Blood Cells and Functions Quiz

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Questions and Answers

What is the average number of RBCs per cubic millimeter in healthy women?

  • 5,500,000
  • 5,200,000
  • 4,500,000
  • 4,700,000 (correct)

What is the maximum concentration of hemoglobin that can be achieved in the cells?

  • 30 g/100 ml
  • 34 g/100 ml (correct)
  • 36 g/100 ml
  • 32 g/100 ml

What is the average amount of hemoglobin in the blood of healthy men?

  • 16 g/100 ml
  • 14 g/100 ml
  • 15 g/100 ml (correct)
  • 17 g/100 ml

Which organ is primarily responsible for RBC production during the middle trimester of gestation?

<p>Liver (B)</p> Signup and view all the answers

At what age does the production of RBCs primarily shift to the bone marrow?

<p>5 years old (D)</p> Signup and view all the answers

In which bones is RBC production primarily maintained after the age of 20?

<p>Membranous bones (B)</p> Signup and view all the answers

What percentage of blood is comprised of cells in a normal hematocrit reading?

<p>40% to 45% (A)</p> Signup and view all the answers

How much oxygen can one gram of hemoglobin carry if fully saturated?

<p>1.34 ml (C)</p> Signup and view all the answers

What is the primary function of red blood cells (RBCs)?

<p>Deliver oxygen to tissues (B)</p> Signup and view all the answers

Why is it important for hemoglobin to remain inside red blood cells in humans?

<p>It ensures efficient oxygen transport (A)</p> Signup and view all the answers

What role does carbonic anhydrase play in red blood cells?

<p>Catalyzes the reaction between carbon dioxide and water (D)</p> Signup and view all the answers

What is the average diameter of a normal red blood cell?

<p>7.8 micrometers (B)</p> Signup and view all the answers

How does the shape of red blood cells assist their function?

<p>It allows them to change shape while passing through capillaries (B)</p> Signup and view all the answers

What is a secondary function of red blood cells besides oxygen transport?

<p>Acid-base buffering (B)</p> Signup and view all the answers

What happens to hemoglobin when blood passes through capillaries in humans?

<p>It leaks through the capillary membrane (C)</p> Signup and view all the answers

What is the average volume of a red blood cell?

<p>90 to 95 cubic micrometers (B)</p> Signup and view all the answers

What condition is characterized by the production of RBCs that are much smaller than normal and contain too little hemoglobin?

<p>Microcytic hypochromic anemia (D)</p> Signup and view all the answers

Which of the following is a common cause of aplastic anemia due to bone marrow dysfunction?

<p>Exposure to high-dose radiation (C)</p> Signup and view all the answers

What type of anemia can result from the deficiency of intrinsic factor necessary for vitamin B12 absorption?

<p>Megaloblastic anemia (B)</p> Signup and view all the answers

In cases of severe aplastic anemia, what is typically required for survival?

<p>Blood transfusions or bone marrow transplantation (B)</p> Signup and view all the answers

What can cause megaloblastic anemia aside from loss of intrinsic factor?

<p>Intestinal sprue (C)</p> Signup and view all the answers

What is a characteristic feature of hemolytic anemia?

<p>Fragile RBCs that rupture easily (A)</p> Signup and view all the answers

Which of the following statements accurately describes chronic blood loss in relation to RBC production?

<p>RBCs cannot be produced rapidly enough to match the rate of blood loss. (C)</p> Signup and view all the answers

What stimulates erythropoietin production in the kidneys?

<p>Decreased red blood cell mass (A), Norepinephrine and epinephrine (B)</p> Signup and view all the answers

What describes the nature of cells produced in megaloblastic anemia?

<p>They have irregular shapes and fragile membranes. (C)</p> Signup and view all the answers

What happens to erythropoietin production when oxygen levels are low?

<p>It increases rapidly (D)</p> Signup and view all the answers

What happens to red blood cell (RBC) production in the absence of erythropoietin?

<p>Few RBCs are formed (C)</p> Signup and view all the answers

How long does it take for maximum erythropoietin production to occur after exposure to low oxygen levels?

