Blood Plasma Proteins and Function Quiz

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Questions and Answers

What is the primary function of albumins in blood plasma?

  • Maintain osmotic pressure (correct)
  • Act as antibodies
  • Form fibrin during blood clotting
  • Transport fatty acids

Globulins are primarily responsible for maintaining osmotic pressure in the blood.

False (B)

What is the role of erythrocytes in the body?

Transport of oxygen

Fibrinogen is responsible for forming ________ during the clotting of blood.

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

Match the following plasma proteins with their functions:

<p>Albumins = Maintain osmotic pressure Globulins = Antibodies/Transport ions Fibrinogen = Forms fibrin during clotting</p> Signup and view all the answers

What is the primary function of carbon dioxide transport in erythrocytes?

<p>Binds to the protein portion of hemoglobin (B)</p> Signup and view all the answers

Erythrocytes have a nucleus and other organelles.

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

What is the diameter range of an erythrocyte?

<p>7.2 – 8.4 µm</p> Signup and view all the answers

Blood type is determined by the presence of ______ on the plasma membranes of RBCs.

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

Which blood type contains both A and B antigens?

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

Match the following ABO blood types with their corresponding antigens:

<p>Type A = A antigens only Type B = B antigens only Type AB = A and B antigens Type O = neither A nor B antigens</p> Signup and view all the answers

The presence of anti-A antibodies in the plasma indicates a Type B blood.

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

What is the function of anti-A antibodies in an individual's blood plasma?

<p>To attack A antigens</p> Signup and view all the answers

What is the primary function of eosinophils?

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

Neutrophils account for more than 50% of circulating white blood cells.

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

What do basophils release to increase blood vessel permeability?

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

Monocytes become ____ when they enter peripheral tissues.

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

Which type of lymphocytes is responsible for humoral immunity?

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

Match the following types of white blood cells with their primary function:

<p>Eosinophils = Destroying parasites Neutrophils = Engulfing bacteria Basophils = Intensifying inflammation Lymphocytes = Immune surveillance</p> Signup and view all the answers

What is the average lifespan of platelets?

<p>9-12 days</p> Signup and view all the answers

Natural killer (NK) cells help prevent cancer by detecting and destroying abnormal tissue cells.

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

What is the primary function of antibodies in relation to red blood cells?

<p>To cause agglutination and lysis of RBCs (C)</p> Signup and view all the answers

Rhesus Negative blood type has anti-Rhesus antibodies present at all times.

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

What condition can occur due to Rhesus incompatibility during pregnancy?

<p>Erythroblastosis fetalis</p> Signup and view all the answers

The only antigen in the Rhesus blood typing system is the _____ antigen.

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

What is the primary role of platelets in hemostasis?

<p>Forming a temporary patch and releasing clotting factors (D)</p> Signup and view all the answers

Match the following types of white blood cells with their functions:

<p>Neutrophils = First responders to bacterial infections Eosinophils = Combat parasitic infections Basophils = Release histamine during allergic reactions Monocytes = Differentiate into macrophages</p> Signup and view all the answers

The vascular phase of hemostasis involves the contraction of smooth muscle in the blood vessel wall.

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

What is the role of RhoGam in preventing hemolytic disease of the newborn (HDN)?

<p>Destroys fetal RBCs before sensitization occurs (D)</p> Signup and view all the answers

What are the three phases of hemostasis?

<p>Vascular phase, Platelet phase, Coagulation phase</p> Signup and view all the answers

Neutrophils can live for several days in circulation.

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

What happens to a Rh-negative person who receives Rh-positive blood?

<p>Hemolytic reaction</p> Signup and view all the answers

The __________ is the process of blood halting and involves the arrest of bleeding from a broken blood vessel.

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

White blood cells primarily lack _____, allowing them to perform their immune functions.

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

Which of the following chemicals do platelets produce to promote vascular spasms?

