201 HI - Histology Flashcards

1
Q

Anucleated formed elements in blood

A

Red blood corpuscles (erythrocytes), reticulocytes

Cell fragments of megakaryotes (thobocytes or platelets)

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2
Q

Formed elements - WBC (leukocytes) in blood

A

Agranulocytes: lymphocyte & monocyte
Granulocytes: neutrophil, eosinophils, basophli

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3
Q

What are in plasma of blood during fluid phase?

A

Fibrinogen
Albumin
Globulins

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4
Q

What are in serum of blood during fluid phase?

A

Plasma w/o clotting factors

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5
Q

Where does hemopoiesis occur in fetus and adults?

A

Fetus: yolk sac, liver & spleen, bone marrow

Adult: bone marrow

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6
Q

Differences between cell, corpuscles, cell fragments.

A

Cell: has a nucleus
Corpuscles no nucleus
Cell fragment: pinched off of cytoplasm of megakaryocytes

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7
Q

Normal blood pH

A

7.35 - 7.45

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8
Q

Does Ca2+ circulate in blood?

A

Yes

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9
Q

Which cell in bone regulate blood Ca2+ levels?

A

Osteoclast

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10
Q

What does the buffy coat contain?

A

Leucocytes & platelets

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11
Q

Why adult males have more formed elements than females?

A

Testosterone

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12
Q

Histological characteristics of RBC (erythrocytes)

A

Biconcave discs
Enucleated
Hemoglobin

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13
Q

Histological characteristics of WBC (leukocytes)

- granulocytes

A

Large granules
Multi-lobed nuclei
3 distinctive types: neutrophils, eosinophils, basophils

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14
Q

Histological characteristics of WBC (leukocytes)

- agranulocytes

A

Small granules
Non-lobed nuclei
2 distinctive types: lymphocytes & monocytes

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15
Q

Histological characteristics of platelets (thrombocytes)

A

Cell fragment
Form platelet plugs
Release chemicals necessary for blood clotting

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16
Q

What is erythroblastic islet?

A

Colony of immature erythrocyte in cluster

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17
Q

Red marrow

A

Active, in medullary cavity of flat bones & head of long bone

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18
Q

Yellow marrow

A

Inactive, in middle of long bone

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19
Q

What are the differences between the peripheral blood smear & bone marrow smear?

A

More cells w nucleus & larger cell size in bone marrow

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20
Q

What are the 3 major organs involved in hemopoiesis during embryonic & fetal life?

A

1st trimester - yolk sac
2nd trimester - liver
3rd trimester - bone marrow

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21
Q

What is the most common site for a bone marrow biopsy in adults?

A

Iliac crest

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22
Q

How long does erythrocytes live?

A

120 days

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23
Q

How long does reticulocytes live?

A

1 day

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24
Q

What is the clinical significance of finding abnormally high number of reticulocytes?

A

Bleeding; high altitude or anemia

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25
Q

How long does platelets last?

A

8-12 days

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26
Q

Where does platelet originate from & its function?

A

Originate from megakaryocyte

Function vasuclar repair by forming clots

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27
Q

Which cell type in kidney produces erythropoietin?

A

Interstitial fibroblast in kidney

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28
Q

How do cell size & appearance of nuclei & cytoplasm change as cells mature?

A

Large → small
Larger euchromatic nucleus → smaller heterochromatic nucleus (loss of nuclei in RBC)
More cytoplasmic area to nucleus ratio

29
Q

Function of erythrocyte

A

Transport O2 from lungs to various tissue

Transport of CO2 from tissues to lungs

30
Q

What is the consequence of no carbonic anhydrase in RBCs?

A

CO2 cannot be hydrolized to bicarbonate, therefore, less CO2 away from tissue to blood

31
Q

In excess blood loss condition, ______ numbers increase

A

Reticulocyte

32
Q

Is the number of reticulocytes decreased in polycythemia vera?

A

Increased, bc polycythemia increase RBC count

Reticulocytes are precursors of RBC so increased

33
Q

Symptoms of Myelodysplastic Syndrome (骨髓增生不良症候群)

A

Fatigue & shortness of breath
Pallor - low RBC count (anemia)
Easy brushing or bleeding - low blood platelet count (thrombocytopenia)
Pinpoint-sized red spots - bleeding just beneath skin (petechiae)
Frequent infections - a low WBC count (leukopenia)

34
Q

What could be the cause of myelodysplastic syndrome?

A

Chemotherapy
Radiation
Toxins - tobacco, benzene, pesticides, heavy metal

35
Q

What is the effect of sickle or crescent-shaped RBC on blood flow & tissue O2?

