Blood Composition and Function

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Questions and Answers

What is the role of transferrin in the body?

  • To transport absorbed iron through the blood (correct)
  • To help in the filtration of waste in the kidneys
  • To facilitate the production of red blood cells
  • To promote the clotting process

Which statement correctly describes the process of fibrinolysis?

  • It eliminates excess iron from the body
  • It activates proenzymes exposed to collagen
  • It dissolves clots (correct)
  • It initiates the clotting process

Which of the following would NOT be a symptom of severe liver disease?

  • Accumulation of fluid in tissue spaces
  • Decreased blood clotting ability
  • Identification of neutrophils in elevated numbers (correct)
  • Increased levels of bilirubin in the blood

What typically triggers the extrinsic pathway of coagulation?

<p>Release of tissue factor by damaged endothelium (B)</p> Signup and view all the answers

Why can the treatment for neonatal jaundice be discontinued?

<p>The transition from fetal hemoglobin to adult is complete (A)</p> Signup and view all the answers

What is the primary stimulus for the release of erythropoietin?

<p>Hypoxemia and low oxygen levels (B)</p> Signup and view all the answers

Which of the following statements accurately describes the composition of hemoglobin?

<p>It contains four protein chains and four heme groups (A)</p> Signup and view all the answers

What percentage of the blood-producing tissues in the body transform into white blood cells?

<p>75% (D)</p> Signup and view all the answers

Where is thrombopoietin primarily produced?

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

What type of cells are mast cells in tissues categorized as?

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

What is the approximate average lifespan of a red blood cell?

<p>4 months (A)</p> Signup and view all the answers

Which organ is primarily responsible for the production of erythropoietin?

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

What is hematocrit used to indicate?

<p>The percentage of red blood cells in total blood volume (A)</p> Signup and view all the answers

Flashcards

Transferrin

A carrier protein that transports absorbed iron through the blood, contributing to iron distribution in the body.

Fibrinolysis

The process of dissolving blood clots, essential for maintaining normal blood flow and preventing excessive clotting.

Tissue Factor

A substance released from damaged blood vessels, triggering the extrinsic pathway of blood coagulation.

Antithrombin III

One of the body's two anticoagulants, produced by the liver and playing a role in preventing excessive blood clotting.

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Platelets

Fragments of large cells involved in blood clotting, contributing to temporary patches in injured areas and initiating the clotting process.

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Blood Volume

The total volume of blood in a 70 kg human is around 5-6 liters.

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Albumins

The primary protein component of plasma, responsible for maintaining blood pressure and transporting substances.

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Mast Cells

A type of white blood cell found in tissues, involved in allergic responses and inflammation.

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Macrophages

Monocytes that leave the circulation and enter tissues, acting as scavengers and engulfing foreign particles.

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Pluripotent Hematopoietic Stem Cell

The progenitor cell in bone marrow responsible for giving rise to all blood cells.

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Colony-Stimulating Factors (CSFs)

Proteins that stimulate the production and maturation of various blood cell types.

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Erythropoietin

A hormone produced mainly by the kidney, crucial for stimulating red blood cell production in response to low oxygen levels.

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Red Blood Cell

A biconcave-shaped cell, responsible for oxygen transport throughout the body.

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Study Notes

Blood Composition and Function

  • Human blood volume: Approximately 5-6 liters in a 70 kg adult male
  • Plasma composition: Primarily water with abundant albumin proteins
  • Blood cell progenitors: Pluripotent hematopoietic stem cells give rise to all blood cell types
  • White blood cell (WBC) percentage in blood-producing tissue: Approximately 75%
  • Colony-stimulating factors (CSFs): Cytokines produced by endothelial cells, bone marrow fibroblasts and white blood cells, essential for leukocyte development and controlling leukopoiesis
  • Leukemias: Diseases characterized by excess WBC production
  • Neutropenia: Condition of abnormally low WBC count
  • Thrombopoietin: Hormone regulating megakaryocyte (platelet precursor) development
  • Erythropoietin: Hormone regulating red blood cell (RBC) production
  • RBC production: Occurs in red bone marrow in adults
  • Primary source of erythropoietin: Kidneys
  • Hematopoiesis variability: WBC development adapts to body needs
  • Erythropoietin stimulus: Hypoxia (low oxygen) triggers erythropoietin release
  • RBC lifespan: Approximately 4 months
  • RBC function: Oxygen transport from lungs to body tissues
  • Hemoglobin structure: Four protein chains and four heme groups; heme contains iron
  • Hemoglobin function: Oxygen transport
  • Hematocrit: Percentage of whole blood volume occupied by red blood cells (roughly 45% in normal adults)
  • RBC destruction: Aged and damaged RBCs are broken down in the spleen
  • RBC production regulation: Decreased blood oxygen triggers increased RBC production.
  • RBC shape: Biconcave disk for flexibility and passage through narrow vessels
  • Iron elimination: Excess iron removed in feces
  • Iron transport: Transferrin carries absorbed iron in the blood
  • Anticoagulants: Antithrombin III and heparin are produced by the body

Blood Cell Types and Development

  • Mast cells: Tissue-based counterparts of basophils
  • Monocytes: Circulating precursors for tissue macrophages
  • Platelets: Cell fragments functioning in clotting and hemostasis
  • megakaryocytes: large cells that produce platelets

Coagulation

  • Extrinsic pathway: Activated by tissue factor released from damaged endothelium
  • Intrinsic pathway: Activated by exposed proenzymes interacting with collagen
  • Common pathway: Clotting factors activate prothrombin to thrombin
  • Fibrinolysis: Dissolution of blood clots
  • Tissue factor role: Initiates the extrinsic pathway
  • Neonatal Jaundice: Treatment involves light therapy until fetal hemoglobin transition is complete.
  • Liver Disease Effects: Potential symptoms include tissue fluid accumulation, lower blood osmotic pressure, higher bilirubin levels, and decreased clotting ability; Liver produces many clotting factors impacting hemostasis.
  • Dental Infection: Neutrophils are a key component of the immune response

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