Blood Physiology and Pathophysiology
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Questions and Answers

Which type of white blood cell is responsible for directly mounting an immune response through cell attack?

  • Monocytes
  • T cells (correct)
  • Erythrocytes
  • B cells
  • What is a primary function of monocytes in the immune system?

  • Produce antibodies
  • Bind oxygen
  • Develop into macrophages (correct)
  • Facilitate gas exchange
  • What is the average count of erythrocytes per cubic millimeter of blood?

  • 15 million
  • 5 million (correct)
  • 2 million
  • 10 million
  • Which of the following is NOT a consequence of chemotherapy on normal fast-growing cells?

    <p>Increase in red blood cells</p> Signup and view all the answers

    What characteristic of red blood cells allows them to be flexible for passage through capillaries?

    <p>Biconcave disc shape</p> Signup and view all the answers

    What is the primary function of albumin in plasma?

    <p>Maintenance of osmotic pressure</p> Signup and view all the answers

    Which plasma protein is primarily responsible for blood clotting?

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

    Which leukocyte is primarily involved in phagocytizing bacteria?

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

    What is the average concentration of prothrombin in plasma?

    <p>0.01 gm/dL</p> Signup and view all the answers

    Which type of leukocyte is classified as an agranulocyte?

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

    What is a significant role of γ globulins in the plasma?

    <p>Binding to foreign substances</p> Signup and view all the answers

    Which leukocyte has the shortest life span?

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

    What is the main function of fibrinogen in plasma?

    <p>Formation of fibrin networks</p> Signup and view all the answers

    What is the role of von Willebrand factor in platelet plug formation?

    <p>It causes platelets to adhere to collagen.</p> Signup and view all the answers

    Which substance acts to stimulate vasoconstriction during platelet plug formation?

    <p>Thromboxane A2</p> Signup and view all the answers

    What is the consequence of excessive clotting?

    <p>Blocking of blood vessels.</p> Signup and view all the answers

    Which enzyme is responsible for breaking down fibrin during fibrinolysis?

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

    Which of the following anticoagulants is derived from animals?

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

    How does warfarin function as an anticoagulant?

    <p>Inhibits the synthesis of vitamin K dependent factors.</p> Signup and view all the answers

    What is the relationship between clotting and fibrinolysis?

    <p>There is a balance between the two processes.</p> Signup and view all the answers

    Which of the following factors is NOT decreased by warfarin treatment?

    <p>Factor XII</p> Signup and view all the answers

    What is the primary organ that produces the majority of erythropoietin hormone?

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

    Which blood component is essential for hemoglobin synthesis?

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

    During post-natal life, where is the predominant site of red blood cell formation in adults?

    <p>Red bone marrow of axial skeleton</p> Signup and view all the answers

    What condition is defined as a decrease in red blood cell count or hemoglobin concentration?

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

    What nutrient is primarily found in red meat that plays a role in red blood cell maturation?

    <p>Cobalamin (Vitamin B12)</p> Signup and view all the answers

    Which hormone is known to stimulate the secretion of erythropoietin?

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

    Which of the following factors primarily affects the formation of RBCs in individuals with a healthy liver?

    <p>Formation of globin</p> Signup and view all the answers

    Which of the following statements is true regarding blood groups?

    <p>Alpha agglutinins are antibodies against B agglutinogen</p> Signup and view all the answers

    What percentage of blood volume does plasma constitute?

    <p>55%</p> Signup and view all the answers

    Which component of blood is primarily responsible for the transport of oxygen?

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

    What is the clinical term for the proportion of blood volume occupied by red blood cells?

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

    Which of the following is NOT a function of blood?

    <p>Regulation of body temperature</p> Signup and view all the answers

    Erythropoiesis occurs in which anatomical location during adulthood?

    <p>Bone marrow</p> Signup and view all the answers

    What triggers the secretion of erythropoietin in the body?

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

    What is the main component of plasma?

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

    Which blood cells are primarily involved in the defense against infection?

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

    Which blood group is characterized by the presence of both A and B agglutinogens on the red blood cell membrane?

    <p>Blood group AB</p> Signup and view all the answers

    What is the primary reason Rh-ve mothers must receive Rhogam after the delivery of an Rh+ve fetus?

