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Question 297

Physiology → Haematology

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Destination eBook
Type SSBA
UUID b5fd32dc-9cbe-4d53-b3ed-14baf03aa42c

Classification

Speciality
Obstetrics and Gynaecology
Group
Basic
Title
Physiology
Topic
Haematology
Subtopic 1
White blood cells
Subtopic 2
Neutrophils
Subtopic 3
Function — Bacterial response
Question Type
SBA

Question

SSBA
Question Header
A patient develops a bacterial infection while profoundly neutropenic. Despite active infection, relatively little pus forms. Which mechanism best accounts for this observation?
Question Stem
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Options

A Basophils normally constitute the major cellular component of pus
B Neutrophils are normally present in large numbers in pus
C Eosinophils are required for the initial formation of pus
D Lymphocytes release serotonin to produce pus
E Monocytes prevent neutrophils entering infected tissue

Explanation

Neutrophils are present in high concentrations in pus. Consequently, little pus may be produced in neutropenia despite infection. Neutrophils also kill and digest bacteria using proteolytic enzymes and toxic oxygen metabolites.

Option Validity

A) Basophils contain histamine and heparin in their coarse granules, but they are not the principal cells in pus. Neutrophils are specifically associated with pus formation.

C) Eosinophils are particularly associated with parasitic infestation, allergy and mucosal immunity. They are not necessary for pus formation.

D) Lymphocytes are associated with cellular and humoral immunity rather than being the principal cellular basis of pus. Serotonin is a constituent of platelet dense granules.

E) Monocytes do not prevent neutrophil migration. Both mononuclear phagocytes and neutrophils participate in the host response to bacterial infection.

Further Reading

Saxena. Textbook for MRCOG-1. Physiology - Haematology - Neutrophils, p.69.

Source & metrics

Authored Difficulty
4.00
Evaluation Score
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Destination
eBook
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Updated
2026-10-06 01:57:35
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