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Questions and Answers
What is hemoglobin responsible for?
What is hemoglobin responsible for?
The red color of red blood cells
What is the average lifespan of red blood cells?
What is the average lifespan of red blood cells?
100 to 120 days
What is the most common type of anemia?
What is the most common type of anemia?
Sideroblastic anemia is a type of anemia that results from an abnormal utilization of iron during erythropoiesis.
Sideroblastic anemia is a type of anemia that results from an abnormal utilization of iron during erythropoiesis.
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Aplastic anemia is a syndrome of chronic primary hematopoietic failure and attendant pancytopenia.
Aplastic anemia is a syndrome of chronic primary hematopoietic failure and attendant pancytopenia.
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What is the name of the condition where the red blood cells are abnormally sensitive to osmotic lysis when incubated in a hypotonic solution?
What is the name of the condition where the red blood cells are abnormally sensitive to osmotic lysis when incubated in a hypotonic solution?
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What is the name of the condition where the red cells are abnormally sensitive to osmotic lysis when incubated in a hypotonic solution?
What is the name of the condition where the red cells are abnormally sensitive to osmotic lysis when incubated in a hypotonic solution?
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Sickle cell anemia is an autosomal dominant disorder.
Sickle cell anemia is an autosomal dominant disorder.
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What is the name of the protein that is defective in hereditary elliptocytosis?
What is the name of the protein that is defective in hereditary elliptocytosis?
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Hydrops fetalis is the most severe form of alpha-thalassemia.
Hydrops fetalis is the most severe form of alpha-thalassemia.
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What is the name of the enzyme that is defective in paroxysmal nocturnal hemoglobinuria?
What is the name of the enzyme that is defective in paroxysmal nocturnal hemoglobinuria?
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Megaloblastic anemia is a type of anemia that is caused by a deficiency of vitamin B12.
Megaloblastic anemia is a type of anemia that is caused by a deficiency of vitamin B12.
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What is the name of the condition that is caused by autoimmune gastritis that impairs the production of intrinsic factor?
What is the name of the condition that is caused by autoimmune gastritis that impairs the production of intrinsic factor?
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Iron deficiency anemia is the most common nutritional disorder in the world.
Iron deficiency anemia is the most common nutritional disorder in the world.
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Lead poisoning can cause basophilic stippling in the peripheral blood smear.
Lead poisoning can cause basophilic stippling in the peripheral blood smear.
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Anemia of chronic disease is a hyporegenerative anemia that is usually normocytic and normochromic but is microcytic in up to one-third of cases.
Anemia of chronic disease is a hyporegenerative anemia that is usually normocytic and normochromic but is microcytic in up to one-third of cases.
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Pure red cell aplasia is a primary marrow disorder in which only erythroid progenitors are suppressed?
Pure red cell aplasia is a primary marrow disorder in which only erythroid progenitors are suppressed?
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Polycythemia vera is a myeloproliferative disorder.
Polycythemia vera is a myeloproliferative disorder.
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What is the name of the test that mixes the patient’s red blood cells with sera containing antibodies specific for human immunoglobulin or complement?
What is the name of the test that mixes the patient’s red blood cells with sera containing antibodies specific for human immunoglobulin or complement?
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Hemolytic anemia from trauma to red cells is seen in individuals with cardiac valve prostheses.
Hemolytic anemia from trauma to red cells is seen in individuals with cardiac valve prostheses.
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What is the name of the condition where the red blood cells are abnormally small and pale?
What is the name of the condition where the red blood cells are abnormally small and pale?
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Hemolytic disease of the newborn is a type II hypersensitivity reaction.
Hemolytic disease of the newborn is a type II hypersensitivity reaction.
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Supplementation of folate in early pregnancy is known to reduce the incidence of neural tube defects
Supplementation of folate in early pregnancy is known to reduce the incidence of neural tube defects
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Vitamin B12 is a complex organometallic compound also known as cobalamin.
Vitamin B12 is a complex organometallic compound also known as cobalamin.
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Pernicious anemia is more prevalent in Scandinavian and other Caucasian populations.
Pernicious anemia is more prevalent in Scandinavian and other Caucasian populations.
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Iron deficiency anemia is characterized by hypochromatic and microcytic red blood cells.
Iron deficiency anemia is characterized by hypochromatic and microcytic red blood cells.