<p>Within 24 hours (D)</p> Signup and view all the answers

Why do individuals become anemic after kidney removal?

<p>Inability to produce sufficient erythropoietin (D)</p> Signup and view all the answers

What role does erythropoietin play in proerythroblast maturation?

<p>Promotes speedier transition through maturation stages (D)</p> Signup and view all the answers

What conditions can lead to a rapid increase in RBC production?

<p>Presence of erythropoietin and sufficient nutrients (C)</p> Signup and view all the answers

Which nutrients are crucial for the maturation of red blood cells?

<p>Vitamin B12 and Folic Acid (B)</p> Signup and view all the answers

What is the minimum daily requirement of vitamin B12 for normal RBC maturation?

<p>1 to 3 micrograms (D)</p> Signup and view all the answers

How long is the typical duration of defective vitamin B12 absorption required to cause maturation failure anemia?

<p>3 to 4 years (D)</p> Signup and view all the answers

What is a common dietary source of folic acid?

<p>Green vegetables (D)</p> Signup and view all the answers

Which process begins the synthesis of hemoglobin?

<p>Binding of glycine with succinyl-CoA (C)</p> Signup and view all the answers

What binds with iron to form a heme molecule in hemoglobin synthesis?

<p>Protoporphyrin IX (A)</p> Signup and view all the answers

Which type of chains are present in the most common form of hemoglobin in adults, hemoglobin A?

<p>Two alpha chains and two beta chains (D)</p> Signup and view all the answers

What is the molecular weight of a single hemoglobin chain?

<p>16,000 (D)</p> Signup and view all the answers

Which condition can result in difficulty absorbing both folic acid and vitamin B12?

<p>Sprue (B)</p> Signup and view all the answers

What is a primary effect of polycythemia vera on blood viscosity?

<p>Blood viscosity increases to nearly ten times that of water. (B)</p> Signup and view all the answers

How does polycythemia vera influence the vascular system?

<p>It causes intense engorgement of the vascular system. (B)</p> Signup and view all the answers

What is the typical effect of increased blood volume in polycythemia vera on venous return to the heart?

<p>It promotes an increase in venous return. (A)</p> Signup and view all the answers

What color change is typically observed in individuals with polycythemia vera?

<p>A ruddy complexion with a bluish tint. (A)</p> Signup and view all the answers

What is the typical relationship between blood viscosity and arterial pressure in polycythemia vera?

<p>Blood pressure regulating mechanisms can offset increased viscosity effects. (D)</p> Signup and view all the answers

What happens to the peripheral blood flow due to the high viscosity in polycythemia vera?

<p>Peripheral blood flow becomes sluggish. (D)</p> Signup and view all the answers

What is the primary consequence of hemoglobin being deoxygenated in skin capillaries of individuals with polycythemia vera?

<p>It masks the red color of oxygenated hemoglobin. (B)</p> Signup and view all the answers

What factor(s) does increased blood viscosity affect in polycythemia vera?

<p>It decreases venous return and increases peripheral resistance. (B)</p> Signup and view all the answers

Flashcards

Red Blood Cell Function

Red blood cells (RBCs) transport oxygen from the lungs to the tissues using hemoglobin.

Hemoglobin in RBCs

Hemoglobin is a protein in RBCs that carries oxygen.

RBC Shape

Normal RBCs are biconcave discs, about 7.8 micrometers in diameter and 2.5 micrometers thick, which allows them to deform.

RBC's Role in CO2 Transport

RBCs contain carbonic anhydrase, which catalyzes the conversion of CO2 into bicarbonate ions (HCO3−) to transport CO2 from tissues to lungs.

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RBC Acid-Base Buffering

Hemoglobin in RBCs acts like a buffer to maintain the proper pH of blood.

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RBC Membrane

RBC cell membrane is designed to allow deformation without rupturing the cell.

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RBC Volume

Average volume of an RBC is 90-95 cubic micrometers.

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RBC Concentration

RBCs are the most abundant cells in blood, crucial for oxygen delivery.

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Erythropoietin's function

Stimulates red blood cell (RBC) production by increasing proerythroblast formation in bone marrow, and accelerating RBC maturation.

