Bone Marrow Flashcards

1
Q

Bone marrow is located within

A

cavities of the cortical bones

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2
Q

Red and Yellow marrow
a. infant and newborn
b. adult (30-70 yrs old)
c. elderly (>70 yrs old)

A

a. all red bone marrow
b. 50 % red; 50% yellow
c. >yellow, < red; adipocytes increased 10% per decade

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3
Q

M:E ratio of the following screnario
a. infection
b. leukemia
c. myeloid hyperplasia
d. myeloid hypoplasia
e. erythroid hyperplasia
f. erythroid hypoplasia

A

a. 6:1
b. 25:1
c. 20:1
d. 3:20
e. 1:20
f. 5:1

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4
Q

ratio of red marrow to yellow marrow

A

marrow cellularity

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5
Q

Bone marrow smear preparation
a. most commonly used site
b. occasionally used site
c. very rarely used site
d. newborns and infants

A

a. posterior iliac crest
b. sternum
c. anterior iliac crest and spinal/vertebral bodies
d. upper end of tibial bone

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6
Q

Trephine (core) biopsy

A

Trephine biopsy needle
Jamshidi needle
Westerman-Jensen needle

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7
Q

Bone Marrow aspirate

A

Aspiration needle
University of Illinois sternal needle

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8
Q

a. Most predominant in the bone marrow
b. Largest cell in the bone marrow
c. Largest in the peripheral blood

A

A. Metamyelocyte (juvenille)
B. Megakaryocyte
C. Monocytes

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9
Q

Two most common erythrocytic stages with “fried egg appearance”

A

Polychromatophilic
Orthochromic normoblast

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10
Q

Bone forming
Water-bug or cornet appearance
Mistaken as plasma cells

A

Osteoblast

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11
Q

Bone resorption; destroying cells
Mistaken as megakaryocyte

A

Osteoclast

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12
Q

Identification and origin of HSCs can be determined by “immunophenotypic analysis” using

A

Flow cytometry

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13
Q

Functional characterization of HSCs can be accomplished “in vitro techniques” using

A

Culture assay

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14
Q

Cytokines that exert negative influence on hematopoiesis

A

TGF-Beta
TNF-Alpha
Interferons

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15
Q

Cytokines that exert positive influence on HSC and progenitor cells

A

KIT Ligand
FLT3 Ligand
GM-CSF
IL-1
IL-3
IL-6
IL-11

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16
Q

Types of bone marrow specimen

A

direct aspirate smear
anticoagulated aspirate smear
crush smear
imprint/touch preparation
concentrate/buffy coat smear
histologic/cell block

17
Q

a. normocellular
b. hypercellular/ hyperplastic
c. hypocellular / hypoplastic
d. apalastic

A

30-70% HSCs
>70% HSCs
<30% HSCs
few or no HSCs