Hematology unit 1

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Questions and Answers

Which technology is used for measuring cell parameters through light scattering?

  • Optical detection
  • Electrical impedance
  • Flow cytometry
  • Laser technology (correct)

Optical detection and electrical impedance are both principles of cell counting.

True (A)

What does RDW stand for in hematology?

Red Cell Distribution Width

The normal range for RDW is __________.

<p>11.5% to 14.5%</p> Signup and view all the answers

Match the following terms with their definitions:

<p>MPV = Mean Platelet Volume WBC = White Blood Cells MCV = Mean Corpuscular Volume RBC = Red Blood Cells</p> Signup and view all the answers

Which of the following is a fundamental concept in laser technology?

<p>Light amplification (A)</p> Signup and view all the answers

Flow cytometry can provide information on both cell size and granularity.

<p>True (A)</p> Signup and view all the answers

A histogram is used to represent the distribution of __________ in hematology.

<p>cell sizes</p> Signup and view all the answers

What is the primary factor influencing the sorting of leukocytes in a size-referenced histogram?

<p>Nuclear size (A)</p> Signup and view all the answers

The RDW value in a Coulter series reflects the average size of erythrocytes.

<p>False (B)</p> Signup and view all the answers

What specific cellular properties does a cytometer measure in the principle of flow cytometry?

<p>size, shape, and internal complexity</p> Signup and view all the answers

In healthy patients, there is an ______ relationship between platelet count and platelet size.

<p>inverse</p> Signup and view all the answers

Match the following terms with their corresponding definitions:

<p>RDW = Variation in erythrocyte size MCV = Average volume of erythrocytes MPV = Average volume of platelets Platelet count = Number of platelets per unit volume of blood</p> Signup and view all the answers

Platelet counting and sizing using electrical impedance methods do not account for the native size of platelets.

<p>False (B)</p> Signup and view all the answers

Explain how electrical impedance is used for cell counting and sizing.

<p>Cells are passed through a small aperture filled with conductive fluid. As each cell displaces the fluid, it causes a change in electrical resistance. The magnitude of this change is proportional to the cell's volume.</p> Signup and view all the answers

Which of the following techniques is NOT a part of the three distinct steps involved in flow cytometry?

<p>Using electron microscopy for cell imaging (D)</p> Signup and view all the answers

What principle is used in the electrical impedance method of cell counting?

<p>Coulter principle (A)</p> Signup and view all the answers

Optical detection methods rely on the measurement of electrical resistance to count cells.

<p>False (B)</p> Signup and view all the answers

What is the primary measurement used in the optical detection method for counting cells?

<p>scattered light</p> Signup and view all the answers

The amplitude of the electrical pulse in electrical impedance indicates the cell's ______.

<p>volume</p> Signup and view all the answers

Match the following light scattering processes with their descriptions:

<p>Diffraction = Bending of light around corners using small angles Refraction = Bending of light due to a change in speed with intermediate angles Reflection = Light rays turned back by the surface using large angles</p> Signup and view all the answers

What does the number of electrical pulses generated in the electrical impedance method indicate?

<p>Number of cells (D)</p> Signup and view all the answers

Forward light scatter is used to determine the refractive properties of cells.

<p>False (B)</p> Signup and view all the answers

In optical detection, what is used to detect scattered light?

<p>photodetector</p> Signup and view all the answers

What does forward high-angle light scatter allow for in measurements?

<p>Description of refractive index of cellular components (C)</p> Signup and view all the answers

Laser light is only made up of a variety of wavelengths and colors.

<p>False (B)</p> Signup and view all the answers

What does LASER stand for?

<p>Light Amplified by Stimulated Emission of Radiation</p> Signup and view all the answers

In flow cytometry, cells are stained in __________.

<p>suspension</p> Signup and view all the answers

Match the light scattering types with their descriptions:

<p>Forward low-angle = Relates to size or volume Forward high-angle = Describes refractive index Orthogonal light scatter = Produces data on internal complexity Radio Frequency (RF) = Detects cell size based on density</p> Signup and view all the answers

Which property does flow cytometry NOT combine?

<p>Magnetism (B)</p> Signup and view all the answers

The RF pulse is inversely proportional to the nuclear size and density of a cell.

<p>False (B)</p> Signup and view all the answers

What is one major advantage of using laser light in flow cytometers?

<p>Properties of intensity, stability, and monochromatism</p> Signup and view all the answers

Which of the following is NOT an innovation in hematology instrumentation?

<p>Measurement of serum glucose (B)</p> Signup and view all the answers

Erythrocyte histograms can only display cells that are 36 femtoliters or larger.

<p>True (A)</p> Signup and view all the answers

What does a wide or more flattened histogram curve indicate about cell size distribution?

<p>Increased standard deviation from the mean</p> Signup and view all the answers

In the Coulter system, the size of cells is represented on the x-axis in __________.

<p>femtoliters</p> Signup and view all the answers

Match the following cell counting innovations with their descriptions:

<p>nRBC Counts = Counting of nucleated red blood cells CD4 lymphocyte counting = Measures a specific type of white blood cell Reticulocyte hemoglobin measurement = Assessing newly released red blood cells Hematopoietic progenitor cells = Counting stem or precursor cells in the blood</p> Signup and view all the answers

What is typically measured using the traditional cyanmethemoglobin flow-cell method?

<p>Hemoglobin concentration (A)</p> Signup and view all the answers

Leukocyte histograms can provide information about the frequency of leukocyte populations.

<p>True (A)</p> Signup and view all the answers

What graphical representation shows cell frequencies versus their sizes?

<p>Histogram</p> Signup and view all the answers

What method is used to estimate young, reticulated platelets?

<p>Flow cytometry with RNA dye (B)</p> Signup and view all the answers

Flow cytometry is only useful for the diagnosis of solid tumors, not hematologic neoplasia.

<p>False (B)</p> Signup and view all the answers

Automated digital cell morphology provides a higher level of _____ and consistency.

<p>efficiency</p> Signup and view all the answers

Match each technique with its description:

<p>Electromechanical methods = Measurement of blood clotting based on conduction or impedance Photo-optical methods = Detection using light sources Platelet aggregation = Clumping of platelets in response to stimuli Platelet agglutination = Aggregation of platelets due to antibodies</p> Signup and view all the answers

Which of the following is NOT a primary application of flow cytometry?

<p>Digital cell morphology (D)</p> Signup and view all the answers

The fibrometer is an example of a photo-optical method used in coagulation studies.

<p>False (B)</p> Signup and view all the answers

What is the role of monoclonal antibodies in flow cytometry?

<p>They are used for immunophenotyping.</p> Signup and view all the answers

The complete blood count (CBC) includes only quantitative measurements of red blood cells.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a component of the complete blood count (CBC)?

<p>Blood pressure (B)</p> Signup and view all the answers

Why are manual counts of erythrocytes, leukocytes, and platelets sometimes necessary despite the availability of automated instrumentation?

<p>Manual counts may be necessary for low counts or quality issues.</p> Signup and view all the answers

In manual cell counting, blood specimens are diluted with specific ______ to ensure accurate counting.

<p>diluents</p> Signup and view all the answers

What is the principle behind most lysing agents used in manual cell counting?

