HEMOGLOBINOPATHIES and THALASSEMIA Flashcards
HEMOGLOBINOPATHIES
A. QUALITATIVE
B. QUANTITATIVE
QUALITTATIVE (MUKA/ APPEARANCE ANGMAY PROBLEM)
SEVERE FORM / BOTH GLOBIN IS AFFECTED
A. HETEROZYGOUS / TRAIT CONDITION
B. HOMOZYGOUS / DISEASE CONDITION
HOMOZYGOUS
SICKEL CELL DISEASE IS IMMUNE IN WHAT PARASITE
a. plasmodium falciparum
b. plasmodium vivax
c. plasmodium malariae
plasmodium falciparum
most common cause of death of patient with sickle cell disease
a. dehydration
b. bacterial infection
c. low blood pressure
bacterial or infectious crisis
old method in screening sickle cell disease
a. hemoglobin electrophoresis
b, sodium metabisulfite test
c. dithionite solubility test
sodium metabisulfute test - old method on screening
dithionite solubility test - most commonly used screening
hemoglobin electrophoresis, HPLC or capillary electrophoresis - confirmatory
characterized by barr of golds crystals
a. hb s
b. hb as
c. hb cc
hgb c disease / hgb c
caused by LYSINE replaces GLUTAMIC ACID at position 6 on BOTH chains
a, sickle celll disease
b. hgb E
c. hgb c disease
hgb c disease - position 6
hgb E - caused by lysine replaces glutamic acod at position 26 on beta chain
caused by VALINE replaced by glutamic acid at position 6 on BOTH chains
a. sickle cell disease
b. sickle cell trait
c. hb c disease
sickle cell disease - both chain
sickle cell train (HB as) - one chain