Anaphy Midterms:  Chapter on Blood
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Anaphy Midterms: Chapter on Blood

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Questions and Answers

What is the primary function of erythrocytes in the blood?

  • To regulate body temperature
  • To carry oxygen (correct)
  • To protect against pathogens
  • To form clots in blood vessels
  • Which of the following accurately describes the physical characteristics of blood?

  • Blood temperature is slightly lower than body temperature
  • Oxygen-rich blood is dull red
  • Blood pH must remain between 6.5–7.5
  • Oxygen-poor blood is dull red (correct)
  • Which component of blood plasma is primarily responsible for regulating osmotic pressure?

  • Antibodies
  • Albumin (correct)
  • Clotting proteins
  • Nutrients
  • What is the composition of blood plasma?

    <p>Approximately 90 percent water</p> Signup and view all the answers

    Which of these statements correctly describes the formed elements in blood?

    <p>Erythrocytes outnumber leukocytes 1000:1</p> Signup and view all the answers

    Which type of protein in the blood plasma helps protect the body from antigens?

    <p>Antibodies</p> Signup and view all the answers

    What anatomical feature characterizes erythrocytes?

    <p>Biconcave disks</p> Signup and view all the answers

    What is the correct pH range that blood must maintain?

    <p>7.35–7.45</p> Signup and view all the answers

    What is the primary function of hemoglobin in the blood?

    <p>To bind strongly and reversibly to oxygen</p> Signup and view all the answers

    What is leukocytosis and what does it generally indicate?

    <p>A condition with leukocytes above 11,000/ml, generally indicating an infection</p> Signup and view all the answers

    Which type of leukocyte is characterized by the presence of granules that can be stained?

    <p>Granulocytes</p> Signup and view all the answers

    Which granulocyte is primarily involved in the phagocytosis of pathogens at infection sites?

    <p>Neutrophils</p> Signup and view all the answers

    What are agranulocytes and which types fall under this category?

    <p>Leukocytes without visible granules; include lymphocytes and monocytes</p> Signup and view all the answers

    Basophils are known for containing granules that release which substance that initiates inflammation?

    <p>Histamine</p> Signup and view all the answers

    What is the normal range of leukocyte levels in the blood?

    <p>4,000 to 11,000 cells per millimeter</p> Signup and view all the answers

    What is the primary role of eosinophils in the immune response?

    <p>Acting against parasitic infections and allergies</p> Signup and view all the answers

    What effect does serotonin have during vascular spasms?

    <p>It causes blood vessel muscles to spasm.</p> Signup and view all the answers

    Which component is pivotal for triggering the clotting cascade?

    <p>Calcium ions</p> Signup and view all the answers

    What is the primary role of thrombin in the coagulation process?

    <p>To join fibrinogen into fibrin</p> Signup and view all the answers

    What occurs after a blood clot has formed?

    <p>It remains until endothelium regenerates.</p> Signup and view all the answers

    What condition is characterized by a deficiency in platelets?

    <p>Thrombocytopenia</p> Signup and view all the answers

    How long does it typically take for blood to clot after an injury?

    <p>3 to 6 minutes</p> Signup and view all the answers

    What is a thrombus?

    <p>A clot in an unbroken blood vessel</p> Signup and view all the answers

    What can occur if a thrombus breaks away and travels in the bloodstream?

    <p>It clogs vessels in critical areas.</p> Signup and view all the answers

    What is the primary role of lymphocytes in the body?

    <p>Immune response</p> Signup and view all the answers

    Which of the following statements about monocytes is correct?

    <p>They function as macrophages.</p> Signup and view all the answers

    What is the normal platelet count in the human body?

    <p>300,000/mm3</p> Signup and view all the answers

    What process occurs in red bone marrow related to blood cell formation?

    <p>Hematopoiesis</p> Signup and view all the answers

    Which hormone controls the production of erythrocytes?

    <p>Erythropoietin</p> Signup and view all the answers

    What is the main purpose of hemostasis in the body?

    <p>To stop blood flow</p> Signup and view all the answers

    What happens to erythrocytes when they can no longer function?