<p>Osmotic pressure (C)</p> Signup and view all the answers

Match the following CBC parameters with their descriptions:

<p>Hemoglobin = Protein in red blood cells that carries oxygen Hematocrit = Percentage of red blood cells in a volume of blood Red blood cell count = Number of red blood cells per unit volume of blood Platelet count = Number of platelets per unit volume of blood</p> Signup and view all the answers

What is the primary function of red blood cells?

<p>gas transport</p> Signup and view all the answers

The Rule of Three applies to all types of red blood cells, regardless of their size or color.

<p>False (B)</p> Signup and view all the answers

The manual erythrocyte count involves counting red blood cells in a ______ grid.

<p>hemacytometer</p> Signup and view all the answers

What is the primary reason for performing a blood volume measurement?

<p>To determine plasma volume, red cell mass, or red cell volume - particularly in cases of severe hemorrhage, dehydration, or overhydration.</p> Signup and view all the answers

Which of the following is NOT a source of error in the manual erythrocyte count?

<p>Clean hematocytometer (B)</p> Signup and view all the answers

Which of the following factors can lead to an elevated hemoglobin (Hb) measurement?

<p>All of the above (D)</p> Signup and view all the answers

The cyanmethemoglobin method is a common method for manual and automated Hb determination.

<p>True (A)</p> Signup and view all the answers

What is the primary reason for performing a manual Hb determination?

<p>Quality control or backup for automated methods.</p> Signup and view all the answers

In the cyanmethemoglobin method, blood is incubated with ______ reagent to induce lysing.

<p>Drabkin's</p> Signup and view all the answers

Which of the following strategies is NOT used to address high WBC count interference in Hb measurement?

<p>Using a specialized WBC-free reagent (C)</p> Signup and view all the answers

Match the following specimen characteristics with their corresponding effects on Hb measurement:

<p>Lipemic = Elevated Hb Icteric = Elevated Hb Hemolyzed = Elevated Hb High WBC count = Interference in Hb measurement Hb C or S = Elevated Hb</p> Signup and view all the answers

Manual Hct results are more accurate than automated Hct results because they are not affected by trapped plasma.

<p>False (B)</p> Signup and view all the answers

What is the main source of error that can falsely decrease Hct values in manual Hct determination?

<p>Inadequate filling of the EDTA tube.</p> Signup and view all the answers

What is the dilution factor used in a manual RBC counting procedure?

<p>1:200 (B)</p> Signup and view all the answers

The volume correction factor remains the same regardless of the number of squares counted in the hemocytometer.

<p>False (B)</p> Signup and view all the answers

What is the final RBC count if 400 cells are counted in the hemocytometer using the given formula? RBC count/mm^6 = RBCs x 50 x 200

<p>4.00 x 10^6/mm^3</p> Signup and view all the answers

The Mean Corpuscular Volume (MCV) reflects the average ______ or size of a red blood cell.

<p>volume</p> Signup and view all the answers

Match the following red blood cell indices with their corresponding definitions:

<p>Mean Corpuscular Volume (MCV) = Reflects the average volume or size of red blood cells in femtoliters (fL) Mean Corpuscular Hemoglobin (MCH) = Reflects the weight of hemoglobin in picograms (pg) in one red blood cell Mean Corpuscular Hemoglobin Concentration (MCHC) = Reflects the percentage of hemoglobin in one red blood cell in g/dL or %</p> Signup and view all the answers

Which of the following is a reagent used in manual WBC counts?

<p>All of the above (D)</p> Signup and view all the answers

In a manual WBC count, the volume of one 'W' section is 0.4 mm3.

<p>False (B)</p> Signup and view all the answers

What is the volume correction factor when counting 4 'W' sections in a manual WBC count?

<p>2.5</p> Signup and view all the answers

In a manual WBC count, the variation in the count from both sides of the hemocytometer should be no more than ______ cells for good distribution.

<p>10</p> Signup and view all the answers

Match the following hemocytometers with their corresponding dimensions:

<p>Neubauer = 3 mm x 3 mm x 0.1 mm Fochs-Rosenthal = 4 mm x 4 mm x 0.2 mm</p> Signup and view all the answers

Which of the following factors can contribute to errors in manual WBC counts?

<p>All of the above (D)</p> Signup and view all the answers

An absolute cell count is always the preferred method for assessing inflammation.

<p>False (B)</p> Signup and view all the answers

What is the main reason why a high eosinophil count might be observed in a patient?

<p>Allergies or parasitic infections</p> Signup and view all the answers

The ______ is the least numerous granulocyte in peripheral circulation.

<p>basophil</p> Signup and view all the answers

The absolute number of segmented neutrophils and bands is considered to be a more specific index of inflammation than other tests.

<p>False (B)</p> Signup and view all the answers

What is the primary reason why the total leukocyte count can drop in patients with overwhelming infection?

<p>The movement of circulating granulocytes into the tissue sites of infection.</p> Signup and view all the answers

What does a complete blood count (CBC) NOT typically analyze?

<p>Lipid profile (C)</p> Signup and view all the answers

Automated methods for cell counting completely eliminate the need for manual counts.

<p>False (B)</p> Signup and view all the answers

What is the main purpose of a hemacytometer?

<p>To manually count blood cells.</p> Signup and view all the answers

In blood cell analysis, the term _________ refers to the average size of erythrocytes.

<p>MCV</p> Signup and view all the answers

Why are lysing agents used in manual counts?

<p>To eliminate RBC counts for accurate WBC and PLT counts (D)</p> Signup and view all the answers

Match each measurement with its description:

<p>Hemoglobin = Measures the oxygen-carrying capacity of blood Hematocrit = Percentage of blood volume occupied by red blood cells Platelet count = Number of platelets in a given volume of blood Leukocyte count = Total number of white blood cells per microliter of blood</p> Signup and view all the answers

RBC indices are a standard part of the CBC.

<p>True (A)</p> Signup and view all the answers

What is the backup method used for measuring hemoglobin?

<p>Centrifuge-based measurement.</p> Signup and view all the answers

In what phase of hematopoiesis does the bone marrow become the primary site of blood cell production?

<p>Medullary Phase (B)</p> Signup and view all the answers

Fetal hematopoiesis takes place exclusively in the bone marrow.

<p>False (B)</p> Signup and view all the answers

What are the two main types of hemoglobin found in erythrocytes during the Embryonic Phase of hematopoiesis?

<p>Gower and Portland hemoglobin</p> Signup and view all the answers

The _______ is a primary site of hematopoiesis in a developing adult.

<p>bone marrow</p> Signup and view all the answers

Match the following phases of hematopoiesis with their primary sites of blood cell production:

<p>Embryonic Phase = Yolk sac Fetal Hepatic Phase = Liver Medullary Phase = Bone marrow</p> Signup and view all the answers

The fetal liver is the primary site of hematopoiesis throughout the entire pregnancy.

<p>False (B)</p> Signup and view all the answers

What are the two main types of cells produced during the Embryonic Phase of hematopoiesis?

<p>Erythrocytes (red blood cells), macrophages, and platelets.</p> Signup and view all the answers

Which of the following is NOT a hematopoietic organ or tissue?

<p>Kidney (C)</p> Signup and view all the answers

Totipotent stem cells can develop into any human cell type, including a fetus.

<p>True (A)</p> Signup and view all the answers

What are the three types of stem cells mentioned in the text?

<p>Totipotent, Pluripotent, Multipotent</p> Signup and view all the answers

Where does erythropoiesis primarily occur?

