Intro To Blood And Hematopoesis Flashcards

1
Q

What are four functions of blood?

A
  • transport
  • homeostasis
  • hematostasis
  • immunity
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2
Q

What is the fraction of blood that is red cells? Is it coagulated?

A
  • hematocrit

- anticoagulated

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3
Q

What maintains colloid osmotic pressure in blood? Why is this important to maintain?

A
  • Albumin

- maintaing this pressure allows transport of protiens across capillaries

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4
Q

Whats used as a transport protien and has a role in immunity?

A

Globulin

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5
Q

What are the 5 white blood cells? Which are granulocytes? Which are agranulocytes?

A
  • granulocytes: neutrophils, eosinophils, basophils

- agranulocytes: monocyte, lymphocyte

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6
Q

What is hematopoesis? What two things control and mediate hematopoesis?

A
  • creation of blood cells

- trancription factors and hematopoietic regulators

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7
Q

What types of blood cells do pluripotent stem cells give rise to?

A

ALL types of blood cells

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8
Q

What type of blood cells do multipotent stem cells give rise to?

A

Give rise to more limited progeny like a single line

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9
Q

How long do erythrocytes live?

A

120 days

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10
Q

What is a reticulocyte? What can knowing the amount if this tell us? If theres a problem with red cell production, how will the reticulocyte count look like?

A
  • young red cells in the blood, less than two days old, immature red cells
  • knowing this value can tell us what type of anemia a patient has
  • count will be low
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11
Q

In hemolytic anemia and acute blood loss, how will the reticulocyte count look like?

A

High

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12
Q

Whats the normal shape of a RBC? What are some advantages of this? What are some examples of protiens that maintain this shape?

A
  • biconcave disk shape
  • larger surface to volume ratio than if it was sphere shape, maximized diffusion area, minimizes diffusion distances
  • spectrin, actin, ankyrin, band 4.1
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13
Q

What are the two metabolic pathways RBCs go through? What is the percentage of glucose involved in each one?

A
  • glycolysis: 90% glucose

- pentose shunt: 10% glucose

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14
Q

Whats the second most abundant membrane protien in RBCs?

A

Water channel AQP1

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15
Q

What are four factors that can affect erythropoiesis?

A
  • erythropoietin
  • vitamin B12
  • folic acid
  • iron
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16
Q

What is anemia? What are three causes of it?

A
  • deficiency of hemoglobin in the blood due to decreased RBC production or decreased hemoglobin in cells
  • causes: blood loss, decreased production of red cells, increased destruction of red cells
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17
Q

What is erythropoietin? What is the main stimulus to create this? Where does it come from?

A
  • hormone that stimulates erythropoeisis
  • hypoxia is the main stimulus
  • 85% from kidney, 15% from liver
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18
Q

What is the most essential regulator of red blood cell production? What are 3 examples of this regulator?

A
  • tissue oxygenation

- anemia, high altitude, diseases that affect tissue oxygenation

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19
Q

Why does chronic kidney disease cause anemia?

A

-most erythropoietin comes from the kidneys, if its diseased then red cell production will be low

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20
Q

What two enzymatic reactions in humans require vitamin b12?

A
  • remethylation of homocysteine to methionine

- isomerization of methylmalonyl coenzyme A

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21
Q

Cobalamin deficiency leads to deficiency in what? What disease ultimately results from these deficiencies?

A
  • THF

- leads to megaloblastic anemia

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22
Q

Deficency of B12 or folate result in high levels of what?

A

Homocysteine (Hcy)

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23
Q

How fast is iron absorption from the intestines?

A

Slow

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24
Q

Each Fe2+ combines with how many molecules of oxygen? Is this reversible?

