Hemoglobin Breakdown and Bilirubin Formation Quiz
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Questions and Answers

Heme is converted to bilirubin in _______.

  • erythrocytes
  • macrophages (correct)
  • hepatocytes
  • kidney cells

Which of the following designations represents HbF?

  • $\alpha2\gamma2$ (correct)
  • $\alpha2\beta2$
  • $\delta2\beta2$
  • $\alpha2\delta2$

Beta Thalasemia normally 2 beta globin chains bind to chromosome 11. How many deficient betas are present in β-thalasemia major?

  • Four
  • One
  • Three
  • Two (correct)

Which condition results in excess absorption of iron due to a genetic disorder?

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

What is the cause of sickle cell disease?

<p>Clumping of red blood cells (D)</p> Signup and view all the answers

What is the composition of adult Hb A?

<p>$\alpha2\beta2$ (B)</p> Signup and view all the answers

What is the manifestation of three deficient alpha globin chains in Alpha Thalasemia?

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

What causes sickle cell disease to be more severe?

<p>Increased oxygen tension (D)</p> Signup and view all the answers

Excess unconjugated bilirubin in blood can diffuse to the basal ganglia causing toxic encephalopathy in which condition?

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

What is the cause of prolonged bile duct obstructions?

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

Which condition is characterized by reduced uptake of unconjugated bilirubin from circulation?

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

Which organ does ferritin/iron go to for storage in the blood circulation process?

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

What is the main source of heme in the breakdown of hemoglobin?

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

What is the end product of heme degradation via heme oxygenase?

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

What causes jaundice due to hemolysis?

<p>Increased bilirubin in blood (B)</p> Signup and view all the answers

What is the classification of jaundice with normal feces and urine?

<p>Hemolytic Jaundice (pre-hepatic) (C)</p> Signup and view all the answers

What causes yellow skin and sclerae in jaundice?

<p>Increased bilirubin in blood (C)</p> Signup and view all the answers

What is the end product of biliverdin via biliverdin reductase?

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

What is the cause of jaundice with excretion of bilirubin due to liver damage?

<p>Increased bilirubin in blood (C)</p> Signup and view all the answers

What is the primary function of macrophages in the breakdown of hemoglobin?

<p>Break down heme from globin (A)</p> Signup and view all the answers

What causes jaundice due to excretion of bilirubin?

<p>Increased bilirubin in blood (B)</p> Signup and view all the answers

What is the consequence of bile duct obstruction in jaundice?

<p>Yellow skin and sclerae (B)</p> Signup and view all the answers

What is the cause of jaundice due to liver damage?

<p>Increased bilirubin in blood (A)</p> Signup and view all the answers

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