title: Effect of examination stress on blood cell parameters of students in a Pakistani medical college.
abstract: BACKGROUND
  Physiological studies show that stress can alter the blood cells parameters in healthy individuals. We tried to determine whether exams in medical schools are stressful enough to produce such changes.
  
  
  METHODS
  A randomized selection of female students from Women Medical College, Abbottabad, Pakistan, was carried out. After preliminary medical checkup blood samples were taken before and during exams. Students having temperature or high blood pressure at the start of study were excluded. Finally 37 students were included. Estimations of red blood cells, hematocrit, neutrophils, lymphocytes, eosinophils, monocytes, basophils and platelets were carried out.
  
  
  RESULTS
  Compared with pre-examination results the blood samples taken during exams showed a significant decrease in eosinophil, basophil, lymphocyte and monocyte count. An increase in platelet and neutrophil count was also observed. No significant changes were observed in red blood cell and hematocrit readings.
  
  
  CONCLUSIONS
  It is concluded that examinations in medical schools are stressful enough to produce changes in blood cells parameters which include increase in neutrophils, and platelets, while eosinophils, monocytes basophils and lymphocytes decreased in number.
authors.affiliation: Department of Physiology, Women Medical College, Abbottabad.
authors.forename: Faiyaz
authors.initials: F
authors.lastname: Qureshi
authors.forename: Jane
authors.initials: J
authors.lastname: Alam
authors.forename: Masood Ahmad
authors.initials: MA
authors.lastname: Khan
authors.forename: Ghazala
authors.initials: G
authors.lastname: Sheraz
mesh_terms: D000328:Adult; D001773:Blood Cells; D005260:Female; D006801:Humans; D010154:Pakistan; D013315:Stress, Psychological / Q000503:physiopathology*; D013337:Students, Medical / Q000523:psychology