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

Match the following pathways with their characteristics:

<p>Extrinsic Pathway = Begins in the blood vessel wall Intrinsic Pathway = Activated by collagen fibers Common Pathway = Forms prothrombinase Coagulation Phase = Involves converting fibrinogen to fibrin</p> Signup and view all the answers

Before a blood transfusion, what is essential to determine between donor and recipient blood?

<p>Blood type compatibility (A)</p> Signup and view all the answers

The intrinsic pathway is a shorter and faster response compared to the extrinsic pathway.

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

Platelet aggregation results in the formation of a __________ plug at the injury site.

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

Flashcards

What is the main function of red blood cells?

Erythrocytes are responsible for transporting oxygen throughout the body. They contain hemoglobin, a protein that binds to oxygen reversibly.

What is plasma?

Plasma is the liquid portion of blood. It is composed of water, dissolved substances, and plasma proteins.

What is the primary function of Albumins?

Albumins are the most abundant type of plasma proteins. They help regulate blood pressure by maintaining osmotic pressure.

What role do Globulins play in blood?

Globulins are a type of plasma protein that transport various substances, including hormones and ions, throughout the body.

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What is the function of fibrinogen in blood?

Fibrinogen is a plasma protein involved in blood clotting. When activated, it forms fibrin, which helps create a clot to stop bleeding.

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What is a red blood cell's shape and size?

Erythrocytes, or red blood cells, are biconcave, thin cells responsible for oxygen transport in the blood. As they lack nuclei and other organelles, they are smaller than other cells, having a diameter of 7.2 - 8.4 µm.

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Why is a red blood cell's shape important for oxygen transport?

Red blood cells have a significantly larger surface area to volume ratio compared to spherical cells. This structure allows for efficient diffusion of oxygen across the cell membrane.

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What is a rouleaux formation and why is it important?

Red blood cells stack together in small capillaries to form rouleaux, which prevents individual cells from bumping the walls and forming logjams.

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What is a red blood cell's flexibility and how does this help transport oxygen?

Red blood cells are flexible and can squeeze through capillaries with diameters as small as 4 µm.

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Why do red blood cells lack most organelles?

Red blood cells lack most organelles, including the nucleus. This allows for more space within the cell to hold hemoglobin, which binds to oxygen.

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How many hemoglobin molecules are in one red blood cell?

Each red blood cell contains approximately 250 million hemoglobin molecules.

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What determines a person's blood type?

Blood type is determined by the presence of specific antigens, known as agglutinogens, on the surface of red blood cells.

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What are agglutinogens?

Agglutinogens are integral membrane glycoproteins or glycolipids that act as surface antigens on red blood cells. They are responsible for triggering immune responses to foreign blood types.

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What are eosinophils?

A type of white blood cell with red-staining granules, important for fighting parasites and allergic reactions.

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What are basophils?

A type of white blood cell with purple or blue granules, involved in inflammation and allergic responses, releasing histamine and heparin.

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What are monocytes?

A type of white blood cell, the largest of the leukocytes. They mature into macrophages, engulfing large particles and releasing chemicals to attract other immune cells.

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What are T cells?

This type of lymphocyte works for cell-mediated immunity, targeting specific foreign cells and tissues.

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What are B cells?

This type of lymphocyte works for humoral immunity, fighting foreign antigens by producing antibodies.

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What are NK cells?

These lymphocytes patrol the body, identifying and destroying abnormal cells, helping to prevent cancer.

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What are platelets?

Small, non-nucleated fragments of megakaryocytes, essential for blood clot formation and wound healing.

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What are megakaryocytes?

Large bone marrow cells that produce platelets, crucial for blood clotting.

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What is a platelet plug?

Temporary blockage formed by platelets at the site of a blood vessel injury.

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What is the coagulation phase?

The process where blood clots form to stop bleeding. It involves a series of steps that ultimately convert fibrinogen to fibrin.

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What is the vascular phase?

The sequence of events when blood vessels constrict to reduce blood flow after injury.

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What is Tissue Factor (Factor III)?

A substance released by damaged tissues that initiates the extrinsic coagulation pathway.

