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NR507- Midterm Advanced Patho- cardiac, pulmonary, hematology, renal Questions with Accurate Answers

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Hematopoiesis - ANSWERSblood cell formation Fetus- liver and spleen Adult- bone marrow Anemia - ANSWERSA condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume. Erythropoiesis - ANSWERSformation of red blood cells In kidney in response to hypoxia macrocytic normochromic anemia - ANSWERSLarge RBC's, normal hemoglobin Folic acid or Vitamin B12 deficiency microcytic hypochromic anemia - ANSWERSsmall, abnormally shaped erythrocytes that are not able to carry normal hemoglobin Thalassemia- mediterranean normocytic normochromic anemia - ANSWERSCharacterized by red cells that are relatively normal in size and normal hemoglobin Aplastic, hemorrhagic, hemolytic, sickle cell iron deficiency anemia - ANSWERSanemia resulting when there is not enough iron to build hemoglobin for red blood cells Affects children, poverty, child bearing age Erythrocytes - ANSWERSred blood cells Most abundant cell in the body Responsible for tissue oxygenation Mitotic division- 100-120 days sickle cell anemia - ANSWERSA genetic disorder in which erythroctyes take on an abnormal curved or "sickle" shape (Hb-s) Thalassemia - ANSWERSInherited defect in the ability to produce hemoglobin, usually seen in persons of Mediterranean background. pernicious anemia - ANSWERSLack of mature erythrocytes caused by inability to absorb vitamin B12 into the bloodstream hemolytic anemia - ANSWERSCharacterized by an inadequate number of circulating red blood cells due to the premature destruction of red blood cells by the spleen Pancytopenia- reduction in all 3 types of blood cells (RBC, WBC, Plt) Erythropoietin (EPO) - ANSWERSHormone secreted by the kidney to stimulate the production of red blood cells by bone marrow In response to hypoxia In the fetus the liver produces this Hemoglobin - ANSWERSIron-containing protein in red blood cells that carries oxygen for delivery to cells 4 molecules of O2 Made of polypeptide, heme, iron anemia due to gastrectomy - ANSWERSIron def anemia is major cause after this Removal of stomach often leads to marked decrease in production of gastric acid. This acid is necessary to convert dietary iron to a form that is more readily absorbed by the duodenum hemolytic anemia causes - ANSWERSSickle cell disease, ABO or Rh incompatibility, drug induced Role of macrophages - ANSWERSInnate: 1. Phagocytosis PRR or opsonization w/ complement 2. Secrete Cytokines: Recruit more cells, inflammation, fever, etc. Adaptive: 1. Phagocytosis: opsonization with complement or Abs 2. Secrete cytokines: recruit more cells etc. 3. Antigen presentation: peptides from the broken down pathogen are displayed on surface of the cell. Note: macrophages and dendrites are the majoy antigen processing and antigen presenting cells that initiate immune response - Present antigen to memory (Th) cells in order to initiate a rapid response to antigens (secondary immune response) Anticholinergic drugs for asthma - ANSWERSAtrovent & Spiriva both prevent the muscle bands around the airways from tightening thus reduce in exacerbation Albuterol is short acting Asthma - ANSWERSA chronic allergic disorder characterized by episodes of severe breathing difficulty, coughing, and wheezing. T2HIGH eosinophilic inflammation Airway responsiveness

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NR507- Midterm Advanced Patho-
cardiac, pulmonary, hematology, renal
Questions with Accurate Answers
Hematopoiesis - ANSWERSblood cell formation
Fetus- liver and spleen
Adult- bone marrow

Anemia - ANSWERSA condition in which the blood is deficient in red blood cells, in
hemoglobin, or in total volume.

Erythropoiesis - ANSWERSformation of red blood cells
In kidney in response to hypoxia

macrocytic normochromic anemia - ANSWERSLarge RBC's, normal hemoglobin
Folic acid or Vitamin B12 deficiency

microcytic hypochromic anemia - ANSWERSsmall, abnormally shaped erythrocytes that
are not able to carry normal hemoglobin
Thalassemia- mediterranean

normocytic normochromic anemia - ANSWERSCharacterized by red cells that are
relatively normal in size and normal hemoglobin
Aplastic, hemorrhagic, hemolytic, sickle cell

iron deficiency anemia - ANSWERSanemia resulting when there is not enough iron to
build hemoglobin for red blood cells
Affects children, poverty, child bearing age

Erythrocytes - ANSWERSred blood cells
Most abundant cell in the body
Responsible for tissue oxygenation
Mitotic division- 100-120 days

sickle cell anemia - ANSWERSA genetic disorder in which erythroctyes take on an
abnormal curved or "sickle" shape (Hb-s)

Thalassemia - ANSWERSInherited defect in the ability to produce hemoglobin, usually
seen in persons of Mediterranean background.

pernicious anemia - ANSWERSLack of mature erythrocytes caused by inability to
absorb vitamin B12 into the bloodstream

, hemolytic anemia - ANSWERSCharacterized by an inadequate number of circulating
red blood cells due to the premature destruction of red blood cells by the spleen
Pancytopenia- reduction in all 3 types of blood cells (RBC, WBC, Plt)

Erythropoietin (EPO) - ANSWERSHormone secreted by the kidney to stimulate the
production of red blood cells by bone marrow
In response to hypoxia
In the fetus the liver produces this

Hemoglobin - ANSWERSIron-containing protein in red blood cells that carries oxygen
for delivery to cells
4 molecules of O2
Made of polypeptide, heme, iron

anemia due to gastrectomy - ANSWERSIron def anemia is major cause after this
Removal of stomach often leads to marked decrease in production of gastric acid. This
acid is necessary to convert dietary iron to a form that is more readily absorbed by the
duodenum

hemolytic anemia causes - ANSWERSSickle cell disease, ABO or Rh incompatibility,
drug induced

Role of macrophages - ANSWERSInnate:
1. Phagocytosis
PRR or opsonization w/ complement

2. Secrete Cytokines: Recruit more cells, inflammation, fever, etc.

Adaptive:
1. Phagocytosis: opsonization with complement or Abs
2. Secrete cytokines: recruit more cells etc.
3. Antigen presentation: peptides from the broken down pathogen are displayed on
surface of the cell.

Note: macrophages and dendrites are the majoy antigen processing and antigen
presenting cells that initiate immune response
- Present antigen to memory (Th) cells in order to initiate a rapid response to antigens
(secondary immune response)

Anticholinergic drugs for asthma - ANSWERSAtrovent & Spiriva both prevent the
muscle bands around the airways from tightening thus reduce in exacerbation
Albuterol is short acting

Asthma - ANSWERSA chronic allergic disorder characterized by episodes of severe
breathing difficulty, coughing, and wheezing.

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