<p>In erythropoietic islands (A)</p> Signup and view all the answers

Lymphocytes are produced in erythropoietic islands.

<p>False (B)</p> Signup and view all the answers

What is the lifespan of neutrophils once they enter peripheral circulation?

<p>6 to 10 hours</p> Signup and view all the answers

Megakaryocytes deliver __________ into the blood.

<p>platelets</p> Signup and view all the answers

Match the following hematopoietic processes with their characteristics:

<p>Erythropoiesis = Occurs in erythropoietic islands Granulopoiesis = Involves the maturation of myeloid cells Lymphopoiesis = Occurs in lymphoid follicles Megakaryopoiesis = Produces platelets from megakaryocytes</p> Signup and view all the answers

What are the main components found in the bone marrow?

<p>Marrow stromal cells and mast cells (B)</p> Signup and view all the answers

Granulopoiesis produces lymphocytes and plasma cells.

<p>False (B)</p> Signup and view all the answers

How long does it take for megakaryocytes to develop?

<p>Approximately 5 days</p> Signup and view all the answers

Which hematopoietic growth factor primarily stimulates T and B lymphocytes?

<p>IL-7 (D)</p> Signup and view all the answers

Granulocytes exhibit a smooth chromatin pattern throughout their development.

<p>False (B)</p> Signup and view all the answers

What is the significance of the nuclear-cytoplasmic ratio (N:C Ratio) in cell identification?

<p>It helps determine the stage of maturation of the cell.</p> Signup and view all the answers

IL-12 targets __________ cells.

<p>natural killer</p> Signup and view all the answers

Match the cell type with its nuclear characteristic:

<p>Lymphocytes = Round or oval nucleus Monocytes = Kidney bean-shaped nucleus Granulocytes = Highly clumped chromatin pattern Erythrocytes = Extremely dense nucleus extruded</p> Signup and view all the answers

What characteristic is NOT useful for the identification of stained blood cells?

<p>Cytoplasmic color (B)</p> Signup and view all the answers

The nucleus of erythrocytes continues to develop a more clumped pattern until it is lost during maturation.

<p>True (A)</p> Signup and view all the answers

Identify one important feature of the nucleus used in cell identification.

<p>Chromatin pattern</p> Signup and view all the answers

What is the primary function of interleukins?

<p>Regulating blood cell proliferation and maturation (A)</p> Signup and view all the answers

Cytokines are immune cells that only bind to receptors on target immune cells.

<p>False (B)</p> Signup and view all the answers

How many lobes can the nuclei of mature neutrophils, eosinophils, and basophils have?

<p>Two to five (A)</p> Signup and view all the answers

What type of cells do osteoblasts resemble?

<p>Plasma cells</p> Signup and view all the answers

Mature blood cells generally retain visible nucleoli as they mature.

<p>False (B)</p> Signup and view all the answers

Which type of blood cell typically has one to five nucleoli?

<p>Myeloblasts</p> Signup and view all the answers

Interleukins are a part of the __________ superfamily.

<p>cytokine</p> Signup and view all the answers

Which chromosome is associated with encoding Erythropoietin (EPO)?

<p>Chromosome 7 (D)</p> Signup and view all the answers

Younger blood cells in the maturation process tend to be more ______, whereas mature cells are more pink to neutral-colored.

<p>blue</p> Signup and view all the answers

Match the following blood cell types with their nucleoli characteristics:

<p>Lymphoblasts = One or two nucleoli Monoblasts = One to two, occasionally three or four nucleoli Erythroblasts = May have none or up to two nucleoli Megakaryoblasts = One to five nucleoli</p> Signup and view all the answers

There are currently interleukins identified beyond number 35.

<p>True (A)</p> Signup and view all the answers

What is a normal finding in monocytes related to their cytoplasmic characteristics?

<p>Presence of vacuoles (B)</p> Signup and view all the answers

What is the main role of hematopoietic growth factors?

<p>Regulate the proliferation and differentiation of hematopoietic progenitor cells (HPCs)</p> Signup and view all the answers

Granulation is solely used to identify the presence of leukocytes.

<p>False (B)</p> Signup and view all the answers

What is the significance of Auer rods in cell identification?

<p>They are inclusion bodies that aid in identifying the cell containing them.</p> Signup and view all the answers

What is the primary function of erythropoietin (EPO)?

<p>Stimulate red blood cell production (A)</p> Signup and view all the answers

Granulocyte colony-stimulating factor (G-CSF) is involved in the production of red blood cells.

<p>False (B)</p> Signup and view all the answers

What are the three types of stem cells present in the hematopoietic system?

<p>Totipotent, pluripotent, multipotent</p> Signup and view all the answers

The cellular elements of bone marrow can be divided into four phases: primitive, __________, precursors, and mature cells.

<p>intermediate</p> Signup and view all the answers

Which of the following hematopoietic organs is responsible for the maturation of T cells?

<p>Thymus (D)</p> Signup and view all the answers

Match the type of stem cell with its description:

<p>Totipotential stem cells = Can develop into any cell type including complete organisms Pluripotential stem cells = Can develop into all cell types except a fetus Multipotential stem cells = Found in adults and give rise to limited types of cells</p> Signup and view all the answers

What is the M:E ratio at the mentioned stage of hematopoiesis?

<p>3:1</p> Signup and view all the answers

Multipotential stem cells can give rise to all types of human cells.

<p>False (B)</p> Signup and view all the answers

What are the two types of cell death?

<p>Apoptosis and necrosis (B)</p> Signup and view all the answers

The ______ phase of the cell cycle is characterized by mitotic inactivity.

<p>G0</p> Signup and view all the answers

Apoptosis is a passive process that does not involve active molecular mechanisms.

<p>False (B)</p> Signup and view all the answers

Transcription factors are involved in normal protooncogene activity during growth.

<p>True (A)</p> Signup and view all the answers

What is the name of the segment of DNA that is responsible for encoding a specific protein?

<p>Gene</p> Signup and view all the answers

What is the primary function of the p53 gene?

<p>Suppress tumor growth (D)</p> Signup and view all the answers

Match the following disorders with whether they are associated with decreased or increased apoptosis:

<p>Leukemia = Decreased apoptosis AIDS = Increased apoptosis Aplastic anemia = Increased apoptosis Follicular lymphoma = Decreased apoptosis Systemic lupus erythematosus (SLE) = Decreased apoptosis</p> Signup and view all the answers

What is the name given to the normal counterparts of viral oncogenes in the human genome?

<p>Proto-oncogenes (A)</p> Signup and view all the answers

What type of cell is responsible for initiating the development of a hematopoietic neoplasm?

<p>Cancer-initiating cell</p> Signup and view all the answers

Cancer is always caused by alterations in a single oncogene.

<p>False (B)</p> Signup and view all the answers

Mutations in the p53 gene can lead to ______ cell proliferation.

<p>uncontrolled</p> Signup and view all the answers

Active transport processes require energy to move molecules against the concentration gradient.

<p>True (A)</p> Signup and view all the answers

What type of genetic alteration leads to sickle cell anemia?

<p>Mutation in the beta-globin gene</p> Signup and view all the answers

Which of the following processes is NOT an example of adaptive cell change?

<p>Necrosis (B)</p> Signup and view all the answers

The engulfment of fluids into the cytoplasm is known as ______.

