Cytometry, An Issue of the Clinics in
Laboratory Medicine, 1st Edition
Editor :
Christopher B. Hergott
, Chapter 1: The Immunophenotypic Profile of Healthy Human Bone Marrow
1. Which of the following cell types is predominantly found in healthy human bone
marrow?
A) T cells
B) B cells
C) Hematopoietic stem cells
D) Plasma cells
Correct Answer: C) Hematopoietic stem cells
Rationale: Healthy human bone marrow contains a rich population of hematopoietic
stem cells, which are responsible for producing all types of blood cells.
2. In the characterization of bone marrow cells, which marker is typically used to
identify hematopoietic stem cells?
A) CD3
B) CD34
C) CD45
D) CD19
Correct Answer: B) CD34
Rationale: CD34 is a widely recognized marker for hematopoietic stem cells,
distinguishing them from other cell types in bone marrow.
3. Which of the following cell populations is primarily responsible for the adaptive
immune response in human bone marrow?
A) Neutrophils
B) T lymphocytes
C) B lymphocytes
D) Macrophages
Correct Answer: C) B lymphocytes
Rationale: B lymphocytes play a critical role in the adaptive immune response by
producing antibodies.
4. Select all that apply: Which of the following markers are indicative of early myeloid
progenitor cells?
A) CD33
B) CD14
C) CD19
D) CD117
Correct Answer: A) CD33, B) CD14, D) CD117
Rationale: CD33 and CD14 are associated with myeloid lineage, while CD117 (c-
KIT) is essential for the survival and proliferation of hematopoietic stem cells and
early progenitors.
,5. What is the normal percentage of mature granulocytes typically found in healthy
human bone marrow?
A) 10-20%
B) 30-50%
C) 60-80%
D) 80-90%
Correct Answer: C) 60-80%
Rationale: Mature granulocytes constitute a significant portion of the cellular
composition in healthy human bone marrow.
6. In a flow cytometric analysis of bone marrow, which of the following markers would
be utilized to identify mature B cells?
A) CD3
B) CD20
C) CD4
D) CD56
Correct Answer: B) CD20
Rationale: CD20 is a specific surface marker that's commonly used to identify mature
B cells in immunophenotyping studies.
7. Select all that apply: Which surface markers are used to identify myeloid cells in
human bone marrow?
A) CD13
B) CD4
C) CD15
D) CD45
Correct Answer: A) CD13, C) CD15, D) CD45
Rationale: CD13 and CD15 are myeloid markers, while CD45 is a pan-leukocyte
marker that helps identify all leukocytes.
8. In what stage of blood cell development would one expect to find cells expressing
both CD34 and CD38?
A) Hematopoietic stem cells
B) Common lymphoid progenitor cells
C) Common myeloid progenitor cells
D) Mature lymphocyte stage
Correct Answer: C) Common myeloid progenitor cells
Rationale: CD34 is present on stem cells and progenitor cells, while CD38 expression
indicates maturation toward myeloid lineage.
9. Which of the following statements is TRUE regarding the immunophenotypic profile
of healthy bone marrow?
A) It contains more lymphoid cells than myeloid cells.
, B) It is solely composed of mature leukocytes.
C) It has a diverse population of progenitor cells.
D) It lacks hematopoietic stem cells.
Correct Answer: C) It has a diverse population of progenitor cells.
Rationale: Healthy bone marrow contains a mix of stem cells, progenitor cells, and
mature blood cells, allowing for the generation of various blood lineages.
10. Which antigen is generally associated with the differentiation of early B cells?
A) CD10
B) CD11b
C) CD19
D) CD5
Correct Answer: A) CD10
Rationale: CD10 is a marker of early B cell development and is commonly used in the
identification of B cell lymphoproliferative disorders.
11. In a clinical scenario where a patient's bone marrow is found to have elevated plasma
cells, which immunophenotypic marker would you expect to be prominently
expressed?
A) CD34
B) CD138
C) CD3
D) CD19
Correct Answer: B) CD138
Rationale: CD138 is a specific marker for plasma cells, thus its elevated expression
indicates a significant population of these cells.
12. Which leukocyte marker is used to distinguish between T cells and other lymphocyte
types in bone marrow?
A) CD20
B) CD5
C) CD3
D) CD56
Correct Answer: C) CD3
Rationale: CD3 is a well-known marker for all T cells, facilitating their identification
in flow cytometric analyses.
13. Select all that apply: What are common markers used to identify regulatory T cells
(Tregs) in the bone marrow?
A) CD4
B) CD25
C) FOXP3
D) CD56