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The average human adult has more than _ liters (6 quarts) of blood in their body.
The average human adult has more than _ liters (6 quarts) of blood in their body.
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Which of the following are components of blood?
Which of the following are components of blood?
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The plasma is composed of 90% water and is a mixture of water, sugar, fat, protein, and salts.
The plasma is composed of 90% water and is a mixture of water, sugar, fat, protein, and salts.
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What is the name of the liquid fraction of blood?
What is the name of the liquid fraction of blood?
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What are the formed elements in blood?
What are the formed elements in blood?
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What is the role of platelets in the body?
What is the role of platelets in the body?
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The straw-colored fluid that forms the top layer of blood is called what?
The straw-colored fluid that forms the top layer of blood is called what?
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What is the function of red blood cells?
What is the function of red blood cells?
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The process by which blood cells are produced is called Hemostasis.
The process by which blood cells are produced is called Hemostasis.
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Hematopoiesis begins early in embryonic development in the yolk sac.
Hematopoiesis begins early in embryonic development in the yolk sac.
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What is the precursor of new blood cells?
What is the precursor of new blood cells?
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What is the process by which red blood cells are produced?
What is the process by which red blood cells are produced?
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Red blood cells are deformable, non-nucleated, and biconcave disks.
Red blood cells are deformable, non-nucleated, and biconcave disks.
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What is the name of the iron-containing biomolecule that is found in red blood cells and is responsible for oxygen transport?
What is the name of the iron-containing biomolecule that is found in red blood cells and is responsible for oxygen transport?
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The biconcave shape of red blood cells provides a small surface area for oxygen diffusion.
The biconcave shape of red blood cells provides a small surface area for oxygen diffusion.
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Mature erythrocytes have no nuclear material.
Mature erythrocytes have no nuclear material.
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What is the normal lifespan of a red blood cell?
What is the normal lifespan of a red blood cell?
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What is the name of the hormone that stimulates the production of red blood cells?
What is the name of the hormone that stimulates the production of red blood cells?
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The lifespan of erythrocytes is significantly reduced in many chronic diseases.
The lifespan of erythrocytes is significantly reduced in many chronic diseases.
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What is the name of the immature red blood cell precursor that is released from the bone marrow?
What is the name of the immature red blood cell precursor that is released from the bone marrow?
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The reticulocyte is a precursor of the RBC produced in the bone marrow and is released at a steady state.
The reticulocyte is a precursor of the RBC produced in the bone marrow and is released at a steady state.
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What is a stress reticulocyte?
What is a stress reticulocyte?
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Every second, 2-3 million RBCs are produced in the bone marrow and released into the circulation.
Every second, 2-3 million RBCs are produced in the bone marrow and released into the circulation.
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Red blood cells take up carbon dioxide in the lungs and release it into tissues.
Red blood cells take up carbon dioxide in the lungs and release it into tissues.
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Hemoglobin is responsible for the yellow color of the cells.
Hemoglobin is responsible for the yellow color of the cells.
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The cell membrane of red blood cells is composed of proteins and lipids.
The cell membrane of red blood cells is composed of proteins and lipids.
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Under a light microscope, erythrocytes appear as uniform round cells with central pallor.
Under a light microscope, erythrocytes appear as uniform round cells with central pallor.
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What is the average volume or size of an RBC?
What is the average volume or size of an RBC?
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A red blood cell that is larger than normal is called what?
A red blood cell that is larger than normal is called what?
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What is a red blood cell count?
What is a red blood cell count?
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Normal red blood cell values vary according to gender and age.
Normal red blood cell values vary according to gender and age.
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Women tend to have higher RBC counts than men.
Women tend to have higher RBC counts than men.
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Anemia is defined as a decreased red blood cell count.
Anemia is defined as a decreased red blood cell count.
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What are some of the causes of low red blood cell count?
What are some of the causes of low red blood cell count?
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A high RBC count is commonly seen in individuals living at high altitudes.
A high RBC count is commonly seen in individuals living at high altitudes.
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Polycythemia vera is a neoplastic condition causing uncontrolled production of RBCs.
Polycythemia vera is a neoplastic condition causing uncontrolled production of RBCs.
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Dehydration can falsely elevate the RBC count.
Dehydration can falsely elevate the RBC count.
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What is hematocrit?
What is hematocrit?
