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Patho Hematology
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  • 問題数 100 • 9/8/2023

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    問題一覧

  • 1

    Catalyzes reversible reaction between CO2 and H2O to form HCO3

    Erythrocytes

  • 2

    RBC production in early gestation

    yolk sac then liver

  • 3

    RBC production last month gestation to 5 years.

    bone marrow

  • 4

    RBC production after 5 years

    vertebrae, sternum, ribs, ilia

  • 5

    Anemia, hypoxemia, circulatory failure, high altitude all stimulate.

    RBC production

  • 6

    Elevated Reticulocyte Level

    Normal in Anemia

  • 7

    Anemia without elevated Reticulocyte

    Bone Marrow Disease

  • 8

    Detecting Erythroblasts in Lab Test

    Indicates Malignancy

  • 9

    Low tissue oxygen triggers

    Kidneys to make Erythropoietin

  • 10

    In low oxygen, Erythropoietin makes Hematopoietic Stem Cells that makes.

    Proerythroblasts

  • 11

    Pluripotent Stem Cell makes Erythrocyte CFU that leads to.

    Erythroblast makes Reticulocyte makes Erythrocyte

  • 12

    Succinyl-Co-A from Krebs binds with Glycine to form.

    Pyrrole Molecule

  • 13

    Protoporphyrin IX is comprised of.

    4 Pyrrole Molecules

  • 14

    Heme Molecule

    Protoporphyrin IX and Iron Molecule

  • 15

    Hemaglobin Metabolism

    Succinyl-Co-A binds Glycine forms Pyrroles to make Protoporphyrin IX combines Iron to make Heme combines Globins to make Hemaglobin

  • 16

    Alpha, Beta, Gamma, Delta, Fetal

    Types of Globins

  • 17

    2 Alpha 2 Beta Chains

    Adult Hgb

  • 18

    Oxygen Carrying Capacity of Hemoglobin

    8 O2 Molecules

  • 19

    Each Hbg Fe can carry.

    2 O2 Molecules

  • 20

    Fetal Hbg is comprised of.

    2 Alpha and 2 Fetal chains

  • 21

    Has the greatest affinity for oxygen.

    Fetal Hemoglobin

  • 22

    Which of the following is not a normal component of plasma?

    Collagen

  • 23

    What is the average life span of an erythrocyte?

    120 days

  • 24

    Which of the following minerals is required for erythropoiesis?

    Iron

  • 25

    Erythropoietin is released by the:

    Kidneys

  • 26

    The purpose of erythropoietin is:

    Control erythrocyte production

  • 27

    Where does the sequestration and destruction of aged erythrocytes normally take place?

    Spleen

  • 28

    As an individual ages:

    Lympocyte function decreases

  • 29

    When a blood cell is damaged:

    All the above

  • 30

    RBC lysis yields which of the following products?

    Bilirubin

  • 31

    What is the correct sequence in coagulation:

    extrinsic and intrinsic, Factor X, Thrombin, Fibrinogen, Fibrin, Clot

  • 32

    What is the correct sequence in fibrinolysis?

    Plasmin, Plasminogen, FDP

  • 33

    Granulocytes contain:

    Enzymes capable of killing microorganisms

  • 34

    Why do lymph nodes enlarge and become tender during an infection?

    Macrophages are proliferating

  • 35

    Eosinophils

    All the above

  • 36

    The greatest proportion of total body iron is located in the:

    Erythrocytes

  • 37

    Polycythemia is typically seen in:

    Babies born to Diabetic Mothers and Twin-to-Twin Transfusion Syndrome

  • 38

    Polycythemia puts babies at risk for:

    Blood Clots and Strokes

  • 39

    Hemolytic Disease of the Newborn:

    Occurs when mothers blood crosses placenta that produces antibodies that attack babies RBCs

  • 40

    Anemia is:

    Abnormal in elderly adults

  • 41

    Increases for every 1000 meters above sea level

    Hemoglobin level

  • 42

    Smoking Increases:

    Hemoglobin levels

  • 43

    Aging causes RBCs to become:

    Fragile and prone to lysis

  • 44

    After lysis/hemolysis of RBCs, Hbg is:

    Phagocytized by macrophages in the Liver Kupper cells, Spleen, Bone Marrow

  • 45

    Macrophages release Fe from Hgb and transported as:

    Transferrin

  • 46

    Storage of Transferrin not in use:

    Ferritin

  • 47

    Porphyrin is converted to:

    Bilirubin transported to liver and released in bile

  • 48

    Anemia

    Reduced RBC count, Hbg, Hct

  • 49

    Kidney disease leading to decreased Erythropoietin production causes:

    Anemia

  • 50

    Low Fe, B12, Folate intake causes:

    Anemia

  • 51

    Co-morbid inflammatory diseases cause:

    Anemia

  • 52

    Shortened RBC lifespan in Aging causes:

