Hemoglobinz Flashcards

1
Q

A protein in RBC that carry oxygen to body organs and tranpsort Co2 from organs to lungs

A

Hemoglobin

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2
Q

Each HB molecules contains 2 ______ and 2 ______ of polypeptides (globin)

A

Alpha and beta chains

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3
Q

Each Hb chain contains _____ a nonprotein pigment complex

A

Heme

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4
Q

Sythesis of Hb begins in _____ anf continue to reticuloctyes stage

A

Proethryoblast

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5
Q

_____ and _____ can also bind to hemoglobin

A

CO2, CO

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6
Q

Hb saturated with oxygen

A

Oxyhemoglobin

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7
Q

Hb + combination of CO2

A

Carbaminohemoglobin

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8
Q

Competitive exclusion of oxygen makes _______ a dangerous gas as it binds to Hb at same site of O2 200 times more tightly

A

Carbon monoxide

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9
Q

People with SCD hsve abnormal Hb called ______ or sickle hemoglobin where amino acid ______ is substituted by ________

A

Hb S; valine, glutamic acid

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10
Q

total _____ averages 4-5 grams and is 65-70% in form of Hb

A

Iron

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11
Q

The 15-30% iron is stored in reticuloendothelial system and liver parenchymal cells in form of

A

Ferritin

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12
Q

Body saturated with Iron, rate of iron absoprtion from insteinsl tract is ______. Iron stored is depleted, rate of absorption _______

A

Decreased; accelerate

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13
Q

2 major forms of dietary iron

  1. ______ and is absorbed more efficiently, derived from myoglobin and hemoglobin (meat)
  2. _______ may be either ferric/ferrous and from plant foods
A

Heme iron, nonheme

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14
Q

Tends to form salt complex and not soluble to ph values higher than 3. Most iron in diet is in this form

A

Ferric iron

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15
Q

Does not complex easily and soluble to pH value as high as 8

A

Ferrous iron

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16
Q

________ forms soluble complex and reduce iron from ferric to ferrous enhancing iron absorption

A

Ascorbic acid (vitamin C)

17
Q

Found in tea, lower absorption of iron

A

Tannins

18
Q

Iron absorbed from all parts of smsll intestine mostly in ____

A

Duodenum

19
Q

Absorption ____ restricted to duodenum

A

Nonheme iron

20
Q

Transports of Fe2+ into enterocytes occurs via

A

Divalent metal transporter 1 (DMT1)

21
Q

Ferric reductase ______ reduces Fe3+ to Fe2+ before uptake through DMT1

A

Dctyb

22
Q

Some iron in enterocytes can fombine with _____ (secreted by liver) to form _______ and stored in intestinal epithelium

A

Apoferritin, ferritin

23
Q

Remaining Fe2+ binds to _____ that ferries Fe2+ to basoletaral membrane then transported out by basolateral receptor called _____

A

Mobilferrin; ferroportin 1

24
Q

Fe2+ is oxidized by ______ to Fe3+ and bind to iron tranport protein apotransferrin as ______

A

Transferrin

25
Q

Heme iron enter cell either by binding to a ______ protein or through _____ mechanism

A

Brush border; endocytotic

26
Q

_______ enzymatically splits heme iron, releasing free Fe3+, CO, biliverdin. Cell reduce biliverdin to ________ which liver eventually excretes as ______

A

Heme oxygenase; bilirubin; bile

27
Q

A iron regulating peptide hormone made by the liver’s _______ and is sometimes called master iron regulator, as tcontrols delivery of iron to blood plasma and such

A

Hepcidin; Kupffer’s cells

28
Q

Down regulate duodenal iron absorption by regulating _____ activity as well as binding and inactivating the cellular iron exporter _______

A

DMT1; Ferroportin

29
Q

Obtain iron from Hb synthesis from plasma ______ coming from intestine

A

Eryhtroid progenitors; transferrin

30
Q

Capacity of storage of ferritin exceeds, iron with phosphate and hydroxide is form called _______ and if iron excess beyond normal levels, this will be deposited to skin, heart and liver

A

Hemosiderin

31
Q

Hemoglobin = ______ + ______
Heme = _____ + _______

A

Heme, globin;
Fe2+, porphyrin;

32
Q

Porphyrin change into ring structure to straight chain structure called _______ or green of bile, which in turn is reduced to straight chain _______ or red of the bile

A

Biliverdin; bilirubin

33
Q

Bilirubin carried from liver in the bile may be excreted in feces as _______ or urine as _____

A

Stercobilin, urobilin

34
Q

Yellowing of skin due to accumulation of bilirubin in blood

A

Jaundice

35
Q

Deficiency of Hb or low hematocrit in blood

A

Anemia

36
Q

percentage of total blood volume composed of erythrocytes which ranges 40-54% men and 38-47% in women

A

Hematocrit

37
Q

Condition that results in an increased level of circulating red blood cells in bloodstream, increase in hematocrit, hemoglobin, RBC above normal limits

A

Polycythemia

38
Q

Documentation of increased red cell mass

A

Erythrocytosis