Chapter 19: Blood
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Questions and Answers

What is the primary function of platelets in the blood?

  • To clot the blood (correct)
  • To carry carbon dioxide
  • To transport oxygen
  • To fight infections

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

  • To transport oxygen and carbon dioxide (correct)
  • To maintain cell shape
  • To scavenge for bacteria
  • To regulate blood pressure

What hormone influences the differentiation of hemopoietic stem cells into platelets?

  • Insulin
  • Erythropoietin
  • Leptin
  • Thrombopoietin (correct)

Which of the following best describes erythropoiesis?

<p>The production of red blood cells (D)</p> Signup and view all the answers

During coagulation, which of the following sequences describes the formation of a blood clot?

<p>Prothrombin to thrombin to fibrin (D)</p> Signup and view all the answers

What role does carbonic anhydrase play in red blood cells?

<p>It catalyzes the conversion of carbon dioxide and water to carbonic acid (A)</p> Signup and view all the answers

Which component is involved in the intrinsic pathway of the coagulation cascade?

<p>Calcium ions (Ca2+) (D)</p> Signup and view all the answers

What is the liquid portion of clotted blood known as?

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

What triggers the release of erythropoietin from the kidneys?

<p>Hypoxia (lowered oxygen concentration) (B)</p> Signup and view all the answers

What process immediately follows vascular spasm during hemostasis?

<p>Platelet plug formation (B)</p> Signup and view all the answers

What differentiates granular leukocytes from agranular leukocytes?

<p>Granular leukocytes contain vesicles that appear when stained (C)</p> Signup and view all the answers

How long do red blood cells typically live before being removed from circulation?

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

What is the primary structure that splinters to produce platelets?

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

The term 'hemostasis' refers to which of the following?

<p>The process of stopping bleeding (A)</p> Signup and view all the answers

What is the process called when white blood cells leave the bloodstream to reach sites of infection?

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

What is a common indication of an infection or inflammation in the body?

<p>Increased white blood cell count (A)</p> Signup and view all the answers

What role does blood play in regulating homeostasis?

<p>Regulates temperature and fluid balance (A)</p> Signup and view all the answers

What are the formed elements of blood composed of?

<p>Red blood cells, white blood cells, and platelets (D)</p> Signup and view all the answers

What is primarily responsible for the volume regulation of blood?

<p>Kidneys and specific hormones (B)</p> Signup and view all the answers

Which component of blood is crucial for clotting?

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

Which statement accurately describes anemia?

<p>A deficiency in the number of red blood cells or hemoglobin (A)</p> Signup and view all the answers

What feature distinguishes lymphocytes from other blood cells?

<p>They live for multiple years (A)</p> Signup and view all the answers

What is the function of Aldosterone in blood regulation?

<p>Helps kidneys retain salt and water (D)</p> Signup and view all the answers

Which statement about the ABO and Rh blood groups is correct?

<p>They are critical for blood transfusions (C)</p> Signup and view all the answers

What is the role of vitamin K in blood clotting?

<p>It is necessary for the synthesis of certain clotting factors. (D)</p> Signup and view all the answers

Which clotting pathway is initiated by tissue factor released from damaged cells?

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

What happens to a person's plasma antibodies in relation to their blood type?

<p>They never contain antibodies that react with their own blood type. (A)</p> Signup and view all the answers

How many blood groups are identified based on the presence or absence of specific antigens?

<p>24 blood groups with over 100 antigens (C)</p> Signup and view all the answers

What initiates the agglutination process in blood typing?

<p>Mixing blood with an antiserum that reacts to antigens. (C)</p> Signup and view all the answers

What condition can arise if an Rh- mother carries an Rh+ baby?

<p>Hemolytic disease of the newborn (C)</p> Signup and view all the answers

What is plasmin's role in the bloodstream?

<p>It dissolves small, unwanted clots. (B)</p> Signup and view all the answers

How are blood types classified based on antigens?

<p>By combinations of A, B, and Rh antigens. (A)</p> Signup and view all the answers

What causes Hemolytic Disease of the Newborn (HDN) when a mother is Rh negative and the baby is Rh positive?