<p>pinocytosis</p> Signup and view all the answers

What is the main function of the sodium-potassium pump?

<p>The sodium-potassium pump actively transports sodium ions out of the cell and potassium ions into the cell, maintaining ionic gradients crucial for cellular function.</p> Signup and view all the answers

Match the following cell changes with their descriptions:

<p>Anaplasia = Abnormal cytologic features and tissue organization Atrophy = Increase in the number of cells in a tissue Dysplasia = Highly pleomorphic and bizarre cytologic features associated with malignant tumors Hyperplasia = Decrease in the number or size of cells Hypertrophy = Increase in the size of cells Metaplasia = Change from one adult cell type to another</p> Signup and view all the answers

What is the primary role of lysosomes in phagocytosis?

<p>Containing and breaking down engulfed particles (B)</p> Signup and view all the answers

Explain the importance of cell volume homeostasis.

<p>Maintaining constant cell volume is crucial for cellular integrity, normal function, and survival. It allows cells to withstand changes in osmotic pressure and maintain proper internal environments.</p> Signup and view all the answers

What are the two types of endoplasmic reticulum?

<p>Granular and Agranular (B), Rough and Agranular (C), Rough and Smooth (D)</p> Signup and view all the answers

The Golgi apparatus is shaped like a sphere.

<p>False (B)</p> Signup and view all the answers

Cytoplasmic organelles are structures within a cell that can be easily visualized with a light microscope.

<p>False (B)</p> Signup and view all the answers

What is the primary function of lysosomes?

<p>Cellular digestion</p> Signup and view all the answers

Microfilaments are solid structures composed of the protein ______.

<p>actin</p> Signup and view all the answers

Match the following organelles with their descriptions:

<p>Centrioles = Two central spots inside of the centrosomes Mitochondria = Contain an outer smooth membrane and an inner folded membrane Ribosomes = Small dense granules that lack membranes Lysosomes = Contain hydrolytic enzymes for cellular digestion</p> Signup and view all the answers

Which of these is NOT present within the mitochondria?

<p>Chloroplasts (B)</p> Signup and view all the answers

Ribosomes are responsible for protein synthesis.

<p>True (A)</p> Signup and view all the answers

What color does cytoplasm appear when stained with Wright stain?

<p>Blue</p> Signup and view all the answers

What is the primary function of erythrocytes?

<p>Transport of oxygen (O2) and carbon dioxide (CO2)</p> Signup and view all the answers

The normal range for erythrocytes in adults is ______ to ______ million per mm3.

Signup and view all the answers

What are the three subphases of interphase?

<p>G1, S, G2 (A)</p> Signup and view all the answers

Translocation is a numerical aberration.

<p>False (B)</p> Signup and view all the answers

What is the process called where a segment of a chromosome breaks away and attaches to another chromosome?

<p>Translocation</p> Signup and view all the answers

The loss of a segment of a chromosome is called a ______.

<p>deletion</p> Signup and view all the answers

Match the following phases of mitosis with their descriptions.

<p>Prophase = Sister chromatids move to the center of the spindle Metaphase = Chromosomes arrive at opposite poles of the cell Anaphase = Replicated strands of chromatin become tightly coiled Telophase = Chromatids are pulled apart and move to opposite poles</p> Signup and view all the answers

What is the primary role of clinical cytogenetics?

<p>Diagnosing genetic diseases (B)</p> Signup and view all the answers

Trisomy is a structural aberration.

<p>False (B)</p> Signup and view all the answers

What is the name for the period of cell division where the cytoplasm divides?

<p>Cytokinesis</p> Signup and view all the answers

Leukocytes are the smallest cells in the blood.

<p>False (B)</p> Signup and view all the answers

What is the normal range for thrombocytes in adults?

<p>150,000-400,000 per mm3</p> Signup and view all the answers

The cell membrane is a ______ barrier that separates the cellular components from the external environment.

<p>semipermeable</p> Signup and view all the answers

Match the following blood components with their descriptions:

<p>Erythrocytes = Red blood cells responsible for oxygen transport Leukocytes = White blood cells involved in immunity Thrombocytes = Platelets essential for blood clotting</p> Signup and view all the answers

What are the three main formed elements of blood?

<p>Erythrocytes, leukocytes, thrombocytes (C)</p> Signup and view all the answers

The fluid mosaic model describes the structure of the cell membrane as a rigid, static arrangement.

<p>False (B)</p> Signup and view all the answers

What is the approximate lifespan of erythrocytes?

<p>120 days</p> Signup and view all the answers

Which of the following is NOT a site of hematopoiesis in early embryonic development?

<p>Spleen (C)</p> Signup and view all the answers

Active transport requires energy to move substances across a cell membrane.

<p>True (A)</p> Signup and view all the answers

What is the name of the process by which cells break down and die in a controlled manner?

<p>Apoptosis</p> Signup and view all the answers

The term ______ refers to a genetic alteration that can lead to uncontrolled cell growth.

<p>oncogene</p> Signup and view all the answers

Match the following hematopoietic cells with their developmental order:

<p>Erythrocytes = Myeloblast, Promyelocyte, Myelocyte, Metamyelocyte, Band, Segmented Neutrophil Thrombocytes = Megakaryoblast, Promegakaryocyte, Megakaryocyte Plasma cells = Lymphoblast, Prolymphocyte, Lymphocyte, Plasma cell Neutrophils = Myeloblast, Promyelocyte, Myelocyte, Metamyelocyte, Band, Segmented Neutrophil</p> Signup and view all the answers

Which of the following is NOT a component of a complete blood count (CBC)?

<p>Blood pressure (A)</p> Signup and view all the answers

The cyanmethemoglobin assay is used to determine the concentration of hemoglobin in a blood sample.

<p>True (A)</p> Signup and view all the answers

What are the three RBC indices used to classify RBC morphology?

<p>MCV (Mean Corpuscular Volume), MCH (Mean Corpuscular Hemoglobin), and MCHC (Mean Corpuscular Hemoglobin Concentration)</p> Signup and view all the answers

The principle of ______ is used in hematology analyzers to count and size cells by measuring the electrical resistance they create when passing through an aperture.

<p>electrical impedance</p> Signup and view all the answers

Match the following laser light scattering processes with their descriptions:

<p>Forward scatter = Provides information about the size of the cell Side scatter = Provides information about the internal complexity or granularity of the cell</p> Signup and view all the answers

Which of the following is NOT a disorder associated with an abnormal Mean Platelet Volume (MPV)?

<p>Iron deficiency anemia (D)</p> Signup and view all the answers

Flow cytometry is a technique that uses the principle of staining cells with fluorescent dyes to analyze their physical and biological properties.

<p>True (A)</p> Signup and view all the answers

Describe two basic uses of flow cytometry in hematology.

<p>Flow cytometry is widely used in hematology for identifying and quantifying different cell populations, such as lymphocytes, monocytes, and neutrophils. It also plays a crucial role in diagnosing hematological malignancies, such as leukemia and lymphoma, by analyzing the expression of specific cell surface markers.</p> Signup and view all the answers

Flashcards

Electrical Impedance

A method used for cell counting and sizing based on changes in electrical resistance as cells pass through a sensor.

Optical Detection

A technique that counts and sizes cells by measuring light scattering as cells pass through a laser beam.

Laser Technology

Technology that utilizes focused light beams for precision measurements in hematology.

