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Questions and Answers
Which condition indirectly contributes to anaemia but is not a direct cause?
Which condition indirectly contributes to anaemia but is not a direct cause?
- Splenomegaly (correct)
- Shortened RBC life span
- Mutations in haemoglobin
- Blood loss
What is a primary effect of Pyruvate Kinase Deficiency on red blood cells?
What is a primary effect of Pyruvate Kinase Deficiency on red blood cells?
- Reduced DNA synthesis
- Reduced ATP formation (correct)
- Reduced 2-3 DPG synthesis
- Reduced haemoglobin synthesis
Pernicious anaemia is primarily associated with a deficiency in which vitamin?
Pernicious anaemia is primarily associated with a deficiency in which vitamin?
- Vitamin B12 (correct)
- Vitamin D
- Vitamin K
- Vitamin C
What genetic pattern does Thalassaemia follow?
What genetic pattern does Thalassaemia follow?
What does the direct Coombs test primarily detect?
What does the direct Coombs test primarily detect?
What characteristic is associated with acute leukaemia?
What characteristic is associated with acute leukaemia?
Which is a consequence of mutations in haemoglobin chain genes?
Which is a consequence of mutations in haemoglobin chain genes?
Which of the following correctly describes the role of EPO in anaemia?
Which of the following correctly describes the role of EPO in anaemia?
What is the key laboratory test to confirm hereditary spherocytosis?
What is the key laboratory test to confirm hereditary spherocytosis?
Which blood disorder is associated with an increased risk of thrombotic events?
Which blood disorder is associated with an increased risk of thrombotic events?
What is the most likely cause of elevated haemoglobin and haematocrit in a patient with polycythaemia vera?
What is the most likely cause of elevated haemoglobin and haematocrit in a patient with polycythaemia vera?
What is the main clinical feature of von Willebrand disease?
What is the main clinical feature of von Willebrand disease?
Which vitamin is crucial for the synthesis of clotting factors II, VII, IX, and X?
Which vitamin is crucial for the synthesis of clotting factors II, VII, IX, and X?
Which anticoagulant is commonly used in blood collection tubes for a complete blood count (CBC)?
Which anticoagulant is commonly used in blood collection tubes for a complete blood count (CBC)?
What is a key diagnostic feature of disseminated intravascular coagulation (DIC)?
What is a key diagnostic feature of disseminated intravascular coagulation (DIC)?
Which type of anaemia is commonly seen in chronic kidney disease?
Which type of anaemia is commonly seen in chronic kidney disease?
Which compound initiates fatty acid synthesis?
Which compound initiates fatty acid synthesis?
Which cofactor is essential for the activation of phosphatidate in phosphoglyceride biosynthesis?
Which cofactor is essential for the activation of phosphatidate in phosphoglyceride biosynthesis?
What is crucial for the iron ion in red blood cell metabolism to effectively carry oxygen?
What is crucial for the iron ion in red blood cell metabolism to effectively carry oxygen?
What is the primary cause of Tay Sachs disease?
What is the primary cause of Tay Sachs disease?
Proteins are primarily tagged for degradation through which process?
Proteins are primarily tagged for degradation through which process?
What does a low reticulocyte count in a blood test suggest?
What does a low reticulocyte count in a blood test suggest?
What is the most prevalent cause of microcytic hypochromic anemia?
What is the most prevalent cause of microcytic hypochromic anemia?
Which laboratory parameter is likely to be elevated in cases of iron-deficiency anemia?
Which laboratory parameter is likely to be elevated in cases of iron-deficiency anemia?
Which red blood cell index is specifically used to determine the size classification of anaemia?
Which red blood cell index is specifically used to determine the size classification of anaemia?
What is the primary genetic defect associated with beta-thalassaemia?
What is the primary genetic defect associated with beta-thalassaemia?
What is the hallmark feature seen in megaloblastic anaemia on a blood film?
What is the hallmark feature seen in megaloblastic anaemia on a blood film?
