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Questions and Answers
What is the primary function of hemoglobin in erythrocytes?
What percentage of whole blood is composed of plasma?
Which component serves a critical role in coagulation and blood clot formation?
What is the normal range for hematocrit in men?
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What is the primary role of albumin in blood plasma?
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Which type of blood cell is primarily responsible for the immune response?
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How is carbon dioxide primarily transported in the blood?
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What is the average volume of blood in a healthy adult human?
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What is the primary function of platelets in the blood?
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Which component of platelets is responsible for the storage of calcium ions?
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During the clot removal process, which enzymes are involved?
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In hemophilia, what is the primary underlying issue?
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What initiates primary platelet aggregation?
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What is the average lifespan of red blood cells?
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What is the typical diameter of a red blood cell?
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Which condition is characterized by abnormally shaped red blood cells?
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What component is NOT part of the red blood cell structure?
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What happens to red blood cells in a hypertonic solution?
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Which of the following correctly describes anisocytosis?
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What percentage of a red blood cell's membrane consists of protein?
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Which of the following blood groups can be determined by the antigens on the surface of red blood cells?
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What percentage of hemoglobin composition is globin?
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Which of the following characterizes hypochromic hemoglobin?
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Which type of anemia is characterized by a bone marrow defect in infants?
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What is the primary role of hemoglobin in the blood?
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Which type of leukocyte is classified as agranulocytes?
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What type of granules do neutrophils contain?
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Which type of white blood cell is motile after leaving blood vessels?
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What is the function of specific granules in eosinophils?
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What is a characteristic of leukaemia?
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Which type of white blood cell has the longest life span?
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What is the normal range for platelet counts in blood?
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Which type of granulocyte is primarily involved in allergic reactions?
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What is the primary function of neutrophils?
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What is the diameter of a typical platelet?
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Which component of platelets is involved in adhesion?
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Which of the following white blood cells is the largest?
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Study Notes
Blood
- Specialized connective tissue, viscous fluid
- Found in blood vessels and bone marrow
- Originates from mesenchyme
- Volume: 5 liters in healthy adult human
- 1 cubic millimeter of blood is equivalent to a microliter
-
Functions:
- Transport of gases, nutrients, waste products, hormones
- Regulation of pH and osmosis
- Maintenance of body temperature
- Protection against foreign substances
- Clot formation
Blood Composition
- 55% plasma + 45% blood cells
Hematocrit
- Volume percentage of red blood cells in the blood
- Erythrocytes constitute about 43% of the blood volume after centrifugation
- 47% ±5% in men
- 42% ±5% in women
- Buffy coat: Thin layer of leukocytes and platelets located between the erythrocytes and plasma.
Blood Film
- Blood film procedure:
- Clean slide
- Prick finger
- Put a drop of blood on a clean dry slide
- Put another slide on top at 45° angle
- Move backward to touch the blood drop
- Move forward to spread the blood
- Stain with Leishman stain (mixture of eosin, methylene blue, and azures)
Plasma
- Comprises 55% of the blood volume
- Yellowish fluid
- Aqueous solution, pH 7.4
- Composition:
- Water (92%)
- Plasma proteins (7%):
- Albumin (osmotic pressure)
- Globulin (antibodies)
- Fibrinogen (coagulation)
- Organic and inorganic substances (1%)
Blood Cells (Formed Elements)
- Red blood cells (RBCs) or Erythrocytes
- White blood cells (WBCs) or Leukocytes
- Platelets or Thrombocytes
Red Blood Cells (RBCs) or Erythrocytes
- Also known as red blood corpuscles
- Characteristics:
- Rounded, biconcave discs
- 7.5 µm diameter, 2.6 µm thick at the rim, 0.75 µm thick in the center
- Non-nucleated, no organelles (not a true cell)
- Non-motile
- Suspended in an isotonic medium (plasma)
- Soft and plastic, change shape in capillaries
- Aggregated in small vessels, called Rouleaux
- Life span is about 120 days
