Intro to haem system Flashcards

1
Q

Where does haemotopoiesis occur in the embryo?

A

yolk sac then liver then marrow (spleen as well from 3-7months)

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2
Q

Where does haematopoeisis occur in the adult?

A

bone marrow of skull; ribs; sternum; pelvis and prox ends of femur

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3
Q

How are platelets formed?

A

budding on the periphery of megakaryocytes

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4
Q

What RBCs are found in the plasma?

A

reticulocytes and mature RBCs

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5
Q

What differentiates between reticulocytes and mature RBCs?

A

reticulocytes still have RNA (blue) and are larger

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6
Q

what is the structure of eosinophils?

A

bi-lobed with bright orange-red granules

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7
Q

What is the appearance of basophils?

A

large depp purple granules obscuring nucleus

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8
Q

How long do monocytes circulate in the blood?

A

a week before entering tissues to become macrophages

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9
Q

How do mature lymphocytes appear?

A

small with condensed nucleus and rim of cytoplasm

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10
Q

What are activated lymphocytes often called?

A

atypical

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11
Q

How do atypical lymphocytes appear?

A

large with plentiful blue cytoplasm extending round neighbouring red cells, open chromatin in nucleus

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12
Q

What does the presence of atypical lymphocytes suggest?

A

intercurrent viral infection

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13
Q

where is the most common site for bone marrow aspiration and bippsy?

A

psoterior iliac crests

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14
Q

What is a bone marrow biopsy known as?

A

trephine biopsy

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15
Q

What is the allosteric effect in Hb?

A

as one O2 binds it alters the bidning affinity for the next O2

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16
Q

What is the difference in affinity between HbA; HbF and myoglobin?

A

myoglobin has highest affinity for O2 followed by fetal then adult

17
Q

What is the average O2 venous partial pressure?

A

5.3

18
Q

What is average O2 arterial partial pressure?

A

13.3

19
Q

What results in a shift in the oxyhaemoglobin curve to the right?

A

decreased pH; increased DPG; temp; CO2 and H+

20
Q

Why does the RBC rely on pumps so much?

A

high osmotic pressure due to so much protein (Hb)

21
Q

What is Hb oxidised with Fe3+ called?

A

metHb

22
Q

What is the problem with metHb?

A

can’t carry oxygen

23
Q

Why is the RBC membrane protein rich?

A

essential for membrane flexibitiy to get through capillaries

24
Q

What is the rapapoport-Lubering shunt?

A

generates 2,3 DPG that releases more oxygen