How are aging RBCs removed from circulation?
By macrophages, primarily in the spleen.
What are hematopoietic stem cells (HSCs)?
Bone marrow cells capable of producing all types of blood cells.
1/138
p.8
RBC Destruction and Hemolysis

How are aging RBCs removed from circulation?

By macrophages, primarily in the spleen.

p.1
Hematopoiesis

What are hematopoietic stem cells (HSCs)?

Bone marrow cells capable of producing all types of blood cells.

p.8
RBC Destruction and Hemolysis

What is the lifespan of red blood cells (RBCs)?

100-120 days.

p.6
Hemoglobin Synthesis and Function

What is the state of the central iron atom when binding oxygen in hemoglobin?

Ferrous state.

p.13
Composition of Blood

True or False: RBCs are the most numerous formed elements of blood.

True.

p.8
Iron Metabolism

What is the primary function of Hepcidin?

Regulates iron homeostasis by inhibiting ferroportin.

p.2
Composition of Blood

What are the three main cell types in formed elements of blood?

RBCs (Erythrocytes), WBCs (Leukocytes), and Platelets (Thrombocytes).

p.2
Composition of Blood

What is the average blood volume in an adult?

5 liters.

p.6
Hemoglobin Synthesis and Function

What are the predominant types of hemoglobin in adults?

Hemoglobin A (95-98%) and Hemoglobin A2 (2.5%).

p.2
Composition of Blood

Why is the protein concentration higher in plasma than in interstitial fluid?

Because capillaries are generally impermeable to large plasma proteins.

p.1
Hematopoiesis

What types of progenitor cells can pluripotent HSCs differentiate into?

Lymphoid progenitor cells and multipotential progenitor cells.

p.12
Blood Types and Transfusion Compatibility

Which blood type is considered the universal donor?

Type O.

p.12
Blood Types and Transfusion Compatibility

What happens during an agglutination reaction?

Clumps of cells are formed, indicating a risk of transfusion reactions.

p.4
Hematopoiesis

How does bone marrow cellularity change with age?

Cellularity, or the amount of stem cells in the bone marrow needed for RBC synthesis, steadily drops as we age.

p.9
Red Blood Cell Structure and Function

What is hematocrit (Hct) or packed cell volume (PCV)?

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

p.2
Composition of Blood

What is the composition of plasma?

92% water, 7% proteins, and 1% solutes (CHO, AA, ions).

p.9
Conditions Affecting Red Blood Cells

What does a MCV value of <80 fL indicate?

Microcytosis (small red blood cells).

p.2
Hematopoiesis

What type of stem cells give rise to committed stem cells?

Pluripotent HSC or Multipotent HSC.

p.2
Hematopoiesis

Where does hematopoiesis occur in adults?

Primarily in the bone marrow.

p.6
Hemoglobin Synthesis and Function

How much oxygen can each gram of hemoglobin combine with when 100% saturated?

1.34 ml of oxygen.

p.12
Blood Types and Transfusion Compatibility

Why do agglutinins develop differently in the ABO and Rh systems?

In the ABO system, agglutinins develop spontaneously, while in the Rh system, exposure to the D antigen is required.

p.5
Hematopoiesis

What is the most important regulator of red blood cell production?

Tissue oxygenation.

p.5
Hematopoiesis

What triggers the release of erythropoietin?

Hypoxia, or low oxygen states.

p.8
Iron Metabolism

What happens to iron released from hemoglobin?

It is transported by transferrin to the bone marrow for new RBC synthesis or stored in the liver as ferritin.

p.4
Erythropoiesis

What happens during the polychromatic erythroblast stage?

Hemoglobin first appears, the nucleus condenses, and the endoplasmic reticulum is reabsorbed.

p.13
Anemia and Polycythemia

Which deficiency causes Megaloblastic Anemia?

Both Vitamin B12 and Folic Acid.

p.13
Conditions Affecting Red Blood Cells

True or False: Autoimmunity and immunodeficiency are the same set of disorders.

False.

p.12
Blood Types and Transfusion Compatibility

What is a potential consequence of transfusion reactions?

