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CLLS-300
hemo final
| Question | Answer |
|---|---|
| HCT | 42-52M/37-47W |
| Hgb | 13-18g/dL M/ 11-16 g/dL W |
| MCV | pts hct(L/L)/erythrocyte ct(X10^12/L)= FL 80-96fl |
| MCHC | hgb(gm/dL)/HCT(L/L) = g/dL 32-36% |
| ESR | Erythrocyte Sedimentation Rate 0-15mm/hr 0-20mm/hr |
| retic count | to determine production rate of erythrocytes |
| corrected retic | male 45L/L female 42 L/L |
| fibrinogen | 200-400 mg/dL |
| PT | 12-15.5 sec |
| Thrombin | 15-20 sec |
| aptt | 32-48 sec |
| platelets | 150-400 X 10^9/L |
| MPV | 7.4-10.4fL |
| Bleeding time | vascularity and platelet function in response to injury |
| Clot retraction | see if clot retracts fully within a 24hr period |
| PT | extrinsic & common pathways |
| PT | measures coagulation factors (I,II,VII,X & V) |
| aptt | identify deficiencies in the intrinsic & commom pathways (I,V, IX, X, VIII, XI) |
| Erythropoiesis | production of RBC |
| mature erythrocytes | biconcave, 1/3 central pallor, 120 day life span |
| heme | pigment portion, synthesized as RBC matures, responsible foe transport of oxygen and carbon dioxide |
| vital substances to erythrocyte & hemoglobin production | amino acids, iron, vitamin B12, folic acid, erythropoeitin |
| erythropoietin | produced by kidney, secreted by liver, stimulated by low tissue O2 levels |
| reference range RBC | 4.6-6.2X10^12/L -M 4.2-5.4X10^12/L -F |
| MCH | hgb (X10g/dL)/erythrocyte ct(X10^12/L)=pg |
| anisocytosis | abnormal rbc variation in size/any severe anemia |
| spherocyte | compact rbc, round, lost its central palor/hereditary spherocytosis, Coombs-positive hemolytic anemia |
| stomatocyte | central slit-like opening resembling a mouth/ congenital hemolytic anemia, thalassemia, burns, lupus |
| ovalocyte | oval or egg-like appearance/pernicious anemia |
| poikilocytosis | abnotmal variation in shape/any severe anemia |
| elliptocyte/pencil cell | narrow, elongated, resembling a rod or cigar/various anemia, HbC disease, Thalessemia, Hemolytic anemia |
| codocyte/target cell | rbc with a dark center and periphery and clear ring in between "bull's eye"/ Thalessemia, liver disease, hemoglobinopathies |
| basophillic stippling | multiple uniform dark dots distributed evenly throughout the cell/altered RNA |
| Heinz bodies | small, round inclusions. denatured, precipitated hemoglobin |
| Howell-Jolly Body | DNA: nuclear or chromosomal reminants |
| Pappenheimer Body | clusters of small blue coccoid bodies in periphery of cell, non-heme iron |
| neutrophil | immune defenses, engulf bacteria & cellular debris 40-77% |
| eosinophil | defense against parasites, allergic response 1-4% |
| basophil | inflammatory response, release histamine 0.5-1% |
| monocyte | immune surveillance, engulf cellular debris 2-6% |
| B-lymphocyte | antibody production |
| T-lymphocyte | cellular immune response |
| leukocyte differential | determine the % of each type of leukocyte present & to assess RBC & platelet morph. Can detect disorders or leukemias |
| increase in band cells | shift to left/infection |
| Myeloperoxidase (MPO) | differs Acute Monocytic (+)& Myelogenous from ALL |
| Sudan Black B (SBB) | differs AML(+)from ALL\ |
| Periodic Acid Schiff | myeloblastic & monoblastic from lymphoblastic (+) |
| TdT | ALL (+) from AML |
| responsible for regulating all of the clotting | Thrombin |
| Stuart factor | X/both pathways |
| Hageman factor | XII/Intrinsic |
| IX | Christmas factor/intrinsic |
| prekallikrein | fletcher factor/intrinsic |
| human cell membrane is composed of | proteins, carbohydrates, lipids |
| Phagocytosis & Pinocytosis are examples | Endocytosis |
| deletion | an alteration in the nuclear DNA resulting from the loss of a section of chromatin |
