑丘疹，双侧颈部各触及一个花生米大淋巴结，触痛（+)；眼睑略肿，咽部充血，扁桃体n度肿大，心脏未见异常，双肺呼吸音粗，未闻及啰音，肝肋下15cm，脾肋下2cm。血常规示Hb108g/L，WBC22×109/L/L，中性粒细胞15%，淋巴细胞80%，单核细胞5%，有10%的异形淋巴细胞，PLT120×109/L/L。应诊断为

  A.急性白血病

  B.假性白血病

  C.类白血病反应

  D.视网膜母细胞瘤

  E.传染性单核细胞增多症

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• 53岁男孩，因发热、苍白1个月，右眼眶肿物逐渐突出2周，皮肤、齿龈出血3天来诊。平日体健，病后无口渴多饮。査体:T385T：，皮肤、黏膜明显苍白，有散在瘀点、瘀斑，浅表淋巴结可触及，双侧颈部各有一蚕豆大小淋巴结，颅骨无明显缺损，右眼突出肿物约25cm×2cm，P126次/分，双肺未闻及啰音，腹软，肝肋下3cm，脾肋下2cm，神经系统无异常。血常规示Hb70g/L，WBC20×109/L，淋巴细胞22%，中性粒细胞70%，有18%幼稚细胞疋1^40109/1^。应诊断为

  A.急性白血病

  B.假性白血病

  C.类白血病反应

  D.视网膜母细胞瘤

  E.传染性单核细胞增多症

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• 6急性单核细胞白血病的骨髓细胞学表现为

  A.骨髓中原粒细胞大于等于90%

  B.骨髓中颗粒增多的早粒幼细胞占30%以上

  C.骨髓中原始及幼稚单核细胞大于30%

  D.骨髓中有核红细胞大于50%，原粒及早幼粒细胞大于30%

  E.骨髓中原始巨核细胞大于30%

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• 7最容易发生弥散性血管内凝血的白血病类型是

  A.急性巨核细胞白血病

  B.急性B-淋巴细胞白血病

  C.急性T-淋巴细胞白血病

  D.急性单核细胞白血病

  E.急性早幼粒细胞白血病

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• 8最容易出现纵隔淋巴结肿大的白血病类型是

  A.急性巨核细胞白血病

  B.急性B-淋巴细胞白血病

  C.急性T-淋巴细胞白血病

  D.急性单核细胞白血病

  E.急性早幼粒细胞白血病

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• 9案例：3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.The most likely diagnosis for this child is

  A.Lead poisoning

  B.Iron deficiency anemia

  C.Thalassaemia

  D.Anemia caused by folic acid deficiency

  E.Aplastic anemia

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• 10案例：3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.Appropriate therapy should include：

  A.Transfusion of whole blood to get her to a normal hemoglobin，and then initiation of oral iron replacement.

  B.Discussion with the family about dietary changes， and then initiation of oral iron replacement.

  C.Intramuscular iron injection and follow-up visit in 1 week.

  D.Hospital admission to monitor vital signs.

  E.Reassuring the parents that the behavior and laboratory findings are normal.

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