    <p>To prevent the development of Rh antibodies</p> Signup and view all the answers

    What is the first step in the hemostasis process?

    <p>Vasoconstriction of the injured blood vessel</p> Signup and view all the answers

    Which agglutinins are present in the plasma of blood group O?

    <p>Both A and B agglutinins</p> Signup and view all the answers

    Which substances are released during vascular spasms to initiate vasoconstriction?

    <p>Serotonin, thromboxane A2, and endothelin</p> Signup and view all the answers

    What is the main risk for an Rh-ve mother who does not receive Rhogam after having an Rh+ve baby?

    <p>Production of Rh antibodies leading to erythroblastosis fetalis</p> Signup and view all the answers

    Which of the following describes the state of a blood vessel right after its injury?

    <p>Vasoconstriction and initiation of hemostasis</p> Signup and view all the answers

    How does platelet aggregation contribute to hemostasis?

    <p>By forming a temporary barrier to blood loss</p> Signup and view all the answers

    Study Notes

    Blood Physiology and Pathophysiology

    • Blood is a liquid connective tissue, approximately 8% of the total body weight in an average 70kg man.
    • Blood volume in females is 4-5 liters; in males it's 5-6 liters.
    • Blood is composed of plasma (55%) and formed elements (45%).
      • Plasma is mainly water (90%), proteins (9%), and other solutes (1%).
      • Plasma proteins include albumin, globulins, fibrinogen, and prothrombin.
    • Formed elements include erythrocytes (red blood cells), leukocytes (white blood cells) and thrombocytes (platelets).
    • Hematocrit (PCV) is the percentage of erythrocytes in whole blood.
    • RBCs are biconcave discs, flexible to pass through capillaries.
    • RBCs contain hemoglobin for oxygen and carbon dioxide transport.
    • RBCs lack a nucleus and mitochondria.
    • Average RBC count: males 4.8-5.8 million/mm³ and females 4.2-5.2 million/mm³.
    • RBC life span is 120 days.
    • Erythropoiesis is the process of RBC formation.
      • In utero: primarily in the liver and spleen.
      • Post-natal: predominantly in red bone marrow.
        • Children: axial and appendicular skeleton.
        • Adults: Axial skeleton.
    • The spleen is important in the removal of aged and damaged RBCs.
    • Factors regulating erythropoiesis, including decreased oxygen supply (hypoxia) stimulating erythropoietin hormone production.
      • The kidney produces 85% of the hormone, with the liver contributing 15%.
    • Essential nutrients in erythropoiesis: Cobalamin (Vitamin B12), Folic acid, Vitamin B6, Amino acids, Vitamin C and Iron.
    • Important hormones in erythropoiesis: Testosterone, Thyroid hormones and Cortisol.
    • Healthy liver is critical: producing globin, storing Iron and vitamin B12, and generating erythropoietin.
    • Healthy bone marrow is essential for erythropoiesis.
      • Bone marrow can be impacted by irradiation and tumors.
    • Anemia is a decrease in RBC count or hemoglobin concentration, decreasing oxygen supply to tissues.
    • Types of Anemia: Macrocytic, Normocytic, and Microcytic based on RBC size.
    • Classifications are also based on characteristics like: Iron deficiency, Folic acid deficiency, Pernicious anemia and Acute Bleeding etc.
    • Blood groups are categorized based on antigens (agglutinogens) on RBC surfaces. This is the ABO system;
      • Group A: has A antigens, B antibodies.
      • Group B: has B antigens, A antibodies.
      • Group AB: has A and B antigens, no antibodies.
      • Group O: has no antigens, A and B antibodies.
    • Blood groups are also determined by the presence or absence of Rh factor (antigen D).
      • Rh+ve: has D antigen, Rh-ve: does not have D antigen.
    • Hemostasis is the process of stopping bleeding. -The process takes place in stages; vascular spasms, platelet plugs, and coagulation.
    • Anticoagulants are useful for preventing blood clotting.
      • Examples include heparin, coumarins (e.g., warfarin), oxalate, citrate, and EDTA.

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    Description

    Explore the fascinating world of blood physiology and pathophysiology. This quiz covers blood composition, functions, and critical metrics, including hematocrit and erythropoiesis. Test your understanding of blood components and their roles in human health.

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