Which laboratory finding typically indicates pernicious anaemia?
Which laboratory finding typically indicates pernicious anaemia?
What is the primary defect observed in sickle cell anaemia?
What is the primary defect observed in sickle cell anaemia?
Which test is a standard method for diagnosing sickle cell disease?
Which test is a standard method for diagnosing sickle cell disease?
What is a significant finding in the blood film of a patient with lead poisoning?
What is a significant finding in the blood film of a patient with lead poisoning?
In glucose-6-phosphate dehydrogenase (G6PD) deficiency, which pathway is primarily affected?
In glucose-6-phosphate dehydrogenase (G6PD) deficiency, which pathway is primarily affected?
What is a defining characteristic of acute myeloid leukaemia (AML)?
What is a defining characteristic of acute myeloid leukaemia (AML)?
Which genetic abnormality defines chronic myeloid leukaemia (CML)?
Which genetic abnormality defines chronic myeloid leukaemia (CML)?
What type of abnormal protein is commonly detected in the urine of patients with multiple myeloma?
What type of abnormal protein is commonly detected in the urine of patients with multiple myeloma?
What specific cell type characterizes Hodgkin lymphoma?
What specific cell type characterizes Hodgkin lymphoma?
In chronic lymphocytic leukaemia (CLL), which cell lineage is predominantly affected?
In chronic lymphocytic leukaemia (CLL), which cell lineage is predominantly affected?
Which blood group antigen is most likely to result in severe haemolytic disease of the newborn (HDN)?
Which blood group antigen is most likely to result in severe haemolytic disease of the newborn (HDN)?
Which test is used to detect recipient antibodies against donor red cells in crossmatching for blood transfusion?
Which test is used to detect recipient antibodies against donor red cells in crossmatching for blood transfusion?
What is the main role of immunoglobulin IgG in blood transfusion reactions?
What is the main role of immunoglobulin IgG in blood transfusion reactions?
What is associated with a prolonged activated partial thromboplastin time (APTT) and a normal prothrombin time (PT)?
What is associated with a prolonged activated partial thromboplastin time (APTT) and a normal prothrombin time (PT)?
Which parameter in a complete blood count (CBC) indicates red blood cell size variability?
Which parameter in a complete blood count (CBC) indicates red blood cell size variability?
What is the main purpose of flow cytometry in hematology?
What is the main purpose of flow cytometry in hematology?
In which condition are Heinz bodies typically observed?
In which condition are Heinz bodies typically observed?
What laboratory method is used to evaluate clot retraction?
What laboratory method is used to evaluate clot retraction?
What is the most likely cause of a blood smear showing schistocytes?
What is the most likely cause of a blood smear showing schistocytes?
Which factor is involved in hemophilia A?
Which factor is involved in hemophilia A?
In which condition is the presence of Reed-Sternberg cells a defining characteristic?
In which condition is the presence of Reed-Sternberg cells a defining characteristic?
Flashcards
What is NOT a direct cause of anaemia?
What is NOT a direct cause of anaemia?
Splenomegaly, while it can worsen anaemia, is not a direct cause. The primary causes of anaemia include shortened RBC lifespan, mutations in haemoglobin, blood loss, and insufficient EPO production.
What does Pyruvate Kinase Deficiency lead to?
What does Pyruvate Kinase Deficiency lead to?
Pyruvate kinase deficiency disrupts the glycolysis process, leading to insufficient ATP production within red blood cells, crucial for energy production and function.
What type of anaemia is Pernicious anaemia linked to?
What type of anaemia is Pernicious anaemia linked to?
Pernicious anaemia is characterized by impaired absorption of vitamin B12 due to the lack of intrinsic factor, essential for vitamin B12 uptake.
What is Thalassaemia?
What is Thalassaemia?
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What does the direct Coombs test look for?
What does the direct Coombs test look for?
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What are the key characteristics of Acute leukaemia?
