Collected at the bottom of the centrifuge, erythrocytes make up what percentage of the blood?
D. 39-45%
In the middle buffy coat of the centrifuge, leukocytes and thrombocytes make up what percentage of the blood?
C. <1%
In embryo, hematopoiesis occurs in the yolk, sac, liver, spleen, and bone marrow. Where does it occur after birth?
ONLY in the Red Bone marrow
________ ________ stem cells in red bone marrow give rise to all blood cells.
Pluropotent Hematopoietic Stem Cells
The pluripotent hematopoietic stem cell gives rise to what two types of multi-potent stem cells?
Myloid Stem cells
Lymphoid Stem cells
The stromal tissue found within bone marrow provides what function for blood-forming cells?
Stromal tissue provides support
What are the three committed progenitor cells that arise from the multipotent lymphoidstem cell?
T Lymphocytes
B Lymphocytes
Natural Killer (NK) cells
What committed progeniter cells arise from the multipotent myloid stem cell?
Erythrocytes
Megakaryotes
Granulocytes (Neutro-,Baso-, Eosinophils)
Monocytes
Megakaryotes develop into what type of cell?
Platlets
What do B-cells eventually become?
Plasma
Which of the following growth factors are used to treat bone marrow failure due to chemotherapy of aplastic anemia?
D. all the above (NOT macrophage colony-stimulating factor or thrombopoietin)
True/False: All granulocytes and agranulocytes are derived from myloid stem cells
False. All granulocytes and agranular monocytes are derived from myloid stem cells. AGRANULAR LYMPHOCYTES NOT INCLUDED
Granulocytes arise from ______ stem cells
Myloid stem cells
multo-lobar nucleus, spherical shape
_____ have azurophilic granules that stain purple and are lysosomes
granulocytes
**ALL are phagocytic (neutro>eosin>baso)
_____ is the most numerous Leukocyte (60-65%)
Neutrophils
This type of leukocyte is the earliest to arrive during acute inflammation.
Neutrophils
This leukocyte only accounts for 1-3% of WBC, and increase in number during allergic reactions (IgE) as well as during parasitic infections.
Eosinophils
This leukocyte is the most rare leukocyte. Its granules contain heparin and histamine, as well as other chemical mediators of inflammation. Typically increase in number only during hypersensitivity reactions. (May also be related to the mast cell)
Basophils
The group: Agranulocyte includes what two types of cells?
Lymphocytes (from Lymphoid)
Monocytes (from Myloid)
This leukocyte is the largest of the WBC's, contains a kidney shapped nucleus, is considered to be an agranulocyte but contains azurophilic granules.
Monocytes-Macrophages
This leukocyte is important in both innate immunity as well as adaptive immunity (activation of T-lymphocytes), and is also important LATE in acute inflammation.
Monocyte-Macrophage
HIGHLY PHAGOCYTIC!
(B/T) lymphocytes make antibodies in antibody-mediated immune response, and (B/T) lymphocytes are involved in cell-mediated immune response. Both are part of adaptive immunity.
B-lymphocytes: antibodies
T-lymphocytes: cell-mediated
Next to neutrophils, ____ are the next most numerous leukocyte in circulation (20%).
Lymphocytes
The normal range of leukocytes in the peripheral circulation is:
A. 4,500-10,500 cells/L
Lymphocytes are made in ______ lymphoid tissue, which includes the Thymus and Bone marrow.
Central (primary) lymphoid tissue
Where do lymphocytes encounter the specific antigen to which the will respond?
This disease infects 90% of humans, persists for the lifetime of the individual, and is transmitted through several exposures to infected saliva.
Mononucleosis
Mononucleosis penetrates the nasopharageal, oropharangeal and salivary epithelial cells. It then spreads to lymph tissue and attacks which lymphocytes?
B lymphocytes which have EBV receptors
Diagnosed by presence of heterophile antobodies (monostat)
Mononucleosis has a incubation period of ____ days, a prodomal period for ____ days, and is characterized by ____, ____, and ____. Has an onset of ___, _____, and ____.