Abnormal Red Blood Cell Shapes (Poikilocytosis)
- Example: Sickle cell anemia, inherited disease where red blood cells are abnormally shaped (sickle shape)
Red Blood Cell Count
- Normal:
- Male: 5-5.5 million/mm3
- Female: 4.5-5 million/mm3
- Increase: Polycythemia (erythrocytosis)
- Physiological: Individuals living at high altitudes (low O2 tension)
- Pathological: Congenital heart and hypoxic lung
- Decrease: Anemia
Red Blood Cell Structure
- Cell membrane: 40% lipid, 10% carbohydrate, 50% protein
- Cytoskeletons maintain cell shape
- Antigens on the surface determine blood group (A, B, O, and Rh)
Red Blood Cell Size and Osmotic Pressure
- Isotonic solution (plasma): Osmotic pressure of plasma = in RBCs
- Hypertonic solution: Water flows from low solute inside the cell to high solute outside the cell, leading to cell shrinking (crenation)
- Hypotonic solution: Water accumulates inside the cell leading to swelling (hemolysis)
Red Blood Cell Size Variations
- Normocyte: 6-9 um (7.5)
- Macrocyte: Larger than 9 um
- Microcyte: Smaller than 6 um
- Anisocytosis: High percentage of erythrocytes with great variations in size
Hemoglobin (Hb)
- Protein found in the cytoplasm of red blood cells
- Haem (4%) + Globin (96%)
- Normal:
- Male: 15.5 gm/L
- Female: 14 gm/L
- Hb normal: Normochromic
- Less than normal: Hypochromic
- Hb more than normal: Hyperchromic
- Hemoglobin carries O2 from lungs to tissues of the body
- Heme contains iron, a pigment
Anemia
- Causes:
- Decreased number of RBCs: Aplastic anemia, hemorrhagic anemia
- Decreased Hb
- Decreased hemopoietic factors (iron and vitamin B12)
- Haemolysis (breakdown of RBCs)
Red Blood Cell Adaptations for Function
- Biconcave discs: Increased surface area for gas exchange
- Plastic: Compress in narrow capillaries
- No nuclei or organelles: More space for Hb
- Glucose metabolism enzymes: Energy production
Leukocytes, WBCs
- Names: Leukocytes, white blood cells, WBCs
- Characteristics:
- True cells (with nucleus and organelles)
- Originate in bone marrow
- Spherical when suspended in blood plasma
- Become amoeboid and motile after leaving blood vessels and invading tissues
Types of Leukocytes
- Agranulocytes (Mononuclear): Contains non-specific granules only
- Lymphocytes
- Monocytes
- Granulocytes (Polymorphonuclear): Contains specific and non-specific granules
- Neutrophils
- Eosinophils
- Basophils
Granular Leukocytes
- Two types of granules:
- Non-specific (azurophilic): Lysosomes, stain darkly, present in all leukocytes
- Specific: Bind neutral, basic, or acidic stains and have specific functions
- Three types based on specific granule stain:
- Neutrophils: Neutral
- Eosinophils: Acidophilic
- Basophils: Basophilic
Differential Leukocytic Count
- Percentage of each type of leukocyte
Leukemia
- Cancer that begins in the bone marrow, causing an abnormal increase of immature white blood cells (blasts or leukemia cells)
- These cells are not fully developed
Agranulocytes vs Granulocytes
-
Agranulocytes:
- Monocyte: 2-8% of WBCs, few days lifespan, 20 micrometers diameter, basophilic cytoplasm, kidney-shaped nucleus, phagocytic function
- Lymphocyte: 20-40% of WBCs, 3 months to years lifespan, 7-8 micrometers diameter, basophilic cytoplasm, large rounded nucleus, immunity function
-
Granulocytes:
- Basophil: 0-0.5% of WBCs, few days (life span), 10-12 micrometers diameter, large basophilic specific granules, S-shaped bilobulated nucleus, allergy (Histamine and Heparin) function
- Eosinophil: 1-4% of WBCs, 8-12 days lifespan, 10-12 micrometers diameter, larger acidophilic specific granules, horse-shoe shaped nucleus, cytotoxic and allergy function
- Neutrophil: 50-70% of WBCs, 12-15 days lifespan, 10-12 micrometers diameter, small numerous specific granules, multilobulated nucleus, phagocytic function
Platelets (Thrombocytes)
- Non-nucleated (not a true cell), oval or disk-like cell
- 2-4 um in diameter
- Origin: Megakaryocytes (giant cells) in the bone marrow
- Normal platelet count: 200,000 to 400,000/mm3 of blood
- Life span: 5-10 days
- Structure:
- Peripheral zone (hyalomere): Rich in GAGs and glycoproteins, involved in platelet adhesion, marginal bundle of microtubules and microfilaments (actin, myosin) for shape maintenance, two membranes:
- Open canalicular system: Facilitates uptake of factors
- Dense tubular system: Derived from ER and stores Ca2+ ions
- Central zone (granulomere): Mitochondria, glycogen, and granules:
- Alpha: Proteins (clot factors)
- Delta: Calcium, enzymes (e.g. Serotonin)
- Lambda: Lysosomes
- Peripheral zone (hyalomere): Rich in GAGs and glycoproteins, involved in platelet adhesion, marginal bundle of microtubules and microfilaments (actin, myosin) for shape maintenance, two membranes:
Platelet Functions
- Control of hemorrhage
- Promote blood clotting
- Clot factors:
- Fibrinogen
- Plasminogen
- Thromboplastin
Role of Platelets in Controlling Hemorrhage
- Primary platelet aggregation: Platelets adhere together forming a platelet plug
- Secondary platelet aggregation: Release of glycoproteins enhances plug size
- Blood coagulation: Release of coagulation factors produces fibrin protein, forming a network that traps blood cells, creating a blood clot
- Clot retraction: Clot contracts due to interaction of platelet actin and myosin
- Clot removal: Vessel wall is restored with new tissue, and the clot is removed by plasma proteolytic enzymes (plasmin, plasminogen) and lambda granules (lysosomal enzymes)
Hemophilia
- Severe hemorrhage after injury
- Inherited genetic X-chromosome disorder, transmitted by females
- People with hemophilia have little or no clotting factors
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Description
Explore the fascinating world of blood, a specialized connective tissue vital for numerous bodily functions. This quiz covers blood composition, hematocrit, and the essential roles blood plays in transport, regulation, and protection in the human body.