What are the key characteristics of Acute leukaemia?
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What is MCV?
What is MCV?
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What does TIBC measure?
What does TIBC measure?
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What is Sickle Cell Anaemia?
What is Sickle Cell Anaemia?
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What is Pyruvate Kinase Deficiency?
What is Pyruvate Kinase Deficiency?
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What is Haemoglobin Electrophoresis?
What is Haemoglobin Electrophoresis?
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What is Serum Ferritin?
What is Serum Ferritin?
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What are Basophilic Stippling?
What are Basophilic Stippling?
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What does Haemoglobin Concentration measure?
What does Haemoglobin Concentration measure?
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Reticulocyte count
Reticulocyte count
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Microcytic hypochromic anemia
Microcytic hypochromic anemia
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Iron-deficiency anemia
Iron-deficiency anemia
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TIBC (Total Iron Binding Capacity)
TIBC (Total Iron Binding Capacity)
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Serum Ferritin
Serum Ferritin
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Transferrin Saturation
Transferrin Saturation
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Hemoglobin
Hemoglobin
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Hemoglobinopathy
Hemoglobinopathy
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What is the Osmotic Fragility Test?
What is the Osmotic Fragility Test?
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Which blood disorder is associated with a higher risk of blood clots?
Which blood disorder is associated with a higher risk of blood clots?
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What anticoagulant is commonly used in blood collection tubes for CBC?
What anticoagulant is commonly used in blood collection tubes for CBC?
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What is a key diagnostic feature of DIC?
What is a key diagnostic feature of DIC?
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What stain is typically used to visualize blood films?
What stain is typically used to visualize blood films?
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What type of anemia is common in chronic kidney disease?
What type of anemia is common in chronic kidney disease?
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What does the direct Coombs test detect?
What does the direct Coombs test detect?
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Which vitamin is essential for the production of clotting factors?
Which vitamin is essential for the production of clotting factors?
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What is the pre-analytical phase in laboratory testing?
What is the pre-analytical phase in laboratory testing?
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What is a key characteristic of acute myeloid leukemia (AML)?
What is a key characteristic of acute myeloid leukemia (AML)?
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What is the genetic hallmark of chronic myeloid leukemia (CML)?
What is the genetic hallmark of chronic myeloid leukemia (CML)?
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What abnormal protein is often found in the urine of multiple myeloma patients?
What abnormal protein is often found in the urine of multiple myeloma patients?
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What type of cells define Hodgkin lymphoma?
What type of cells define Hodgkin lymphoma?
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Which cell lineage is predominantly affected in chronic lymphocytic leukemia (CLL)?
Which cell lineage is predominantly affected in chronic lymphocytic leukemia (CLL)?
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Which blood group antigen is most likely to cause severe hemolytic disease of the newborn (HDN)?
Which blood group antigen is most likely to cause severe hemolytic disease of the newborn (HDN)?
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Which test identifies recipient antibodies against donor red cells in blood transfusion?
Which test identifies recipient antibodies against donor red cells in blood transfusion?
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Factor VIII
Factor VIII
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Factor IX
Factor IX
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Factor XI deficiency
Factor XI deficiency
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Von Willebrand factor
Von Willebrand factor
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Prolonged APTT with normal PT
Prolonged APTT with normal PT
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What does RDW measure on a CBC?
What does RDW measure on a CBC?
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Flow cytometry in hematology
Flow cytometry in hematology
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What does TEG assess?
What does TEG assess?
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Study Notes
Anaemia Causes
- Splenomegaly is not a direct cause of anaemia, it can exacerbate it.
- Shortened red blood cell lifespan, mutations in haemoglobin, blood loss, and lack of erythropoietin (EPO) production are direct causes of anaemia.
Pyruvate Kinase Deficiency
- Reduced ATP formation is a consequence of pyruvate kinase deficiency.
Pernicious Anaemia
- Pernicious anaemia is linked to Vitamin B12 deficiency.