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What is ADP in platelet activation?

A substance released by platelets during activation, which plays a crucial role in platelet aggregation and secretion.

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What is platelet adhesion?

The process where platelets adhere to the injured vessel wall and begin forming a plug.

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What is platelet aggregation?

The process where platelets accumulate at the site of injury and stick to each other, forming a temporary plug.

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What is platelet activation?

The process where platelets become spherical and develop cytoplasmic processes, releasing chemicals that aid in clotting and vessel repair.

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What is the mechanism of antibody action on foreign RBCs?

Antibodies bind to antigens on foreign red blood cells (RBCs), causing them to clump together (agglutination) and potentially burst (hemolysis).

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What is Agglutination in the context of blood typing?

Agglutination refers to the clumping of RBCs when antibodies bind to antigens on their surface.

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What is Hemolysis?

Hemolysis is the breakdown or rupture of RBCs, often caused by the action of antibodies.

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What is the Rh factor?

The Rh factor (also Rhesus antigen or D antigen) is a protein found on the surface of some RBCs. Its presence or absence determines whether a person is Rh-positive or Rh-negative.

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What are Rhesus positive (Rh+) and Rhesus negative (Rh-) blood types?

Rhesus positive (Rh+) individuals possess the Rh factor on their RBCs, while Rh negative (Rh-) individuals lack it.

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What is Rh incompatibility?

Rh incompatibility occurs when an Rh-negative individual is exposed to Rh-positive blood, triggering the development of anti-Rh antibodies.

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What is Rh incompatibility during pregnancy?

Rh incompatibility during pregnancy arises when an Rh-negative mother carries an Rh-positive fetus. The mother's immune system may develop anti-Rh antibodies, which can attack fetal RBCs.

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What is Erythroblastosis fetalis?

Erythroblastosis fetalis (Hemolytic Disease of the Newborn, HDN) is a condition caused by Rh incompatibility during pregnancy. It involves the destruction of fetal RBCs by maternal anti-Rh antibodies, leading to severe anemia and jaundice.

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What is RhoGam and how does it work?

RhoGam is a medication containing anti-Rh antibodies used to prevent Rh incompatibility during pregnancy. It destroys fetal RBCs before they can stimulate the mother's immune system to produce anti-Rh antibodies, thus preventing sensitization.

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What is compatibility testing in blood transfusions?

Before blood transfusions, compatibility testing is crucial to prevent transfusion reactions. It involves determining blood types using antibody solutions and cross-matching donor and recipient blood to ensure no agglutination occurs.

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Study Notes

Blood Overview

  • Blood is a fluid connective tissue containing erythrocytes, leukocytes, and platelets suspended in plasma.

General Functions of Blood

  • Transports dissolved gases, nutrients, hormones, and metabolic wastes.
  • Regulates pH and ion composition of interstitial fluids.
  • Restricts fluid loss at injury sites.
  • Provides defense against toxins and pathogens.
  • Stabilizes body temperature.

Makeup of Blood

  • Plasma (55%): Mostly water (91.5%), proteins (7%), and other substances (1.5%).
    • Proteins include Albumin (maintains osmotic volume), Globulins (transport proteins and antibodies), and Fibrinogen (forms fibrin in clotting).
    • Other substances include electrolytes, nutrients, hormones, and vitamins.
  • Formed Elements (<1%): Platelets and white blood cells.
  • Red Blood Cells (45%): Contain hemoglobin for oxygen transport.

