Platelets

114 flashcardsby CHRISTY
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1
Identify the bone marrow cell from which platelets arise
Megakaryocytes
2
Identify the two stages of hemostasis in which platelets are important
Primary and secondary hemostasis
3
Describe the internal structure of platelets regarding their cytoplasm and nucleus
Granular cytoplasm but no nuclear material
4
Identify the location of platelets and RBCs within a blood vessel during flow
Near the center of the blood vessel
5
Identify the duration thrombocytes initially remain in the spleen after entering
Two days
6
Specify the normal distribution of platelets between systemic circulation and the splenic pool
2/3 in systemic circulation; 1/3 in the spleen
7
State the average life span of a platelet
9.0 days ± 1 day
8
Identify the expected number of platelets per 100x field on a Wright-stained PBS
7 to 21 cells
9
Identify the average diameter of a normal platelet
2.5 μm (or 2 to 4 μm)
10
Enumerate the three major functions of platelets
To form an aggregate plug, to participate in plasma coagulation, and to preserve the endothelial lining
11
Provide the alternative name (aka) for Reticulated Platelets
Stress platelets
12
Identify the condition for which Reticulated Platelets appear as a compensation
Thrombocytopenia
13
Identify the component found in Reticulated Platelets that indicates they were newly released from megakaryocytes
RNA
14
Specify the diameter and Mean Platelet Volume (MPV) of Reticulated Platelets
Diameter > 6 μm; MPV 12 to 14 fL
15
Identify the two clinical uses for monitoring Reticulated Platelets
Differentiate bone marrow failure from peripheral destruction and early predictor of bone marrow recovery
16
Provide the reference range for Mean Platelet Volume (MPV)
6.8 to 10.2 fL
17
Identify the effect of EDTA on platelets and the resulting change in MPV
Causes swelling of platelets (approx. 20% increase in MPV)
18
State the ideal age for an EDTA specimen to be used for platelet sizing
1 to 4 hours old
19
Identify the inheritance pattern and two categories of infections (TORCH) associated with WAS (Wiskott-Aldrich Syndrome)
X-linked inheritance; Toxoplasma, Rubella, Cytomegalovirus, Herpesvirus
20
Enumerate the three diseases associated with MYH9 gene mutations that feature large platelets
Fechtner, Sebastian, and Epstein syndromes
21
Identify the four characteristics of MHA (May-Hegglin Anomaly)
Leukopenia, variable thrombocytopenia, giant platelets, and Dohle body-like inclusions in leukocytes
22
Describe the shape of resting and circulating platelets
Biconvex or disk-shaped
23
Describe the shape of activated platelets
Spherical with pseudopods
24
Identify the appearance of platelet cytoplasm on a Wright-stained PBS
Lavender and granular
25
Differentiate between the chromomere and the hyalomere of the platelet cytoplasm
Chromomere is centrally located and granular; Hyalomere is peripherally located and non-granular
26
Provide the alternative name (aka) for Megakaryocytopoiesis
Megakaryopoiesis
27
Define Megakaryocytopoiesis
Process by which megakaryocytes develop from hematopoietic stem cell (HSC)
28
Provide the alternative names (aka) for Thrombopoietin (TPO)
MGDF and Megakaryocyte growth and development factor
29
Identify the organ primarily responsible for the production of TPO
Liver
30
State the molecular weight and the percentage of homology TPO possesses with erythropoietin (EPO)
70,000 Dalton molecule; 23% homology
31
Identify the specific TPO receptor site present at all maturation stages from BFU-Meg to PLTs
MPL
32
Describe the relationship between plasma TPO concentration and platelet/megakaryocyte mass
Inversely proportional
33
Enumerate three major functions of TPO
Stimulates megakaryocytopoiesis, induces proliferation and maturation of megakaryocytes, and induces thrombocytopoiesis
34
Enumerate the three cytokines that function with TPO to stimulate megakaryocytopoiesis
IL-3, IL-6, and IL-11
35
Specify the size range and percentage of total bone marrow cells represented by megakaryocytes
30 to 160 \mum; < 0.5%
36
State the normal range of megakaryocytes found per 10x low-power field in a bone marrow smear
2 to 10
37
Identify the three megakaryocyte lineage-committed progenitor stages in order of maturity
BFU-Meg (least mature), CFU-Meg, and LD-CFU-Meg (most mature)
38
Identify the specific cell type that all three megakaryocyte progenitor stages resemble morphologically