<p>Transferred anti-Rh antibodies attack the baby's red blood cells. (D)</p> Signup and view all the answers

Which of the following is a preventive measure for Hemolytic Disease of the Newborn (HDN)?

<p>Administration of RhoGam to the mother. (C)</p> Signup and view all the answers

What is sickle cell disease primarily caused by?

<p>The presence of abnormal hemoglobin (Hb-S). (B)</p> Signup and view all the answers

Which of the following conditions involves a decrease in the level of platelets?

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

What can result from Hemolytic Disease of the Newborn (HDN)?

<p>Mental retardation or death of the baby (C)</p> Signup and view all the answers

Which of the following is NOT a type of anemia mentioned?

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

What is a key characteristic of Chronic leukemia?

<p>Accumulation of mature leukocytes in the bloodstream (A)</p> Signup and view all the answers

What is the primary consequence of anemia?

<p>Reduced oxygen-carrying capacity of the blood (B)</p> Signup and view all the answers

Flashcards

Blood Function

Blood transports oxygen and carbon dioxide, nutrients, hormones, heat, and waste products. It regulates homeostasis, pH, body temperature, and water content of cells. It protects against blood loss and infection.

Blood Composition

Blood consists of plasma (liquid matrix) and formed elements (cells). Plasma is mostly water with dissolved proteins and solutes. Formed elements include red blood cells, white blood cells, and platelets.

Total Blood Volume

The total amount of blood in the body is roughly 4-6 liters (8% of body weight), varying by gender.

Blood Regulation

ADH, aldosterone, and ANP regulate blood volume by controlling water retention and salt balance in the kidneys. ANP helps maintain blood pressure.

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Blood Cell Types

Red blood cells (erythrocytes) carry oxygen, white blood cells (leukocytes) fight infection, and platelets (thrombocytes) assist in blood clotting.

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Hematology

The study of blood, blood-forming tissues, and blood disorders.

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Blood Cell Lifespan

Lymphocytes can live for years, but most other blood cells have shorter lifespans, from hours to weeks.

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Blood Disorders

Anemia, polycythemia, leukopenia, and leukocytosis are blood disorders with variation in cell numbers due to various causes.

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Hematopoiesis

The process of producing blood cells.

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Erythrocytes

Red blood cells that carry oxygen.

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Hemoglobin

Protein in red blood cells which carries oxygen

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Erythropoiesis

Production of red blood cells.

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Leukocytes

White blood cells that fight infection.

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Leukocyte Types

White blood cells are divided into granular and agranular types.

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Emigration (Diapedesis)

Movement of white blood cells out of blood vessels to infection sites

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Erythropoietin

Hormone that stimulates red blood cell production.

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Low WBC Count

A low white blood cell count can indicate problems with the immune system, bone marrow disorders, or certain medications.

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Differential WBC Count

This test analyzes the different types of white blood cells to identify specific immune system issues.

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What are platelets?

Platelets are tiny cell fragments in the blood responsible for clotting and stopping bleeding.

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How are platelets made?

Platelets are formed from megakaryocytes, large cells in bone marrow, which splinter into thousands of platelets.

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Platelet lifespan?

Platelets have a short lifespan of 5-9 days.

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Bone marrow transplant

This procedure replaces diseased bone marrow with healthy marrow from a donor.

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What is Hemostasis?

Hemostasis is the process of stopping bleeding.

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Platelet Plug Formation

This is the first step in hemostasis, where platelets stick to damaged blood vessel walls and each other, forming a temporary plug.

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Tissue Factor (Factor III)

A protein released from damaged cells that initiates the extrinsic pathway of blood clotting.

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Hemostasis

The process of stopping bleeding, involving a series of steps to form a blood clot and seal the damaged blood vessel.

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Extrinsic Pathway

One of the two pathways that initiate blood clotting. It's triggered by tissue factor (Factor III) released from damaged cells.

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Intrinsic Pathway

One of the two pathways that initiate blood clotting, triggered by damage to the blood vessel itself. It involves a series of factors within the blood.

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Common Pathway

The final stage of blood clotting, where both the extrinsic and intrinsic pathways converge to activate a common set of enzymes leading to clot formation.

