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Question 318

Physiology → Haematology

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Classification

Speciality
Obstetrics and Gynaecology
Group
Basic
Title
Physiology
Topic
Haematology
Subtopic 1
White blood cells
Subtopic 2
Neutrophils
Subtopic 3
Morphology — Nuclear lobulation
Question Type
SBA

Question

SSBA
Question Header
Examination of two neutrophils shows that one has an unlobed nucleus whereas the other has a nucleus divided into several lobes. Which interpretation is correct?
Question Stem
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Options

A The unlobed neutrophil is younger
B The unlobed neutrophil is necessarily a monocyte
C The multilobed cell is necessarily an eosinophil
D Nuclear lobulation decreases as neutrophils age
E Normal neutrophils do not develop nuclear lobulation

Explanation

Younger neutrophils have an unlobed nucleus, while older neutrophils develop approximately two to five nuclear lobes.

Option Validity

B) Monocytes are separate agranular leucocytes with round, oval, horseshoe, bean-shaped or kidney-shaped nuclei. An unlobed neutrophil may simply represent a younger neutrophil.

C) Eosinophils characteristically have a bilobed spectacle-shaped nucleus and eosin-staining granules. Multilobulation is part of neutrophil maturation.

D) This reverses the relationship between age and nuclear morphology. Nuclear lobulation increases as neutrophils mature from younger unlobed forms.

E) Mature neutrophils are polymorphonuclear cells and may have approximately two to five nuclear lobes. Lobulation is therefore a normal feature.

Further Reading

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

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Updated
2026-10-06 01:57:35
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