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Hematocrit is an indirect measurement of the red blood cell number and volume.
Hematocrit is an indirect measurement of the red blood cell number and volume.
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Hematocrit is a rapid measurement of RBC quantity in blood.
Hematocrit is a rapid measurement of RBC quantity in blood.
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Hematocorit is frequently included in complete blood cell counts.
Hematocorit is frequently included in complete blood cell counts.
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The height of the red blood cell column is measured after centrifugation.
The height of the red blood cell column is measured after centrifugation.
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What do the larger RBCs have?
What do the larger RBCs have?
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Hematocrit values may not be reliable immediately after hemorrhage.
Hematocrit values may not be reliable immediately after hemorrhage.
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Hemoglobin concentration is a measure of the amount of hemoglobin in the peripheral blood.
Hemoglobin concentration is a measure of the amount of hemoglobin in the peripheral blood.
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The hemoglobin test is performed as part of the complete blood count.
The hemoglobin test is performed as part of the complete blood count.
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Hemoglobin serves as a vehicle for oxygen and carbon dioxide transport.
Hemoglobin serves as a vehicle for oxygen and carbon dioxide transport.
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The oxygen-carrying capacity of the blood is determined by the Hgb concentration.
The oxygen-carrying capacity of the blood is determined by the Hgb concentration.
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Hemoglobin acts as an important acid-base buffer system.
Hemoglobin acts as an important acid-base buffer system.
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Normal hemoglobin values vary with gender and age.
Normal hemoglobin values vary with gender and age.
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Women tend to have lower hemoglobin values than men.
Women tend to have lower hemoglobin values than men.
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Hemoglobin closely reflects Hematocrit and RBC values.
Hemoglobin closely reflects Hematocrit and RBC values.
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Hematocrit is approximately three times the Hgb concentration in grams per deciliter.
Hematocrit is approximately three times the Hgb concentration in grams per deciliter.
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Slight Hgb decreases normally occur during pregnancy.
Slight Hgb decreases normally occur during pregnancy.
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There is a slight diurnal variation in Hgb levels.
There is a slight diurnal variation in Hgb levels.
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Heavy smokers have lower Hgb than nonsmokers.
Heavy smokers have lower Hgb than nonsmokers.
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Living at high altitudes causes decreased Hgb levels.
Living at high altitudes causes decreased Hgb levels.
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Blood transfusions within the previous 12 weeks may alter test results.
Blood transfusions within the previous 12 weeks may alter test results.
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Hemoglobin molecules are formed by two pairs of globulin chains forming a tetramer.
Hemoglobin molecules are formed by two pairs of globulin chains forming a tetramer.
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In a newborn, fetal hemoglobin consists of two alpha globulins and two gamma globins.
In a newborn, fetal hemoglobin consists of two alpha globulins and two gamma globins.
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Fetal hemoglobin has a lower affinity for oxygen.
Fetal hemoglobin has a lower affinity for oxygen.
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Hemoglobin A is the most common form of hemoglobin in adults.
Hemoglobin A is the most common form of hemoglobin in adults.
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Hemoglobin A2 is composed of a pair of alpha globin chains and a pair of delta globin chains.
Hemoglobin A2 is composed of a pair of alpha globin chains and a pair of delta globin chains.
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Old or damaged RBCs are removed from circulation by macrophages in the spleen and liver.
Old or damaged RBCs are removed from circulation by macrophages in the spleen and liver.
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Hemoglobin is broken down into what two components?
Hemoglobin is broken down into what two components?
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The globin protein may be recycled or broken down further.
The globin protein may be recycled or broken down further.
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Heme iron is conserved and reused in the synthesis of new hemoglobin molecules.
Heme iron is conserved and reused in the synthesis of new hemoglobin molecules.
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During metabolism, bilirubin binds to the plasma protein albumin.
During metabolism, bilirubin binds to the plasma protein albumin.
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The MCV is a measure of the average volume of a RBC.
The MCV is a measure of the average volume of a RBC.
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MCV is derived by dividing the hematocrit by the total RBC count.
MCV is derived by dividing the hematocrit by the total RBC count.
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When the MCV is increased, the red blood cell is considered...
When the MCV is increased, the red blood cell is considered...
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The MCH is a measure of the average amount of hemoglobin within an RBC.
