Blood Composition and Functions Quiz
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Questions and Answers

Match the following factors with their roles in red blood cell lifespan:

Iron = Key to oxygen transport Vitamin B12 = Required for DNA synthesis Folates = Essential for red cell proliferation EPO = Stimulates red blood cell production in response to hypoxia

Match the following globin chain disorders with their characteristics:

Sickle Cell Disease = Abnormal hemoglobin structure Alpha Thalassemia = Deficiency in alpha globin chains Beta Thalassemia = Deficiency in beta globin chains Hemoglobin C Disease = Causes mild hemolytic anemia

Match the inheritance patterns with the blood disorders they are associated with:

Sickle Cell Disease = Autosomal recessive Hemophilia = X-linked recessive Beta Thalassemia = Autosomal codominant G6PD Deficiency = X-linked recessive

Match the following erythropoiesis mechanisms with their descriptions:

<p>EPO stimulation = Increases red blood cell production during hypoxia Iron availability = Essential for hemoglobin synthesis Vitamin B12 and Folate = Crucial for DNA synthesis in erythropoiesis Erythropoietin = Hormone produced by kidneys to regulate red cell production</p> Signup and view all the answers

Match the impacts of iron deficiency with their effects on red blood cells:

<p>Decreased hemoglobin = Results in small, pale red cells Increased oxygen demand = Leads to impaired oxygen transport Decreased iron absorption = Can be caused by diet or health issues Iron loss from bleeding = Significantly reduces red cell production</p> Signup and view all the answers

Match the following aspects of red blood cells with their descriptions:

<p>Red blood cell lifespan = Approximately 120 days Erythropoiesis = Production of red blood cells in bone marrow Iron deficiency = Leads to reduced hemoglobin production Haemoglobinopathies = Genetic disorders affecting hemoglobin structure</p> Signup and view all the answers

Match the globin chain disorders to their characteristics:

<p>HbF = Fetal hemoglobin made of 2 alpha and 2 gamma chains Sickle cell disease = Results in abnormal hemoglobin structure HbA2 = Adult hemoglobin variant made of 2 alpha and 2 delta chains Thalassemia = Impairment in globin chain synthesis</p> Signup and view all the answers

Match the blood disorder inheritance patterns:

<p>Sickle cell disease = Autosomal recessive inheritance Thalassemia = Can be autosomal recessive or dominant Hemophilia = X-linked recessive inheritance Polycythemia vera = Acquired mutation, not inherited</p> Signup and view all the answers

Match the mechanisms involved in erythropoiesis:

<p>Hormonal regulation = Erythropoietin stimulates red blood cell production Nutritional factors = Iron, vitamin B12, and folic acid are essential Cellular environment = Bone marrow is the primary site of production Oxygen levels = Low oxygen levels stimulate erythropoiesis</p> Signup and view all the answers

Match the factors affecting hemoglobin-oxygen dissociation:

<p>High temperature = Decreases oxygen affinity of hemoglobin pCO2 levels = Higher in tissues, favors oxygen release 2,3-DPG = Stabilizes deoxygenated hemoglobin Local pH = Higher pH in lungs increases oxygen affinity</p> Signup and view all the answers

Match the impacts of iron deficiency on red blood cells:

<p>Reduced hemoglobin concentration = Results in microcytic anemia Poor oxygen transport = Affects overall oxygen delivery to tissues Increased fatigue = Due to decreased red blood cell function Compensatory mechanisms = Increased erythropoietin production</p> Signup and view all the answers

Match the components of hemoglobin to their functions:

<p>Iron = Binds oxygen temporarily and reversibly Globin chains = Provide structural framework for hemoglobin Porphyrin ring = Holds the iron in place within hemoglobin Hemoglobin = Increases oxygen carrying capacity of blood</p> Signup and view all the answers

Match the stages of oxygen transport by red blood cells:

