Blood
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Questions and Answers

What is the primary function of albumin in blood?

  • Regulating body temperature
  • Fighting infections through white blood cells
  • Transporting oxygen to body cells
  • Maintaining osmotic pressure and volume (correct)

How does the pH of blood compare to that of pure water?

  • Blood has a lower pH than water
  • Blood has a higher pH than water, making it more acidic
  • Blood is slightly more basic than pure water (correct)
  • Blood has a similar pH to water

Which component primarily contributes to the viscosity of blood?

  • Plasma proteins
  • Water content
  • Red blood cells (correct)
  • White blood cells

What is a characteristic of blood that has just picked up oxygen in the lungs?

<p>It is bright red in color (D)</p> Signup and view all the answers

What is the average volume of blood in adult males?

<p>5-6 liters (B)</p> Signup and view all the answers

Which type of globulin is responsible for transporting iron and fat-soluble vitamins?

<p>Alpha globulins (A)</p> Signup and view all the answers

What role do platelets play in blood function?

<p>Block damaged blood vessels (A)</p> Signup and view all the answers

What role does erythropoietin (EPO) play in the body?

<p>Promotes the production of erythrocytes (D)</p> Signup and view all the answers

Which type of stem cells gives rise to lymphocytes?

<p>Lymphoid stem cells (C)</p> Signup and view all the answers

What is the primary function of fibrinogen in the bloodstream?

<p>Facilitate blood clotting (B)</p> Signup and view all the answers

What process occurs for the replacement of donated plasma within the body?

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

Bone marrow transplants require matching donors primarily to prevent what?

<p>Tissue rejection of donor cells (A)</p> Signup and view all the answers

Which component of blood is primarily responsible for gas exchange?

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

Which type of cytokine is involved in stimulating the production of monocytes?

<p>Monocyte colony-stimulating factors (C)</p> Signup and view all the answers

What shape do mature erythrocytes take to maximize gas exchange?

<p>Biconcave disk (C)</p> Signup and view all the answers

Which of the following represents the non-cellular components dissolved in plasma?

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

What happens during vascular spasm when a blood vessel is injured?

<p>The smooth muscle in the walls of the vessel contracts. (A)</p> Signup and view all the answers

Which of the following substances plays a role in maintaining the temporary platelet plug?

<p>Von Willebrand factor (A)</p> Signup and view all the answers

In which scenario is thrombocytopenia likely to occur?

<p>Insufficient platelet production (B)</p> Signup and view all the answers

What primarily triggers the extrinsic pathway of coagulation?

<p>Release of factor III from extravascular cells (A)</p> Signup and view all the answers

Which statement about thrombus is correct?

<p>A thrombus can form in intact vessels under certain conditions. (B)</p> Signup and view all the answers

What can result from abnormally high counts of eosinophils?

<p>Parasitic worm infestations (A)</p> Signup and view all the answers

Which type of leukocyte is primarily involved in the body's non-specific immune response?

<p>Natural killer cells (D)</p> Signup and view all the answers

What is a characteristic of basophils in relation to inflammation?

<p>Intensify the inflammatory response (C)</p> Signup and view all the answers

What type of leukocyte is commonly associated with chronic illnesses and may exhibit high counts due to infection?

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

Abnormally low counts of lymphocytes can result from which of the following?

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

Which statement regarding lymphocyte memory cells is correct?

<p>They form after exposure to a pathogen. (B)</p> Signup and view all the answers

What is the primary function of granulocytes in the immune system?

<p>Secrete enzymes and molecules that target pathogens (C)</p> Signup and view all the answers

Which condition involves an excessive proliferation of leukocytes, often leading to nonfunctional cells?

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

What is a primary consequence of elevated counts of basophils?

<p>Intensified allergic responses (C)</p> Signup and view all the answers

Which of the following leukocytes are characterized by horseshoe-shaped nuclei?

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

What is the primary function of hemoglobin in red blood cells?

<p>To facilitate gas exchange by binding oxygen (A)</p> Signup and view all the answers

Which ion is a critical component of the heme group in hemoglobin?

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

What occurs to erythrocytes after their life span of 120 days?

<p>They are phagocytized by macrophages (A)</p> Signup and view all the answers

Which component of hemoglobin carries the oxygen molecule?

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

In patients with jaundice, what is primarily responsible for the yellowish tinge of the skin?

<p>Accumulation of bilirubin (C)</p> Signup and view all the answers

Which of the following represents an inherited blood condition characterized by ineffective production of red blood cells?

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

What role does transferrin play in iron recycling?

<p>It transports iron in the bloodstream. (C)</p> Signup and view all the answers

Which of the following leukocytes is known for rapidly responding to infections and performing phagocytosis?

