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Index
»
Red Blood Cell Disorders
»
Chapter 1
»
Moderate
level: Moderate
Questions and Answers List
level questions: Moderate
Question
Answer
Normal hemoglobin levels in males
13.5mg-17.5 mg/dL
Normal hemoglobin levels in females
12.5-16.0 mg/dL
Normocytic MCV values
80-100 um^3
Laboratory measure of iron in the blood
Serum Iron
Laboratory measure of transferrin molecules in the blood
Total Iron-binding capacity
Laboratory percentage of transferrin molecules that are bound by iron
% saturation
normal value of % saturation
33%
reflects iron stores in macrophages and liver
Serum Ferritin
syndrome characterized by iron deficiency anemia with esophageal web and atrophic glossitis
Plummer-Vinson Syndrome
co-factor of Aminolevulinic acid synthethase (ALAS)
vitamin B6
enzyme that catalyzes the conversion of ALA to porphobilinogen
Aminolevulinic acid dehydrogenase (ALAD)
enzyme that attaches protoporphyrin to iron to make heme
Ferrocheletase
chromosome that codes for globin alpha genes
chromosome 16
tetramers of β chains that damage RBCs when 3 alpha genes are deleted
HbH
tetrameres of γ chains that damage RBCs in utero when 4 alpha genes are deleted
Hb Barts
chromosome that codes for globin beta genes
chromosome 11
Folate circulates in the serum in what form?
methyltetrahydrofolate
Methyl THF tranfers its methyl group of what molecule?
Vitamin B12 or Cobalamin
This molecule receives methyl from Vitamin B12
homocysteine
adding methyl to homocystein produces what molecule
methionine
impaired division of granulocytic precursors leads to what kind of neutrophils?
hypersegemented neutrophils
parasite that causes damage to the terminal ileum which may then lead to vitamin B12 deficiency
Diphyllobothrium latum
cofactor tor the conversion of methylmalonic acid to succinyl CoA
Vitamin B12 or Cobalamin
Two main causes of normocytic anemia
peripheral destruction and underproduction
normal reticulocyte count
1-2%
corrected reticulocyte count formula
RC x Hct/45
indicates good marrow response
corrected RC >3%
indicates poor marrow response
corrected RC <3%