# A neutrophil with six separate nuclear lobes is seen on a peripheral blood smear. This finding is most suggestive of:

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=482450  
> language: ko  
> subject: Hematology · 혈액학·지혈

## 문제

A neutrophil with six separate nuclear lobes is seen on a peripheral blood smear. This finding is most suggestive of:

## 보기

1. Bacterial sepsis
2. Megaloblastic anemia **✔ 정답**
3. Myeloproliferative neoplasm
4. Aplastic anemia

**정답: 2**

## 해설

Hypersegmented neutrophils (>=6 lobes) reflect impaired DNA synthesis and are a hallmark of megaloblastic anemia from B12 or folate deficiency.

## 핵심 개념

- **hypersegmented neutrophil megaloblastic anemia blood smear**

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