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67 Cards in this Set
- Front
- Back
where are pluripotent stem cells found predominantly?
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bone marrow
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are stem cells self-renewing or not?
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yes
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which are the two lines of differentiation that multipotential cells can take?
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lymphoid and myeloid
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do progenitor cells have more of fewer differentiation options than pluripotent stem cells?
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fewer
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which cells do progenitor cells give rise to?
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blast cells
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for what does CFU stand? To what does this refer?
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colony forming units; early cells (blasts, progenitors, pluripotent stem cells)
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by which 2 types of molecules is hematopoiesis regulated?
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cytokines and growth factors
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what is the role of erythropoietin in the body? Where is it produced?
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stimulates RBC development; kidney and other places
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what is the role of G-CSF in the body?
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stimulates granulocyte and macrophage development
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where is the original site of hematopoiesis in the foetus?
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yolk sac
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following the yolk sac, where does hematpoiesis take place in the foetus?
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liver then spleen
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what is another name for hematopoiesis in the bone marrow? What happens when there is a hematopoietic crisis?
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medullary hematopoiesis; extramedullary hematopoiesis may be seen in liver or spleen (like in foetus)
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what does a bone marrow biopsy allow one to study under a microscope?
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architecture and cellularity
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what does a bone marrow smear allow one to study under a microscope?
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cytology
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what is the most common location of marrow smear or biopsy tapping?
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iliac crest
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what is the cellularity of the bone marrow?
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percentage of marrow occupied by hematopoietic cells
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does the cellularity of bone marrow in a human increase or decrease with increasing age?
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decrease
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what is the type of marrow that predominates in children? In adults?
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red marrow; yellow marrow
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what are the 3 components of the hematopoietic compartment of the marrow?
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developing blood cells, stromal cells, reticular-type connective tissue
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what are the names for the two compartments of marrow?
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hematopoietic and vascular
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in marrow, developing red cells are found in what formation? In these formations, they normally surround which type of cell?
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erythroid islands; macrophage
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are erythroid islands normally located near or far from marrow sinusoids? Why?
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near; the cells are not motile and want to enter blood stream
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are developing leukocytes located near to or far from marrow sinusoids? Why?
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far; because they are motile cells
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are megakaryocytes found near to or far from the marrow sinusoids?
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near to
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what is the product of broken off megakaryocyte cytoplasm?
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platelets
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what is the name for the development of red blood cells?
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erythropoiesis
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which 4 events characterize the differentiation from proerythroblast to mature erythrocyte?
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decrease in size of cell, gradual condensation of nucleus, extrusion of nucleus, increase in cytoplasmic eosinphilia
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whar are the 6 cells in the erythrocyte pathway?
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proerythroblast, basophilic erythroblast, polychromatophilic erythroblast, orthochromatophilic erythroblast, reticulocytes, and erythrocytes
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what is the term used to refer to the development of granulocytes? How long does this take?
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granulopoiesis; 14 days
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what characterizes the progression from myeloblast to promyelocyte?
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appearance of primary, azurophilic granules
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what characterizes the progression from promyelocyte to myelocyte?
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appearance of secondary, specific granules
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what is the progression of granulopoiesis in the body?
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myeloblast, promyelocyte, myelocyte, metamyelocyte, band cell, segmented granulocyte
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of what is the appearance of immature granulocytes in the blood stream indicative? What is this called?
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disease state; shift to the left
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does the megakaryocyte have a mono-, bi-, or multi-lobed nucleus?
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multilobed
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how do megakaryocytes grow so large?
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they undergo DNA replication but never split
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what is the name for the divisions in the megakaryocyte which permit the fragmentation of platelets from the body directly into the marrow sinusoids?
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demarcation membranes
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in healthy marrow, are earlier stages or differentiated forms more prevalent?
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differentiated
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in healthy marrow, what is the ratio of myeloid elements to erythroid elements? What is the name for this ratio?
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3:1; M-E ratio
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changes in the M-E ratio can be indicative of what?
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myeloid disease
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all blood cells are derived from how many pluripotent stem cells?
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one
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what are the two types of stem cells?
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pluripotent and multipotent
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what is the name for the cells which become the myeloid and lymphoid lineages?
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multipotent stem cells
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are blast cells mitotically active? Are they self-renewing?
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yes; no
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do mature cells have mitotic activity?
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no
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what is the role of IL-3 in the differentiation of stem cells?
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stimulates production of all myeloid cells
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what is the role of thrombopoietin in the differentiation of stem cells?
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stimulates production of platelets
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what are the 3 sites of the majority of hematopoiesis?
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ribs, pelvis, vertebrae
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in which, a bone marrow biopsy or a smear, can you see trabecular bone?
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biopsy
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does the amount of fat in marrow increase or decrease with increasing age?
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increase
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can white marrow switch back to red marrow?
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yes, in times of need
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what is the problem in aplastic anemia?
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the body does not make enough erythrocytes
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from which arteries does the marrow blood supply come?
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nutrient and periosteal
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why are adventitial cells found near the marrow sinusoids?
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because they help to decide which molecules enter the sinusoids
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how do RBCs and megakaryocytes enter marrow sinusoids?
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they fuse their PM with that of the endothelium and create a transient pore through which they crawl
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which cells in the marrow are the major storage sites of heme and iron? Why?
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macrophages; they digest dead RBCs and recycle the heme and iron to give to erythrocyes - erythroblastic island
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how long does it take an RBC to develop?
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7 days
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what happens to color of cytoplasm as erythrocyte develops?
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it turns from blue to pinkish-red
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In Wright's stain, do nucleoli stain dark or light?
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light
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do basophilic erythroblasts have nucleoli? Are they smaller or larger than proerythroblasts?
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no; smaller
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what is the term used to describe the nucleus of the polychomatophilic erythroblast?
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checkerboard
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in which erythrocytes precursor is the nucleus extruded?
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orthochromatophilic erythroblast
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what is the biggest difference between a myeloblast and a promyelocyte?
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presence of azurophilic granules in promyelocyte
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between which two granulocyte precursors is the nucleolus lost?
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promyelocyte and neutrophilic myelocyte
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in which neutrophil precursor is the nucleus dented?
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neutrophilic metamyelocyte
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what is the name of the neutrophil precursor that has a horseshoe nucleus?
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band cell
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what characterizes the nucleus of the neutrophil?
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segmented nucleus (multiple lobes)
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how many lobes does the nucleus of a megakaryoblast have?
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none
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