1Process defined as the formation of blood cells
Hematopoiesis
2Specific cluster of differentiation (CD) marker for classical hematopoietic stem cells
CD34
3Approximate start time of embryonic hematopoietic development after fertilization
nineteenth day
4Theory suggesting each blood cell lineage is derived from its own unique stem cell
Polyphyletic Theory
5Theory suggesting all blood cells are derived from a single progenitor stem cell
Monophyletic Theory
6Identity of the single progenitor stem cell in the Monophyletic Theory
pluripotential stem cell
7The most widely accepted theory among experimental hematologists
Monophyletic Theory
8Chief site of hematopoiesis during the Mesoblastic/Megaloblastic phase
Yolk Sac
9Timing of the first blood cell formation (primitive erythroblasts) in weeks
2 to 8 weeks
10Three types of embryonic hemoglobin produced by primitive erythroblasts
Gower-1, Gower-2, and Portland
11The specific location where yolk sac hematopoiesis occurs, differing from later stages
intravascularly
12Chief site of hematopoiesis during the Hepatic phase
Fetal Liver
13The predominant hemoglobin during the Hepatic phase
Hb F (Fetal hemoglobin)
14The first fully developed organ in the fetus and major site of T cell production
Thymus
15Organs responsible for producing B cells during the Hepatic phase
Kidneys and spleen
16Chief site of hematopoiesis during the Medullary/Myeloid phase
Bone Marrow
17Timing when hematopoiesis starts in the bone marrow cavity
before the 5th month of fetal development
18Age by which the bone marrow becomes the chief site of hematopoiesis
end of 24 weeks' gestation
19Organs in adults that contain hematopoietic tissues other than the bone marrow
lymph nodes, spleen, thymus, and liver
20Cell types developing in the bone marrow
erythroid, myeloid, lymphoid, and megakaryocytic cells
21Avian organ equivalent to the human bone marrow in terms of lymphoid function
Bursa of Fabricius
22Number of RBCs generated per kilogram of body weight daily
2.5 billion
23Number of Granulocytes generated per kilogram of body weight daily
1 billion
24Number of Platelets generated per kilogram of body weight daily
2.5 billion
25Process of replacing red marrow by yellow marrow during development
Retrogression
26Age range when retrogression typically occurs
between 5 and 7 years of age
27Four specific bones where red marrow is restricted in the adult
ribs, sternum, vertebrae, pelvis (and proximal ends of long bones)
28Composition ratio of red and yellow marrow in restricted adult areas
50% red marrow and 50% yellow marrow
29Conditions that may cause yellow marrow to revert back to active red marrow
excessive blood loss and hemolysis
30Characterization of red marrow
hematopoietically active marrow
31Characterization of yellow marrow
hematopoietically inactive marrow (adipocytes)
32Two primary lymphoid organs
bone marrow and thymus
33Primary lymphoid organ where B lymphocytes are derived and fated
bone marrow
34Primary lymphoid organ where T lymphocytes are derived
thymus
35Organ that increases in size during fetal development and undergoes atrophy with aging
Thymus
36Two major secondary (peripheral) lymphoid organs
spleen and lymph nodes
37Two major functions of secondary lymphoid organs
Trapping/concentrating foreign substances and antibody production
38Identity of the largest secondary lymphoid organ
Spleen
39Major organ in the body where antibodies are synthesized and released into circulation
Spleen
40Three bacteria primarily responsible for sepsis in children after a splenectomy
S. pneumoniae, N. meningitidis, and H. influenzae
41Small ovoid, bean-shaped structures normally less than 1 cm in diameter
Lymph Nodes
42Term for a solid tumor neoplasm of lymphoid tissue
lymphoma
43Term for the surgical removal of the spleen
splenectomy
44Term for the enlargement of the spleen
splenomegaly
45Primary risk in adults following a splenectomy
increase in blood-borne bacterial infections or bacteremia
46Minor secondary lymphoid organ that detects and responds to antigens in the respiratory and alimentary secretions
Tonsils
47Clusters of lymphocytes in the lining of the small intestine that detect substances diffusing across the intestinal epithelium
Peyer's patches
48General term for unencapsulated lymphoid tissues underlying mucosal areas
MALT (mucosa-associated lymphoid tissue)
49Organ capable of maintaining hematopoietic stem cells and progenitor cells when bone marrow fails
Liver
50Process of blood cell production occurring outside of the bone marrow
extramedullary hematopoiesis
51Preferred sites for bone marrow aspiration in adults
Posterior superior iliac crest and Anterior superior iliac crest
52Bone marrow collection site preferred for children under 2 years old
Anterior medial surface of the tibia
53Specific bone marrow collection site located in the chest
Sternum
54Examples of neoplasia requiring bone marrow diagnosis and staging
Acute and chronic leukemias, Hodgkin and non-Hodgkin lymphomas, and Metastatic tumors
55Examples of marrow failure (cytopenias) requiring examination
Aplastic anemia, Pure red cell aplasia, and Sickle cell crisis
56Metabolic disorders indicated for bone marrow examination
Gaucher disease and Mast cell disease
57Infections that may be diagnosed via bone marrow
Miliary tuberculosis and Fungal infections
58Recommended minimum number of cells to be counted for a marrow differential
at least 500 cells (preferably 1,000)
59Number of slides used for a 500-cell count marrow differential
2 slides
60Bone marrow procedure that disturbs bone marrow architecture and is used for individual cell morphology
Bone marrow aspirate
61Required duration for retaining bone marrow smears
10 years
62Bone marrow procedure that removes a cylinder of gelatinous red marrow intact
Bone marrow biopsy
63Primary advantage of a bone marrow biopsy over an aspirate
gives a better picture of the real structure of bone marrow architecture
64Definition of the M:E (myeloid-to-erythroid) ratio
proportion of myeloid cells to nucleated erythroid precursors
65Specific cell types excluded from the myeloid cell count in the M:E ratio
monocytic and lymphoid precursors and plasma cells
66Reference range for the M:E ratio in healthy adult individuals
1.5:1 to 3.3:1
67Two primary organs where extramedullary hematopoiesis mainly occurs
liver and spleen
68Clinical conditions that trigger extramedullary hematopoiesis
aplastic anemia, infiltration by malignant cells, overproliferation of a cell line (leukemia), or hemolytic anemias
69The best source of active marrow for a 20-year-old
Iliac crest
70Body's response when bone marrow is unable to meet increased demand in severe anemia
Extramedullary hematopoiesis in the liver and spleen