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

What initiates the process of erythrocyte production in the marrow?

<p>Presence of necessary raw materials and nutrients (B)</p> Signup and view all the answers

What form does bilirubin take when it is utilized in bile production by the liver?

<p>Bilirubin-albumin complex (C)</p> Signup and view all the answers

Flashcards

What does blood transport?

Blood carries nutrients, oxygen, hormones, and waste products throughout the body.

How does blood help maintain homeostasis?

Blood regulates body temperature, pH, and water content, ensuring a stable internal environment.

What is hematocrit?

Hematocrit is the percentage of red blood cells in a blood sample.

What does albumin do in blood?

Albumin is the most abundant plasma protein. It transports fatty acids and steroid hormones, contributes to osmotic pressure, and helps maintain blood volume.

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What are globulins?

Globulins are a diverse group of plasma proteins with various functions, including transporting iron, lipids and vitamins, and contributing to osmotic pressure.

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How does the viscosity of blood affect its flow?

Blood is five times thicker than water, making it resistant to flow. This impacts blood pressure and circulation.

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How does the oxygen saturation of blood affect its color?

Oxygenated blood is bright red, while deoxygenated blood is darker red. Hemoglobin, the protein in red blood cells, changes color based on oxygen levels.

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What is hemostasis?

Hemostasis is the process that stops bleeding from a damaged blood vessel, preventing further blood loss.

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What are the three steps of hemostasis?

The three steps are: 1) vascular spasm (constriction of the blood vessel), 2) platelet plug formation, and 3) coagulation (blood clotting).

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What is the role of platelets in hemostasis?

Platelets are small, cell fragments that stick to the damaged vessel wall, forming a temporary plug. They also release chemicals that help constrict the blood vessel and initiate clotting.

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What is the difference between intrinsic and extrinsic pathways in coagulation?

The intrinsic pathway is activated by factors within the blood itself, while the extrinsic pathway is triggered by damage to surrounding tissues. Both pathways lead to the formation of fibrin, the protein that forms the clot.

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What is the role of fibrinolysis?

Fibrinolysis is the process of breaking down the clot after the vessel has healed. It involves the conversion of plasminogen to plasmin, which dissolves the fibrin.

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What happens to erythrocytes in capillary beds?

Capillary beds are narrow, slowing erythrocytes' passage. This extended time allows for efficient gas exchange.

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What is hemoglobin's structure?

Hemoglobin contains four globin protein chains, each bound to a heme molecule with an iron ion (Fe2+).

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How does hemoglobin transport oxygen?

Each iron ion in hemoglobin binds to one oxygen molecule, forming oxyhemoglobin. When oxygen is released, it becomes deoxyhemoglobin.

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What is the normal range for hemoglobin?

Normal hemoglobin levels are 115-155 g/L for females and 125-170 g/L for males.

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How does a pulse oximeter work?

It emits red and infrared light, which are absorbed differently by oxyhemoglobin and deoxyhemoglobin. This allows it to measure the percentage of oxygenated blood.

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What are the key elements needed for erythrocyte production?

Erythrocyte production requires essential nutrients like glucose, lipids, amino acids, and trace elements like iron, copper, zinc, and B vitamins.

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What happens to old erythrocytes?

They are removed by macrophages in the bone marrow, liver, and spleen. Components are broken down and recycled.

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How is heme broken down?

The non-iron portion is degraded into bilirubin, which travels to the liver and is used to make bile. Bile aids in fat digestion and is excreted through feces.

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What are the two main classifications of leukocytes?

Leukocytes are classified as granular or agranular based on the presence and visibility of granules in their cytoplasm.

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What is the role of neutrophils?

Neutrophils are the most common leukocytes and are efficient phagocytes, consuming bacteria.

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What is the function of beta plasma protein?

Beta plasma proteins are crucial for transporting essential substances throughout your body, including iron, lipids, and fat-soluble vitamins A, D, E, and K. They also contribute to maintaining the osmotic pressure of your blood, which helps regulate the balance of fluids.

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What role do gamma plasma proteins play?

Gamma plasma proteins, also known as antibodies or immunoglobulins, are the key players in your immune system. They recognize and neutralize harmful invaders like bacteria and viruses, protecting you from infections.

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What is a complete blood count (CBC) test?

A CBC test is a common blood test that analyzes the number and characteristics of various blood cells, including red blood cells, white blood cells, and platelets. This information helps assess your overall health and detect any irregularities in your blood cell production.

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Where are blood cells produced?

Blood cells are produced in the red bone marrow, a soft, spongy tissue found inside certain bones. This process of blood cell production is called hemopoiesis.