Lymphocytes
39
Identify the type of cell division performed by BFU-Meg and CFU-Meg
Normal mitosis
40
Identify the unique process performed by LD-CFU-Meg after it loses its capacity to divide
Endomitosis
41
Define the process of endomitosis
Nuclear division only with no cytoplasmic division
42
Identify the MK-I stage of megakaryocyte precursors
Megakaryoblast
43
Identify the MK-II stage of megakaryocyte precursors
Promegakaryocyte
44
Identify the MK-III stage of megakaryocyte precursors
Megakaryocyte
45
State the primary morphological feature used to identify the MK-II stage
Appearance of nuclear lobularity
46
Identify which precursor stage is the most abundant and is the stage where platelet shedding proceeds
MK-III (megakaryocyte)
47
Provide the alternative name (aka) for platelet shedding
Thrombocytopoiesis
48
State the estimated number of platelets that one megakaryocyte may shed
2000 to 4000
49
Identify the precursor stage characterized by a round nucleus, 2 to 6 nucleoli, and a 3:1 N:C ratio
MK-I
50
Identify the precursor stage characterized by an indented nucleus and a 1:2 N:C ratio
MK-II
51
Identify the precursor stage characterized by a multilobed nucleus, invisible nucleoli, and a 1:4 N:C ratio
MK-III
52
Identify the staining characteristic of the cytoplasm in the MK-I stage
Basophilic
53
Identify the staining characteristic of the cytoplasm in the MK-III stage
Azurophilic and granular
54
Identify the structural system present in all three precursor stages (MK-I, MK-II, and MK-III)
Demarcation System (DMS)
55
Enumerate the three methods mentioned for studying platelet ultrastructure
Scanning and transmission electron microscopy, flow cytometry, and molecular sequencing
56
Identify the two types of molecules anchored within the platelet plasma membrane
Glycoproteins and proteoglycans
57
Enumerate the two neutral phospholipids found in the outer plasma layer
Phosphatidylcholine and sphingomyelin
58
Enumerate the three anionic or polar phospholipids found in the inner cytoplasmic layer
Phosphatidylinositol, phosphatidylethanolamine, and phosphatidylserine
59
Identify the phospholipid that flips to the outer surface upon activation to provide a charged surface for coagulation
Phosphatidylserine
60
Enumerate the two coagulation pathway complexes that assemble on the phosphatidylserine surface
TENASE complex and PROTHROMBINASE complex
61
Identify the substance that makes up the platelet membrane surface and absorbs plasma proteins through endocytosis
Glycocalyx
62
Enumerate three plasma proteins absorbed by the glycocalyx
Albumin, fibrinogen, and other plasma proteins
63
Identify the ligand for the GP Ia/IIa (Integrin \alpha_{2}eta_{1}) receptor
Collagen
Vitronectin
Laminin
Fibronectin
64
Identify the receptor from the immunoglobulin gene family that serves as the key collagen receptor
GP VI
65
Identify the substances released when GP VI triggers platelet activation
TXA_{2} and ADP
66
Identify the specific site on the GP Ib/IX/V complex where VWF binds
GPIb
67
Identify the clinical condition caused by a deficiency of the GP Ib/IX/V complex
Bernard-Soulier syndrome
68
Identify the key fibrinogen receptor and the ligands it binds
GP IIb/IIIa (Integrin \alpha_{IIb}eta_{3}); Fibrinogen and VWF
69
Identify the clinical condition caused by a deficiency of GP IIb/IIIa
Glanzmann’s thrombasthenia
70
Enumerate the two STR receptors that bind Thrombin
PAR 1 and PAR 4
71
Enumerate the two STR receptors that bind Adenosine diphosphate (ADP)
P2Y_{1} and P2Y_{12}
72
Identify the ligand for the IP receptor and its effect on platelet activation
Prostaglandin I_{2} (PGI_{2}); Inhibits platelet activation
73
Identify the low-affinity receptor (CD32) associated with heparin-induced thrombocytopenia (HIT)
Fcamma RIIA
74
Identify the integrin found on \alpha-granule membranes that helps platelets bind to endothelial cells and WBCs
P-selectin (CD 62)
75
Enumerate the three components of the platelet cytoskeleton
Microtubules, actin microfilaments, and intermediate microfilaments
76
Identify the protein that forms microtubules
Tubulin
77
Explain the structural role of the thick, circumferential bundle of microtubules
Maintains platelet's discoid shape
78
Describe the effect of cold on microtubules and the resulting change in platelet shape
Microtubules disassemble in the cold; platelets become round
79
Identify the protein that forms microfilaments and its location
Actin; between the microtubules and the membrane
