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145 Cards in this Set

  • Front
  • Back
what is the normal number of RBC/microL?
4-5x10^6
what is the diameter of a normal RBC?
7-8 micrometers and 2 micrometers thick
how do RBCs generate energy?
they lack mitochondria and other cellular organelles (including a nucleus) so they rely on anaerobic glycolysis for energy in maintaining hemoglobin function
why do RBC's have a limited lifespan?
they lack organelles such as nucleus or ribosomes to renew proteins for function
what is the avg. lifespan of a RBC?
120 days
describe the diameter of a microcyte (RBC)?
<6 micrometers
describe the diameter of a macrocyte?
9-12 micrometers
what is the name of the condition where RBC's become swollen, loose hemoglobin due to lysis or leaky membrane, and the hemoglobin is excreated in large numbers in the urine?
Black water fever
what happens when the blood becomes hypertonic when compared to the RBC?
crenation - RBC's shrink which causes the formation of tiny spins which extend from their surface
in a RBC, what facilitates the formation of carbonic acid from CO2 and H2O?
carbonic anhydrase
what does carbonic acid disassociate into?
1. H+
2. HCO3 (bicarbonate)
in what form is most of the CO2 generated by cells carried to the lungs?
bicarbonate
describe the process by which bicarbonate is able to cross the RBC membrane?
the integral membrane protein, AE1 couples the efflux of bicarbonate with influx of chloride (Cl-)
in addition of AE1 what other enzymes can be found in RBC's?
those of the glycolytic pathway and the monophosphate shunt
describe the lipid, carbohydrate, and protien components of the RBC cell membrane?
50% protein
40% lipid
10% carbohydrates
what is the cytoskeleton composed of in the RBC?
1. spectric tetramers
2. actin protofilaments
3. band 4.1
what holds the cell membrane to the RBC cytoskeleton?
ankyrin, which attaches the cytoskeleton to AE1 in the cell membrane
what are the most common Rh antigens in the human population?
C, D, and E
what percentage of Americans have an Rh antigen on their RBC's?
85%
What type of cell is described below?

Bluish pink cytoplasm
(or blue cytoplasmic
reticulum if stained
with brilliant cresyl
blue); no nucleus;
biconcave disk-shaped;
diameter 7-8 μm
Reticulocyte
how many reticulocytes are in 1 L?
25-85x10^9
what type of blood component is described below?
Pale blue cytoplasm;
purple granules; no
nucleus; biconvex
disk-shaped; diameter
3 μm
what number of platelets are found in 1 L of normal blood?
150-350x10^9
how long do reticulocytes circulate in the blood before the mature?
2 days
how long do platelets circulate in the blood?
9-10 days
describe the avg. amount of leukocytes per microL?
6000-10000
what are the two main groups of leukocytes?
1. granulocytes
2. agranulocytes
what types of granules are described below?

found only in granulocytes; their
staining properties (neutrophilic, eosinophilic, or basophilic) distinguish the three granulocyte types
Specific granules
what types of granules are described below?

Occur in both agranulocytes and granulocytes. Their content of lytic enzymes suggests that they function as
lysosomes.
Azurophilic granules
what are the 2 categories of agranulocytes?
1. leukocytes
2. monocytes
The following describes which category of leukocytes?

Unsegmented nuclei and are described as mononuclear leukocytes
agranulocytes
what types of granules could be found in a lymphocyte of monocyte?
Azurophilic only
what is the normal variation percentage of lymphocytes in the white blood cell count of normal blood
20-45%
what are the 2 major types of lymphocytes?
1. Memory and effector cells
2. Null cells
what percentage of lymphocytes in the blood are T cells?
80%
when stimulated by an antigen, what do lymphocytes do?
the undergo blast transformation which is characterized by enlargement and sequential mitotic divisions
what to B cells differentiate into?
plasma cells which produce antibodies
what do T cells differentiate into? (3)
they can become
1. Cytotoxic (killer) cells
2. Helper T cells
3. Suppressor T cells
what are the variety of signaling molecules which T cells release that influence the activity of macrophages and other leukocytes involved in an immune response?
lymphokines (ex interferon)
What type of cells is described below?

Circulating cells that morphologically resemble lymphocytes but exhibit neither B-cell nor T-cell

They may represent circulating stem cells of lymphocytes or other blood cell types.
null cells (type of lymphocyte)
what are the two primary lymphoid organs in the human?
1. thymus = T cell programing
2. bone marrow = B cell programing
Does this describe a antigen activated or primarily circulating lymphocyte?

Spherical, often flattened
on one side, densely
heterochromatic, purplish
blue to black
primarily circulating lymphocyte
Does this describe a antigen activated or primarily circulating lymphocyte?

Large, less heterochromatic, reddish purple.
antigen activated
Does this describe a antigen activated or primarily circulating lymphocyte?

Thin rim around nucleus, pale
basophilia, many ribosomes, sparse ER, few mitochondria, small Golgi, few azurophilic granules, no specific granules.
primarily circulating lymphocyte
Does this describe a antigen activated or primarily circulating lymphocyte?

