Indian Journal of Clinical Anatomy and Physiology

Effect of stress during university examination on the differential leucocyte count (DLC), Heart Rate (HR), and Blood Pressure (BP)

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Author Details: Sanjay Kumar, Kunal, D.K. Jha, Shipra Das

Volume : 3

Issue : 2

Online ISSN : 2394-2126

Print ISSN : 2394-2118

Article First Page : 163

Article End Page : 166


Background: Medical university examinations are known to cause mental stress. Stress can lead to changes in the normal functioning of the human body.
Objectives: This study was done among the 1st professional MBBS students of SMIMS to determine the effect of university examination on vitals and differential leucocyte count (DLC).
Material and Methods: 100 students, 26 male and 74 female, aged 18 to 21 years, were randomly assessed before and during their 1st professional university examination. Total of 13 Students suffering from fever, hypertension and on long term medication were excluded. 87 students were subjected to clinical check-up (Blood Pressure & Heart Rate) and estimation of DLC by staining the blood smear with Leishman’s Stain.
Results: Data were analyzed and compared with pre-examination results. 85% students were having significant increase in neutrophil count, heart rate and systolic blood pressure. However, Eosinophil, Lymphocytes and Monocytes counts were found to be decreased.
Conclusion: Examinations in medical school are stressful enough to produce changes in heart rate, blood pressure and differential leucocytes counts although all the students were in good health status.

Key Words:
Stress, Examination, DLC, Blood Pressure, Heart Rate