Hematology/immune Phys Flashcards

1
Q

What makes up composition of the blood

A

hemocrat (45%)- RBC, WBC, Platelets

Plasma (55)- electrolytes, glucose, urea, protein

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2
Q

all blood cells come from what

A

pluripotential hemopoietic stem cells

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3
Q

what cell lines do lymphoid cells give rise to

A

B cells (activated in Bone marrow)

T cells (activated in the thymus)

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4
Q

what does the myeloid cell line give rise to (4 main categories)

A

erthroblasts (reticulocytes to adult rbc)

Granulocytes which develop into basophils, eosinophils and neutrophys

monocytes (macrophages)

megakaryocytic (to platelets)

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5
Q

What are the granulocytes and agranulocytes

A

Granulocytes- basophils, eosonophils, neutrophils

agranulocytes- lymphocytes and monocytes

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6
Q

What are the two pathways of blood clotting and which are each activated by

A

Vascular damage- activates intrinsic path

Tissue damage- activates extrinsic path

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7
Q

What is the steps of intrinsic path

A

Factor XII activates Factor XI
Factor XI activates Factor IX
Factor IX activates Factor VIII which activates Factor X (common)

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8
Q

What is the steps of the extrinsic pathway up to the common factor

A

Factors VII is activated by damage

VII activates factor X

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9
Q

What happens after the common factor

A

Factor X converts prothrombin to thrombin

Thrombin converts fibrinogen to fibrin

FIBRIN forms the clot

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10
Q

What does compliment activation produce for activities

A

OIL CAN

Opsonization
Inflammation
Lysis
Chemotaxis
Agglutination
Neutralization

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11
Q

what compliments do what

A

C3a, C4a, C5a- inflammation (Anaphylaxis)

C3b- opsonization (phago)

C5b/6/7/8/9b- lysis (membrane attack)

C5a- chemotaxis

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12
Q

where do b lymphocytes mature and what do they make

A

Involved in generation of humeral immunity
-mature in bone marrrow
-make antibodies in form of immunoglobulins

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13
Q

What do t lymphocytes do and where do they mature

A

Mature in thymus
-inolved in cell mediated immunity
-through production of activated t lymphocytes

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14
Q

Where do t cells differentiate

A

in thymus where they differentiate in CD8 or CD4 t cells

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15
Q

What are CD8 t cells

A

Become cytotoxic killa t cells

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16
Q

What do CD4 T cells do (+ what do they differentiate into)

A

Helper t cells which can differentiate into Th1/2 cells

Th1- activate macrophages
Th2- help B cells make antibodies

17
Q

What does IgG, IgA, IgM, IgD, snf IgE do

A

IgG- most abundent- promotes phago + cell lysis

IgA- present in saliva, tears, milky

IgM- promotes agggulation, phago, cell lysis

IgD- surface antibody on B lympho

IgE- parasitic inf

18
Q

What do helper T cells release

A

Interleukins 2-6 and interferon

19
Q

What type of response lasts longer: cell mediated or antibody

A

cell mediated

20
Q

What is natural active/passive, artificial active/passive immunity

A

natural active- after inf
Passive active- from mother
Artificial active- from immunzations
Passive active- antibodies produced elsewhere

21
Q

What is a Type 1,2,3,4 hypersensitivity run

A

ACID
Type 1- (Anaphylactic)- antigen responds to IGE, allergies

Type 2 (cytotoxic)- IgG, IgM- acute transfusions, blood rxns

Type 3 (Immune complex)- IgG mediated immune complex triggers inflammation (SLE, RA)

Type 4 (delayed)- T cell mediated (TB, Touching poison ivy, Transplant rejection,, Type 1 diabetes)