| Hematopoiesis stops in the liver when | 1-2 wks after birth |
| blood cells that normally display vaculozation of the cytoplasm | monocytes |
| stimulate formation of megakaryoblasts to megakaryocytes | Thrombopoietin |
| stimulates WBC formation | Leukopoietin |
| Interleukins | Cytokine involved in development of T & B lymphocytes |
| Interleukin -3 | works with erythropoietin to stimulate CFU-E formation from BFU-E |
| apoptosis | cell death associated with normal physiology |
| meiosis | process of cell division which results in ova & sperm with 1/2 norm number of chromosomes are produced |
| mesoblastic phase | mesenchyme |
| hepatic phase | liver |
| medullary phase | liver & bone marrow |
| reactive lymphocyte | variant lymphocyte |
| which type of hemoglobin is not considered a variant form | Glycosylated hemoglobin |
| what substance, when combined with iron forms a heme molecule | protoporphyrin |
| cells with longstanding chronic anemias appear | hypochromic, microcytic |
| What's the most common glycolytic enzyme deficiency associated with Pentose Phosphate pathway (aerobic) | G6PD deficiency |
| what is the amino acid substitution found in sickle cell anemia | substitution of valine for glutamic acid in the 6th position of beta chain |
| March anemia is an acquired for of which anemia | Hemolytic |
| Thalassemia is best described as | abnormal rate of globin chain synthesis |
| What manifestation of Alpha thalassemia is caused by 4 inactive genes that result in fetal death | Hydrops fetalis with Hb Bart's |
| Manifestation of Alpha thalassemia is caused by 1 inactive alpha gene | silent carrier state |
| lymphocytes | 10-40% |
| cells that produce antibodies and lymphokines | lymphocytes |
| Average life span of a neutrophil in the peripheral blood | 7-10hours |
| NK cells | antibody dependant and independent cytoxicity |
| Memory cells | antigen sensitization, quick response on re-exposure |
| plasmacytes | production of immunoglobulins (antibodies) |
| neutrophil description | segmented nucleus, granulocyte, blue/pink granules |
| monophil description | mononucleus, lacy blue-gray cytoplasm, vacuoles |
| lymphocytes | mononucleus, dense chromatin, sky blue, scant cytoplasm |
| eosinophil | segmented nucleus, granulocyte, red/orange granules |
| basophil | segmented nucleus, granulocyte, azo granules |
| infectious mononucleosis (cell manifestation) | Atypical lymphocyte |
| Niemann-Pick's disease (cell manifestation) | Pick cell |
| Pelger-Huet anomaly (cell manifestation) | Hyposegmented, neutrophils (pince nez) |
| Pernicious anemia (cell manifestation) | Hypersegmented neutrophils |
| Human ehrlichiosis (cell manifestation) | Morulae |
| severe decrease in the total number of lymphocytes in peripheral blood | lymphopenia |
| Ameboid movement of neutrophils from the peripheral blood into the tissue | Diapedisis |
| Release of substances that attract phagocytic cells as the result of traumatic or microbial damage | Chemotaxis |
| Target cell destruction through extracellullar nonphagocytic mechanism | cytotoxic reaction |
| hemoglobinopathies | inherited gene that affect amino acid residual sequence or production of hemoglobin |
| PT time | 12-14 sec |
| APTT | less than 35 sec |
| bleeding time | 2-8 min |
| thrombin clotting time | less than 20 sec |
| Hemophilia A | Factor VIII deficiency |
| HIT | detection of heparin antibodies |
| Hypercoagulable state | detection of Factor V Leiden |
| Vitamin K deiciency | prolonged PT |
| coumadin/warfarin levels | PT |
| heparin | APTT |
| normal INR range | 2.0-3.0 |
| what 3 components interact to produce hemostasis | vasoconstriction, temp platelet plug, blood coagulation |