Flow Cytometry

A technique that analyzes the physical and chemical characteristics of cells in a fluid as they flow through a laser beam.

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RDW (Red Cell Distribution Width)

A measure of the variation in red blood cell size; calculated from the red cell histogram.

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MPV (Mean Platelet Volume)

An average size of platelets that can indicate platelet function or disorders.

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Hematology Analyzers

Instrument used to measure various parameters of blood cells in a clinical setting.

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Histogram Interpretation

The process of analyzing the graphical representation of data showing the distribution of cell populations.

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Coulter Principle

Technique for cell counting using electrical impedance measurements.

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Pulse Generation in Cell Counting

Pulses indicate the number of cells in a sample by electrical changes.

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Scattergram

Graph displaying the number of cells based on pulse output over time.

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Laser-Based Optical Detection

Cell counting method using laser light to detect and size cells.

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Sensing Zone

Area where cells scatter light in optical detection.

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Light Scatter Characteristics

Processes including diffraction, refraction, and reflection aid light scatter analysis.

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Forward Light Scatter

Light scattered at 0°, related to cell volume in analysis.

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Forward low-angle light scatter

Measurement at 2° to 3°, indicating cell size or volume.

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Forward high-angle light scatter

Measurement at 5° to 15°, describes refractive index of cells.

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Orthogonal light scatter

Measurement at 90°, indicates internal complexity through reflection and refraction.

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Radio Frequency (RF) in cytometry

High-voltage electromagnetic current detects cell size from density.

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Nuclear-cytoplasmic ratio

Ratio influencing RF conduction related to nuclear size and density.

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Electromagnetic spectrum

Range from long radio waves to short gamma rays, includes visible light.

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LASER definition

Light Amplified by Stimulated Emission of Radiation, highly focused and monochromatic light.

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Principles of flow cytometry

Simultaneous measurement of cell characteristics in suspension with lasers and fluid dynamics.

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Leukocyte Histogram

A graphical representation classifying leukocytes by size after cell lysis.

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Erythrocyte RDW

Red Cell Distribution Width; indicates variation in erythrocyte sizes.

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Electrical Impedance in Hematology

Method to count and size cells based on voltage changes as they pass through an aperture.

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Platelet Histogram

A chart reflecting platelet counting and size based on their native properties.

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Mean Platelet Volume (MPV)

A measure indicating the average size of platelets in a sample.

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Leukocyte Subpopulations

Different types of white blood cells categorized by their size and nuclear size.

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Flow Cytometry Steps

Three steps: Cytochemical preparation, measurement, algorithm classification.

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Nuclear Size Relation

Leukocyte size classification is primarily related to the size of their nuclei.

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nRBC counts

The quantitation of nucleated red blood cells in blood samples.

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Immature granulocytes (IGs)

A channel used for the enumeration of young white blood cells, indicating bone marrow activity.

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CD4 lymphocyte counting

Random access counting of CD4 cells, important for monitoring immune status.

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Cell markers

Analysis of specific cell surface proteins like CD34, CD38, and CD61 for hematologic assessments.

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Reticulocyte hemoglobin measurement

Measurement of hemoglobin content in reticulocytes, indicating the body's iron status.

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Hematopoietic progenitor cells (HPCs)

Cell enumeration important for stem cell and blood research.

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Erythrocyte histogram

A graphical representation of erythrocyte sizes and frequencies, assessing population characteristics.

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Gaussian distribution in histograms

A symmetrical bell-shaped curve seen in population histograms indicating normal distribution of cell sizes.

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Reticulocyte Enumeration

A precise method using flow cytometry to count reticulocytes, reflecting red blood cell production.

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Immunophenotyping

A technique using monoclonal antibodies to classify cells based on specific surface markers (CD).

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Hematologic Malignancy Diagnosis

Use of flow cytometry for diagnosing and classifying blood cancers through immunophenotyping.

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Digital Microscopy

Automation technology that efficiently classifies blood cells through digital imaging.

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Electromechanical Methods

Instruments measuring blood clotting via electrical impedance changes during fibrin formation.

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Fibrometer

A semi-automated device to measure blood clotting by detecting electrical changes using a heat block.

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Platelet Agglutination

A testing method to assess platelet clumping that indicates various disorders.

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Cell Functioning Analysis

Assessment of cellular activity and responsiveness using flow cytometry.

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Hemoglobin Measurement

Determination of hemoglobin levels in blood, can be manual or automated.

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Cyanmethemoglobin Method

A method using potassium cyanide reagent with blood to measure Hb.

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Sources of Error in Hb Measurement

Factors like lipemic, icteric, or hemolyzed samples can raise Hb readings.

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Hematocrit (Hct)

Percentage of packed red blood cells in a volume of whole blood.

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Packed Cell Volume (PCV)

Another term for hematocrit, indicating packed RBC volume.

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Automated Hematocrit Measurement

Results calculated from MCV and RBC count, not affected by trapped plasma.

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Manual Hct Errors

Errors due to specimen issues like underfilled EDTA tubes causing RBC shrinkage.

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Specimen Integrity Importance

Ensuring proper sample conditions to avoid false readings in blood tests.

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Complete Blood Count (CBC)

A foundational procedure measuring hemoglobin, hematocrit, and blood cell counts.

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Automated Blood Count

Quantitative blood measurements performed using machines for efficiency.

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Hemacytometer

A device used for counting cells in blood samples under a microscope.

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Osmotic Pressure Principle

Concept used in blood counting that causes cells to burst in hypotonic solutions.

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RBC Indices

Standard measurements in a CBC that include MCV and MCHC, reflecting red blood cell characteristics.

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Differential Count

Assessment of different types of leukocytes in a blood sample.

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Reticulocyte Count

Measurement of young red blood cells indicating bone marrow activity.

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Blood Cell Histogram

A graphical representation showing the distribution of different blood cell types.

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Technical Errors in Hematology

Mistakes like overcentrifugation or seal issues affecting test results.

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Macrocytic Anemia

Condition where patients produce falsely elevated Hct levels due to larger RBCs.

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Rule of Three

A principle ensuring consistency between Hb, Hct, and RBC counts; Hct should be 3x Hb.

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Manual Erythrocyte Count

Counting RBCs in a hemacytometer after preparing a diluted sample.

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Sources of Error in Counting

Factors like dirty instruments or contamination that may affect RBC count accuracy.

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RBC Counting Dilution

The dilution factor for manual RBC counting is 1:200.

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Volume Correction Factor

Adjusts the RBC count based on the exact volume measured.

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Final RBC Count Calculation

Calculated using dilution factor, volume correction, and cells counted.

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Mean Corpuscular Volume (MCV)

Average volume of RBCs measured in femtoliters (fL).

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Mean Corpuscular Hemoglobin (MCH)

Weight of hemoglobin in picograms (pg) per RBC.

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Mean Corpuscular Hemoglobin Concentration (MCHC)

Percentage of hemoglobin in a given volume of red blood cells.

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Cells Counted Example

If you count 400 cells, the RBC count is calculated via the formula.

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Automated WBC Counting

A method that utilizes automated systems for counting white blood cells (WBCs).

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Neubauer Hemocytometer

A manual counting device used for counting WBCs under a microscope, measuring 3 mm x 3 mm x 0.1 mm.