<p>Lung alveoli = Oxygen binds to hemoglobin in high pH Body tissues = Oxygen is released in lower pH Blood circulation = Delivers oxygen to all body tissues Oxyhemoglobin = Formed when hemoglobin binds to oxygen</p> Signup and view all the answers

Match the following red blood cell lifespan issues with their descriptions:

<p>Increased breakdown = Can occur due to various factors Red cell membrane defects = May result in abnormal red cell shapes Enzyme production problems = Can lead to increased red cell destruction Haemoglobin variants = Associated with specific genetic mutations</p> Signup and view all the answers

Match the following globin chain disorders with their characteristics:

<p>Sickle cell = Involves abnormal beta globin chains G6PD deficiency = Most common enzyme deficiency globally Hereditary spherocytosis = A rare inherited disorder affecting red cells Thalassemia = Affects the production of alpha or beta globin chains</p> Signup and view all the answers

Match the following causes of inheritance of blood disorders with their explanations:

<p>Autosomal recessive = Requires two copies of the mutated gene X-linked inheritance = Often seen in males due to only one X chromosome Mitochondrial inheritance = Passed exclusively from mother to offspring Polygenic inheritance = Involves multiple genes contributing to the disorder</p> Signup and view all the answers

Match the following erythropoiesis mechanisms with their functions:

<p>Iron supplementation = Addresses iron deficiency for RBC production Erythropoietin = Stimulates red blood cell production in the bone marrow Blood transfusion = Provides immediate red cells in acute situations Transplant = Used for severe bone marrow failure disorders</p> Signup and view all the answers

Match the following impacts of iron deficiency with their consequences:

<p>Reduced RBC production = Leads to anemia symptoms Impaired oxygen transport = Results in fatigue and weakness Increased erythropoietin levels = In response to low red blood cell count Altered immune function = Can lead to increased susceptibility to infections</p> Signup and view all the answers

Match the following factors affecting red blood cell health with their outcomes:

<p>Oxidative stress = Triggers acute breakdown in G6PD deficiency Immune-mediated haemolysis = Targets red cells for destruction by antibodies Inherited disorders = May require regular transfusions for management Environmental triggers = Can exacerbate certain hemolytic conditions</p> Signup and view all the answers

Match the following features of sickle cell disease with their effects:

<p>Shape change upon deoxygenation = Leads to sickling of red blood cells Increased red cell breakdown = Results in chronic anemia symptoms Complications from vaso-occlusive crises = Can cause severe pain episodes Higher fluid requirements = Helps to manage complications of the disease</p> Signup and view all the answers

Match the following treatments for red blood cell disorders with their aims:

<p>Iron replacement = Addresses specific nutritional deficiencies Gene therapy = Targets genetic causes of blood disorders Transfusion support = Provides quick relief in acute anemia Immune modulation = Aims to reduce autoimmune responses affecting red cells</p> Signup and view all the answers

Match the following types of hemolysis with their causes:

<p>Intrinsic hemolysis = Results from genetic defects in red cells Extrinsic hemolysis = Caused by outside factors like immune response Mechanical hemolysis = Occurs due to trauma to red cells Temperature-related hemolysis = Can occur in cases of severe cold or heat exposure</p> Signup and view all the answers

Match the following indicators of red blood cell disorders with their meanings:

<p>Anemia = Low red blood cell count in the bloodstream Reticulocytosis = Increased number of immature red blood cells Hypoxia = Reduced oxygen delivery to tissues Hemoglobinopathy = Any disorder affecting hemoglobin structure or function</p> Signup and view all the answers

Study Notes

Blood Composition

  • Blood is composed of red blood cells (45%), white blood cells (1%), platelets (1%), and plasma (45%).
  • Plasma also contains clotting factors, antibodies, electrolytes, and proteins.
  • Plasma may also contain some dissolved oxygen.