Obstruction or plugging of blood vessels and hemolysis leading to kidney failure.

p.11
Conditions Affecting Red Blood Cells

What happens to the total blood volume in high hematocrit conditions?

It increases, causing the vascular system to become intensely engorged.

p.2
Hematopoiesis

What are differentiation inducers responsible for?

They are responsible for the differentiation of committed stem cells into specific blood cells.

p.2
Conditions Affecting Red Blood Cells

What does an elevated neutrophil count indicate?

It likely indicates a bacterial infection.

p.11
Conditions Affecting Red Blood Cells

What causes high hematocrit?

A genetic aberration in hemocytoblastic cells leading to excess production of RBCs.

p.13
Red Blood Cell Structure and Function

True or False: Reticulocytes have a nucleus.

False.

p.4
Hematopoiesis

At what age does RBC synthesis in long bones decline significantly?

Around 18-25 years old.

p.1
Hematopoiesis

What is hematopoiesis?

The formation of blood cells, which begins during embryonic development and continues throughout adulthood.

p.4
Hematopoiesis

What happens to the bone marrow of long bones beyond the age of 20?

It becomes fatty and produces no more RBCs, except for the proximal portions of the humerus and tibia.

p.1
Formation of Blood Cells

Where does the formation of different blood cells occur?

In the bone marrow.

p.8
Iron Metabolism

How does Hepcidin affect iron absorption?

It reduces iron absorption and release from storage sites.

p.8
Anemia and Polycythemia

What condition is linked to the overproduction of Hepcidin?

Anemia of chronic disease.

p.9
Red Blood Cell Structure and Function

How is the average size of a red blood cell expressed?

As Mean Cell Volume (MCV) in femtoliters (fL).

p.6
Hemoglobin Synthesis and Function

What happens to the percentage of hemoglobin in the cells when hemoglobin is deficient?

It is considered to be low.

p.7
Hemoglobin Synthesis and Function

What is p50 in relation to hemoglobin?

p50 is the partial pressure of O2 where 50% of hemoglobin is saturated with O2, roughly about 26 mmHg in normal adults.

p.13
Blood Types and Transfusion Compatibility

Which blood type is considered the universal recipient?

Type AB.

p.2
Hematopoiesis

What triggers the production of erythrocytes in response to low oxygen levels?

Exposure to hypoxia induces growth, differentiation, and production of erythrocytes.

p.13
Conditions Affecting Red Blood Cells

True or False: CD4 T cells interact with MHC class I on CD8 T cells.

False.

p.9
Red Blood Cell Structure and Function

What does hemoglobin concentration (Hb) measure?

The amount of hemoglobin in the volume of blood.

p.12
Conditions Affecting Red Blood Cells

What occurs if an Rh(-) mother is exposed to Rh(+) blood?

She can develop antibodies against the D antigen, leading to complications in subsequent pregnancies.

p.6
Hemoglobin Synthesis and Function

What is the composition of Hemoglobin F (fetal hemoglobin)?

α2γ2.

p.12
Red Blood Cell Structure and Function

What is the typical lifespan of a red blood cell in circulation?

100-120 days.

p.12
Hemoglobin Synthesis and Function

What type of globin chains make up the predominant hemoglobin in a healthy adult?

α2β2.

p.11
Blood Types and Transfusion Compatibility

What is the most clinically relevant blood type system?

The ABO system and the Rh system.

p.1
Hematopoiesis

What is the role of cytokines in hematopoiesis?

They influence the differentiation of pluripotent HSCs into specific types of blood cells.

p.10
Anemia and Polycythemia

What is hemolytic anemia?

A condition characterized by increased red cell breakdown.

p.7
Iron Metabolism

What is the total quantity of iron in the body?

4 to 5 grams, with 65% found in hemoglobin.

p.5
Hemoglobin Synthesis and Function

What is the function of the heme group in hemoglobin?

It contains an iron atom that binds oxygen.

p.7
Iron Metabolism

How much iron does an average man excrete daily?