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Volume Calculation for WBCs

The process of determining the volume counted from 'W' sections in a hemocytometer.

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Correction Factor

A mathematical adjustment used in WBC counts to account for different volumes counted.

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LeukoCount Solution

A reagent used for diluting blood samples for WBC counting, composed of acetic buffer and gentian violet.

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Manual WBC Count Formula

WBC count = 2.5 x 20 x # of cells counted.

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Correction Factor (CF)

A numerical value used to adjust WBC counts; here CF = 2.5.

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Dilution Factor (DF)

Factor that reflects dilution of the blood sample; in this case DF = 20.

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Cell Count Averaging

Average counts from both sides of the hemocytometer.

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Sources of Error in WBC Counts

Common errors include improper mixing and dirty equipment.

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Eosinophilia

A condition with elevated eosinophils, indicating allergies or infections.

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Basophilia

An increase in basophils, associated with certain malignancies.

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Absolute Cell Counts

Total counts of specific cell types; less specific for inflammation.

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Hematopoiesis

The process of blood cell production, differentiation, and development.

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Embryonic Phase

First hematopoietic phase; occurs in the yolk sac and produces early blood cells.

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Fetal Hepatic Phase

Second phase of hematopoiesis occurring in the fetal liver, lasts up to 24 weeks of gestation.

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Medullary Phase

The final phase of hematopoiesis; the bone marrow becomes the primary site for blood cell production.

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Erythrocytes

Red blood cells that transport oxygen; produced in all phases of hematopoiesis.

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Granulocytes

A type of white blood cell involved in the immune response; produced during fetal hepatic phase.

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Cytokines

Signaling molecules produced by cells to regulate hematopoiesis in the liver.

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Extramedullary Hematopoiesis

Blood cell production occurring outside the bone marrow, mainly in the liver and spleen.

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Erythropoiesis

The process of producing red blood cells (erythrocytes) in the body.

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Erythropoietic islands

Specialized niches where erythroid precursors mature and enucleate.

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Granulopoiesis

The formation and development of granulocytes, a type of white blood cell.

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Lymphopoiesis

The production of lymphocytes, occurring in lymphoid follicles.

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Megakaryopoiesis

The development of megakaryocytes that produce platelets.

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Bone Marrow Composition

Includes marrow stromal cells and connective tissue cells such as mast cells.

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Life Span of Neutrophils

Neutrophils have a life span of 6 to 10 hours in circulation after maturation.

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Cellular Adhesion in HPCs

Hematopoietic progenitor cells rely on cell-cell and cell-matrix adhesion for maturation.

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Erythropoietin (EPO)

A hormone that stimulates red blood cell production in the bone marrow.

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Hematopoietic Organs

Organs involved in blood cell formation including bone marrow, thymus, liver, spleen, and lymph nodes.

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Multipotential Hematopoietic Stem Cell

The progenitor cell capable of developing into all blood cell types, present in bone marrow.

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Totipotential Stem Cells

Stem cells present in the first hours post-fertilization, able to develop into any cell type.

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Pluripotential Stem Cells

Stem cells that can become any cell type except a fetus, found days after fertilization.

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Multipotential Stem Cells

Stem cells found in adults limited to forming specific tissues, like blood cells from bone marrow.

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Phases of Hematopoietic Cells

Four maturity phases: primitive, intermediate, precursors, and mature cells.

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Primitive Cells

The most immature group of hematopoietic cells capable of self-renewal and differentiation.

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Macrophages

Large cells in the bone marrow that act in immune response.

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Interleukins

Cytokines that stimulate blood cell proliferation and differentiation.

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Hematopoietic Growth Factors

Proteins that regulate the proliferation and survival of blood cells.

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Colony-stimulating factors

Cytokines that stimulate the production of blood cells in the bone marrow.

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G-CSF

Granulocyte-Colony Stimulating Factor; stimulates myeloid cell production.

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IL-7

Interleukin-7; a cytokine that stimulates T and B lymphocyte development.

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Chromatin Pattern

The appearance and arrangement of chromatin within the nucleus, varies with cell type and maturity.

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Monocyte Nucleus Shape

Monocytes typically have a kidney bean-shaped nucleus, often displayed as horseshoe-shaped.

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Granulocyte Chromatin

Progression of granulocytes from fine to clumped chromatin patterns during maturation.

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Erythrocyte Nucleus

The nucleus of erythrocytes becomes dense and is extruded from the cell as it matures.

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Nucleoli in Blood Cells

Nucleoli generally disappear as blood cells mature; their presence varies among cell types.

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Granulation in Leukocytes

Granulation refers to the presence and type of granules in leukocytes, assisting in cell identification.

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Cytoplasmic Color Change

Younger blood cells are more blue; mature cells tend to be pink to neutral.

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Vacuolization of Monocytes

Vacuoles in monocytes can be a normal finding or indicate abnormal conditions depending on context.

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Cell Shapes

Blasts, monocytes, and megakaryocytes exhibit unique shapes for identification.

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Nuclear Characteristics in Lymphoblasts

Lymphoblasts typically have one or two nucleoli, varying by cell type and maturation stage.

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Maturation Stages of RBCs

RBCs mature through distinct stages, reflecting in their size and nucleoli presence.

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Inclusion Bodies in Cells

Inclusion bodies like Auer rods can help identify specific cell types and their conditions.

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Karyotype

A visual representation of all chromosomes in an organism.

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Chromosomal Deletion

Loss of a segment of a chromosome, considered a structural change.

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Chromosomal Translocation

A segment of one chromosome is transferred to another chromosome.

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Trisomy

Presence of three chromosomes instead of the usual pair due to failure in separation.

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Interphase

Phase of the cell cycle where DNA replication occurs, divided into G1, S, and G2 phases.

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M Phase

The period of actual cell division, including mitosis and cytokinesis.

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Prophase

The stage of mitosis where chromatin condenses into visible chromosomes.

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Telophase

Final stage of mitosis when chromosomes reach opposite poles and new nuclei form.

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Apoptosis

Programmed cell death with distinct morphological features.

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Necrosis

Passive cell death with no regulatory mechanisms.

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Decreased Apoptosis Disorders

Conditions like leukemia and SLE where cell death is reduced.

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Increased Apoptosis Disorders

Conditions such as AIDS where cell death is excessive.

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Protooncogenes

Normal genes that can become oncogenes when mutated.

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Oncogenes

Altered genes that contribute to cancer development.

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Gene Mutation

A change in the gene's DNA sequence affecting its function.

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Hematology

The study of blood and blood-forming tissues.

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Components of Whole Blood

Blood consists of 55% plasma and 45% formed elements.

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Leukocytes

White blood cells involved in fighting infections, typically live around 10 days.

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Thrombocytes

Platelets that play a critical role in blood coagulation and hemostasis.

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Cellular Membrane

A semipermeable barrier around cells, made of proteins, phospholipids, and cholesterol.

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Fluid Mosaic Model

Describes the cell membrane as a dynamic mosaic of various lipids and proteins.

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Cytoplasm

The jelly-like fluid that fills a cell, key for chemical reactions.

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Endoplasmic Reticulum (ER)

Network of membranes involved in protein and lipid synthesis.

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Golgi Apparatus

An organelle that modifies, sorts, and packages proteins for secretion.

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Lysosomes

Organelles that contain enzymes for digesting cellular material.

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Mitochondria

Powerhouses of the cell that produce energy through respiration.

