Blood: Plasma Components and Functions

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Questions and Answers

Which of the following best describes the primary function of blood within the circulatory system?

  • Generating electrical impulses for nerve function.
  • Synthesizing hormones to regulate bodily functions.
  • Filtering out toxins and waste products.
  • Transporting bodily fluids and facilitating communication between various systems. (correct)

A patient's blood sample is spun down in a centrifuge. If the plasma constitutes 60% of the total blood volume, approximately what percentage would you expect the red blood cells to occupy?

  • More than 65%
  • Approximately 40% (correct)
  • Less than 35%
  • About 55%

A researcher is studying the composition of blood plasma. If they are primarily interested in the protein that maintains oncotic pressure, which protein should they focus on?

  • Fibrinogen
  • Globulin
  • Albumin (correct)
  • Immunoglobulin

Which of the following plasma components plays a critical role in the formation of blood clots?

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

A patient is experiencing a severe allergic reaction. Which type of plasma protein would likely be elevated in their blood?

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

Which of the following statements accurately describes the role of erythrocytes in the transport of respiratory gases?

<p>They transport 98% of oxygen and 27% of carbon dioxide (C)</p> Signup and view all the answers

Erythrocytes are adapted to efficiently transport oxygen. Which of the following cellular features directly contributes to this function?

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

A hematologist is examining a blood smear and notes a cell that lacks a nucleus. The cell's dimensions are approximately 7.5 μm in diameter. What is the most likely identity of this cell?

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

A researcher is investigating the mechanism by which leukocytes are attracted to sites of inflammation. Which process is most directly involved in this attraction?

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

During an infection, leukocytes migrate from the bloodstream into the surrounding tissue. What is the name of the process in which leukocytes squeeze between endothelial cells to exit the bloodstream?

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

A patient's blood test reveals an elevated number of eosinophils. Which of the following conditions is most likely contributing to this result?

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

Which type of granulocyte is characterized by a multi-lobed nucleus and the primary function of destroying bacteria?

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

A patient presents with symptoms of an allergic reaction. Which type of granulocyte is most likely involved in mediating this response?

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

A researcher is studying the different types of lymphocytes. Which type of lymphocyte is responsible for antibody production?

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

Which of the following accurately describes the function of Natural Killer (NK) cells?

<p>Participating in nonspecific immune responses (D)</p> Signup and view all the answers

A researcher is analyzing a blood sample and identifies large cells (12-20 μm) with kidney-shaped nuclei and basophilic cytoplasm. What type of cell is the researcher most likely observing?

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

Which of the following cells are precursors to macrophages, osteoclasts, and microglia?

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

Platelets play a crucial role in hemostasis. Which of the following describes their primary function?

<p>Forming a platelet plug to stop bleeding (A)</p> Signup and view all the answers

A hematologist observes numerous cell fragments lacking a nucleus in a blood smear. These fragments are approximately 2-4 μm in diameter. Which type of cell is being observed?

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

A complete blood count (CBC) is ordered for a patient. Which of the following values falls within the normal adult range for hemoglobin (HGB) in females?

<p>140 g/L (D)</p> Signup and view all the answers

A laboratory technician is performing a complete blood count (CBC). Which of the following values would be considered a normal platelet (PLT) count for an adult?

<p>250 × 10^9/L (A)</p> Signup and view all the answers

Which of the following best describes the location and consistency of bone marrow?

<p>Soft, spongy tissue within marrow cavities of long bones and trabecular bone tissue (D)</p> Signup and view all the answers

In adults, red bone marrow is primarily found in specific locations. Which of the following includes bones where red marrow is typically active?

<p>Sternum, vertebral bodies, ribs (D)</p> Signup and view all the answers

Which type of bone marrow is primarily composed of fat cells and is considered hematopoietically inactive?

<p>Yellow bone marrow (D)</p> Signup and view all the answers

A patient is diagnosed with anemia, and their bone marrow is assessed. What transformation might be observed in the patient's yellow bone marrow?

<p>Conversion to red marrow (B)</p> Signup and view all the answers

What type of connective tissue forms the basic structural unit of bone marrow, supporting the cells present within it?

<p>Reticular connective tissue (B)</p> Signup and view all the answers

Which term describes the process of proliferation and differentiation of erythrocytes from stem cells in the bone marrow?

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

Erythropoiesis is regulated by the concentration of which hormone in the blood?

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

Which of the hematopoietic factors is essential for proper erythropoiesis?

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

During erythropoiesis, a hematopoietic stem cell differentiates through various stages. Which of the following is an early stage in this process?

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

A hematologist is examining a blood smear and identifies an erythroblast that is characterized by a more basophilic cytoplasm. What stage of erythropoiesis is the cell likely in?

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

Which of the following cells found in bone marrow is responsible for producing platelets?

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

In a healthy adult, where would you expect to find the highest concentration of red bone marrow?

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

What is the approximate lifespan of an erythrocyte in the human body?

<p>120 days (C)</p> Signup and view all the answers

Based on the information of normal blood test values, if a patient has a neutrophil count of 8.0 x $10^9$/L, how would you interpret this result?

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

What is the significance of reticular cells in bone marrow?

<p>They provide structural support and a microenvironment for hematopoiesis. (A)</p> Signup and view all the answers

How does age typically affect the composition of bone marrow? Choose the best answer.

<p>Red marrow converts to yellow marrow. (A)</p> Signup and view all the answers

A patient has a genetic defect that impairs their leukocyte adhesion. What specific process would be directly affected by this condition?

<p>The ability to firmly attach to the endothelium at the site of inflammation (C)</p> Signup and view all the answers

How do basophils contribute to the inflammatory process?

