What anticoagulant is commonly used in hematology tests?
Ethylenediaminetetraacetic Acid (EDTA).
What are the two types of granulocytes shown in Figure 11?
Basophil and Eosinophil.
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p.1
Hematology Tests and Blood Smear Techniques

What anticoagulant is commonly used in hematology tests?

Ethylenediaminetetraacetic Acid (EDTA).

p.5
Leukocytes: Types and Functions

What are the two types of granulocytes shown in Figure 11?

Basophil and Eosinophil.

p.6
Thrombocytes: Structure and Role in Clotting

Identify the two regions of thrombocytes.

Hyalomere and Granulomere.

p.4
Leukocytes: Types and Functions

List the steps involved in the phagocytosis process by neutrophils.

The steps involved are: Activate phagocyte, Chemotaxis, Attach to microorganism, Ingest the engulfed microorganism.

p.4
Leukocytes: Types and Functions

What is the primary function of eosinophils?

The primary function of eosinophils is to fight parasitic infections and participate in the inflammatory response.

p.4
Leukocytes: Types and Functions

What is the primary function of neutrophils?

The primary function of neutrophils is phagocytosis, where they are usually the first to arrive at sites of infection and can survive in anaerobic environments.

p.4
Leukocytes: Types and Functions

What are azurophilic primary granules and their role in neutrophils?

Azurophilic primary granules are large, dense vesicles that play a major role in killing and degrading engulfed microorganisms. They contain myeloperoxidase, lysozymes, and defensins.

p.2
Hematology Tests and Blood Smear Techniques

What does a CBC test evaluate?

A CBC test evaluates an individual's health status and detects pathologic disorders such as anemia, infection, and leukemia.

p.7
Hematopoiesis: Process and Myeloid Tissue

What is the role of precursor cells in hematopoiesis?

They are immature cells that gradually assume morphological and functional cell types.

p.1
Components of Blood: Plasma and Formed Elements

What are the two main components of blood?

Plasma and formed elements (blood cells).

p.4
Leukocytes: Types and Functions

Describe the nucleus and granules of basophils.

Basophils have a 2-3 irregularly lobed nucleus, usually obscured by large purple/deep violet granules in the cytoplasm.

p.7
Hematopoiesis: Process and Myeloid Tissue

When does growth factor influence peak in hematopoietic cell development?

Between progenitor to precursor development but has significant presence throughout.

p.1
Thrombocytes: Structure and Role in Clotting

What are the two main parts of thrombocytes?

Hyalomere and granulomere.

p.6
Clinical Terms Related to Blood Components

What is neutropenia?

Decreased neutrophil count.

p.1
Hematopoiesis: Process and Myeloid Tissue

What is the role of colony-stimulating factors (CSF) in hematopoiesis?

To stimulate the production and differentiation of blood cells.

p.1
Overview of the Cardiovascular System

What are the main components of the cardiovascular system?

Heart, blood vessels, and blood.

p.1
Hematology Tests and Blood Smear Techniques

Describe the process of making a blood smear.

Install cap piercer on the EDTA tube, add a drop of blood on a glass slide, use a second glass slide to touch the drop of blood, and rapidly push the slide forward.

p.5
Leukocytes: Types and Functions

What is the most abundant agranulocyte in blood?

Lymphocytes.

p.5
Leukocytes: Types and Functions

What is the primary function of lymphocytes?

Immunological defense.

p.5
Leukocytes: Types and Functions

What is the function of B lymphocytes?

Humoral immune response and production of immunoglobulins (Ig) or antibodies.

p.1
Hematopoiesis: Process and Myeloid Tissue

What is hematopoiesis?

The process of blood cell formation in the myeloid tissue.

p.5
Leukocytes: Types and Functions

What is the function of monocytes?

Precursor cells of the mononuclear phagocytic system.

p.1
Overview of the Cardiovascular System

What is the primary function of the cardiovascular system?

Transport of oxygen, nutrients, hormones, and cellular waste products throughout the body.

p.6
Thrombocytes: Structure and Role in Clotting

What is the primary function of platelets?

To initiate blood clotting.

p.1
Erythrocytes: Characteristics and Clinical Correlations

What are the typical characteristics of erythrocytes?

Erythrocytes are biconcave, anucleate cells that contain hemoglobin.

p.7
Hematopoiesis: Process and Myeloid Tissue

What do immature forms (-blast) mature into?

-cyte, except for neutrophils, basophils, and eosinophils.

p.4
Leukocytes: Types and Functions

What is the function of myeloperoxidase in neutrophils?

