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Question 320

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 macrophages — Giant cells
Question Type
SBA

Question

SSBA
Question Header
In a chronic infection such as tuberculosis or leprosy, multinucleated giant cells develop in tissue. Which circulating leucocyte is the most direct precursor?
Question Stem
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Options

A Basophil
B Monocyte
C Eosinophil
D B lymphocyte
E Neutrophil

Explanation

Monocytes circulate before migrating into tissues and becoming macrophages. in chronic infections such as tuberculosis and leprosy, macrophage-lineage cells may form multinucleated giant cells.

Option Validity

A) Basophils are granulocytes containing coarse granules with histamine and heparin. They are not identified as precursors of tissue macrophages or multinucleated giant cells.

C) Eosinophils are associated particularly with parasitic infestation, allergy and mucosal immunity. does not describe them as precursors of giant cells.

D) B lymphocytes mediate humoral immunity and are associated with immunoglobulin production. They do not undergo the monocyte-to-macrophage transition described here.

E) Neutrophils are important bacterial phagocytes and are abundant in pus. The tissue macrophage and giant-cell lineage described in originates from monocytes.

Further Reading

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

Source & metrics

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Updated
2026-10-06 01:57:35
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