More abundant, pale basophilia, many ribosomes, sparse ER, few mitochondrial, small Golgi, few azurophilic granules, no specific granules.
antigen activated
what type of WBC is described below?

Mean circulation time 10 hours for majority of cells; variable time in lymphoid organs and tissues; majority
of cells are long lived.
Lymphocyte
what type of WBC is described below?

Circulate for 1-3 days; variable time in tissues.
Monocyte
what type of WBC is described below?

Circulation time 6-10 hours; 2-3 days in tissues.
Neutrophil
what type of WBC is described below?

Circulation time 1-10 hours; up to 10 days in tissues.
Eosinophil
what type of WBC is described below?

Circulation time estimated as 1-10 hours; variable time in tissues.
Basophil
what type of WBC is described below?

Nucleus is usually kidney- or horseshoe-
shaped, eccentric. Chromatin less dense, “smudgy” appearance, reddish purple, 2-3 nucleoli may be seen.
Monocyte
what type of WBC is described below?

Cytoplasm is abundant, faint blue-gray, many small azurophilic granules, no specific granules, many small mitochondria, well-developed Golgi, sparse RER and olyribosomes
Monocyte
what type of WBC is described below?

Condensed chromatin, multilobed (usually 3 lobes, more than 5 [hypersegmented] in aging cells), small heterochromatic drum stick may extend from one lobe. Represents female Barr body (inactive X chromosome).
Neutrophil
what type of WBC is described below?

Abundant small (0.3-0.8 μm), salmon pink, specific (neutrophilic) granules; fewer reddish-purple azurophilic granules. Specific granules contain alkaline phosphatase and bactericidal cationic proteins called phagocytins, abundant glycogen.
Neutrophil
what type of WBC is described below?

Condensed chromatin, usually 2 lobes, often partly obscured by abundant specific granules.
Eosinophil
what type of WBC is described below?

Abundant large (0.5-1.5 μm), brightly eosinophilic, specific granules that are specialized lysosomes carrying peroxidase, acid phosphatase, cathepsin, ribonuclease and major basic protein (MBP, eosinophilic antiparasitic agent). In EMs, specific granules are ovoid with a dense internum surrounded by an electronlucent externum. Fewer, reddishpurple azurophilic granules.
Eosinophil
what type of WBC is described below?

Condensed chromatin, usually 3 lobes often in an S shape, partially or completely obscured by abundant, dark specific granules.
Basophil
what type of WBC is described below?

Less abundant, variable sized (0.3-1.5 μm), reddish-violet to black specific basophilic) granules. Granules contain heparin and histamine to be
released in response to allergic stimuli.

Fewer, reddish-purple azurophilic granules.
Basophil
what type of WBC is this?
basophil
what type of WBC is this?
basophil
what type of WBC is this?
eosinophil
what type of WBC is this?
eosinophil
what type of WBC is this?
lymphocyte
what type of WBC is this?
lymphocyte
what type of WBC is this?
macrophage
what type of WBC is this?
macrophage
what type of WBC is this?
monocyte
what type of WBC is this?
neutrophil
what type of WBC is this?
basophil
what type of WBC is this?
Monocyte
what type of WBC is this?
Neutrophil
what are the most abundant circulating leukocytes?
neutrophils (60-70%) of circulating RBC's
how often do neutrophils undergo mitosis?
never, they are completely differentiated
what type of WBC makes up 1-4% of the circulating WBCs?
Eosinophils
what do eosiniphils preferentially phagocytize?
antigen/antibody complexes
when can the numbers of circulating eosinophils be seen to increase?
during parasitic infections and allergic responses
when do levels of eosinophils drop in blood?
during corticosteroid therapy
what are the least numerous leukocytes?
basophils <1% of all circulating WBC's
what cells do basophils function very similarly to?
mast cells
what are the smallest formed elemets in the blood?
platelets
what cells produce platelets through a process of budding?
megakaryocytes
what is the typical lifespan of a platelet cell?
8 days
how many platelets can be found in a normal microliter of blood?
150,000-300,000
what are the two distinct regions of platelets?
the hyalomere and the granulomere
does the following describe the hyalomere or granulomere of a platelet?

Contains a few mitochondria, glycogen granules, and various purple granules.
granulomere
which platelet granule is described below?

Contain fibrinogen, platelet-derived growth factor, and other platelet-specific proteins?
Alpha granules
What type of platelet granules are described below?

contain calcium ions, pyrophosphate, ADP, and ATP; take up and store serotonin
Dense bodies (delta granules)
What type of platelet granules are described below?

contain fibrinogen, platelet-derived growth factor, and other platelet-specific proteins
Alpha granules
What type of platelet granules are described below?

contain only lysosomal enzymes
Lambda granules
what does this describe, the granolomere or the hyalomere?