Myeloperoxidase produces hypochlorite and other agents that are toxic to bacteria.

p.6
Thrombocytes: Structure and Role in Clotting

What are platelets?

Platelets are cytoplasmic fragments of extraordinarily large bone marrow cells called megakaryocytes.

p.7
Hematopoiesis: Process and Myeloid Tissue

How does mitotic activity change with the maturity of hematopoietic cells?

It increases with maturity until precursors for proliferation and is absent in mature cells.

p.2
Components of Blood: Plasma and Formed Elements

What percentage of blood is made up of plasma?

55%.

p.6
Clinical Terms Related to Blood Components

What does neutrophilia indicate?

Increased neutrophil count.

p.8
Leukocytes: Types and Functions

Which interleukin is a mitogen for many leukocytes and promotes B cell and regulatory T cell activation?

Interleukin-6 (IL-6).

p.8
Leukocytes: Types and Functions

Identify the blood component: Granulocyte.

Granulocyte.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is anisocytosis?

RBCs of varying sizes

p.3
Erythrocytes: Characteristics and Clinical Correlations

What are some causes of anemia?

Blood loss, iron deficiency, vitamin B12 deficiency, vitamin B9 (folate) deficiency, bone marrow disease, suppression of RBC production in bone marrow, decreased erythropoietin in cases of renal failure

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is polycythemia and what are its types?

Increased RBCs; can be primary (overproduction of RBCs) or secondary (common in individuals who live at high altitudes)

p.4
Leukocytes: Types and Functions

What percentage of white blood cells do neutrophils constitute?

Neutrophils constitute 60-70% of white blood cells.

p.4
Leukocytes: Types and Functions

What is the appearance of eosinophils' nucleus and granules?

Eosinophils have a bilobed (spectacled appearing) nucleus and large specific granules stained by eosin (red or dark pink).

p.7
Hematopoiesis: Process and Myeloid Tissue

What are colony-forming units (CFUs)?

Progenitor cells that give rise to colonies of one cell type.

p.1
Hematology Tests and Blood Smear Techniques

What is the purpose of a complete blood count (CBC)?

To provide automated processing and printing of read-outs of the different blood components.

p.5
Leukocytes: Types and Functions

What is the function of T lymphocytes?

Cell-mediated immune response, including phagocytes and antigen-specific cytotoxic T cells, and releasing cytokines in response to a specific antigen.

p.1
Bone Marrow: Types and Functions

What are the two types of bone marrow?

Red bone marrow and yellow bone marrow.

p.7
Hematopoiesis: Process and Myeloid Tissue

What is the role of cytokines in hematopoiesis?

They stimulate progenitor and precursor proliferation, promote cell differentiation, and maturation within specific lineages.

p.6
Clinical Terms Related to Blood Components

What is the clinical significance of thrombocytopenia?

It is usually associated with bleeding.

p.6
Hematopoiesis: Process and Myeloid Tissue

Where does hematopoiesis occur during the second trimester?

In the liver (main site) and spleen.

p.6
Hematopoiesis: Process and Myeloid Tissue

What is erythropoiesis?

The process of erythrocyte (red blood cell) formation.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What does acidophilic mean in the context of RBCs?

More willing to bind to acidic dyes

p.8
Bone Marrow: Types and Functions

What happens to red bone marrow as a person ages?

It changes to yellow bone marrow.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the reference interval for RBC Distribution Width (RDW)?

11.0-14.0%

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is microcytosis and what conditions is it seen in?

RBCs < 6μm; seen in iron deficiency anemia, thalassemia, anemia of chronic disease, and sideroblastic anemia

p.3
Erythrocytes: Characteristics and Clinical Correlations

What does an increased RDW indicate on a blood smear?

Anisocytosis

p.3
Leukocytes: Types and Functions

How are leukocytes classified?

By the density of their granules into granulocytes and agranulocytes

p.4
Leukocytes: Types and Functions

What are granulocytes and why are they easier to identify on a blood smear?

Granulocytes are a type of white blood cell that are easier to identify on a blood smear due to the difference in the color of their granules.

p.7
Hematopoiesis: Process and Myeloid Tissue

What are pluripotent stem cells?

Cells that give rise to all blood cell types and proliferate very slowly.

p.2
Hematology Tests and Blood Smear Techniques

What is the purpose of a blood smear in a CBC test?

A blood smear is used to manually count 100 leukocytes and determine the number of neutrophils, lymphocytes, eosinophils, monocytes, and basophils when machines cannot provide the differential count.

p.5
Leukocytes: Types and Functions

Describe the appearance of lymphocytes.