About 0.6 mg of iron daily, mainly through defecation.

p.2
Hematopoiesis

What is the role of IL-3 in stem cell growth?

IL-3 promotes growth and reproduction of all different types of committed stem cells.

p.12
Blood Types and Transfusion Compatibility

Which blood type is considered the universal recipient?

Type AB.

p.6
Hemoglobin Synthesis and Function

What is the affinity for oxygen in the Relaxed State (R state) of hemoglobin?

High affinity for oxygen.

p.12
Blood Types and Transfusion Compatibility

What is the D antigen associated with?

It is the prevalent and more antigenic Rh antigen, indicating Rh positive blood.

p.11
Conditions Affecting Red Blood Cells

What problems can arise from high hematocrit?

Many blood capillaries can become plugged or obstructed by viscous blood.

p.11
Conditions Affecting Red Blood Cells

What is secondary polycythemia?

A condition triggered by hypoxia, leading to increased EPO levels and RBC production.

p.8
RBC Destruction and Hemolysis

What happens to hemoglobin in aging RBCs?

It is phagocytized and broken down by macrophages.

p.8
RBC Destruction and Hemolysis

What is bilirubin derived from?

The degeneration of porphyrin from hemoglobin.

p.8
RBC Destruction and Hemolysis

What role does the spleen play in RBC removal?

It serves as an important blood filter that removes aged or abnormal RBCs.

p.4
Erythropoiesis

What marks the start of hemoglobin synthesis?

The basophil erythroblast stage.

p.9
Anemia and Polycythemia

What is anemia?

A deficiency of hemoglobin in the blood, caused by too few RBCs or too little hemoglobin within the cells.

p.5
Hematopoiesis

What vitamins are essential for the final maturation of red blood cells?

Vitamin B9 (folic acid) and Vitamin B12.

p.1
Formation of Blood Cells

What is the function of the bone marrow in blood cell formation?

It serves as the primary site for the production and maturation of blood cells.

p.5
Hemoglobin Synthesis and Function

What is the most prevalent type of hemoglobin in adults?

Hemoglobin A, composed of 2 alpha and 2 beta chains.

p.10
Anemia and Polycythemia

What is the typical RBC count in polycythemia vera?

7 to 8 million/mm³.

p.13
Hemoglobin Synthesis and Function

What causes a shift to the right in Hgb-O2 affinity?

Increased body temperature.

p.6
Hemoglobin Synthesis and Function

What effect does the quaternary structure of hemoglobin have on oxygen binding?

It induces a conformational change that increases the affinity of remaining heme groups for oxygen.

p.6
Hemoglobin Synthesis and Function

What is the concentration of hemoglobin in the cells?

34 g/100ml of cells.

p.12
Conditions Affecting Red Blood Cells

What is erythroblastic fetalis?

A hemolytic disease of the newborn due to Rh incompatibility.

p.11
Conditions Affecting Red Blood Cells

What triggers an increase in EPO levels in secondary polycythemia?

Reduced oxygenation of tissues due to hypoxia.

p.11
Conditions Affecting Red Blood Cells

What is the RBC count in physiological anemia due to altitude?

6 to 7 million/mm3, which is 30% above normal.

p.11
Blood Types and Transfusion Compatibility

What are agglutinogens?

Antigens present in the RBC membrane that determine blood type.

p.1
Formation of Blood Cells

What are the cellular components produced by hematopoiesis?

Erythrocytes, thrombocytes (platelets), and leukocytes (white blood cells).

p.10
Anemia and Polycythemia

What is a common condition that leads to chronic blood loss?

Hookworm infections.

p.7
Hemoglobin Synthesis and Function

What does a shift to the left in the oxygen dissociation curve indicate?

A decrease in temperature or an increase in pH, requiring a lower pO2 to bind a given amount of O2.

p.11
Blood Types and Transfusion Compatibility

What does a green indication mean in blood transfusion compatibility?

It is safe to transfuse.

p.7
Iron Metabolism

What is the role of transferrin in iron metabolism?

Transferrin is the transport form of iron that facilitates its transport in the plasma.

p.7
Iron Metabolism

What is the recommended iron intake per day for females aged 19-49?