A

Block blood flow

36
Q

Why are nucleus of megakaryocytes so large?

A

Undergoes endomitosis

37
Q

Function of platelets

A

Important in preventing blood loss by forming platelet plugs

  • surface glycoproteins & proteins for adhesion to collagen
38
Q

What is CFU?

A

Colony-forming unit

39
Q

Stages of granulopoiesis

  • neutrophil
  • eosinophil
  • basophil
A

Common for granular leukocytic lines: myeloblast → promyelocyte

→ neutrophilic myelocyte → neutrophilic metamyelocyte → band neutrophil → matured neutrophil

→ eosinophilic myelocyte → eosinophilic metamyelocyte → eosinophil

→ basophilic myelocyte → basophilic metamyelocyte → basophil

40
Q

What is CSF? List the accurate sequence of neutrophil differentiation?

A

Colony-stimulating factor

Myeloblast → promyelocytes → myelocyte → metamyelocytes → neutrophil

41
Q

What is the difference between lysosome & lysozyme?

A

Lysosome: an organelle in the cytoplasm of cells and contains degradative enzymes enclosed in a membrane

Lysozyme: enzyme like in egg white, and in body fluids, such as tears, saliva, etc, destroy cell membrane (kills bacteria, antiseptic)

42
Q

Function of WBC

A

Protect the body against microorganisms & remove dead cells & debris
Movement
Endocytosis
Exoxytosis

43
Q

What is the significance of neutrophils undergoing trans-endothelial migration into a tissue?

A

Infiltration of neutrophil to tissue via diapedesis suggest that there is infection in that area.

44
Q

Which structure in neutrophil is useful for identifying female vs male athletes in Olympics?

A

Barr Body of neutrophils

45
Q

Which 3 types of granules do the neutrophils contain?

A

Specific granules
Azurophilic granules
Tertiary granules

46
Q

Characteristics of neutrophils

A

Survive in anaerobic condition

Kill bacteria in necrotic tissue by extravasation

47
Q

Which 2 types of granules do the eosinophils contain?

A

Specific granule - crystalloid body

Azurophilic granules - lysosome

48
Q

Function of eosinophils

A

Secretes IL-1 & IL-2

To fight against infection

49
Q

Function of basophil

A

Similar to mast cell
Allergy & anaphylaxis
Has IgE receptor on membrane for binding IgE antibody + antigen

50
Q

What granules are present in monocyte?

A

Azurophilic granules

51
Q

Function of monocytes

A

Phagocytosis & antigen-presenting

52
Q

What does macrophage contain?

A

Phagosomes

53
Q

Function of macrophages

A

Engulf & partially digest antigens

54
Q

Cell involved in inflammation & wound healing (4)

A

Monocytes
Macrophages
Fibroblast
Lymphocytes, eosinophils & basophils

55
Q

Classification of lymphatic tissue & organs

A

Dense lymphoid tissue - tonsils, nodules in dense CT
Diffuse lymphoid tissue - Nodules in loose CT
Lymphoid organ - lymph node, spleen, thymus

56
Q

Functions of the lymphatic system

A

Fluid balance
Fat absorption
Defense

57
Q

Lines of defense to protect against pathogens & other foreign substances

A

Active innate immunity - external
Passive innate immunity - naturally
Active acquired immunity - by exposure to infection
Passive acquired immunity - by transferring antibody

58
Q

3 levels of lymphatic system

A

Level 1: immature lymphocyte
Level 2: Pre-B & Pre-T lymphocyte
Level 3: Educated cells

59
Q

Function of immune system

A

Destroy foreign substances & abnormal cells

Provide resistance

60
Q

Lymphocytes function along w plasma cells & macrophages to:

A

Protect against invading macromolecules
Scrutinize body fluids for detecting abnormal components
Produce antibodies to attack foreign cells
Destroy damaged & aged blood components
Reservoir for platelets
Site of hematopoiesis

61
Q

MALT

A

Mucosa-associated lymphoid tissue

62
Q

GALT

A

Gut-associated lymphoid tissue

63
Q

BALT

A

Bronchus-associated lymphoid tissue

64
Q

______ tonsils in oropharynx
______ tonsils in tongue
______ tonsils in nasopharynx

A

Palatine
Lingual
Pharyngeal

65
Q

What type of epithelium found in palatine tonsils?

A

Stratified squamous

66
Q

What type of epithelium found in lingual tonsils?

A

Stratified squamous

67
Q

What type of epithelium found in pharyngeal tonsils?

A

Pseudostratified ciliated columnar goblet cell

68
Q

Hassall’s corpuscles

A

Structures found in the medulla of the human thymus, formed from eosinophilic type VI epithelial reticular cells arranged concentrically