Small to medium-sized spherical cells with a large, round nucleus that takes up most of the cell and a thin rim of cytoplasm.

p.6
Thrombocytes: Structure and Role in Clotting

What do alpha granules (αG) contain?

Platelet-derived growth factor (PDGF), platelet factor 4, and several other platelet-specific proteins.

p.7
Hematopoiesis: Process and Myeloid Tissue

When does differentiated function appear in hematopoietic cells?

From late precursor development throughout maturity.

p.1
Clinical Terms Related to Blood Components

What does CBC stand for?

Complete Blood Count.

p.2
Erythrocytes: Characteristics and Clinical Correlations

What is the normal count of erythrocytes on average?

4.2-6.2 million/mm^3.

p.7
Hematopoiesis: Process and Myeloid Tissue

What is the source of erythropoietin (EPO)?

Hepatocytes and peritubular endothelial cells of the kidney.

p.7
Hematopoiesis: Process and Myeloid Tissue

What cells produce granulocyte-macrophage colony-stimulating factor (GM-CSF)?

Endothelial cells of marrow and T lymphocytes.

p.6
Hematopoiesis: Process and Myeloid Tissue

What is thrombocytopoiesis?

The process of thrombocyte (platelet) formation.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What causes hereditary spherocytosis?

Defects in spectrin or ankyrin, causing RBCs to lose biconcavity and become more fragile

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the reference interval for Mean Corpuscular Volume (MCV)?

82-98 fL

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is macrocytosis and what conditions is it seen in?

RBCs > 9μm; seen in bone marrow dysplasia, alcoholism, and vitamin B12 deficiency

p.4
Leukocytes: Types and Functions

Describe the nucleus of a neutrophil.

The nucleus of a neutrophil is multilobated, with 2-5 lobes linked by fine chromatin threads.

p.1
Functions of Blood

What are the three main functions of blood?

Transport, defense, and homeostasis.

p.6
Thrombocytes: Structure and Role in Clotting

Describe the process by which platelets initiate blood clotting.

Platelets rapidly release their granules' contents upon contact with collagen or other ECM material outside of the endothelium to begin the process of clot formation and reduce blood loss from the vasculature.

p.2
Components of Blood: Plasma and Formed Elements

What are the three components of whole blood after centrifugation?

Plasma, erythrocytes, and buffy coat.

p.1
Leukocytes: Types and Functions

What are the two main types of leukocytes?

Granulocytes and agranulocytes.

p.6
Clinical Terms Related to Blood Components

Define leucocytosis.

Increased white blood cell count.

p.2
Erythrocytes: Characteristics and Clinical Correlations

What is the lifespan of an erythrocyte?

120 days.

p.7
Hematopoiesis: Process and Myeloid Tissue

What is the major activity of stem cell factor (SCF)?

It acts as a mitogen for all hematopoietic progenitors.

p.6
Hematopoiesis: Process and Myeloid Tissue

Where does hematopoiesis occur from the third trimester to adulthood?

In the bone marrow.

p.5
Thrombocytes: Structure and Role in Clotting

What happens when damage occurs in the vascular endothelium?

Platelets adhere to the vessel wall, releasing granules and aggregating to stop the bleeding.

p.8
Hematopoiesis: Process and Myeloid Tissue

What is the major mitogen for lymphoid stem cells?

Interleukin-7 (IL-7).

p.8
Thrombocytes: Structure and Role in Clotting

Identify the blood component: Thrombocyte (Platelets).

Thrombocyte (Platelets).

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the reference interval for Mean Corpuscular Hemoglobin Concentration (MCHC)?

33-38%

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is poikilocytosis?

RBCs may appear irregularly shaped, have thorny projections, and have irregularities in the membrane

p.3
Leukocytes: Types and Functions

What is the function of leukocytes?

Immunity and repair of injured tissues

p.7
Hematopoiesis: Process and Myeloid Tissue

What are progenitor cells committed to producing?

Specific blood cells.

p.4
Leukocytes: Types and Functions

What are major basic proteins (MBP) in eosinophils and their function?

Major basic proteins (MBP) are arginine-rich proteins that confer eosinophilic or anti-parasitic properties.

p.7
Hematopoiesis: Process and Myeloid Tissue

How does pluripotency change with the maturity of hematopoietic cells?

It decreases with maturity until progenitor cells and is nonexistent in precursors and mature cells.

p.7
Hematopoiesis: Process and Myeloid Tissue

What happens to the self-renewing capacity of hematopoietic cells as they mature?

It decreases with maturity and is absent in precursors and mature cells.

p.2
Components of Blood: Plasma and Formed Elements

What is the main function of albumin in plasma?