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What are the types of stem cells involved in blood cell production?

There are two main types of stem cells involved in blood cell production: lymphoid stem cells and myeloid stem cells. Lymphoid stem cells produce lymphocytes (T cells, B cells, and NK cells), which are key players in your immune system. Myeloid stem cells produce all other blood cell types.

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What is erythropoietin (EPO)?

Erythropoietin (EPO) is a hormone produced by the kidneys in response to low oxygen levels. It stimulates the production of red blood cells, which carry oxygen throughout your body.

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What are cytokines?

Cytokines are proteins that act as messengers in your immune system. They regulate the production and function of various blood cells, including red blood cells, white blood cells, and platelets. They also play a role in inflammation, immunity, and wound healing.

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What is the role of erythrocytes?

Erythrocytes, or red blood cells, are responsible for transporting oxygen from your lungs to your tissues and carrying carbon dioxide waste from your tissues to your lungs for exhalation. They make up a significant portion of your blood cells.

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What is the unique shape of erythrocytes and its significance?

Erythrocytes have a biconcave disc shape, which means they are thinner in the center and thicker at the edges. This shape provides a large surface area for gas exchange and allows them to squeeze through narrow capillaries, efficiently delivering oxygen to your tissues.

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What are lysozymes?

Lysozymes are enzymes found in bodily fluids like tears and saliva. They break down the cell walls of bacteria, preventing infections.

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What do oxidants do in the immune system?

Oxidants, like hydrogen peroxide, are chemical substances that damage and kill bacteria and other pathogens by oxidizing their components.

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How do defensins work?

Defensins are proteins that puncture the membranes of bacteria and fungi, leading to leakage of their contents and death.

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Why are abnormally high neutrophil counts concerning?

High neutrophil counts often indicate an infection or inflammation, primarily caused by bacteria.

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What is the role of eosinophils in the immune system?

Eosinophils release antihistamines to counter inflammation and have granules toxic to parasitic worms, especially those ingested through raw or undercooked seafood.

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Why are basophils important?

Basophils release histamine for inflammation and heparin to prevent blood clotting.

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What is a key characteristic of lymphocytes?

Lymphocytes are responsible for specific immunity, recognizing and attacking specific pathogens or diseased cells.

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How do natural killer cells (NK cells) work?

NK cells provide non-specific immunity by attacking cells lacking “self” proteins on their surface, like cancer cells or virus-infected cells.

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What is unique about memory cells?

Memory cells are long-lived B and T cells that remember past infections and launch quick responses upon re-exposure.

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What are monocytes and what do they do?

Monocytes are large white blood cells that transform into macrophages once they leave the bloodstream. They engulf and destroy debris, pathogens, and worn-out cells.

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Study Notes

Blood Functions

  • Transports nutrients from the bloodstream to the liver for processing, then to cells.
  • Carries oxygen throughout the body.
  • Delivers hormones from endocrine glands to target cells.
  • Removes cellular waste and byproducts to organs for removal.
  • Provides defense against external and internal threats, using white blood cells, platelets, and plasma proteins.
  • Maintains homeostasis, regulating body temperature, chemical balance, pH, and water content.

Blood Composition

  • Hematocrit: Percentage of red blood cells in a sample.
  • Buffy coat: White blood cells and platelets (less than 1% of blood volume).
  • Plasma: Largest component (mostly water):
    • 92% water
    • 7% proteins (albumin, globulins, fibrinogen)
    • Nutrients
    • Vitamins
    • Hormones
  • Other solutes: Electrolytes, gases, organic nutrients, metabolic wastes

Blood Characteristics

  • Color: Bright red (oxygenated), dusky red (deoxygenated), depending on hemoglobin saturation.
  • Viscosity: Five times greater than water, impacting blood pressure and flow.
  • Temperature: Slightly higher than body temperature (38°C).
  • pH: 7.35-7.45 (slightly more basic than water).
  • Volume: ~8% of body weight (4-5L in females, 5-6L in males).

Plasma Proteins

  • Albumin:
    • Most abundant plasma protein.
    • Made in the liver.
    • Transports fatty acids and steroid hormones.
    • Main contributor to blood osmotic pressure, maintaining blood volume and pressure. (~54% of plasma proteins)
  • Globulins:
    • Approx. 38% of total plasma protein.
    • Various types (alpha, beta, gamma):
      • Alpha & beta transport iron, lipids, vitamins A, D, E, K
      • Gamma are antibodies (immunoglobulins).
  • Fibrinogen: (~7% of total plasma proteins)
    • Made in the liver.
    • Crucial for blood clotting.