The MCH is a measure of the average amount of hemoglobin within an RBC.
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MCH is derived by dividing the total hemoglobin concentration by the total RBC count.
MCH is derived by dividing the total hemoglobin concentration by the total RBC count.
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Macrocytic cells tend to have less hemoglobin than microcytic cells.
Macrocytic cells tend to have less hemoglobin than microcytic cells.
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The MCHC is a measure of the average concentration or percentage of hemoglobin within a single red blood cell.
The MCHC is a measure of the average concentration or percentage of hemoglobin within a single red blood cell.
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MCHC is derived by dividing the total hemoglobin concentration by the hematocrit.
MCHC is derived by dividing the total hemoglobin concentration by the hematocrit.
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Hypochromia is a condition where red blood cells have too little hemoglobin.
Hypochromia is a condition where red blood cells have too little hemoglobin.
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The RDW is essentially an indicator of the degree of anisocytosis: a blood condition characterized by red blood cells of variable and abnormal size.
The RDW is essentially an indicator of the degree of anisocytosis: a blood condition characterized by red blood cells of variable and abnormal size.
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The RDW is calculated by a machine using the MCV and RBC values.
The RDW is calculated by a machine using the MCV and RBC values.
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Anemia is defined as a reduction of the total circulating _ mass below normal limits.
Anemia is defined as a reduction of the total circulating _ mass below normal limits.
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Hemolysis is a general term for excessive breakdown of white blood cells.
Hemolysis is a general term for excessive breakdown of white blood cells.
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Polycythemia is a condition characterized by an increase in white blood cells.
Polycythemia is a condition characterized by an increase in white blood cells.
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Hemolytic transfusion reaction is a destruction of donated red blood cells after a transfusion.
Hemolytic transfusion reaction is a destruction of donated red blood cells after a transfusion.
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The deficit in oxygen-carrying is compensated by adaptive increases in plasma volume, cardiac output, respiratory rate, and other metabolic changes.
The deficit in oxygen-carrying is compensated by adaptive increases in plasma volume, cardiac output, respiratory rate, and other metabolic changes.
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Anemia of chronic disease is a condition that can be caused by chronic infections, chronic immune disorders, and neoplasms.
Anemia of chronic disease is a condition that can be caused by chronic infections, chronic immune disorders, and neoplasms.
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Flashcards
Red Blood Cells (RBCs)
Red Blood Cells (RBCs)
Flexible, biconcave disks responsible for oxygen transport.
Hematocrit
Hematocrit
Percentage of blood volume made up by red blood cells.
Erythropoiesis
Erythropoiesis
The production of red blood cells from stem cells.
Anemia
Anemia
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Iron Deficiency Anemia
Iron Deficiency Anemia
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Hemoglobin (Hgb)
Hemoglobin (Hgb)
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Mean Corpuscular Volume (MCV)
Mean Corpuscular Volume (MCV)
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Sickle Cell Anemia
Sickle Cell Anemia
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Erythropoietin
Erythropoietin
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Reticulocyte Count
Reticulocyte Count
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Hereditary Spherocytosis
Hereditary Spherocytosis
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Macrocytic Anemia
Macrocytic Anemia
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Thalassemia
Thalassemia
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Polycythemia
Polycythemia
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G6PD Deficiency
G6PD Deficiency
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Hemolytic Anemia
Hemolytic Anemia
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Bililrubin
Bililrubin
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Megaloblastic Anemia
Megaloblastic Anemia
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Acute Blood Loss
Acute Blood Loss
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Pernicious Anemia
Pernicious Anemia
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Hemolytic Disease of the Newborn
Hemolytic Disease of the Newborn
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Basophilic Stippling
Basophilic Stippling
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Aplastic Anemia
Aplastic Anemia
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Sideroblastic Anemia
Sideroblastic Anemia
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Target Cells
Target Cells
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Mean Corpuscular Hemoglobin Concentration (MCHC)
Mean Corpuscular Hemoglobin Concentration (MCHC)
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Chronic Disease Anemia
Chronic Disease Anemia
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Blood Volume
Blood Volume
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Plasma Composition
Plasma Composition
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Hematopoiesis
Hematopoiesis
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Erythrocytes
Erythrocytes
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Reticulocyte
Reticulocyte
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MCV
MCV
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Anisocytosis
Anisocytosis
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Hypochromic
Hypochromic
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Polycythemia Vera
Polycythemia Vera
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Shift Reticulocytes
Shift Reticulocytes
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Mean Corpuscular Hemoglobin (MCH)
Mean Corpuscular Hemoglobin (MCH)
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Hypoxia
Hypoxia
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Lead Poisoning
Lead Poisoning
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Hemolysis
Hemolysis
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Coombs Test
Coombs Test
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Polychromasia
Polychromasia
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Sickle Cell Disease
Sickle Cell Disease
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Folate Deficiency
Folate Deficiency
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Allergenic Anemia
Allergenic Anemia
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Study Notes
Red Blood Cells (RBCs)
- RBCs are flexible, biconcave disks, approximately 6.2-8.2 micrometers in diameter and 0.8-1 micrometer thick.
