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Fundamentals of pathology SGUL

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A revision bank of all the questions needed to learn, the content for fundamentals of pathology which is a module underneath biomedical sciences for first year.

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Question Answer

Introduction to structure and function of blood What is blood made up of?
Plasma
Red cells
White cells and platelets

What is a blood film Same as blood smear

What basic cell organelles do red blood cells not contain? Nucleus
DNA (not an organelle but still)
RNA
Mitochondria

What is another name for a red blood cell? Erythrocytes

What is another name for a white blood cell? Leukocytes

What are the two types of white blood cell? Neutrophil and lymphocytes

Give some features of neutrophil Polymorphonuclear (multilobed nucleus)
Granulocyte (prominent cytoplasmic granules)

Give the three types of granulocyte Neutrophil
Eosinophil
Basophil

How do you distinguish a neutrophil? Weakly staining

How do you distinguish an eosinophil? Stain red with eosin
1-4% white blood cell
multinuclei within the cytoplasm

How do you distinguish a basophil? Stain blue/purple with basic dyes less than 0.5% of WBC

Give features of mononuclear cells Lack granules
Large, regular nuclei

Give the two types of mononuclear cells Monocytes
Lymphocytes

Give another name for a platelet Thrombocytes

Give features of platelets Cytoplasmic fragments
No nucleus
Membrane bound
Contains granules

Where do blood cells come from? Stem cells in bone marrow

What does plasma contain? Water
salt
proteins
Metabolites
Carbs
Lipids

Name the ionic constituents of plasma Positive: sodium, potassium, calcium, magnesium and
hydrogen
Negative: chloride, bicarbonates, phosphate, sulfate and
organic anions

What is the difference between plasma and serum? Serum is plasma without the clotting factors

,How much of plasma is protein? 7-9%

How much of the plasma protein is albumin? 90%

What does blood transport? Carry oxygen/ nutrients to tissues
Remove CO2/ other waste substances from tissues
And other substances from sites of production ->sites of action

What in the blood is involved in immunity? White blood cells and plasma proteins

What in the blood is involved in clotting? Platelets and plasma proteins

What is the blood’s role in homeostasis? Maintaining a pH of 7.4
Controlling distribution of water solutes
Distributing heat




Question Answer

How do blood cells remove CO2 from body tissues? Most CO2 carried as bicarbonate in plasma
RBC enzyme carbonic anhydrase helps CO2 to dissolve in
plasma and in the tissues and come out of solution in the lungs

What is the average life span of RBC’s? 120 days

What is the average diameter of RBC’s? 8 micrometers

What is the average thickness of RBC’s? 2 micrometers

What is haemoglobin made up of? 2 alpha globin chains and two beta globin chains

What type of iron atom does haemoglobin contain? Fe++

What does oxygen + haemoglobin form? Oxyhaemoglobin

What colour is oxyhaemoglobin? Bright red

What colour is deoxyhaemoglobin? Dark red

How does pulse oximetry work? Measures the colour of haemoglobin and determines if the
patient is hypoxic

What is pulse oximetry? The thing that measures oxygen saturation on your finger

How many haemoglobin molecules are there in each RBC? 300 million (about 50% of space)

What substances does plasma carry? Lipids
Lipid soluble hormones and vitamins
Metal ions

What do neutrophils do in the immune system? Phagocytosis and kill bacteria and fungi
Main mediators of innate immunity

What do lymphocytes do in the immune system? Main mediators of acquired immunity
Produce antibodies
Kills virus infected cells

What do eosinophils do in the immune system? Kill parasites
Involved in allergic responses

What do basophils do in the immune system? Kill parasites
Involved in allergic responses

, Involved in inflammation

What do monocytes do in the immune system? Phagocytosis of dead cells and pathogens

What do immunoglobulins do in the immune system? Act as antibodies against pathogens

What do complement proteins do in the immune system? Kill bacteria and other pathogens
Cooperated with immunoglobulins and WBCs

What is the main role of platelets? Haemostasis

How do platelets mediate haemostasis (basic) Recognise damage at blood vessel wall
Forms a platelet plug
Prevent/ stops bleeding

How does plasma help in haemostasis? Fibrinogen ->fibrin which forms a blood clot
Clotting factors control the process
Fibrin clot reinforces primary platelet plug

What is the plasma homeostasis disturbed by? Disorders in:
Kidney
Liver
Lungs
Cardiovascular system
Endocrine organs

What must be kept in safe limits in plasma? pH, ion concentrations and protein concentrations




Question Answer

What are you checking if you check the urea and electrolytes in kidney functions
the blood?

What is the total blood volume in a 70kg male? 5 litres

How much plasma is there in a 70kg male? 2.5-3 litres

What is a haemocrit? Packed cell volume- total cell volume

What is the normal haemocrit value? 0.4-0.5

What does a full blood count include? Haemoglobin concentrations
Mean red cell volume
Mean red cell haemoglobin content
Haemocrit
Total white blood cell count

What is the haemoglobin concentrations used to diagnose? Anaemia

What is the total white blood cell count important in diagnosing? Infections

What are immunoglobulins made by? B lymphocytes
Essentials of virology II
What is the abbreviation for single-stranded RNA?
ssRNA

What is the abbreviation for double-stranded RNA? dsRNA

What is the abbreviation for single-stranded DNA? ssDNA

What is the abbreviation for double-stranded DNA? dsDNA

, What does ‘RNA genomes can be linear and segmented’ mean? More than one RNA per capsid

Are DNA genomes linear or circular? Can be either

Are viral genomes all positive or negative sense? No, they can be either

What enzyme replicates DNA? DNA polymerase

What enzyme transcribes DNA? RNA polymerase

Where is RNA translated? Ribosome

What happens in a simple spores genome replication? Just replicates and makes proteins

What is positive sense RNA? RNA that can code the genes from 5’->3’ end so the RNA
polymerase can read it

What is negative sense RNA? RNA that codes genes from 3’->5’ end. The RNA polymerase
then reads the RNA and makes a complimentary strand in the
opposite direction

Which type of viruses subverts the central dogma? Retroviruses

What is the subverted central dogma mediated by? Reverse transcriptase

What is the Baltimore classification? Genomes classified depending on what their genetic material
looks like

What are polymerase proteins? Enzymes that are involved in the catalysis of nucelotides to
nucleic acids




Question Answer

How do polymerase proteins interact with the nucleic acid? In protein-nucleic acid interactions

What are structural proteins? Proteins that form the capsid into which the nucleus is packaged

How do proteins interact with one another? In protein-protein interactions

What is pathogenesis? The disease that results from the intracellular environment
changing to facilitate viral replication

How do viruses cause cancer? By subverting the cell cycle checking points

What do E6 and E7 in HPV do? Remove the checkpoints from the cell cycle

How do some viruses evade the immune system? They replicate inside the immune cells

What does inhibition of immune cell function allow? Other pathogens to replicate in virus infected hosts and thus,
disease occurs

How does HIV cause cancer? Not directly- just stops the immune response attacking other
viruses that will cause cancer
Bacterial Genetics:
What is genomics?
The study of genomes and DNA/RNA, genome replication,
gene expression, genetic variation and distribution

What are the two main components of the bacterial genome? Chromosome and mobile genetic elements (like
plasmids or prophages)

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