OSPE HEMATO 2018

1. People with type A blood will have the …………. On the surface of their red cells.
a. A antigen
b. AB antigen
c. A antibody
d. B antigen
e. No Antigen

2. If someone get bacterial infection for examples tonsillo pharyngitis.

What kind of White Blood Cell will increase in this patient?
a. Eosinophil
b. Monocyte
c. Lymphocyte
d. Neutrophil
e. Basophil

3. A 70-year old male revealed a tumor in his nasophaeyngeal. A biopsy was

performed and its microscopic is as shown here.

Based on your microscope examination, your best diagnosis is

a. Squamous cell carcinoma
b. Adenocarcinoma
c. Transitional carcinoma
d. Undifferentiated carcinoma
e. Adenosquamous carcinoma
4. A 20-year age lady has had feeling of a lump on her back. A biopsy was
performed. The microscopic is as shown here.

Your microscopic finding will most likely be a/an

a. Neurofibroma
b. Adenocarcinoma
c. Melanoma maligna (Marked)
d. Schwannoma
e. Epidermal cyst.

5. This cells have a role in defense against

pathogenic organisms and foreign cells.
Sometime digestive vacuole may be
observed.
What cell is this ……… (see picture)

a. Neutrophil
b. Monocyte
c. Basophil
d. Lymphocyte
e. Eosinophil
6. A CT scan from a 55-year old smoker male revealed a 2-cm irregular mass
involving the right lung around bronchial tree. A month later, he is comeback
to hospital with multiple nodules in the right lateral cervical which diameter
around 1–3 cm. The biopsy from one of nodules is shown in this microscopic.

What is your diagnosis based on that microscopic?

a. Lymphoma malignant
b. Metastasize adenocarcinoma
c. Metastasize adenocarcinoma
d. Squamous carcinoma
e. Hodgkin’s diseases

7. Erythroblastosis Fetalis will happen if

a. If mother Rh-negative and baby Rh-negative
b. If mother Rh-negative and baby Rh-positive
c. If mother Rh-positive and baby Rh-negative
d. If mother Rh-positive and baby Rh-positive

8. Ps with megaloblastic anemia (deficiency B12 and folic acid).

In Peripheral Blood Smear we can find:
a. Macrocytic with neutropenia
b. Macrocytic with neutrophilia
c. Macrocytic with toxic granulation neutrophil
d. Macrocytic with hyper segmentation neutrophil
e. Macrocytic with hypo segmentation neutrophil
9. Mr Rendy came to Internal Department with complain abdominal discomfort.
Physical examination: splenomegaly. CBC: Increase Immature myeloid. Bone
marrow: increase of reticulin fiber and collagen tissue.
According to this result what kind of cell do you expect will be find in
peripheral blood smear. We find cell…………………
a. Target cell
b. Pencil cell
c. Teardrop cell
d. Macrocyte
e. Macrocyte

10. We can find many cell like this in:

a. Anemia deficiency Fe
b. Anemia deficiency B12
c. Anemia in Chronic Kidney Disease
d. Anemia chronic disease
e. Anemia Deficiency Folat

11. A CT scan from a 55-year old smoker male revealed a 2-cm irregular mass
involving the right lung around bronchial tree. A month later, he is comeback
to hospital with multiple nodules in the right lateral cervical which diameter
around 1–3 cm. The biopsy from one of nodules is shown in this microscopic.
How did this happen?

a. Anchorage
b. Locally infiltrating
c. By angioinvasion
d. By lymphatic system
e. Directly invasion

12. Test for assess capillary fragility

a. Activate partial thromboplastin time (aPTT)
b. Platelet count
c. Rumpel-Leede test
d. Prothrombin time
e. Bleeding time
13. A 20-year age lady has had feeling of a lump on her back. A biopsy was
performed. The microscopic is as shown here. Based upon that microscopic,
what kind of lump is it?

a. Malignant neoplasm
b. Acute inflammation
c. Non-neoplastic
d. Chronic inflammation
e. Benign neoplasm

14. Dona 12 years old boys. Infected by viruses. Usually

patient infected by viruses (for example: Mumps, German
measles) in WBC differential count will increase
percentage of cell ………….. (see picture)
a. Lymphocyte
b. Eosinophil
c. Basophil
d. Neutrophil
e. Monocyte

15. A 50-year old female has had a post coital bleeding for several months now.
On physical examination, the gynecologist found anexophytic, ulcerative
mass on her cervix. The pap smear indicated positive result for malignant
cells.
 A cervical biopsy is most likely to show
a. Adenocarcinoma
b. Well differentiated squamous cell carcinoma
c. Cervical metaplasia
d. Endometrial hyperplasia
e. Poorly differentiated carcinoma

