Vanders blood notes Flashcards

1
Q

What are the three main plasma protein groups?

A

Albumins, globulins and fibrinogin

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2
Q

What is serum?

A

Plasma minus proteins involved in clotting

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3
Q

In hamoglobin, What does oxgen bind to?

A

Fe2+

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4
Q

What is the diameter of a red blood cell?

A

7 microns

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5
Q

Do erythrocytes have ribosomes?

A

NO

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6
Q

Where does destruction of erythrocytes NORMALLY occur?

A

Liver or spleen

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7
Q

When stored in the liver, what is iron bound to?

A

ferritin

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8
Q

When being delivered to the bone marrow, what is iron bound to?

A

transferrin

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9
Q

What is folic acid required for the synthesis of?

A

Thymine

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10
Q

Intrinsic factor is required for the absorption of what vitamin?

A

B12

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11
Q

What hormone regulates erythropoiesis?

A

Erythropoietin

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12
Q

What organ secretes erythropoietin?

A

The kidneys

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13
Q

What does the hormone erythropoietin stimulate?

A

Erythropoiesis

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14
Q

What is another word for white blood cell?

A

Leukocyte

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15
Q

Where can you find eosinophils?

A

Blood + Mucosal lining of GI tract, Respiratory tract and urinary tract

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16
Q

What two things beginning with H do basophils secrete?

A

Heparin + Histamine

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17
Q

When cytoplasmic portions are pinched off megakaryocytes what do these portions form?

A

Platelets

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18
Q

Give 5 examples of hematopoietic growth factors

A
erythropoietin
colony stimulating factors
interleukins
thrombopoietin
stem cell factor
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19
Q

Which hematopoietic growth factor stimulates production of granulocytes and monocytes?

A

Colony stimulating factors

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20
Q

What is the function of the HGF, thrombopoietin?

A

Stimulates platelet formation

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21
Q

How do platelets largely adhere to collagen?

A

Via the intermediary- Von Willebrand Factor vWF

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22
Q

What secretes vWF?

A

Platelets and endothelial cells q

23
Q

Describe the functions of thromboxane A2

A
  1. Stimulates platelet aggregation by activating platelets

2. Stimulates vasoconstriction

24
Q

What forms bridges between platelets?

A

Fibrinogen

25
What cells synthesise prostacyclin?
undamaged endothelial cells
26
What can we shorten prostacyclin to?
PGI2
27
What effect does prostacyclin have on platelet aggregation?
Inhibits platelet aggregation
28
In addition to prostacyclin, what do endothelial cells also produce that acts as an inhibitor of platelet aggregation?
Nitric oxide
29
What is prostacyclin synthesised from?
Arachidonic acids
30
Which coagulation pathway has everything necessary for it to occur in the blood?
Intrinsic pathway
31
What is activated first in the intrinsic pathway?
Factor XII
32
What does XIIa activate in the intrinsic pathway?
Factor XI
33
What does factor XIa activate in the intrinsic pathway?
Factor IX
34
What is factor X activated by in the intrinsic pathway and what is also required for this reaction?
Activated by factor IXa with the help of factor VIIIa
35
Factor VIIIa is involved in the activation of what factor?
Factor X
36
What factor converts prothrombin to thrombin with the help of factor Va?
Xa
37
What does factor Va assist with the conversion of?
Prothrombin to thrombin (using Xa)
38
What does tissue factor bind to at the start of the extrinisic pathway?
Factor VII
39
When factor VII binds to tissue factor it becomes?
Factor VIIa (activated)
40
Describe the functions of factor VIIa in the extrinsic pathway?
Converts IX to IXa | Converts X to Xa
41
Describe the effect thrombin has in the intrinsic pathway?
Positive feedback
42
Which pathway is less important for initiation but more important for amplification in the coagulation cascade?
The intrinsic pathway (positive feedback on pathway from thrombin)
43
What is factor XIII activated by?
Thrombin
44
What is the function of factor XIIIa?
Stabilises fibrin network
45
What clotting factors does thrombin increase the activation of?
XI VIII V
46
Which organ produces clotting factors?
Liver
47
What vitamin is important in the production of clotting factors?
Vitamin K
48
What does the liver produce that are important for the absorption of vitamin K?
Bile salts
49
What inactivates thrombin and other clotting factors that is more effective when bound to heparin?
Antithrombin III
50
What activates protein C?
Thrombin bound to thrombomodulin
51
What does protein C inactivate?
XIIIa and Va
52
What is sectreted from endothelial cells and binds to tissue factor-factor VIIa complexes?
Tissue factor pathway Inhibitor
53
What increases the ability of tissue plasminogen activator to generate plasmin?
fibrin