1Define the primary laboratory principle known as the movement of charged particles in an electric field.
Electrophoresis
2Identify the designated primary screening procedure used to detect variant or abnormal hemoglobins.
Cellulose Acetate (pH 8.4-8.6)
3Specify the net structural charge variant found on a hemoglobin molecule when exposed to an alkaline buffer system ranging from pH 8.4 to 8.6.
negatively charged molecule
4Name the specific directional electrical pole toward which hemoglobin molecules migrate during alkaline cellulose acetate electrophoresis.
anode (+)
5Identify the specific normal type of hemoglobin that migrates the fastest toward the positive pole during cellulose acetate electrophoresis.
Hemoglobin A1
6List the four distinct types of fast hemoglobins mentioned in the text that migrate rapidly past hemoglobin A1.
Hb Bart, Hb H, Hb I, Hb F
7Identify the specific hemoglobins or hemoglobin combinations that are classified as the slowest migrators during cellulose acetate electrophoresis.
Hb C, Hb A2, Hb E & Hb O Arab
8Name the three distinct variant hemoglobins that migrate to the exact same relative area as one another on cellulose acetate media.
Hb S, Hb D and Hb G
9Identify the complementary testing procedure used to confirm variant hemoglobins following a primary cellulose acetate run.
Citrate Agar (pH 6.0 to 6.2)
10State the clinical utility of utilizing citrate agar electrophoresis at an acid pH range of 6.0 to 6.2.
confirm variant hemoglobins and further differentiates hemoglobin S from D and G, and hemoglobin C from hemoglobins E, O Arab, Clong
11Identify the technical biochemical name utilized as a synonym for Heme.
Ferroprotoporphyrin IX
12Identify the fundamental class of biological pigments to which heme structurally belongs.
porphyrins
13Identify the primary intracellular site responsible for carrying out cellular heme synthesis.
Mitochondria
14List the two major anatomical organs where metabolically active heme biosynthesis is most prominently carried out.
bone marrow and liver
15Identify the major heme-forming tissue responsible for generating approximately 85% of the daily total heme requirement.
ERYTHROID MARROW
16Identify the alternative biochemical synonym or name given to the enzyme Ferrochelatase.
Heme synthetase
17State the specific chemical function performed by ferrochelatase or heme synthetase at the conclusion of heme synthesis.
enzyme needed to insert Fe+2 to the protoporphyrin IX
18Identify the primary intracellular site where cellular globin synthesis takes place.
ribosomes in the normoblast cytoplasm
19Identify the specific human chromosome that dictates the production of alpha and zeta globin chains.
Chromosome 16
20Identify the specific human chromosome that dictates the production of beta, gamma, delta, and epsilon globin chains.
Chromosome 11
21Identify the embryonic hemoglobin variety that features a molecular chain structure consisting of 2 zeta and 2 gamma chains.
Portland
22Identify the embryonic hemoglobin variety that features a molecular chain structure consisting of 2 zeta and 2 epsilon chains.
Gower I
23Identify the embryonic hemoglobin variety that features a molecular chain structure consisting of 2 alpha and 2 epsilon chains.
Gower II
24Identify the predominant variant form of hemoglobin found normally inside a developing fetus and a newborn baby.
F
25State the complete alpha/non-alpha chain molecular structure characteristic of Hemoglobin F.
2 alpha, 2 gamma
26Specify the expected percentage proportion of Hemoglobin F found normally in newborns.
80
27Specify the expected percentage proportion of Hemoglobin F found normally in adult individuals older than 1 year of age.
<1
28State the complete alpha/non-alpha chain molecular structure characteristic of adult Hemoglobin A1.
2 alpha, 2 beta
29Specify the normal percentage proportion of Hemoglobin A1 found inside healthy adult blood.
97
30State the complete alpha/non-alpha chain molecular structure characteristic of adult Hemoglobin A2.
2 alpha, 2 delta
31Specify the normal percentage proportion of Hemoglobin A2 found inside healthy adult blood.
2.5
32Identify the functional variant of hemoglobin chemically defined by a central iron atom in the ferrous state bound directly with oxygen.
Oxyhemoglobin
33Specify the designated chemical symbol utilized for Oxyhemoglobin.
HbO2
34Identify the primary anatomical blood vessel system where functional oxyhemoglobin is found.
arterial blood
35Identify the specific quaternary protein conformation assumed by a hemoglobin molecule when it is in the oxygenated state.
R state (relaxed)
36Identify the functional hemoglobin variant featuring iron in the ferrous state that is not bound to oxygen.
Deoxygenated hemoglobin
37Identify the primary anatomical blood vessel system where functional deoxygenated hemoglobin is normally found.
venous blood
38Identify the specific quaternary protein conformation assumed by a hemoglobin molecule when it is in the deoxygenated state.
T state (tense)
39Identify the dyshemoglobin variant that forms when ferrous iron binds directly with carbon monoxide gas.
Carboxyhemoglobin
40Specify the designated chemical symbol utilized for Carboxyhemoglobin.
HbCO
41List two common environmental or commercial sources of carbon monoxide gas exposure mentioned in the notes.
cigarette, motor exhaust
42Specify how many times greater affinity carbon monoxide gas has for binding to hemoglobin compared to oxygen.
240 times
43Describe the distinct clinical coloration observed in the blood and skin of a patient suffering from acute carboxyhemoglobin poisoning.
cherry red
44Identify the dyshemoglobin variant featuring a central iron atom in the oxidized ferric state that cannot bind to oxygen.
Methemoglobin
45Specify the designated chemical symbol utilized for Methemoglobin.
Hi
46List two alternative medical names or terms used to describe the dyshemoglobin compound methemoglobin.
ferrihemoglobin, hemiglobin
47Describe the distinct clinical coloration of blood that characterizes cases of severe methemoglobinemia.
chocolate brown
48Identify the dyshemoglobin variant described as a mixture of oxidized, partially denatured forms of hemoglobin containing sulfur.
Sulfhemoglobin
49Specify the designated chemical symbol utilized for Sulfhemoglobin.
SHb
50List three recognized clinical causes or conditions linked to the formation of sulfhemoglobinemia in vivo.
prolonged constipation, enterogenous cyanosis, bacteria (caused by C. perfringens)
51Describe the distinct clinical coloration of blood that characterizes cases of severe sulfhemoglobinemia.
mauve lavender
52Identify the specific chemical compound that must be added to hemoglobin in vitro to induce the formation of sulfhemoglobin.
hydrogen sulfide
53Identify the general class of external agents responsible for triggering in vivo sulfhemoglobin forms in occasional patients through oxidation.
certain drugs and chemicals