contains a marginal bundle of microtubules that helps to maintain the platelet’s discoid shape
hyalomere
Describe the structure and composition that allows platelets to achieve there ultimate function of adhesion during clot formation?
glycocalyx - rich in glycosaminoglycans
where is the Surface-opening tubule system found in a platelet and what is its function?
Hyalomere and it expedites rapid uptake and release of molecules from activated platelets
where is the Dense tubular system found in a platelet and what is its function?
Hyalomere and it probably sequesters calcium
ions to prevent platelet
“stickiness”
what is the function of the compenents found in α-Granules?
Contains factors that facilitate vessel repair, platelet aggregation, and coagulation of blood
what is the function of the compenents found in δ-Granules (dense bodies)?
Contained factors facilitate
platelet aggregation and adhesion, as well as vasoconstriction
what is the function of the compenents found in λ-Granules (lysosomes)?
Contains enzymes that facilitate clot resorption
describe the fluid content of extracellular space as compared to that of blood for small molecules and electrolytes?
that are practially the same because they are constantly being interchanged
describe the concentration of proteins in the extracellular fluid as compared to that in blood?
much lower in extracellular fluid
what is the chief protein in the bloods colloid osmotic pressure?
albumin
what are the 5 major types proteins found in blood?
1. albumin
2. lipoproteins
3. globulins
4. compliment
5. clotting proteins such fibrinogen
aside from their function in immunity, what other functions do globulins carry out?
Transports metal ions, protein-bound lipids, and lipid-soluble vitamins
what are the three lopiproteins one might find in the blood?
1. Chylomicrons
2. VLDL
3. LDL
what provides the structure/scaffolding for the components of bone marrow?
reticular cells and reticular fiber
how do the blood cells and platelets formed in the bone marrow get into the blood stream?
through the sinusoids throughout the bone marrow comparments which have large gaps allowing passage of cells and platelets
reticular fibers are composed of which type of collagen?
type 3
what is another name for reticular cells?
adventitial cells
where are RBC's brocken down? (3)
1. Bone marrow
2. Liver
3. Spleen
when an RBC is broken down what are the 3 components that must be delt with?
1. globin
2. porphyrin rings
3. iron
what is the name of stored iron in macrophages?
ferritin and hemosiderin
how are porphyrin rings taken from the body?
they are conjugated with bilirubin
what is the group of a macrophage supplying iron to surrounded developing erythrocytes called?
erythroblastic island
what are the 2 important types of cytokines that stimulate WBC formation?
1. colony-stimulating factors (CFSs) and interluekins
What factor has this function?

Promotes CFU-GM mitosis and differentiation; facilitates granulocyte activity
GM-CSF
What factor has this function?

Promotes CFU-G mitosis and differentiation; facilitates neutrophil activity
G-CSF
What factor has this function?

Promotes CFU-M mitosis and differentiation
M-CSF
What factor has this function?

Promotes proliferation of PHSC, CFU-S, and CFU-Ly; suppresses erythroid precursors
IL-1
What factor has this function?

Stimulates activated T- and B-cell mitosis; induces differentiation of NK cells
IL-2
What factor has this function?

Promotes proliferation of PHSC, CFU-S, and CFU-Ly as well as all unipotential precursors (except for LyB and
LyT)
IL-3
What factor has this function?

Stimulates T- and B-cell activation and development of mast cells and basophils
IL-4
What factor has this function?

Promotes CFU-Eo mitosis and activates eosinophils
IL-5
What factor has this function?

Promotes proliferation of PHSC, CFU-S, and CFU-Ly; also facilitates CTL and B-cell differentiation
IL-6
What factor has this function?

Promotes differentiation of CFU-LyB; enhances differentiation of NK cells
IL-7
What factor has the following function?

Induces neutrophil migration and degranulation
IL-8
What factor has the following function?

Induces mast cell activation and proliferation; modulates IgE production; promotes T helper cell proliferation
IL-9
What factor has the following function?

Inhibits cytokine production by macrophages, T cells, and NK cells; facilitates CTL differentiation and proliferation of B cells and mast cells
IL-10
What factor has the following function?

Stimulates NK cells; enhances TCL and NK cell function
IL-12
which cells produce GM-CSF?
T cells; endothelial cells
which cells produce G-CSF?
Macrophages; endothelial cells
which cells produce M-CSF?
Macrophages; endothelial cells
which cells produce IL-1
Monocytes; macrophages; endothelial cells
which cells produce IL-2?
Activated T cells
which cells produce IL-3
Activated T and B cells
what cells produce IL-4?
Activated T cells
what cells produce IL-5?
T cells
what cells produce IL-6?
Monocytes and fibroblasts
what cells produce IL-7?
Adventitial reticular cells?
what cells produce IL-8?
Leukocytes, endothelial cells, and smooth muscle cells
what cells produce IL-9?
T helper cells
what cells produce IL-10?
Macrophages and T cells
what cells produce IL-12?
Macrophages
where does the production of blood cells first occure?
in blood islands in the wall of the yolk sac
during what week of development does blood production begin?
after 2 weeks
from the 2nd to the 6th month of intrauterine life, what are the main hematopoietic organs?
liver and spleen
where are most bone marrow aspirate and biopsies taken from?
anterior or posterior illiac crests
extramedullary hematopoiesis and myeloid metaplasia are examples of what?
when the fetal organs for blood formation become active in that role during adulthood