Erythrocytes (Red Blood Cells)

  • Functions:
    • Transport oxygen: Hemoglobin binds reversibly to oxygen. Oxygen binds to the heme component of hemoglobin.
    • Transport carbon dioxide (23%): Carbon dioxide binds to the protein portion of hemoglobin.
  • Structure:
    • Biconcave, thin, and contain hemoglobin, devoid of a nucleus and other organelles.
    • Diameter of 7.2-8.4 µm.
    • Edge thickness of 2.85µm.
    • Central region thickness of 0.45-1.16 µm.
  • Features:
    • Disc-shaped with a dent on each side, creating a large surface area for gas exchange.
    • Lack of a nucleus to maximize space for hemoglobin and oxygen.
    • Large surface area to volume ratio for efficient oxygen diffusion.
    • Ability to form stacks (Rouleaux) in small capillaries to prevent blockage.
    • Flexible to squeeze through capillaries of 4µm diameter.
    • Contain 250 million hemoglobin molecules.
    • Lacks most organelles to maximize space for hemoglobin

Blood Type

  • Determined by the presence of antigens (agglutinogens) on RBC plasma membranes.
  • Antibodies (agglutinins) are present in blood serum against foreign agglutinogens.
  • Agglutinogens and agglutinins are genetically determined and present throughout life.
    • Antigens A, B, and Rh (Rhesus).
  • ABO Blood Typing System: classifies blood based on presence of antigens A and B.
    • Blood Types: A, B, AB, and O.
    • Blood Type Antibodies: A blood type has anti-B antibodies; B blood type has anti-A antibodies; AB blood type has no antibodies; Type O blood type has both anti-A and anti-B blood antibodies.
  • Rhesus (Rh) Blood Typing System: classifies blood based on presence of Rh antigen.
    • Blood Types: RhPositive (Rh+) and RhNegative (Rh-).

Blood Compatibility and Transfusion

  • Blood type compatibility is essential to avoid transfusion reactions.
  • Compatibility testing involves determining blood type and cross-match tests.
  • A cross-match test involves mixing a sample of donor blood with the recipient's blood, to determine possible reactions.
  • If there is no apparent reaction the blood is considered compatible.

Leukocytes (White Blood Cells)

  • Functions:
    • Lack hemoglobin.
    • Mobile units of the immune system.
    • Remove toxins, wastes, and abnormal or damaged cells.
    • 1 µL of blood contains 5,000-10,000 WBCs (compared to 4.2-6.3 million RBCs per µL).
    • Located in connective tissue proper or lymphoid organs.
  • Types:
    • Granulocytes (e.g., neutrophils, eosinophils, basophils)
    • Agranulocytes (e.g., monocytes, lymphocytes).

Platelets

  • Cytoplasmic fragments of megakaryocytes.
  • Flattened discs; appear spindle-shaped in blood smears.
  • 4µm average diameter, and 1µm thick.
  • Lack a nucleus.
  • Lifespan of around 9-12 days; are phagocytized in the spleen.
  • Functions:
    • Release chemicals essential to the clotting process.
    • Form a temporary patch in damaged blood vessel walls.
    • Contract after clot formation.

Hemostasis

  • The process of halting blood flow from a broken blood vessel.
  • Involves three phases: vascular, platelet, and coagulation.

Hemostasis - Vascular Phase

  • Vascular Spasm: the smooth muscle in the blood vessel wall contracts and constricts to reduce blood flow.
  • Endothelial Cells: the cells contract and expose basal lamina to the blood and release chemicals and hormones to regulate the process. The endothelial cells also become sticky, encouraging cells to stick together.

Hemostasis - Platelet Phase

  • Platelet Adhesion: platelets stick to the damaged blood vessel's endothelium, basal lamina, or collagen fibers.
  • Platelet Aggregation: platelets accumulate at the injury site and stick to each other to form a platelet plug.
  • Platelet Activation: platelets then become spherical, develop cytoplasmic processes, and release chemicals (like ADP, thromboxane A2, serotonin) to further promote aggregation and constriction of the vessels to stop blood flow.

Hemostasis - Coagulation Phase

  • This is the final phase of hemostasis.
  • Coagulation: the conversion of fibrinogen to fibrin, which creates a mesh to trap red blood cells and platelets, and form a blood clot.
  • This phase involves a series of factors, including the extrinsic and intrinsic pathways, which result in the activation of enzymes that convert fibrinogen to fibrin. Ultimately creating a clot and stopping the bleeding.

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