28 mg/day, plus an additional 10 mg/day if pregnant.

p.6
Hemoglobin Synthesis and Function

What are the two main conformational states of hemoglobin?

Relaxed State (R state) and Tensed State (T state).

p.13
Hemoglobin Synthesis and Function

True or False: When metabolism increases, the O2 affinity of hemoglobin will decrease.

True.

p.4
Hematopoiesis

Where does most RBC synthesis occur in infancy?

In the long bones, such as the tibia and femur.

p.4
Hematopoiesis

In adulthood, where is RBC synthesis mainly concentrated?

In the vertebrae, sternum, and ribs.

p.9
Conditions Affecting Red Blood Cells

What does a MCV value of >100 fL indicate?

Macrocytosis (large red blood cells).

p.9
Hemoglobin Synthesis and Function

What is Mean Cell Hemoglobin (MCH)?

The average amount of hemoglobin in a red blood cell expressed in picograms.

p.10
Anemia and Polycythemia

What is a general cause of anemia related to blood loss?

Hemorrhage causes immediate loss of red cells due to blood loss.

p.9
Conditions Affecting Red Blood Cells

What condition is indicated by abnormal MCH and MCHC values?

Altered RBC colors, such as hypochromia.

p.11
Blood Types and Transfusion Compatibility

What antibodies are present in blood type O?

Anti-A and anti-B antibodies.

p.1
Hematopoiesis

What is the significance of maturing cells in hematopoiesis?

They refer to specific blood cells such as erythrocytes, thrombocytes, and leukocytes.

p.7
Iron Metabolism

Where is iron primarily absorbed in the body?

In the duodenum, but absorption occurs in all parts of the small intestine.

p.10
Anemia and Polycythemia

What is polycythemia?

An abnormally high level of circulating red blood cells.

p.6
Hemoglobin Synthesis and Function

What does the oxygen-hemoglobin dissociation curve illustrate?

The relationship between pO2 in the blood and the amount of O2 molecules bound to hemoglobin.

p.9
Hemoglobin Synthesis and Function

What does MCHC stand for and what does it measure?

Mean Cell Hemoglobin Concentration; it measures the average concentration of hemoglobin in red blood cells.

p.11
Blood Types and Transfusion Compatibility

Which blood type is the most common?

Type O.

p.1
Hematopoiesis

What are committed progenitor cells?

Cells that have differentiated from multipotential progenitor cells and will develop into specific blood cells.

p.10
Anemia and Polycythemia

What is hereditary spherocytosis?

A defect in the cytoskeleton that causes increased red cell fragility.

p.10
Anemia and Polycythemia

What are common symptoms of anemia?

Fatigue, dizziness, shortness of breath, and signs of pallor.

p.5
Hemoglobin Synthesis and Function

What is the primary function of hemoglobin?

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

p.7
Hemoglobin Synthesis and Function

What happens beyond 60 mmHg in terms of oxygen release from hemoglobin?

A large amount of O2 is released from hemoglobin with only a small change in pO2.

p.7
Hemoglobin Synthesis and Function

What is the significance of the steep portion of the oxygen dissociation curve?

It represents the range of pO2 levels typically found in tissues, where small changes in pO2 result in significant changes in O2 saturation.

p.5
Hematopoiesis

What conditions can decrease oxygenation?

Low blood volume, anemia, low hemoglobin, poor blood flow, and pulmonary conditions.

p.8
Red Blood Cell Structure and Function

What are the normal ranges for Hemoglobin Concentration in males?

13.5-17.5 g/dL.

p.4
Erythropoiesis

What is a reticulocyte?

A stage in RBC development that contains remnants of organelles and passes from the bone marrow into the blood capillaries.

p.9
Hematopoiesis

What role does erythropoietin (EPO) play in red blood cell production?

It stimulates the bone marrow to produce red blood cells.

p.7
Iron Metabolism

What are the two forms of dietary iron?

Heme iron from animal sources and non-heme iron from plant sources.

p.10
Anemia and Polycythemia

What triggers increased levels of EPO leading to polycythemia?

