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Heme Onc 2
Heme Onc First Aid 2012
20
Medical
Professional
05/31/2013

Additional Medical Flashcards

 


 

Cards

Term
Describe the appearance of a lymphocyte
Definition

Large, round, densley staining nucleus with a small amount of pale cytoplasm

 

(a lymphocyte is a B or T cell)

Term
What is a plasma cell and what does it look like?
Definition

a differentiated B cell that produces antibodies

 

clock face chromatin (looks like a soccer ball)

 

Term
What are the majority of circulating lymphocytes?
Definition
T cells
Term
What is the difference between absolute erythrocytosis and relative erythrocytosis?
Definition

Absolute= true increase in RBC mass (Polycythemia vera or Secondary erythrocytosis- hypoxia or erythropoietin producing tumors)

 

Relative= decrease in plasma volume (dehydration)

Term
Name the coagulation factors in the intrinsic coagulation pathway in their order of activation (5)
Definition

XIIa→ XIa→IXa (+VIIIa)→Xa

aka

12→11→9(+8)→10

Term
Name the coagulation factors in the extrinsic coagulation pathway in their order of activation
Definition

VII(+thromboplastin)→ VIIa→ X

aka

Factor 7(+thromboplastin)→ Factor 7a→ 10

 

thromboplastin is aka tissue factor

Term
What's the difference between PTT and PT?
Definition

PTT measures coagulation time via the intrinsic pathway.

PT measures coagulation time via the extrinxic pathway.

Term
What are the factors of the common coagulation pathway in order of activation?
Definition

Xa(+Va)→ Thrombin→ Fibrin→ Soft clot

Soft clot + XIIIa + Ca2+→ Hard clot

Term
What cleaves and dissolves a hard fibrin clot?
Definition
Plasmin
Term
What pathology causes Hemophilia A?
Definition
Deficiency of Factor 8
Term
What pathology causes Hemophilia B?
Definition
Deficiency of Factor 9
Term
Which coagulation factors are synthesized from vitamin K? (4)
Definition

Factors 7, 9, 10, and Thrombin

 

Term
What is the action of Heparin?
Definition
Activates antithrombin to inactivate coagulation factors 7, 9, 10, 11, 12, and Thrombin
Term
What is the action of Warfarin?
Definition
Inhibits epoxide reductase, which is necessary to activate vitamin K to use it to make fibrin and coagulation factors 7, 9, and 10
Term
What activates plasmin from plasminogen to cleave the fibrin mesh?
Definition
tPA
Term
What is the function of Protein C in coagulation?
Definition
It combines with Protein S to cleave and inactivate coagulation factors 5a and 8a.
Term
What is the pathology behind Factor V Leiden mutation?
Definition
A mutant coagulation factor 5 is resistant to cleavage by Protein C
Term
What is the role of vWF?
Definition
When bound to platelets at their GpIb receptor, it helps the platelets to bind more tightly to the site of injury (exposed collagen)
Term
What happens when Fibrinogen binds to GpIIb/IIIa receptors on platelets?
Definition
It links the platelets
Term
What is the role of TXA2 and where does it come from?
Definition
It's released by activated platelets, and it acts to decrease blood flow and increase platelet aggregation
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