- RBCs lack a nucleus and organelles, maximizing space for hemoglobin.
- Approximately 2.4 million new RBCs are produced per second in adults.
- RBCs circulate for about 100-120 days.
- RBCs are responsible for carrying oxygen from the lungs to the body's tissues and carbon dioxide back to the lungs.
- Hemoglobin, an iron-containing protein, gives RBCs their red color and binds oxygen.
- The cell membrane of RBCs provides deformability and stability for passage through blood vessels.
- The average adult human has more than 5 liters (6 quarts) of blood, and an average-sized man has approximately 12 pints and an average-sized woman has 9 pints.
- Blood is composed of formed elements (cells and cell fragments), suspended in a liquid fraction called plasma.
Blood Composition
- Plasma (about 60%) : 90% water, proteins (albumin, globulins, and fibrinogen), electrolytes, nutrients, gases (oxygen, carbon dioxide, nitrogen), and waste products.
- Blood cells:
- Red blood cells (erythrocytes): responsible for oxygen transport.
- White blood cells (leukocytes): part of the immune system.
- Platelets (thrombocytes): involved in blood clotting.
Hematopoiesis
- Production of blood cells.
- Begins early in embryonic development in the yolk sac.
- Later, liver and lymphatic organs take over production.
- Finally, the red bone marrow assumes complete production.
- Pluripotent stem cells are a pool of undifferentiated precursor cells.
Erythropoiesis
- Formation of red blood cells.
- Starts with hematopoietic stem cells (HSCs) in bone marrow.
- Immature cells undergo proliferation and differentiation.
- Mature RBCs (erythrocytes) are released into the bloodstream.
- Reticulocytes are an immature form of RBCs, released into circulation in the bone marrow.
Erythrocytes (Red Blood Cells)
- Deformable, non-nucleated, biconcave disks.
- The most abundant blood cell type.
- Packed cell volume (PCV) or hematocrit (Hct) is approximately 45% of total blood volume in centrifuged blood.
- Rich in hemoglobin for oxygen transport.
- Biconcave shape creates a large surface area for efficient gas exchange.
- Mature RBCs lack a nucleus to maximize space for hemoglobin.
Red Blood Cell Components and Function
- The red color of RBC's is due to Hemoglobin
- Hemoglobin is the iron-containing protein in RBCs responsible for oxygen transport,
- RBCs take up oxygen in the lungs and release it into tissues while squeezing through capillaries.
- The cytoplasm of RBCs contains a complex metalloprotein that can bind oxygen molecules in the lungs and release them throughout the body to carry waste products back to the lungs.
- RBCs' membranes composed of protein and lipids, contributing to flexibility for flow through blood vessels.
Red Blood Cell Count (RBC Count)
- Measurement of circulating RBCs per cubic millimeter of blood..
- Varies with age and sex.
- Low counts point to anemia.
- High counts are suggestive of conditions like chronic hypoxia.
Hemoglobin (Hb)
- Protein in red blood cells responsible for oxygen transport.
- Measured in grams per deciliter (g/dL) in a complete blood count.
- Men typically have higher levels than women.
- Can be affected by age, pregnancy, and lifestyle factors.
- Normal levels vary with age and gender
Mean Corpuscular Volume (MCV)
- Average volume of a red blood cell.
- A measure of red blood cell size.
- Calculated by dividing hematocrit by red blood cell count.
- Values used in classifying anemias (e.g., macrocytic, microcytic, normocytic).
Mean Corpuscular Hemoglobin (MCH)
- Average amount of hemoglobin per red blood cell.