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Erythropoietin source

Primarily produced by the kidneys, but in smaller amounts, the liver creates it as well.

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Hypoxia effect

Low oxygen levels stimulate erythropoietin production.

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RBC production delay

Although EPO is formed quickly, it takes a few days for RBCs to increase in circulation.

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EPO's control mechanism

A powerful system for adjusting RBC production, regulating to maintain the required amounts based on oxygen levels, and in response to large amounts of EPO.

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Anemic condition(lack of RBC)

Removal or damage to both kidneys causes anemia due to insufficient erythropoietin production.

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Proerythroblasts function

The cells that EPO stimulates to produce more red blood cells.

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RBC maturation requirement

Vitamin B12 and folic acid are essential for the maturation process of red blood cells.

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RBC count in men

The average number of red blood cells (RBCs) per cubic millimeter in healthy men is 5,200,000 (± 300,000).

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RBC count in women

The average number of red blood cells (RBCs) per cubic millimeter in healthy women is 4,700,000 (± 300,000).

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Hemoglobin concentration in RBCs

RBCs can hold up to 34 g of hemoglobin per 100 ml of cells. This is the maximum.

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Hemoglobin in whole blood (men)

In healthy men, whole blood contains an average of 15 g of hemoglobin per 100 ml.

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Hemoglobin in whole blood (women)

In healthy women, whole blood contains an average of 14 g of hemoglobin per 100 ml.

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Oxygen carrying capacity (men)

The maximum amount of oxygen that can be carried by the hemoglobin in men's blood.

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Oxygen carrying capacity (women)

The maximum amount of oxygen that can be carried by the hemoglobin in women's blood.

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Fetal RBC production locations

In the early stages, the yolk sac produces RBCs; later the liver, spleen, and lymph nodes; and finally, bone marrow takes over after birth.

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Vitamin B12 for RBC maturation

Only 1-3 micrograms of vitamin B12 are needed daily to mature red blood cells (RBCs). The body stores much more (1000 times the daily need).

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Maturation failure anemia (B12)

Takes 3-4 years of inadequate vitamin B12 absorption to cause anemia from maturation failure.

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Folic Acid Deficiency

Folic acid is found in fruits, vegetables and meats; easily lost in cooking. Intestinal issues can cause absorption problems.

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Hemoglobin synthesis

Hemoglobin begins to form in erythroblasts, continues into reticulocytes, and further in the blood.

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Hemoglobin's structure

Hemoglobin is made of 4 chains (alpha, beta, gamma, delta). Each chain is 16,000 molecular weight. These bind to create the final molecule.

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Hemoglobin A

The most common adult hemoglobin; contains two alpha and two beta chains.

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Protoporphyrin

A molecule that combines with iron to form the heme part of hemoglobin

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Globin chains

Polypeptide chains synthesized by ribosomes, which combine with heme to form hemoglobin chains.

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Microcytic Hypochromic Anemia

A type of anemia where red blood cells are smaller than normal (microcytic) and have less hemoglobin (hypochromic). It occurs when the body can't absorb enough iron to produce enough hemoglobin.

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Aplastic Anemia

A serious condition where the bone marrow doesn't produce enough blood cells, leading to a deficiency of red blood cells, white blood cells, and platelets.

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Causes of Aplastic Anemia

Aplastic anemia can be caused by exposure to radiation, chemotherapy, toxic chemicals, or autoimmune disorders.

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Megaloblastic Anemia

Anemia characterized by the production of abnormally large red blood cells (megaloblasts) due to deficiencies in vitamin B12 or folic acid.

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Causes of Megaloblastic Anemia

Megaloblastic anemia can be caused by conditions affecting vitamin B12 or folic acid absorption, such as pernicious anemia, total gastrectomy, or intestinal sprue.

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Hemolytic Anemia

Anemia characterized by the premature destruction of red blood cells.

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Causes of Hemolytic Anemia

Hereditary factors or acquired abnormalities in red blood cells can make them fragile and prone to rupture, causing hemolytic anemia.