    Anemia

  • 53

    Sickle Cell Disease and Thalassemia cause:

    Anemia

  • 54

    Decreased: pCO2, H+, 2,3-DPG, Temp, HbF

    Left Shift

  • 55

    Increased: pCO2, H+, 2,3-DPG, Temp

    Right Shift

  • 56

    Low WBC and PLT levels alone indicate:

    Bone Marrow failure

  • 57

    Average size of RBC

    MCV

  • 58

    Amount of Hbg in RBC compared to size (color of RBC)

    MCHC

  • 59

    MCV < 80

    Microcytic

  • 60

    MCHC < 27

    Hypochromic

  • 61

    MCV 80-100

    Normocytic

  • 62

    MCHC >= 27

    Normochromic

  • 63

    MCV > 100

    Marcocytic

  • 64

    Iron Deficiency Anemia, Anemia of Chronic Ilness, Thalassemia, Sideroblastic Anemia

    Microcytic and Hypochromic

  • 65

    Anemia of Chronic Illness, Sickle Cell Amemia, Aplastic Anemia, Hemolytic Anemia, CKD, HIV, Acute Blood Loss:

    Normocytic and Normochromic

  • 66

    B12 and Folate Deficiency, Myelodysplastic Syndrome, Adverse Drug Reaction, Alcohol Abuse, Hypothyroidism:

    Macrocytic

  • 67

    New RBC will have:

    Larger RDW than old RBCs

  • 68

    Iron, Folate, B12 Deficiencies. Hemolytic Anemia.

    Increased RDW

  • 69

    GI Bleeding associated with

    Iron Deficiency Anemia

  • 70

    Vegetarians are at risk for:

    Iron Deficiency Anemia

  • 71

    Chron’s Disease and Gastric Bypass causes Iron Deficiency Anemia due to:

    Malabsorption

  • 72

    Periods of rapid growth (toddler and adolescents) can cause:

    Iron Deficiency Anemia

  • 73

    Pregancy increases metabolism which can lead to:

    Iron deficiency anemia

  • 74

    What MCV should you expect in Iron Deficiency Anemia

    Hypocytic

  • 75

    What can interfere with Ferritin levels when diagnosing Iron Deficiency Anemia?

    Acute Inflammation

  • 76

    Indicates amount of stored Iron

    Ferritin

  • 77

    Ability of the body to transport Iron

    Transferrin

  • 78

    Proteins available to bind Iron

    TIBC

  • 79

    Increased in Iron Deficiency Anemia

    TIBC

  • 80

    Decreased in inflammation and malignancy

    TIBC

  • 81

    Autosomal Recessive- Alpha and Beta Types - Mutation of HBB gene

    Thalassemia

  • 82

    Decrease O2 affinity, Hgb more unstable and prone to early breakdown

    Effects of HgbA in Thalassemia

  • 83

    Treating Thalassemia with transfusions risks:

    Iron overload

  • 84

    Thalassemia is what type of anemia?

    Microcytic and Hypochromic

  • 85

    Proinflammatory cytokines inhibit erythropoietin, destroy immature erythroblasts, and stimulate release hepcidin

    Anemia of Chronic Illness

  • 86

    Stores too much Iron in the liver. Decreases oral absorption of Iron in GI tract, and blocks release of Iron from Reticuloendothelial system. Found in Anemia of Chronic Illness.

    Hepcidin

  • 87

    Can be both Hypocytic or Normocytic

    Anemia of Chronic Illness

  • 88

    Labs: increased - bilirubin, phosphorus, uric acid, hemoglobinuria; decreased - haptoglobin

    Hemolytic Anemia

  • 89

    Normocytic

    Hemolytic Anemia

  • 90

    Pancytopenia - decreased “all cell lines” (RBC, WBC, PLT)

    Aplastic Anemia

  • 91

    Normocytic

    Aplastic Anemia

  • 92

    RBCs with Hgb S has low O2 capacity and found in:

    Sickle Cell Anemia

  • 93

    Sickle Cell is what type of anemia?

    Normocytic

  • 94

    Shorter RBC lifespan r/t less effective DNA synthesis, lack intrinsic factor, autoimmune can atrophy gastric cells

    Pernicious Anemia (B12 deficiency)

  • 95

    Symptoms: paraesthesia, decreased balance, sore tongue, increased homocysteine

    Pernicious Anemia

  • 96

    Pernicious Anemia is what type of anemia?

    Macrocytic

  • 97

    Impaired RNA/DNA synthesis, found commonly in alcoholics, elderly, effects of aspirin, fetal neural tube defects.

    Folate Deficiency Anemia

  • 98

    What type of anemia is Folate Deficiency Anemia?

    Macrocytic

  • 99

    Granulocytes and Monocytes

    Formed in the bone marrow

  • 100

    Lymphocytes and Plasma Cells

    Formed in lymph tissue