    <p>They are eliminated by phagocytes.</p> Signup and view all the answers

    What initially causes platelets to become sticky during hemostasis?

    <p>Exposure of collagen fibers</p> Signup and view all the answers

    What primarily causes the most vigorous transfusion reactions in blood transfusions?

    <p>Presence of ABO and Rh blood group antigens</p> Signup and view all the answers

    What determines whether blood types A, B, AB, or O are present?

    <p>Presence or absence of the A and B antigens</p> Signup and view all the answers

    What is the risk associated with a mismatch between an Rh– mother and an Rh+ baby?

    <p>Sensitization of the mother's immune system after the first pregnancy</p> Signup and view all the answers

    In which scenario is hemolytic disease of the newborn most likely to occur?

    <p>An Rh– mother with an Rh+ first child</p> Signup and view all the answers

    Which blood group is characterized by the presence of both A and B antigens?

    <p>Type AB</p> Signup and view all the answers

    What is the main purpose of typing blood using antibodies?

    <p>To cause agglutination in blood with specific proteins</p> Signup and view all the answers

    What defines an Rh+ blood type?

    <p>Presence of the agglutinogen D</p> Signup and view all the answers

    Which statement is true regarding the Rh blood group system?

    <p>Rh+ blood cannot be safely transfused to Rh– individuals</p> Signup and view all the answers

    Study Notes

    Introduction

    • Blood is the only fluid tissue in the human body
    • It is classified as a connective tissue
    • Blood contains living cells (formed elements) and a non-living matrix (plasma)

    Physical Characteristics of Blood

    • Oxygen-rich blood is scarlet red; oxygen-poor blood is dull red
    • The pH of blood must remain between 7.35 and 7.45
    • The temperature of blood is slightly higher than body temperature

    Blood Plasma

    • Blood plasma is approximately 90% water
    • Includes dissolved substances such as nutrients, salts, respiratory gases, hormones, proteins, and waste products

    Plasma Proteins

    • Albumin helps to regulate osmotic pressure
    • Clotting proteins help to stem blood loss when a blood vessel is injured
    • Antibodies help protect the body from antigens

    Formed Elements of Blood

    • Erythrocytes (red blood cells) are responsible for carrying oxygen
    • Leukocytes (white blood cells) are crucial in the body's defense against disease
    • Platelets are cell fragments needed for the clotting process

    Erythrocytes (Red blood Cells)

    • Erythrocytes are biconcave discs
    • Erythrocytes contain very little organelles and are anucleate (lack a nucleus)
    • They are essentially bags of hemoglobin
    • Erythrocytes outnumber white blood cells 1000:1

    Hemoglobin

    • Hemoglobin is an iron-containing protein
    • Each hemoglobin molecule can bind to four oxygen molecules
    • Each erythrocyte contains 250 million hemoglobin molecules

    Leukocytes (White Blood Cells)

    • Leukocytes are complete cells with a nucleus and organelles
    • Leukocytes can move into and out of blood vessels (diapedesis)
    • They can move by ameboid motion
    • They respond to damaged tissue chemicals

    Leukocyte Levels in Blood

    • Normal leukocyte levels are between 4,000 and 11,000 cells per millimeter
    • Leukocytosis is an abnormal increase over 11,000 cells/ml and may indicate an infection
    • Leukopenia is an abnormally low leukocyte level, commonly caused by drugs

    Types of Leukocytes: Granulocytes

    • Granulocytes contain granules in their cytoplasm that can be stained
    • Neutrophils have a multilobed nucleus, contain fine granules, and act as phagocytes at infection sites
    • Eosinophils have large brick-red cytoplasmic granules and respond to allergies and parasitic worms
    • Basophils contain histamine-containing granules and initiate inflammation

    Types of Leukocytes: Agranulocytes

    • Agranulocytes lack visible cytoplasmic granules
    • Lymphocytes have a nucleus that fills most of the cell and play an important role in the immune response
    • Monocytes are the largest white blood cells and function as macrophages - important in fighting chronic infection

    Platelets

    • Platelets are derived from ruptured megakaryocytes (multinucleate cells).
    • Platelets are required for blood clotting
    • Normal platelet count is 300,000 per mm3