Incubation: 4-8 weeks
Prodomal: several days
Symptoms: malaise, anorexia, chills
Onset: fever, pharyngitis, lymphadenopathy
including (hpatitis and spleenomegaly)
Acute phase: 2-3 weeks
True/False: There are no benign forms of leukemia
True! Only malignant forms
The cause of leukemia is unknown, but associated with:
high levels or radiation exposure
exposure to benzene and antitumor drugs
Increased incidence w/ Down Syndrome
Philadelphia Chromosome translocation found in 90% of persons w/ chronic myelogenous leukemia and in some acute leukemias
This is the most common type of leukemia cancer in children and adults. 3/4 of all cases of childhood cancer.
This type of leukemia is most common in adults, and often has an infiltration of malignant cells in skin, gums, and other soft tissues
Acute Myloid leukemia (AML)
Which leukemia has the following symptoms: fatigue, anemia, night sweats, weight loss, bruising and nose bleeds, decreased platelet count, bone pain, neutropenia, lymphadenopathy, splenomegaly, and hepatomegaly?
Both types of ACUTEleukemia
_____ is a condition in which ciculating blast cell count is elevated (100,000 cells/microliter). Increased blood viscosity and emboli are common.
Leukostasis
A ____ ____ ____ is used to determine if a leukemia is lymphoid or myloid in origin.
Bone marrow biopsy
Which type of chronic leukemia affects pluripotent stem cells (usually granulocytes)
Chronic Myloid Leukemia (CML)
Which type of chronic leukemia targets plasma cells?
Chronic Lymphocytic Leukemia (CLL)
Which type of leukemia is the most common form of leukemia in the western world?
Chronic Lymphocytic Leukemia
Hypogammaglobulinemia (too many antibodies) is a symptom of which type of leukemia?
Chronic Lymphocytic leukemia which affects B lymphocytes and plasma cells
This type of leukemia accounts for only 10% of all leukemias, and is a disorder of the pluripotent hematopoietic progenitor cell.
Chronic Myeloid Leukemia
Which leukemia has the following symptoms: often asymptomatic, gradual increase in lymph node size, fever, abdominal pain, thrombocytopenia, WBC > 20,000/microliter
Chronic Lymphocytic Leukemia
Low risk: no treatment
Aggressive form: chemo
Which leukemia has the following symptoms: chronic phase of variable length, asymptomatic, weakness, weight loss, leukocytosis w/ immature granulocyte cell types, anemia, thrombocytopenia, increased basophil count, increased number of blast cells in blood, leukostasis
Chronic ____ leukemia has the most favorable clinical course, most people living to die of another unrelated cause.
Chronic Lymphocytic Leukemia
(Hodgkin/Non-Hodgkin) lymphomas have Reed-Sternberg cells
Hodgkin lymphomas have Reed Sternberg Cells
(Hodgkin/Non-Hodgkin) lymphomas are cancerous T or B lymphocytes or NK cells.
Non-Hodgkin lymphomas
Reed-Sternberg cells
Multinucleated cancerous B lymphocytes seen in Hodgkin Lymphomas
Increased risk w/ Mono
Pathognomic
presnece of a sign that means, beyond any doubt, a specific disease is present
Reed-Sternberg(CD30) cells mean Hodgkin Lymphoma
The following as clinical manifestations of _____ lymphomas: Pruritus, fatigue, anemia, decrease in cell-mediated immunity, Anergy(failure to develop a positive response to skin tests such as TB tests)
Hodgkin Lymphomas
Plasma cell dyscrasias:
Malignant plasma cell clones to produce huge numbers all producing same antibody, which leads to a huge increase in serum levels
Multiple Myeloma
persons older than 60
malignant plasma cells in bone marrow
The following risk factors can cause what disease? Chronic immune stimulation, ionizing radiation, exposure to pesticides and herbicides, exposure to agent orange, HIV infection
Multiple Myeloma
M proteins and Bence Jones Proteins are present in what disease?
Multiple Myeloma
Animia, neutropenia, thrombocytopenia w/ purpura, "moth eaten" bones, hypercalcemia, and plasmacytomas are all manifestations of ??
Multiple Myloma
True/False: normal antibodies are depressed in persons with multiple myeloma
True
The triad for definitive diagnosis of Multiple Myloma includes:
1. Bone Marrow plasmacytosis
2. Lytic bone lesions
3. Serum M protein spike/bence jones proteins in urine