Hypoxia.

p.4
Hematopoiesis

What type of stem cells do blood cells develop from in the bone marrow?

Multipotential or pluripotent hematopoietic stem cells.

p.4
Erythropoiesis

What is the first stage of erythropoiesis?

Proerythroblast, formed from colony-forming-unit-erythroid (CFU-E) stem cells.

p.7
Hemoglobin Synthesis and Function

What factors affect the affinity of hemoglobin for oxygen?

pH, temperature, and concentration of 2,3 DPG.

p.5
Hematopoiesis

What role does Hypoxia Inducible Factor (HIF-1) play in erythropoietin production?

HIF-1 binds to the hypoxia response element in the erythropoietin gene, inducing transcription and increasing erythropoietin synthesis.

p.8
Red Blood Cell Structure and Function

What is the normal range for Reticulocyte Percentage?

0.5-1.5%.

p.9
Iron Metabolism

What nutrients are essential for red blood cell maturation?

Iron, Vitamin B12, and Folic Acid.

p.10
Anemia and Polycythemia

What hematocrit levels are seen in polycythemia vera?

60% to 70% instead of the normal 40% to 45%.

p.10
Anemia and Polycythemia

What happens to red cell mass after plasma volume is restored following hemorrhage?

The reduced red cell mass is revealed by a low hematocrit.

p.7
Hemoglobin Synthesis and Function

What does a shift to the right in the oxygen dissociation curve indicate?

An increase in temperature or a decrease in pH, requiring a higher pO2 for hemoglobin to bind a specific amount of O2.

p.11
Blood Types and Transfusion Compatibility

What is component therapy in blood transfusions?

The use of specific blood components such as platelets, packed cells, or plasma.

p.10
Anemia and Polycythemia

What nutritional deficiencies can lead to anemia?

Deficiencies in Iron, Vitamin B12, and Folic Acid.

p.5
Hematopoiesis

Where is erythropoietin primarily produced?

90% from the kidneys and 10% from the liver.

p.8
Red Blood Cell Structure and Function

What is the normal range for Hematocrit in females?

36-48%.

p.4
Hematopoiesis

What is the major regulator of RBC production?

Tissue oxygenation.

p.5
Hemoglobin Synthesis and Function

What is the structure of hemoglobin?

A tetrameric protein composed of 4 subunits: 2 alpha chains and 2 beta chains, each containing a heme group.

p.7
Iron Metabolism

What is ferritin and its role in the body?

Ferritin is the storage form of iron, combining with apoferritin to store iron for later use.

p.9
Hematopoiesis

What are the three requirements for normal red blood cell production?

Functional bone marrow, adequate erythropoietin (EPO) levels, and adequate nutrient supply.

p.5
Anemia and Polycythemia

What happens if there is a deficiency in Vitamin B12 or folic acid?

It causes abnormal DNA and failure of nuclear maturation, leading to the production of larger than normal RBCs called macrocytes.

p.10
Anemia and Polycythemia

What does a high reticulocyte count indicate?

An increased rate of erythropoiesis.

p.10
Anemia and Polycythemia

What is polycythemia vera?

A pathologic condition where RBC production becomes excessive due to genetic aberrations.

p.3
Red Blood Cell Concentration

What is the expected concentration of RBCs in blood for healthy men?

5.2 million.

p.3
Plasma Composition

What is the normal range for sodium in plasma?

136-146 mM.

p.3
Red Blood Cell Synthesis

Where does the synthesis of red blood cells mainly occur during the second trimester?

Mainly in the liver (Hepatic Phase).

p.3
Plasma Proteins

What is the main function of albumin in plasma?

Main component of plasma oncotic pressure; binding of various substances.

p.3
Red Blood Cell Function

What is the primary function of red blood cells?

Oxygen transport.

p.3
Plasma Composition

What is the normal range for potassium in plasma?

3.5-5.5 mM.

p.3
Red Blood Cell Structure

What is the structure of red blood cells?

Biconcave discs with no nucleus and other organelles.

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