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Question 298

Physiology → Haematology

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Classification

Speciality
Obstetrics and Gynaecology
Group
Basic
Title
Physiology
Topic
Haematology
Subtopic 1
White blood cells
Subtopic 2
Monocytes
Subtopic 3
Tissue migration — Macrophages
Question Type
SBA

Question

SSBA
Question Header
A large circulating leucocyte has abundant clear cytoplasm and a kidney-shaped nucleus. What is its expected fate?
Question Stem
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Options

A It loses its nucleus and becomes an erythrocyte
B It fragments to produce platelets
C It develops eosinophilic granules and remains in blood
D It differentiates into a B lymphocyte
E It migrates into tissues and becomes a macrophage

Explanation

The morphology identifies a monocyte, the largest leucocyte. After several days in the circulation, monocytes migrate into tissues and become macrophages; in chronic infections they may also contribute to multinucleated giant-cell formation.

Option Validity

A) Erythrocytes represent a separate blood-cell lineage and mature circulating erythrocytes are non-nucleated. does not describe monocytes converting into red cells.

B) Platelets are fragments derived from megakaryocytes rather than monocytes. Monocytes instead undergo tissue migration and macrophage differentiation.

C) Eosinophils are a separate granulocyte population with characteristic coarse eosin-staining granules and a bilobed nucleus. Monocytes do not differentiate into eosinophils.

D) B lymphocytes are a separate lymphocyte population associated with humoral immunity and immunoglobulin production. The fate assigned to circulating monocytes is tissue macrophage formation.

Further Reading

Saxena. Textbook for MRCOG-1. Physiology - Haematology - Monocytes, p.70.

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Updated
2026-10-06 01:57:35
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