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Ribosomes

Small structures that synthesize proteins, made of RNA and protein.

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Microtubules

Hollow structures of tubulin that provide support and shape to the cell.

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Centrioles

Cylindrical structures that help in cell division by organizing microtubules.

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Concentration Gradient

The difference in concentration of a substance across a space, influencing movement.

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Active Transport

The movement of substances against their concentration gradient, requiring energy.

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Na-K-ATPase

An enzyme that pumps sodium out and potassium into cells, crucial for cell function.

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Endocytosis

The process by which cells engulf substances to bring them inside.

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Pinocytosis

A type of endocytosis where cells uptake fluids.

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Phagocytosis

A type of endocytosis where cells engulf and destroy particles.

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Cell Volume Homeostasis

The process maintaining a stable cell volume despite external changes.

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Metaplasia

The transformation of one type of adult cell into another.

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Cancer Stem Cells

Cells that originate from a mutation in a precursor or stem cell leading to cancer.

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p53 Gene

A tumor suppressor gene essential for regulating the cell cycle and preventing cancer.

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Hematopoietic Neoplasm

Cancer that originates from blood-forming cells, often due to mutations.

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Components of CBC

A complete blood count measures hemoglobin, hematocrit, RBC, WBC, and platelets.

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Calculate Manual RBC Count

RBC count = (cells counted x dilution factor) / volume counted.

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Cyanmethemoglobin Assay

A method for hemoglobin measurement using potassium cyanide.

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Hematopoiesis Phases

Stages of blood cell development: embryonic, fetal hepatic, and medullary.

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Mitosis

The process of cell division resulting in two identical daughter cells.

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Gene

A sequence of DNA that carries genetic information; codes for traits.

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Alleles

Different forms of a gene that determine specific traits.

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Capital of France (example flashcard)

Paris

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Study Notes

PowerPoints and Study

  • PowerPoints are general overviews, used only for video lecture notes.
  • PowerPoints do not contain details needed for unit exams.
  • Students are responsible for reading the textbook for exam details.
  • Unit Objectives are the study guide, not the PowerPoint.
  • Test questions are based on Unit Objectives found in the textbook only.

Objectives

  • Basic principles of cell counting and sizing (electrical impedance and optical detection) are explained.
  • Fundamental concepts of laser technology are described.
  • Principles of flow cytometry and its applications in hematology are given.
  • Basic benchtop hematology analyzers' measurement parameters and methods described.
  • Total cell and histogram electrical impedance system processes and outputs are shown and explained.
  • Laser scatter technology system processes and outputs are shown and explained.
  • Microcytic and macrocytic RBC appearance on histograms.
  • RDW, its relation to MCV, calculation, and normal ranges are described.
  • Leukocyte histogram appearance, both electrical and optical detection.
  • Platelet histogram construction is described.
  • MPV, its platelet correlation, and associated disorders are identified.
  • Blood cell (RBC, WBC, and Platelets) histogram generation using laser technology is explained.
  • Flow cytometry's applications and properties are detailed.
  • Histogram and scatter plot data interpretation is discussed.
  • Hemoglobin, hematocrit, red blood cell counts, white blood cell counts, platelet count, leukocyte differential, and peripheral blood smear evaluation is discussed.
  • Hematopoiesis, the process of blood cell production, differentiation, and development, is described, including the role of different organs in blood cell production in developing embryos and adults.
  • The three phases of hematopoiesis (embryonic, fetal hepatic, and medullary) are discussed, along with the locations and types of cells produced in each phase.
  • Hematopoietic organs and tissues, including bone marrow, thymus, liver, spleen, and lymph nodes, are described.
  • The origins of blood cells from stem cells (totipotent, pluripotent, and multipotent), and descriptions of their development into various differentiated cell types, are explained.
  • The stages of hematopoietic progenitor cells (HPCs) and their functions—megakaryopoiesis, granulopoiesis, lymphopoiesis, and the role of macrophages and bone cells in the bone marrow—are detailed.
  • Protein molecules called interleukins and their roles in hematopoietic growth and differentiation, stimulation of proliferation and differentiation of specific cell lines, and their function in immune cell communication are detailed.
  • Hematopoietic growth factors (e.g., EPO, G-CSF, GM-CSF, IL-7, IL-12) and their effects on different cell types in the body, and their role in clinical situations (e.g., chemotherapy) are described.

Basic Cell Counting Principles

  • Instrumentation and automation procedures are explained for clinical hematology labs.
  • Counting cellular elements (erythrocytes, leukocytes, and platelets) using electrical impedance and optical detection methods is detailed.

Electrical Impedance

  • Cell counting/sizing is based on detecting resistance changes as particles pass small apertures.
  • Number of pulses during a period is proportional to the number of particles.
  • Pulse amplitude indicates cell volume, displayed on a histogram.
  • Distribution of cell volume and frequency is shown in output histograms.

Optical Detection

  • Laser light used in cell counting and sizing.
  • Scattered light detected and converted to electrical pulses.
  • Number of pulses is proportional to the number of cells.
  • Light scatter characteristics explained.

Light Scatter Characteristics

  • Light amplification, diffraction, refraction, and reflection.
  • Forward light scatter (0°) relates to cell volume.
  • Forward low-angle light scatter (2–3°) and forward high-angle light scatter (5–15°) relate to size and refractive index.
  • Orthogonal light scatter (90°) correlates with internal complexity.

Radio Frequency (RF)

  • High-voltage electromagnetic current used to detect cell size.
  • RF pulse is directly proportional to nuclear size and density of a cell.
  • RF/conductivity correlates with nuclear-cytoplasmic ratio, nuclear density, and cytoplasmic granulation.

Laser Technology

  • Electromagnetic spectrum, from radio to gamma rays.
  • Light amplified by stimulated emission of radiation (laser).
  • Laser light properties: concentrated, almost exclusively one wavelength, and parallel waves.
  • Different types of laser technology explained.

Flow Cytometry Principles

  • Laser light source used in flow cytometers for intensity, stability, and monochromatism.
  • Flow cytometry measures characteristics of cells as they flow through a measurement device.
  • Combination of fluid dynamics, optics, lasers, computers, and fluorochrome-conjugated antibodies.
  • Cells are stained while suspended in a medium, measured by fluorescence.
  • Characteristics of cells determined by forward and side scatter.
  • Data plotted on histograms; cluster formation of similar cells.
  • Forward scatter correlates with cell size.
  • Side scatter correlates with cell granularity.
  • Histograms are created for visualization and analysis.

Flow Cytometry Principles (cont'd)

  • Cellular light scatter patterns used to identify cells, analysis of both intrinsic and extrinsic properties.
  • Intrinsic properties: forward and right-angle light scatter to correlate cell size and granularity.
  • Extrinsic properties: probe binding to cells, converted into electronic signals for computer analysis.
  • Additional details regarding light scatter characteristics: forward, low-angle, high-angle, and orthogonal scatters.
  • The role of light scatter in cell analysis and categorization through different angles is discussed.

Whole Blood Cell Analysis

  • Comprehensive instrument sophistication measured by generated parameters.
  • Recent innovations: nRBC counts, immature granulocytes, CD4 lymphocyte counts, CD34, CD38, and CD61 cell markers, reticulocyte hemoglobin, measurement and counting of hematopoietic progenitor cells and IGs.
  • Different types of automated cell counting instruments explained, including their components and processes.