<p>By releasing inflammatory substances like histamine (C)</p> Signup and view all the answers

Flashcards

Blood

Bodily fluid that transports via the circulatory system and facilitates communication between various systems.

Albumin

The most abundant plasma protein, maintaining oncotic pressure.

Globulins

Plasma proteins that transport, clot blood, and carry lipoproteins.

Immunoglobulins

Antibodies involved in immune reactions, also known as gamma-globulins.

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Fibrinogen

Polymerizes during clotting to form fibrin, stopping bleeding.

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Erythrocytes

Round, biconcave cells that transport oxygen and carbon dioxide.

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Chemotaxis

Attraction of leukocytes to infection/inflammation by chemical signals.

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Adhesion (Leukocytes)

Leukocytes adhering to endothelial cells at infection/inflammation sites.

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Diapedesis

Leukocytes squeezing between endothelial cells to leave the bloodstream.

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Granulocytes

White blood cells characterized by lobed nuclei and specific granules.

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Neutrophils

Most abundant granulocyte; destroys bacteria within phagolysosomes.

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Eosinophils

Granulocyte with two-lobed nucleus; responds to parasites and modulates inflammation.

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Basophils

Rarest granulocyte; participates in allergic and inflammatory reactions.

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Lymphocytes

Agranulocytes constituting 25-33% of leukocytes with spherical nuclei.

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T Cytotoxic (Tc) Cells

Lymphocytes responsible for cellular immunity by killing target cells.

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T Helper (Th) Cells

Lymphocytes that assist in the immune response.

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T Regulatory (Treg) Cells

Lymphocytes that regulate or suppress the immune response.

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B Lymphocytes

Lymphocytes responsible for antigen recognition and antibody production.

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NK Cells

Lymphocytes that participate in nonspecific immune responses.

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Monocytes

Oval-shaped cells with kidney-shaped nuclei; precursors to macrophages and osteoclasts.

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Platelets

Participate in the formation of a platelet plug that stops bleeding (hemostasis).

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Bone Marrow

Soft, highly vascularized tissue in marrow cavities of bones.

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Yellow Bone Marrow

Bone marrow consisting mainly of fat cells; hematopoietically inactive.

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Red Bone Marrow

Bone marrow that is the site of blood cell production.

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Erythropoiesis

Process of proliferation and differentiation of erythrocytes from stem cells.

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Study Notes

  • Blood is a bodily fluid that transports substances via the circulatory system.
  • Blood facilitates communication between body systems and functions as a fluid connective tissue.

Components of Plasma

  • Plasma contains albumin, the most abundant plasma protein, involved in maintaining oncotic pressure (58%).
  • Globulins (alpha and beta) transport proteins like transferrin, blood clotting factors, and lipoproteins, constituting 37% of plasma.
  • Immunoglobulins (gamma-globulins) are antibodies involved in immune reactions.
  • Fibrinogen polymerizes during clotting to form fibrin, which aids in stopping bleeding from small vessels, and makes up 4% of plasma.
  • Complement system proteins participate in immune reactions.
  • Ions found in plasma include Sodium, Potassium, Calcium, Iron, Hydrogen(H+), Chloride, Bicarbonate, and Phosphate
  • Other components of plasma include amino acids, glucose, cholesterol, vitamins, fatty acids, oxygen and carbon dioxide
  • Oxygen in plasma is 2% dissolved, and 98% bound to hemoglobin.
  • Carbon dioxide in plasma is 7% dissolved, 66% as bicarbonate ions, and 27% bound to hemoglobin.
  • Creatinine urea, bilirubin, and ammonia are excretory products found in plasma.

Erythrocytes

  • Erythrocytes are round, biconcave cells lacking a cell nucleus.
  • Erythrocytes measure 7.5 μm in diameter, with a peripheral thickness of 2.6 μm and a central thickness of 0.75 μm.
  • Erythrocytes are filled with hemoglobin, transport 98% of oxygen and 27% of carbon dioxide.
  • Erythrocytes have a lifespan of approximately 120 days.
  • Erythrocytes undergo anaerobic metabolism.

Leukocyte Activation

  • Chemotaxis attracts leukocytes to infection or inflammation sites via cytokines and chemokines from damaged tissues.
  • Adhesion occurs when leukocytes stick to endothelial cells lining blood vessels near infection or inflammation, mediated by adhesion molecules like integrins.
  • Diapedesis is the process by which leukocytes squeeze through endothelial cells to exit the bloodstream and enter surrounding tissue, guided by chemical signals.

Granulocytes

  • Granulocytes are a type of white blood cell characterized by having a two-lobed or multi-lobed nucleus.
  • Granulocytes contain specialized lysosomes (azurophilic granules) and specific granules with proteins that have functions specific to the cell type.
  • Neutrophils are the most abundant granulocytes, characterized by a polymorphic, multi-lobed nucleus and numerous fine cytoplasmic granules, and their primary function is to destroy bacteria within phagolysosomes.
  • Eosinophils have a two-lobed nucleus and numerous eosinophilic granules, and mainly respond against parasites and modulate the inflammatory response.
  • Basophils are the rarest granulocytes, with an irregularly shaped two-lobed nucleus and strongly basophilic granules, and participate in allergic and inflammatory reactions.
  • Neutrophils measure 12-15 μm in size, they comprise 50-70% of leukocytes, circulate in the bloodstream for 6-8 hours, then migrate to tissues for 1-4 days, and undergo apoptosis.
  • Basophils measure 12-15 μm, make up less than 1% of leukocytes, reside in bone marrow for 8 days, then circulate in the blood for 3 days, rarely migrating to tissues, and undergo apoptosis.

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