Hema Flashcards

(43 cards)

1
Q

HSCs differentiate into?

A

Myeloid and lymphoid

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2
Q

If HSCs are damaged person would survive for how many weeks?

A

2-4 weeks

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3
Q

Yolk sac produces what?

A

red cells

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4
Q

placenta produces which type of cells ?

A

stem cells, red cells and platelets

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5
Q

Thymus produces ?

A

cells of adaptive immunity

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6
Q

Before birth HSCs are produced by?

A

Yolk sac, spleen and liver

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7
Q

After birth HSCs are produced by?

A

Bone marrow

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8
Q

Spleen and liver produces HSCs in which cases

A

severe chronic anemia and Hodgkin lymphoma

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9
Q

what are 2 cardinal functions of HSCs

A

Self-renewal and differentiation

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10
Q

HSCs undergo differentiation undergoes which changes ?

A

functional change, loss of plasticity and proliferative capacity

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11
Q

How many days are required for the HSCs to become mature cells ?

A

10-14 days

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12
Q

what are the 3 potential fates of HSCs

A

Apoptosis, self -renewal & differentiation

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13
Q

What is the key limiting parameter for both autologous and allogeneic stem cell transplantation?

A

stem cell no

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14
Q

what are the adv of umbilical cord

A

lower incidence of GVHD, cord blood banks have representation of populations underrepresented in adult donor registries

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15
Q

what are the most common anemias?

A

hypoproliferative anemias

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16
Q

What are hypoproliferative anemias?

A

normocytic,normochromic red cells and low reticulocyte index of <2-2.5

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17
Q

Most common type of hypoproliferative anemias?

A

Iron def anemia

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18
Q

2 nd most common type of hypoproliferative anemias?

A

Anemia of malignancy

19
Q

what are the functions of Iron?

A

Carries Oxygen, iron-containing enzymes including the cytochrome system in the mito

20
Q

Which type of iron is highly toxic?

21
Q

what happens to the cells if the iron is absent?

A

lose capacity for electron transport, energy metabolism & heme synthesis

22
Q

Absorbed iron is bound to?

23
Q

Iron in excess binds to which storage protein forming ferritin?

24
Q

Average red cell life span is ?

25
Red cells are recognized as senescent by which cells?
reticuloendothelial system
26
Adult red cell mass is ?
2 liters
27
in males how many mg of iron is required to replace the lost iron?
1mg
28
in females how many mg of iron is required to replace the lost iron?
1.4
29
T1/2 of transferrin bound iron is ?
60-90 min
30
what is the normal plasma iron level?
80-100 ug/dl
31
iron is most readily absorbed in which food?
heme iron
32
what kind of food red iron ab ?
phytates and phosphates
33
Hypoproliferative marrow in case of low iron transport to the marrow in case of intravascular hemolysis or blood loss anemia produces which type of anemia?
microcytic, hypochromic anemia
34
Iron absorption takes place largely in ?
duodenum and proximal small intestine
35
this enzyme converts ferrous iron into ferric iron at the luminal brush border cells ?
ferrireductase
36
iron transport accross luminal membrane is by ?
divalent membrane transporter type 1
37
Ferric iron is converted ferrous iron by which enzyme?
ferrireductase
38
In the gut iron may be stored as ferritin or exported to the surface by which protein?
ferroportin
39
Ferroportin is regulated by?
hepcidin
40
iron binds to transferrin in which form?
ferric form
41
ferrous iron is converted to ferric iron by?
hephaestin
42
Erythroid hyperplasia stimulates iron ab even in case of normal or inc iron stores and the level of hepcidin in this case are?
Low
43
which is one of the most prevalent forms of malnutrition?
Iron def anemia