    Hematopoiesis

    • Hematopoiesis is blood cell formation
    • Occurs in red bone marrow
    • All blood cells originate from a common stem cell (hemocytoblast)
    • Hemocytoblasts differentiate into lymphoid stem cells (which produce lymphocytes) and myeloid stem cells (which produce other blood cells)

    Fate of Erythrocytes

    • Erythrocytes are unable to divide, grow or synthesize proteins
    • Erythrocytes wear out in 100-120 days
    • Worn-out erythrocytes are eliminated by phagocytes in the spleen or liver
    • Lost cells are replaced by division of hemocytoblasts

    Control of Erythrocyte Production

    • Rate is controlled by erythropoietin (a hormone)
    • Kidneys produce most erythropoietin, triggered by reduced oxygen levels in the blood
    • Homeostasis is maintained by negative feedback from blood oxygen levels

    Hemostasis

    • Hemostasis is the stoppage of blood flow
    • Occurs after blood vessel breaks
    • Hemostasis involves three phases: platelet plug formation, vascular spasms, and coagulation

    Platelet Plug Formation

    • Collagen fibers are exposed when blood vessels break
    • Platelets become sticky and cling to fibers
    • Anchored platelets release chemicals to attract more platelets
    • Platelets pile up to form a platelet plug

    Vascular Spasms

    • Anchored platelets release serotonin
    • Serotonin causes blood vessel muscles to spasm
    • Spasms narrow blood vessels, decreasing blood loss

    Coagulation

    • Injured tissues release thromboplastin
    • PF3 (phospholipid) interacts with thromboplastin, blood protein clotting factors, and calcium ions to trigger a clotting cascade
    • Prothrombin activator converts prothrombin to thrombin (an enzyme)
    • Thrombin joins fibrinogen proteins to form fibrin (hair-like protein)
    • Fibrin forms a meshwork that forms the basis for a clot

    Blood Clotting

    • Blood usually clots within 3-6 minutes
    • Blood clot remains as endothelium regenerates
    • Clot is broken down after tissue repair

    Undesirable Clotting

    • Thrombus: a clot in an unbroken blood vessel; can be deadly in areas like the heart
    • Embolus: a thrombus that breaks away and floats freely; can clog vessels in critical areas (e.g., brain)

    Bleeding Disorders

    • Thrombocytopenia: platelet deficiency; even normal movements can cause bleeding from small blood vessels
    • Hemophilia: hereditary bleeding disorder; normal clotting factors are missing

    Blood Groups and Transfusions

    • Large blood loss can have serious consequences
    • Losing 15-30% of blood can cause weakness
    • Losing over 30% of blood can cause shock, which can be fatal
    • Transfusions are the only way to replace blood quickly
    • Transfused blood must be of the same blood group

    Human Blood Groups

    • Blood contains genetically determined proteins (antigens)
    • Foreign proteins can be attacked by the immune system
    • Blood is "typed" by using antibodies that cause agglutination (clumping) of blood with certain antigens

    Human Blood Groups

    • Over 30 common red blood cell antigens exist
    • The most vigorous transfusion reactions are caused by ABO and Rh blood group antigens

    ABO Blood Groups

    • ABO blood groups are based on the presence or absence of two antigens: Type A and Type B
    • Type O blood lacks both A and B antigens
    • Type AB blood contains both A and B antigens

    Rh Blood Groups

    • Rh blood groups are named after one of eight Rh antigens (agglutinogen D)
    • Most Americans are Rh+
    • Mixing Rh+ blood with Rh- blood can cause problems

    Rh Dangers During Pregnancy

    • Rh- mother carrying an Rh+ baby can cause problems for the unborn child
    • The first pregnancy usually proceeds without problems
    • The mother's immune system is sensitized after the first pregnancy
    • During a second pregnancy, mother's antibodies attack the Rh+ blood (hemolytic disease of the newborn)

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    Description

    This quiz covers the essential characteristics of blood, including its classification as a connective tissue and its physical properties. It also delves into the components of blood plasma, various plasma proteins, and the formed elements such as erythrocytes and leukocytes. Test your understanding of these vital concepts!

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