Formed Elements

  • Stem cells: Origin of all formed elements in red bone marrow.
  • Lifespan: Usually brief; plasma replaces within 24 hours, cells take weeks to replace.
  • Hemopoiesis: The process of blood cell replacement.
  • Sites of hemopoiesis: Yolk sac, liver, spleen, lymphatic tissue, red bone marrow (prior to birth); Red bone marrow (after birth); Long bones (children); Cranial, pelvic bones, vertebrae, sternum (adults).
  • Hemopoietic growth factors: Chemical signals that stimulate blood cell development.
    • Erythropoietin (EPO): Kidney, increases RBC production. Banned performance-enhancing drug, also medically used for anemia.
    • Thrombopoietin: Liver and kidneys, stimulates platelet production.
    • Cytokines: Various cells, stimulate & regulate immune and inflammatory responses. (Colony-stimulating factors (CSFs), Interleukins)

Erythrocytes (Red Blood Cells)

  • Function: Transport oxygen from lungs to tissues, and carbon dioxide from tissues to lungs.
  • Structure: Biconcave disks, large surface area, few organelles, contain hemoglobin.
  • Production: In red bone marrow, rapid production. Needs nutrients (glucose, lipids, amino acids) and trace elements (iron, copper, zinc, B vitamins).
  • Lifespan: 120 days.
  • Recycling: Removed by macrophages in bone marrow, liver, and spleen; components recycled.
    • Globin broken to amino acids, used in new RBCs.
    • Iron stored, or carried to bone marrow.
    • Heme broken down to bilirubin (processed by liver, eliminated in bile).
  • Abnormal RBC production: Anemia (insufficient RBCs) can have various causes, including ineffective hematopoiesis, insufficient hemoglobin, or issues with stem cells.

Leukocytes (White Blood Cells)

  • Function: Body's defense against pathogens.
  • Emigration/Diapedesis: Exit capillaries to reach infection sites.
  • Classification: Granular (neutrophils, eosinophils, basophils); Agranular (monocytes, lymphocytes).
  • Granular leukocytes:
    • Neutrophils: Most common, rapid responders to bacterial infections, phagocytic.
    • Eosinophils: Allergies, parasitic infections, phagocytic.
    • Basophils: Least common, intensify inflammation (histamine, heparin).
  • Agranular leukocytes:
    • Monocytes: Phagocytic cells that mature into macrophages, engulf debris/pathogens.
    • Lymphocytes:
      • Natural killer cells: Non-specific immunity, kill abnormal cells.
      • B cells: Antibody production (humoral immunity).
      • T cells: Cellular immunity, attack infected cells.
      • Memory cells: Long-lived, provide rapid responses to repeated exposures.
  • Abnormal leukocyte counts: Leukopenia (low WBCs); Leukocytosis (high WBCs); Leukemia (cancer involving excessive WBCs); Lymphoma (masses of malignant lymphocytes)

Platelets

  • Function: Stop blood loss (hemostasis).
  • Formation: Fragments of megakaryocytes.
  • Storage: One-third stored in the spleen.
  • Lifespan: 10 days.
  • Role in hemostasis: Forming platelet plugs, secreting chemicals that promote clotting.

Hemostasis

  • Process:
    • Vascular spasm: Vessel constricts
    • Platelet plug: Platelets form a temporary seal.
    • Coagulation: Formation of a stable fibrin clot.
  • Coagulation pathways: Intrinsic, extrinsic, common.
  • Fibrinolysis: Dissolution of the clot.
    • Plasminogen -> Plasmin, breaks down fibrin.
  • Disorders: Hemophilia (inadequate clotting factors); Thrombocytosis (excess platelets); Thrombocytopenia (insufficient platelets).

Blood Typing and Transfusions

  • ABO blood groups: Based on A and B antigens. Type O universal donor, AB universal recipient.
  • Rh blood group: Presence (Rh+) or absence (Rh−) of Rh antigen.
  • Hemolytic disease of the newborn (HDN): Rh incompatibility between mother and fetus.
  • RhoGAM: Prevents development of anti-Rh antibodies in Rh− mothers.
  • Transfusion reactions: Avoiding mismatched blood types.

Blood Tests

  • Complete blood count (CBC): Examines blood cells (RBC, WBC, platelets).
  • Bone marrow biopsy: Diagnostic test of bone marrow sample.
  • Bone marrow transplant: Treatment to replace faulty bone marrow with donor marrow.

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Test your knowledge on the functions and components of blood with this engaging quiz. Questions cover various aspects of blood physiology, including the roles of different blood cells, proteins, and the physiological properties of blood. Perfect for students in biology or health sciences.

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