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Spleen's Role in Hemolytic Anemia

The spleen plays a significant role in hemolytic anemia because it filters old and damaged red blood cells; increased destruction of fragile red blood cells occurs in the spleen.

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Polycythemia Vera

A condition where the bone marrow overproduces red blood cells, often accompanied by excess white blood cells and platelets.

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Increased Viscosity in Polycythemia

The blood in polycythemia vera becomes much thicker due to the excess red blood cells, making it harder for the heart to pump.

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Blood Volume in Polycythemia

Not only are there more red blood cells, but the total blood volume in polycythemia vera also increases, making the blood vessels very full.

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Capillary Plugging

The thick, viscous blood in polycythemia can clog small blood vessels (capillaries) due to its increased volume and viscosity.

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Venous Return in Polycythemia

The increased blood viscosity in polycythemia reduces the rate at which blood returns to the heart through veins.

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Skin Color in Polycythemia

People with polycythemia vera often have a ruddy complexion with a bluish tint due to the increased blood flow and deoxygenated hemoglobin.

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Cardiac Output in Polycythemia

Despite the increased blood volume and viscosity, the heart's output (amount of blood pumped per minute) is close to normal as factors tend to balance each other out.

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Blood Pressure in Polycythemia

Blood pressure is typically normal in most people with polycythemia vera, but it can be elevated in some cases due to the increased blood viscosity.

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Study Notes

Blood Cells and Functions

  • Red blood cells (RBCs), also known as erythrocytes, are the most abundant blood cells.
  • RBCs transport oxygen from lungs to tissues via hemoglobin.
  • In some animals, hemoglobin circulates freely in the blood, not within RBCs.
  • RBCs contain carbonic anhydrase, an enzyme that rapidly converts CO2 and water to carbonic acid, crucial for CO2 transport.
  • RBCs are biconcave discs, around 7.8 micrometers in diameter, with a thickness of 2.5-1 micrometers, enabling flexibility for capillary passage.
  • Normal RBC concentration in men is about 5,200,000/mm³, and in women 4,700,000/mm³ (with variations at high altitudes).
  • Hemoglobin concentration in RBCs typically reaches 34g/100ml.
  • Hemoglobin can carry 1.34ml of oxygen per gram, with full saturation.
  • RBC production, in early embryo, occurs in the yolk sac, later in the bone marrow.

Red Blood Cell Production

  • Multipotential hematopoietic stem cells in bone marrow are the origin of all blood cells.
  • Growth inducers and differentiation inducers control stem cell development.
  • Interleukin-3 affects many blood cell types, while other inducers are more specific.
  • Proerythroblast is the first cell in the RBC line, stimulated by erythropoietin.
  • Erythropoietin production is mainly in kidneys, in response to low oxygen levels (hypoxia).
  • Reticulocytes are immature red blood cells, which mature into erythrocytes in ~1-2 days.

Red Blood Cell Maturation and Function

  • RBC maturation relies on vitamins B12 and folic acid, crucial for DNA synthesis.
  • Deficiency in these vitamins leads to macrocytic anemia, with large and fragile RBCs.
  • Pernicious anemia is a consequence of vitamin B12 malabsorption.
  • Hemoglobin consists of four globin chains (alpha and beta) with heme groups containing iron.
  • Hemoglobin reversibly binds oxygen, crucial for oxygen transport.
  • RBC lifespan is about 120 days.
  • Macrophages in the spleen and liver destroy aged RBCs, recycling iron and hemoglobin.

Anemia and Polycythemia

  • Anemia is a condition with reduced hemoglobin or RBC count.
  • Blood loss, bone marrow issues, and insufficient oxygen are causes of some types of anemia.
  • Polycythemia (opposite of anemia) has an abnormally high number of RBCs.
  • Polycythemia can be due to high altitudes (physiological) or genetic disorders (vera) causing excess production of RBCs.

Regulation of Blood Cell Production

  • Kidney erythropoietin levels are regulated to adjust RBC production to oxygen demand.
  • Norepinephrine and epinephrine also stimulate erythropoietin.
  • The body controls total blood iron content by adjusting iron absorption rate from the intestines.

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