A
  • 1 molecule of oxygen= 2 atoms of oxygen

- yes, its reversible

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25
How many heme is in one molecule of Hgb? How many iron is there? How many oxygens can they all carry?
- 4 heme - 4 irons - 4 molecules of oxygen=8 atoms of oxygen
26
What is the name for iron deficiency anemia?
Microcytic hypochromic anemia
27
What happens to iron when RBC is destroyed?
Recycled
28
What is the normal range of hematocrit in males and females? Hemoglobin? Erythrocyte count?
- Hct: female- 36-46, male- 41-53 - hgb: female - 12-16, male- 13.5-17.5 - erythrocyte: female - 4.3-5.9, male- 3.5-5.5
29
What is the normal WBC count?
4500-11000
30
What is the function of eosinophils?
-protective: against allergy like asthma and helminthic and parasitic infections
31
Function of basophils? What color is their cytoplasm?
- librerates heparin, acts as an anticoag and keeps the blood in fluid state in circulation - cytoplasm: little basophilic, alot of blue granules
32
Which blood cell has the biggest nuclei that takes up 90% of the cell area?
Lymphocytes
33
What are the 3 categories of lymphocytes? And their functions?
- b cells: forms plasma cells that produce antibodies - t cells: mediate cellular or cell mediated immunity - NK cells: mediate natural and nonspecific immunity
34
Which WBC has a horse shoe shape nucleus?
Monocyte
35
How long is a monocyte’s half life? Then what happens to them?
- 10-72 hours half life | - live on for a few weeks to months as tissue macrophages
36
What can cause a widened mediastinum?
Bacterial infections, lymphoma, soft tissue mass, aortic aneurysm
37
If theres a vitamin b12 deficiency, what will be high in the blood? What would be high in the urine?
- blood: homocysteine | - urine: methylmalonic
38
To convert homocysteine to methionine, what cofactor is needed?
Vitamin b12
39
Vitamin b12 is needed for what two processes?
- folate metabolism | - dna synthesis
40
Red cell distributiom width or anisocytosis means?
Is the measure of the variability of the RBC size
41
What are the three layers (from top to bottom) formed in a test tube after a blood sample has been centrifuged? Whats in them? Which layer is used to give us the hematocrit value?
- plasma, buffy coat, red blood cells - plasma: protiens and water, buffy: WBCs and platelets, red blood cells - red blood cell layer gives the hematocrit value
42
Reduced hematocrit level is seen in what disorder? An increased hematocrit level is seen in what disorder?
- reduced: anemia | - increased: polycythemia
43
What are “formed element?”
The cellular components like RBCs, WBCs and platelets
44
What are the 4 main protiens of plasma?
Albumin, globulins, fibrinogen, prothrombin
45
What element is needed to bind 02?
Iron
46
Plasma protiens are made by what organ?
Liver
47
From high to low, this the cell ratio between WBC, RBC, and platelets.
-RBCs (in milions), platelets (hundreds of thousands), WBCs (thousands)
48
What is the ratio of RBC to plasma called?
Hematocrit
49
How long does the yolk sac do hematopoiesis?
16 days to 10 weeks gestation
50
How long does the liver do hematopoesis?
6 weeks gestation to birth
51
After birth, what takes over the job of hematopoiesis?
Bone marrow
52
Erythrocytes in the liver are called what? Brain? Lungs?
- liver: Kupffer cells - brain: microglia - lungs: Aveolar macrophages
53
Before birth, the main site of hematopoesis is where? Where do you find this?
- Red bone marrow | - in all flat bones and ends of long bones
54
What gives rise to lymphocytes?
Lymphoid precursors
55
What gives rise to ALL blood cells EXCEPT lympocytes?
Common myeloid precursor
56
Starting from a proerythroblast, list the path a cell goes to become an erythrocyte.
-proerythroblast, basophil erythroblast, polychromatophil erythroblast, orthochromatic erythroblast, reticulocyte, erythrocyte
57
Which steps of erythropoesis happen in the blood? Which in the bone marrow? Where does Hemoglobin first appear and how do you know?
- all in bone marrow except reticulocyte and erythrocyte | - hbg first appears in the polychromatophil erythroblast stage. First sign of color change here and hgb turns things red
58
Anemia caused by chronic kidney disease is called?
Normocytic normochromic anemia
59
What are sources of iron?
Beets, meat, fish, fruits and veges that go brown over time like apples, potatoes, and spinach
60
Where is irom absorbed?
In the duodenum
61
Whats the difference between primary and secondary polycythemia?
- primary: defect in bone marrow to make more RBCs | - secondary: problem caused an increase in RBCs
62
What does Anisocytosis mean?
Abnormal or varying sizes of RBCs
63
What does Poikilocytosis mean?
Irregular shapes of RBCs
64
What are Echinocytes?
Burr cell, crenated, leaf shaped, tooth edge shaped RBCs
65
What are Schistocytes?
Cell fragments
66
What are Drepanocytes?
Sickle cells
67
What is the name for RBCs with less color? Normal color?
- hypochromic | - normochromic
68
What do you call immature cells?
Blasts
69
Normal MCV is 80-100. What is the value if its microcytic? Macrocytic? What do these values tell you?
- micro: less than 80 - macro: more than 100 - determine anemia
70
Which WBC is the first line of defense? What is its MAIN function?
- neutrophil | - PHAGOCYTOSIS
71
Which lymphocytes are small? Which are the large ones?
- small: b and t cells | - large: natural killer cells
72
Which WBC has a ground glass appearence and is the largest of the 5?
Monocyte