Thalassaemia
- Thalassaemia is an inherited autosomal recessive disorder.
- Mutations in haemoglobin chain genes, usually on chromosomes 11 and 16, cause thalassaemia.
Coombs Test
- The direct Coombs test identifies antibodies bound to red blood cell surfaces.
Acute Leukaemia
- Fast progression, easier to treat, and more than 20% blasts in the bone marrow are characteristics of acute leukaemia.
Blood Film Observations
- Hypochromic red blood cells have an increased central area of pallor, characteristic of iron deficiency anaemia.
Personal Protective Equipment (PPE)
- Waterproof trousers are not generally considered PPE in a laboratory setting.
Blood Sample Disposal
- Blood samples in Eppendorf tubes should be disposed of in biohazard bags with lids.
Pre-analytical Phase
- Patient identification checks and ensuring proper sample labelling and handling before analysis.
Fatty Acid Synthesis
- Acetyl CoA is the starting material for fatty acid synthesis.
Phosphoglyceride Biosynthesis
- CTP acts as a cofactor in phosphoglyceride synthesis.
Red Blood Cell Metabolism
- Iron needs to be in its reduced form to carry oxygen in red blood cells.
Tay Sachs Disease
- A defect in lipid degradation causes Tay-Sachs disease.
Protein Degradation
- Ubiquitin, attached by an isopeptide bond, marks proteins for degradation by the proteasome.
Reticulocyte Count
- The reticulocyte count in a blood test indicates bone marrow function and red blood cell production.
Microcytic Hypochromic Anaemia
- Iron deficiency is the most common cause.
Iron Deficiency Anaemia
- High total iron-binding capacity (TIBC) is a common laboratory finding.
- Low serum ferritin is also commonly observed.
Red Blood Cell Indices
- Mean corpuscular volume (MCV) is used to classify anaemia as microcytic, normocytic, or macrocytic.
- Mean corpuscular haemoglobin (MCH) and mean corpuscular haemoglobin concentration (MCHC) are also used.
Beta-thalassaemia
- A defect in the beta globin gene causes beta-thalassaemia.
Megaloblastic Anaemia
- Hypersegmented neutrophils are a hallmark feature of megaloblastic anaemia.
Pernicious Anaemia Laboratory Findings
- Macrocytic red blood cells are a common laboratory finding in pernicious anaemia.
Sickle Cell Anaemia
- A mutation in the beta-globin gene leads to haemoglobin S (HbS) formation in sickle cell anaemia.
Sickle Cell Disease Detection
- Haemoglobin electrophoresis is commonly used to detect sickle cell disease.
Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency
- G6PD is an enzyme deficient in hereditary haemolytic anaemia caused by pyruvate kinase deficiency.
Lead Poisoning
- Basophilic stippling is a characteristic blood film finding in lead poisoning.
Glucose-6-Phosphate Dehydrogenase (G6PD) Pathway
- The pentose phosphate pathway is impaired in G6PD deficiency.
Haptoglobin Function
- Haptoglobin binds free haemoglobin in the plasma.
Haemolysis
- Elevated LDH (lactate dehydrogenase) and unconjugated bilirubin are indicators of haemolysis.
Hereditary Spherocytosis
- A peripheral blood smear is crucial to identify hereditary spherocytosis.
Thrombotic Events
- Polycythaemia vera increases the risk of thrombotic events.
von Willebrand Disease
- Mucosal bleeding is the primary clinical feature of von Willebrand disease.
Coagulation Factor Synthesis
- Vitamin K is crucial for the synthesis of clotting factors II, VII, IX, and X.
Complete Blood Count (CBC) Anticoagulant
- EDTA is a common anticoagulant used for CBC blood collection tubes.
Heinz Bodies
- Heinz bodies are typically seen in G6PD deficiency.
Schistocytes
- Schistocytes (fragmented red blood cells) indicate mechanical damage to red blood cells, such as disseminated intravascular coagulation (DIC).
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