16. A 59-year old male has enlarged lymph nodes in inguinal sinistra along with
weight loss. No abnormal condition was indicated in the peripheral blood
smear examination and bone marrow biopsy. The biopsy result from one of
the lymph nodes could be seen in this microscope.
Based on your microscopic examination, which of the followings will be
described as your best diagnosis?
a. Chronic myelocyticleucemia
b. Lymphadenopathy
c. Chronic
d. Hodgkin’s disease
e. Non-Hodgkin Lymphoma

17. Roy 4 years old male, came with his parent to Hematologist. His parent told
since 3 years ago his boy look pale and weakness. In physical examination:
Pale. Laboratory examination:
Hb 9,5 gr/dL
Hemoglobin Electrophoresis:
Hb A: 92 % (N: 98%)
Hb A2 : 5% (N: 1 – 2%)
Hb F: 3 % (N: < 1 %)
In peripheral blood smear physician can find many
……… cell
a. Pencil cell
b. Macrocyte
c. Target cell
d. Macrocyte
e. Teardrop cell

18. 20-year age lady has had feeling of pelvic discomfort and episode abdominal
pain for eight months now. The pelvic examination by gynecologist found
enlarged ovary (L). The USG abdominal that showed cystic left ovary mass
with irregular calcification required her for operation. The microscopic is as
shown here.

Your microscopic finding will most likely be a/ an

a. Cystadenoma mucinosum
b. Mature teratoma (Dermoid cyst)
c. Cystadenoma serosum
d. An immature teratoma
e. Dysgerminoma
19. Toni 8 years old male, came with his parent to Hematologist. His parent told
since 1 years ago his boy look pale and weakness. In physical examination:
Pale. Laboratory examination:
Hb 9,5 gr/dL, WBC, Platelet: Normal, MCV: 65 fL (N: 80 -100 fL)
Specific cells Ps with anemia hemolytic:
a. Target cells
b. Macrocyte
c. Pencil cell
d. Fragmentocyte
e. Tear drop cells

20. Mr. Han 65 years old come to General Practitioner with complain itching
after ingestion sea food. Physical examination: Allergic
dermatitis
This cells increase in Differentials count WBC: ………
a. Monocyte
b. Basophil
c. Lymphocyte
d. Neutrophil
e. Eosinophil

21. A 59-year old male has enlarged lymph nodes in colli lateral sinistra along
with weight loss. No abnormal condition resulted in a peripheral blood smear
examination and bone marrow biopsy. The biopsy results from one of the
lymph nodes could be seen in this microscope.
Based on your microscopic examination, which of the following describes
your best diagnosis?

a. Chronic myelocyticleucemia
b. Chronic
c. Hodgkin’s disease
d. Lymphadenopathy
e. Non-Hodgkin Lymphoma
22. We can find many cell like this in:
a. Anemia chronic disease
b. Anemia deficiency folat
c. Anemia in Chronic Kidney Disease
d. Beta thalassemia mayor
e. Anemia deficiency B12

23. Toni 8 years old male, came with his parent to Hematologist. His parent told
since 1 years ago his boy look pale and weakness. In physical examination:
Pale. Laboratory examination:
Hb 9,5 gr/dL, WBC, Platelet: Normal, MCV: 65 fL (N: 80 -100 fL)
To supporting diagnosis, what kind examination do you need?
Folic acid serum
a. Folic acid serum
b. Bone marrow examination
c. Albumin serum
d. B12 Serum
e. Serum iron and total iron binding capacity

24. A 59-year old male has enlarged lymph nodes in colli lateral sinistra along
with weight loss. No abnormal condition resulted in a peripheral blood smear
examination and bone marrow biopsy. The biopsy results from one of the
lymph nodes could be seen in this microscope. What is the specific cell in
such diseases?

a. Kikuchi cell
b. Reed Sternberg cell
c. Touton’s cell
d. Frank’s cell
e. Langhan’s cell
25. Toni 8 years old male, came with his parent to Hematologist. His parent told
since 1 years ago his boy look pale and weakness. In physical examination:
Pale. Laboratory examination:
Hb 9,5 gr/dL, WBC, Platelet: Normal, MCV: 65 fL (N: 80 -100 fL)
In peripheral blood smear physician can find specific cell (specific form of Toni’s
RBC): ………. Cell
a. Tear drop cell
b. Target cell
c. Pencil cell
d. Macrocyte
e. Macrocyte