Maintaining the osmotic pressure of the blood.

p.2
Erythrocytes: Characteristics and Clinical Correlations

Describe the appearance of erythrocytes in a blood smear.

Erythrocytes are anucleated, biconcave discs with no organelles, appearing as pink circles with pale centers, often described as 'donuts without a hole'.

p.5
Leukocytes: Types and Functions

Match the peripheral tissue with the cell type derived from monocytes: Connective Tissue, Liver, Nervous System, Bone.

Connective Tissue: Macrophages, Liver: Kupffer Cells, Nervous System: Microglia, Bone: Osteoclasts.

p.6
Hematopoiesis: Process and Myeloid Tissue

What is hematopoiesis?

The process of blood cell formation.

p.2
Components of Blood: Plasma and Formed Elements

What percentage of the extracellular fluid (ECF) is made up of plasma and interstitial fluid?

97%.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the normal range of RBC count for females?

~3.9-5.5 million/μL

p.3
Erythrocytes: Characteristics and Clinical Correlations

Describe rouleaux formation.

RBCs stack together in a formation resembling a small roll of coins.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the function of ankyrin in RBCs?

Anchors the spectrin lattice to the glycophorins and band 3 proteins

p.8
Components of Blood: Plasma and Formed Elements

Identify the blood component: Erythrocyte (RBC).

Erythrocyte (RBC).

p.3
Erythrocytes: Characteristics and Clinical Correlations

What does a decreased MCV indicate on a blood smear?

Microcytosis

p.2
Hematology Tests and Blood Smear Techniques

What is the reference interval in a CBC test?

The reference interval is the normal values used by the laboratory to compare and interpret test results to determine if they are within the normal range or show an increase/decrease.

p.6
Thrombocytes: Structure and Role in Clotting

What is the size of a megakaryocyte?

60 μm in diameter.

p.6
Thrombocytes: Structure and Role in Clotting

What is contained in the delta granules (δG) of platelets?

ADP, ATP, and serotonin taken up from plasma.

p.7
Hematopoiesis: Process and Myeloid Tissue

At what stage do typical morphological characteristics begin and increase in hematopoietic cells?

At the precursor stage and remain stable at the mature cell stage.

p.7
Hematopoiesis: Process and Myeloid Tissue

What are cytokines also known as?

Colony-stimulating factors (CSFs) or hematopoietic growth factors.

p.5
Thrombocytes: Structure and Role in Clotting

Describe the characteristics of thrombocytes.

Small, biconvex disks, non-nucleated cell fragments, 2-4 μm in diameter, can occur in clumps, small basophilic clusters of cells, have alpha and delta granules.

p.5
Thrombocytes: Structure and Role in Clotting

What role do alpha and delta granules play in thrombocytes?

They play a role in the adhesion and aggregation of platelets in blood coagulation.

p.8
Leukocytes: Types and Functions

Which interleukin promotes basophil and mast cell development?

Interleukin-4 (IL-4).

p.8
Bone Marrow: Types and Functions

Where does the production and regulation of blood cells occur?

In the medullary canals of long bones and small cancellous bone cavities.

p.3
Leukocytes: Types and Functions

What are specific granules in leukocytes?

Granules that will stain to specific dyes and have specific functions

p.4
Leukocytes: Types and Functions

What role do basophils play in allergic reactions?

Basophils are involved in allergic reactions due to containing histamine and other inflammatory mediators.

p.6
Clinical Terms Related to Blood Components

What is leucopenia?

Decreased white blood cell count.

p.2
Erythrocytes: Characteristics and Clinical Correlations

What is the hematocrit?

The ratio of the volume of red blood cells to the total volume of blood.

p.6
Clinical Terms Related to Blood Components

What is thrombocytopenia?

Low blood platelet count.

p.5
Thrombocytes: Structure and Role in Clotting

What are thrombocytes also known as?

Platelets.

p.7
Hematopoiesis: Process and Myeloid Tissue

What is the target of granulocyte colony-stimulating factor (G-CSF)?

Neutrophil progenitors.

p.8
Hematopoiesis: Process and Myeloid Tissue

What cells produce Monocyte Colony-Stimulating Factor (M-CSF)?

Endothelial cells of marrow and macrophages.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the normal range of RBC count for males?

~4.1-6.0 million/μL

p.8
Clinical Terms Related to Blood Components

What is Filgrastim (G-CSF) used for?

It is given to patients with neutropenia secondary to chemotherapy.

p.5
Leukocytes: Types and Functions

How are lymphocytes classified?