Histograms

  • Graphic representations of cell frequencies versus sizes in a homogeneous cell population.
  • Normal distribution, symmetrical bell-shaped curve, or flattened curve if the data varies from the mean.
  • Histograms help compare cell sizes relative to normal populations; deviations from normal values are of diagnostic importance.

Quantitative Descriptors of Erythrocytes

  • RDW expression of erythrocyte size in the Coulter series.
  • Variation in erythrocyte size and its correlation with MCV for different types of anemia.

Platelet Histograms

  • Platelet counting and sizing using electrical impedance and optical systems reflect native cell size.
  • Forward scatter differentiates platelets from other cell types, and side scatter correlates with cytoplasmic granularity.

Derived Platelet Parameters

  • Mean platelet volume (MPV) is a measure of average platelet volume in a sample, analogous to erythrocytic MCV.
  • Inverse correlation between platelet count and size in healthy patients.

Laser Technology (cont'd)

  • Principle of flow cytometry, consisting of cytochemical preparation of cells, cell property measurement by a cytometer, and algorithm conversion for classification, counting, size, and hemoglobinization.

Red Blood Cells/Platelets

  • Shared RBC/platelet channel with basophil/lobularity channel.
  • Utilizing laser-based optical assembly for measuring RBC volume and density.
  • Additional parameters such as MCV and RDW derived using the histogram.
  • Different methods for measuring RBC/platelet parameters detailed.
  • The types of instruments used in RBC and Platelet are shown.

Applications of Flow Cytometry

  • General properties of the technology, including monoclonal antibody production for cell markers and fluorescent probes, and new computational technologies.
  • General properties and major advances in flow cytometry; the importance of computer applications on instrument usage.
  • Hematological, clinical, and other cellular applications.

Hematological Applications

  • Automated differentials based on cell volume, electrical impedance, light scatter, cytochemistry, peroxidase staining, and VCS technology.

Automated Differentials

  • Evaluating internal cell organelles and nuclear characteristics by techniques like 90-degree laser scatter, polarization of laser light, and radio frequency (RF).
  • Measuring volume, conductivity, and light scatter.
  • Different methods for assessment explained.

Clinical Applications of Flow Cytometry

  • Reticulocyte enumeration using flow cytometry (more accurate).
  • Platelet counts, identifying young reticulated platelets using RNA dyes.
  • Immunophenotyping (identifying monoclonal antibodies using CD designations) in hemato-logical malignancies.
  • Flow cytometry applicable to DNA cell cycle analysis of bone marrow cells.

Other Cellular Applications

  • Applications in solid organ transplantation, stem cell transplantation, monitoring monoclonal antibody therapy, paroxysmal nocturnal hemoglobinemia testing, fetal hemoglobin, blood parasite analysis, chromosomal analysis, and cell sorting.

Digital Microscopy

  • Automated digital cell morphology for improved efficiency and consistency in locating and classifying blood cells.

Instruments in Coagulation Studies

  • Electromechanical, photo-optical, platelet agglutination, platelet aggregation, and recent automation methods (e.g., Siemens PFA-100).
  • Different methods for coagulation studies and their applications described.

Viscosity-Based Detection System (VDS)

  • Viscosity as resistance to change in form is measured by the motion of a steel ball in a cuvette for clot detection.
  • Insensitive to colored plasma, lipemic plasma, bilirubin, or turbid reagents.
  • Reliable measurement method for the hemostasis lab.

Platelet Agglutination

  • Ristocetin cofactor assay measures platelet agglutination.
  • Determines patient's plasma ability to agglutinate platelets using ristocetin in the presence of formalin-fixed platelets.
  • Standard curve used for quantitation of percent ristocetin cofactor activity.

Platelet Aggregation

  • Principle: treating platelet-rich plasma with an aggregating agent to observe and measure its effect on platelet aggregation.
  • Photometrically comparing aggregated vs. non-aggregated platelets to evaluate the presence of a response.
  • Primary and secondary responses (reversible and irreversible aggregation) are explained.

Newer Automation

  • Siemens PFA-100 automated system for simulating in vivo hemodynamic conditions of platelet adhesion and aggregation.
  • The system evaluates the ability of platelets to occlude an aperture and assesses multiple facets of primary hemostasis—adherence, activation, and aggregation.
  • Measurement of closure time (CT) is also described.

Additional Information

  • Sources of error in various laboratory procedures (e.g., manual WBC, manual RBC, Hemoglobin counting) are discussed.
  • Different types of errors and how to identify them in the labs explained.

Meiosis

  • The process of cell division resulting in daughter cells with one set of chromosomes.
  • The stages of meiosis explained: pairing of chromosomes, chiasma formation, pulling apart of double-structured chromosomes, and resulting cells with single chromosomes.

Genetic Alterations

  • Mutations that change gene structure and function, producing different traits.
  • Explains what a gene is and its position on the chromosome (the locus).
  • Describes how genes are transcribed into mRNA.
  • Describes how genetic information is transmitted from one generation to the next.

Sickle Cell Mutation

  • Explains the genetic alteration in sickle cell disease, specifically describing the mutated amino acid that cause misshapen red blood cells, producing reduced blood flow and tissue oxygenation.
  • Overview of possible genotypes (AA, AS, SS) and associated phenotypes (normal, trait, anemia).

Oncogenes

  • Alterations in oncogenes, tumor suppressor genes, and microRNA contribute to cancer development.
  • Describes a multi-step process for oncogene activation.

Proto-oncogenes

  • Proto-oncogenes are normal genes that, when mutated, become oncogenes.
  • Explains the normal functions of proto-oncogenes in cell growth and their transformation into oncogenes during cancer development.

Cancer Stem Cells

  • Cancer stem cells: when normal hematopoietic precursor cells, stem cells, or more differentiated progenitor cells acquire cancer-inducing mutations.
  • Cancer stem cells produce cancer-initiating cells, and most malignancies are caused by abnormal cell populations.

Tumor Protein P53

  • p53 is a critical tumor suppressor gene.
  • It plays a role in cell cycle regulation, DNA repair, and initiating apoptosis when DNA damage is beyond repair.
  • Mutations in p53 can disrupt cellular functions leading to uncontrolled proliferation and cancer.

Summary of Hematopoiesis Information

  • Includes video summary of hematopoiesis.

Cellular Characteristics

  • General cellular characteristics such as cell size and nuclear-cytoplasmic ratio play an important role in cell identification.
  • Methods of cell differentiation.

Nuclear Characteristics

  • Chromatin patterns (smooth, clumped, lacy).
  • Nuclear shape (round, oval, kidney bean-shaped, segmented).
  • Presence of nucleoli (number and size) are essential for identification.

Cytoplasmic Characteristics

  • Staining color (blue, pink, etc.).
  • Cytoplasm quantity (increases in some cell types with age).
  • Vacuoles (often present in monocytes).
  • Inclusion bodies (e.g., Auer rods).

Mature Blood Cells in Peripheral Blood

  • Provides details on various mature blood cells present in peripheral blood (e.g., neutrophils, lymphocytes, monocytes, eosinophils, basophils).
  • Describes their morphology (nuclear shape, chromatin pattern, cytoplasmic granules, etc.).
  • Includes normal ranges in percentages for each cell type, differentiating them based on their characteristics.

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