- Reflects the amount of hemoglobin in a given RBC.
- Calculated from the total Hb concentration and the RBC count.
- Can indicate if a cell has abnormal hemoglobin.
Mean Corpuscular Hemoglobin Concentration (MCHC)
- Average concentration of hemoglobin in a red blood cell.
- A measure of the hemoglobin concentration per unit of red blood cell volume.
- Derived from the hemoglobin concentration (g/dL) divided by the MCV value expressed as a fraction of the total blood volume.
- Used in identifying anemia subtypes.
- Reflects the intensity of the red color of the cells.
Red Blood Cell Distribution Width (RDW)
- Measurement of variation in red blood cell volume.
- Reflects the degree of anisocytosis (size variation) in red blood cells.
- High RDW strongly suggests abnormal red blood cells.
Anemia
- Condition where hemoglobin and hematocrit levels are reduced below normal limits, resulting in reduced oxygen-carrying capacity of the blood.
- Categorized according to red blood cell size (MCV) and hemoglobin content (MCH).
Hemolytic Anemia
- Type of anemia resulting from premature destruction of red blood cells.
- Can be caused by intrinsic defects (inherited) or extrinsic factors (acquired).
- Characterized by elevated erythropoietin due to compensatory mechanisms.
Intravascular Hemolysis
- Premature destruction of red blood cells within the bloodstream.
- Results from microangiopathic hemolytic anemia, mechanical heart valves, or certain infectious agents.
Extravascular Hemolysis
- Premature destruction of red blood cells within macrophages, primarily in the spleen.
- Can result from various inherited red blood cell disorders or acquired conditions like immune disorders.
- Typically involves aged or damaged RBCs.
Anemia of Blood Loss (Acute and Chronic)
- Anemia resulting from blood loss.
- Acute loss can result from trauma or surgery and often treated with fluid replacement.
- Chronic loss from long-term issues (e.g., ulcers, tumors) usually requires iron supplements.
Megaloblastic Anemia
- Anemia due to impairment of DNA synthesis within the developing blood cells.
- Results in abnormally large, ineffective blood cells in bone marrow.
- Often linked to vitamin B12 or folate deficiency.
Pernicious Anemia.
- Form of megaloblastic anemia caused by an autoimmune attack on the stomach, preventing vitamin B12 absorption and causing cell production issues.
Iron-Deficiency Anemia.
- Anemia resulting from insufficient iron intake or absorption/excessive loss.
- Characterized by decrease in hemoglobin synthesis.
- The human body has functional and storage pools of iron.
Lead Poisoning (Plumbism)
- Exposure to lead affects RBC maturation and damages the kidneys and nervous system.
- Often causes microcytic, hypochromic anemia.
Sideroblastic Anemia
- Anemia where iron isn't incorporated into heme in developing RBCs, causing iron rings to appear in mitochondria.
- Can be caused by genetic, nutritional, or drug-related issues.
Aplastic Anemia
- Severe, acquired or inherited bone marrow disorder characterized by reduction in multiple blood cell types.
- Affected individuals are often severely anemic and have reduced platelet and white blood cell counts.
Pure Red Cell Aplasia
- Disorder where only red blood cell precursors are suppressed.
Polycythemia.
- Condition with increased RBC count and hemoglobin level.
- Can be due to excessive erythropoietin or decreased plasma volume.
Immunological Anemia
- Anemia develops when antibodies target red blood cells, leading to their premature destruction.
- Can be caused by a variety of autoimmune or infectious conditions.
Hemolytic Disease of the Newborn
- Hemolytic disease in newborns due to maternal-fetal blood type incompatibility (e.g., Rh incompatibility).
Thalassemia
- Inherited disorders where the production of hemoglobin subunits is reduced or absent, causing microcytic, hypochromic anemia.
- Several types exist based on the affected globin subunit (e.g., a-thalassemia, b-thalassemia).
Other Red Cell Disorders
- Various inherited disorders can affect red blood cell structure, function, and lifespan.
Checkpoint Questions
- Answers to checkpoint questions are not included in these notes.
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Description
This quiz covers the essential characteristics and functions of red blood cells (RBCs), including their structure, production, and lifespan. It also explores the components of blood, such as plasma and its composition. Test your knowledge about these fundamental elements of human physiology.