80
Describe the state of actin in resting platelets versus when cytoplasmic calcium increases
Globular and amorphous in resting; filamentous and contractile when calcium increases
81
Enumerate the two types of intermediate filaments found in the platelet cytoplasm
Desmin and Vimentin
82
Identify the specific route through which \alpha-granules and lysosomes' contents flow during platelet activity
SCCS (Surface-Connected Canalicular System)
83
Identify the destination of dense granules during platelet activity
Plasma membrane
84
Specify the number of \alpha-granules found in each platelet
50 to 80 granules
85
Describe the appearance of \alpha-granules in osmium-dye transmission electron microscopy preparations
Stain medium-gray
86
Identify the general category of most \alpha-granule contents and the process they participate in
Proteins; secondary hemostasis (called coagulation)
87
Identify the specific structure that \alpha-granule membranes fuse with during platelet activation
SCCS
88
Enumerate three functions supported by the contents of \alpha-granules in the nearby environment
Participate in platelet adhesion, participate in platelet aggregation, and support plasma coagulation
89
Identify two \alpha-granule proteins that specifically inhibit heparin
eta-thromboglobulin and PF-4 (platelet factor-4)
90
Enumerate four coagulation-related proteins found in \alpha-granules but not in the cytoplasm
HMWK, PAI-1, Plasminogen, and Protein C inhibitor
91
Enumerate three growth factors found in \alpha-granules that support mitosis of vascular fibroblasts and smooth muscle cells
EGF, PDGF, and TGF-eta
92
Enumerate seven proteins found in both \alpha-granules and the platelet cytoplasm
Fibrinogen, Fibronectin, Albumin, Immunoglobulins, VWF, Thrombospondin, and Factor V
93
Identify the specific protein found on the \alpha-granule membrane
P-selectin
94
Enumerate three glycoproteins found on both the \alpha-granule membrane and the plasma membrane
GP IIb/IIIa, GP IV, and GP Ib/IX/V
95
Specify the number of dense granules per platelet
2 to 7 dense granules
96
Identify the alternative name (a.k.a.) for dense granules
delta granules
97
Describe the appearance of dense granules when treated with osmium in transmission electron microscopy
Stain black (opaque)
98
Identify the general functional roles of dense granule contents in primary hemostasis
Vasoconstrictors and platelet agonists
99
Define the term Agonist in a cellular context
A substance which initiates a response when combined with a receptor
100
Identify the function of ADP released from dense granules and the specific receptors it binds
Supports neighboring platelet aggregation by binding to P2Y_{1} and P2Y_{12}
101
State the status of the function of ATP found in dense granules
Function unknown
102
Identify the role of Serotonin (5-HT) and the structures it binds
Vasoconstrictor that binds endothelial cells and platelet membranes
103
Identify the general function of divalent cations like Ca^{2+} and Mg^{2+} in platelets
Support platelet activation and coagulation
104
Describe the relative abundance of lysosomes in platelets
Few in number
105
Enumerate four enzymes that lysosomes stain positive for
Arylsulfatase, eta-glucuronidase, acid phosphatase, and catalase
106
Identify the structures that lysosomes probably digest during in vivo aggregation
Vessel wall matrix components
107
Describe the formation of the SCCS (Surface-Connected Canalicular System)
The plasma membrane invades platelet interior
108
Describe the state of the glycocalyx within the SCCS compared to the platelet surface
Less developed
109
Enumerate three processes for which the SCCS serves as a route
Endocytosis, secretion of \alpha-granule contents, and secretion of lysosome contents
110
Identify the "Control Center" of the platelet which is a condensed remnant of the rough endoplasmic reticulum
DTS (Dense Tubular System)
111
Identify the primary ion sequestered by the DTS
Calcium
112
Enumerate three enzymes in the DTS that support the eicosanoid synthesis pathway to produce thromboxane A_{2}
Phospholipase A_{2}, cyclooxygenase, and thromboxane synthetase
113
Identify the enzyme in the DTS that supports the production of IP_{3} and DAG
Phospholipase C
114
Identify the alternative name (aka) for Aspirin and its effect on platelet synthesis
Acetylsalicylic acid; blocks the synthesis of Thromboxane A_{2}
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