By 'clusters of differentiation'.

p.2
Components of Blood: Plasma and Formed Elements

What is the difference between serum and plasma?

Serum is the liquid that separates from the blood clot in tubes without anticoagulants or when blood is allowed to stand, and it contains growth factors and other proteins released during clot formation, whereas plasma is the aqueous solution of proteins, organic, and inorganic substances in blood.

p.5
Leukocytes: Types and Functions

What are Null/Natural Killer (NK) cells known for?

Attacking tumor cells and viral-infected cells.

p.1
Erythrocytes: Characteristics and Clinical Correlations

What is the function of hemoglobin (Hgb) in red blood cells (RBC)?

To transport oxygen from the lungs to the tissues and carbon dioxide from the tissues to the lungs.

p.2
Components of Blood: Plasma and Formed Elements

What does the buffy coat contain?

The buffy coat contains platelets and different leukocytes.

p.7
Hematopoiesis: Process and Myeloid Tissue

What is the major activity of thrombopoietin (TPO)?

It acts as a mitogen for megakaryoblasts and their progenitors.

p.2
Components of Blood: Plasma and Formed Elements

What is the main component of plasma?

Water.

p.2
Components of Blood: Plasma and Formed Elements

What is the function of immunoglobulins in plasma?

Production of antibodies.

p.8
Leukocytes: Types and Functions

What is the role of Interleukin-1 (IL-1) in the immune system?

It regulates activities and cytokine secretion of leukocytes and other cells.

p.8
Leukocytes: Types and Functions

What is the role of Interleukin-5 (IL-5) or Eosinophil Differentiation Factor (EDF)?

It promotes eosinophil development and activation.

p.3
Leukocytes: Types and Functions

What are azurophilic granules in leukocytes?

Lysosomes that will stain blue/violet

p.5
Leukocytes: Types and Functions

Describe the appearance of monocytes.

Largest agranular cells with a large horseshoe/kidney-shaped nucleus and blue-gray cytoplasm with dark blue/purple non-specific granules.

p.2
Components of Blood: Plasma and Formed Elements

What is the function of fibrinogen in plasma?

Blood clot formation.

p.2
Components of Blood: Plasma and Formed Elements

What is the function of plasma in the body?

Transporting substances such as blood cells, nutrients, waste products, antibodies, clotting proteins, chemical messengers (hormones), and proteins throughout the body.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What enhances the flexibility of RBCs?

Peripheral proteins

p.8
Bone Marrow: Types and Functions

What is the clinical significance of bone marrow biopsies?

They may be performed in patients with lymphoma or hematopoietic malignancies.

p.2
Erythrocytes: Characteristics and Clinical Correlations

What is the function of hemoglobin in erythrocytes?

Hemoglobin facilitates O2-CO2 gas exchange.

p.8
Leukocytes: Types and Functions

Which cells secrete Interleukin-2 (IL-2) and what is its function?

T helper cells secrete IL-2, which acts as a mitogen for T and B cells and promotes NK cell differentiation.

p.8
Clinical Terms Related to Blood Components

What is erythropoietin used for in clinical settings?

It is administered as an injection to patients with anemia secondary to renal failure, those undergoing dialysis, and those undergoing cancer therapy.

p.8
Bone Marrow: Types and Functions

Under what conditions can yellow bone marrow revert to red bone marrow?

In conditions like severe bleeding or hypoxia.

p.8
Hematology Tests and Blood Smear Techniques

What additional tests accompany bone marrow biopsies?

Blood smears to evaluate blood components and flow cytometry to show the distribution of leukocytes.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the reference interval for Mean Corpuscular Hemoglobin (MCH)?

28-33 pg

p.8
Hematopoiesis: Process and Myeloid Tissue

What is the function of Interleukin-3 (IL-3)?

IL-3 acts as a mitogen for granulocyte and megakaryocyte progenitors.

p.8
Bone Marrow: Types and Functions

What type of bone marrow is comprised of hematopoietic cells and is red in coloration?

Red bone marrow.

p.3
Erythrocytes: Characteristics and Clinical Correlations

What is the role of spectrin in RBCs?

Links membrane components to form a meshwork which reinforces the RBC membrane

p.8
Leukocytes: Types and Functions

Which types of granulocytes can be identified in a blood smear?

Eosinophil, Basophil, Neutrophil.

p.3
Leukocytes: Types and Functions

What are the examples of agranulocytes?

Monocytes, lymphocytes

p.3
Leukocytes: Types and Functions

What are the examples of granulocytes?

Neutrophils, eosinophils, basophils

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