Red Blood Cell Function

  • Red blood cells transport oxygen to tissues and carbon dioxide away from tissues.
  • They are flexible, bi-concave disks that allow them to pass through small capillaries.
  • Haemoglobin within red blood cells increases the oxygen carrying capacity of blood (~70%).
  • Clinically significant proteins in red blood cells include those that define blood type.

Red Blood Cell Structure

  • Red blood cells lack a nucleus and mitochondria, increasing cell flexibility and reliance on glycolysis for energy.
  • Their structure means they cannot regenerate.
  • The spleen removes old red blood cells which have a limited life span.

Gas Transport

  • Anaerobic respiration produces 2 ATP, while aerobic respiration produces 36 ATP.
  • Efficient O2 delivery and CO2 removal support aerobic respiration and cellular energy production.
  • Red blood cells produce energy through the Embden-Meyerhof pathway and the pentose phosphate pathway.

Oxygen Transport by Haemoglobin

  • Haemoglobin significantly increases oxygen-carrying capacity (~70-fold).
  • Haemoglobin is a combination of haem (iron bound to porphyrin ring) and globin (protein chains).
  • Each haemoglobin A molecule contains two alpha and two beta globin chains.
  • Other types of haemoglobin include HbA2 (2 alpha + 2 delta).
  • HbF (foetal Hb) contains 2 alpha + 2 gamma chains.

Factors Affecting Haemoglobin-Oxygen Dissociation

  • Temperature increases affect the dissociation curve, shifting it right (Decreased oxygen affinity).
  • Higher metabolism leads to increased oxygen delivery.
  • 2,3-DPG has a significant effect during pregnancy.

Red Blood Cell Production

  • Red blood cells are produced in blood islands in the yolk sac, liver, and spleen, and mostly in the bone marrow after the 7th month of gestation.
  • The production location changes over time based on age of development.
  • Erythropoiesis, red cell production, begins from hematopoietic stem cells in the bone marrow.
  • Erythropoietin controls red blood cell production.

Factors Affecting Red Cell Production

  • Erythropoietin is mainly produced in the kidney and increases red blood cell production in response to anemia or hypoxemia.
  • Availability of iron, B12 and folate is crucial for proper red blood cell production.
  • Globin chain production is essential.
  • Genetic disorders can cause deficiencies in red blood cell production.

Red Cell Function Problems

  • Bone marrow failure can decrease the production of blood cells causing anemia.
  • Problems with globin production cause thalassemia, where red blood cells lack one or more globin chains.
  • A lack of B12 and folate needed for DNA synthesis during cell proliferation and production can lead to problems with cell production.
  • Iron deficiency leads to decreased haemoglobin and smaller, paler red blood cells with low oxygen carrying capacity.
  • Lack of stimulus, for example, impaired kidney function, leads to a loss of EPO production in response to hypoxia.

Cell Intrinsic Issues

  • Red cell membrane defects lead to different red cell shapes (e.g., in hereditary spherocytosis) and increased red cell breakdown, due to damage identified by the spleen.
  • Red cell enzyme production problems (e.g., G6PD deficiency) can increase red cell breakdown as well.

Cell Extrinsic Issues

  • Red blood cell breakdown (haemolysis) occurs due to extrinsic factors such as the immune system attacking red blood cell components.
  • Immune-mediated haemolysis involves the immune system inappropriately targeting red blood cells.

Anemia and Symptoms

  • Anemia occurs due to reduced red blood cell production or increased red blood cell loss.
  • Symptoms can include fatigue, dizziness, fainting, low blood pressure, palpitations, rapid heart rate, chest pain, and enlargement of the spleen.

Treatments

  • Treatments for anemia may include replacing missing components (iron, B12, folate), erythropoeitin, transfusion, and bone marrow transplant.
  • Different treatments are used depending on the specific cause of the anemia.

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Description

Test your knowledge about the composition and functions of blood, including the roles of red blood cells, white blood cells, platelets, and plasma. Explore the structure of red blood cells and their importance in gas transport. This quiz covers key concepts from biology related to human physiology.

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