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What is the role of Vitamin K in blood clotting?

Vitamin K is crucial for the synthesis of four clotting factors (II, VII, IX, X), which are essential for the coagulation cascade.

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Blood Group Antigens

Glycoproteins and glycolipids on the surface of red blood cells that determine an individual's blood type.

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Blood Typing and Cross-Matching

A laboratory procedure used to determine a person's blood type and compatibility for blood transfusion by checking for agglutination (clumping) of blood cells.

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Hemolytic Disease of the Newborn (HDN)

A condition that occurs when an Rh-negative mother produces antibodies against the Rh-positive blood cells of her fetus, leading to destruction of fetal red blood cells.

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Rh Incompatibility

Occurs when an Rh-negative mother carries an Rh-positive fetus, leading to the mother developing antibodies against the baby's blood.

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RhoGam

A medication containing antibodies against the Rh factor, given to Rh-negative mothers to prevent HDN.

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Sickle Cell Disease

A genetic disorder that causes red blood cells to become sickle-shaped, reducing their ability to carry oxygen.

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Hemoglobin-S (Hb-S)

The abnormal hemoglobin protein found in people with sickle cell disease.

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Anemia

A condition characterized by a reduced oxygen-carrying capacity of the blood due to low red blood cell count or hemoglobin deficiency.

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Hemophilia

A genetic bleeding disorder due to a deficiency in clotting factors, leading to excessive bleeding.

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Leukemia

A type of cancer affecting blood-forming tissues, leading to an uncontrolled production and accumulation of white blood cells.

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Study Notes

Chapter 19: Blood

  • Blood is a liquid connective tissue composed of cells suspended in plasma
  • Total blood volume (TBV) is 4-6 liters (males) and 4-5 liters (females) and is 8% of body weight.
  • TBV is regulated by ADH (antidiuretic hormone), aldosterone, and ANP (atrial natriuretic peptide).
  • ADH regulates water content in blood.
  • Aldosterone helps the kidneys retain salt and water.
  • ANP decreases total blood volume and blood pressure.
  • Plasma (55% of blood) is the liquid portion and contains water, proteins (albumins, globulins, fibrinogen), nutrients, and electrolytes.
  • Formed elements (45% of blood) are cells, including red blood cells, white blood cells, and platelets.

Blood Functions

  • Transports oxygen, carbon dioxide, nutrients, hormones, heat, and waste products
  • Regulates homeostasis of body fluids, pH, temperature, and water content
  • Protects against blood loss through clotting and against infections via white blood cells

Red Blood Cells (Erythrocytes)

  • Contain hemoglobin for oxygen and carbon dioxide transport (23% of total carbon dioxide)
  • Each hemoglobin molecule binds four oxygen molecules due to iron ions.
  • Biconcave disc shape and lack of organelles increase efficiency of oxygen transport.
  • Live about 120 days.
  • Breakdown products are recycled and reused by the spleen and liver.

Red Blood Cell Production (Erythropoiesis)

  • Begins in red bone marrow
  • Immature red blood cells (reticulocytes) enter circulation and mature in 1-2 days.
  • Erythropoietin, a hormone released by the kidneys in response to low oxygen levels, stimulates erythropoiesis.

White Blood Cells (Leukocytes)

  • Contain a nucleus and organelles but lack hemoglobin.
  • Classified as granular (neutrophils, eosinophils, basophils) or agranular (lymphocytes, monocytes).
  • Granular WBCs have granules when stained.
  • Defend against invading microbes
  • Some live for months or years.
  • During infection, many WBCs leave the bloodstream (emigration) and migrate to the infected site.

White Blood Cell Counts

  • High WBC count usually indicates infection or inflammation.
  • Low WBC count can result from several causes
  • Differential WBC count helps diagnose underlying issues.

Platelets (Thrombocytes)

  • Essential for blood clotting (hemostasis)
  • Formed from megakaryocytes in bone marrow
  • Contain many vesicles but lack a nucleus
  • Live for 5-9 days

Hemostasis

  • The process of stopping bleeding involves 3 phases: vascular spasm, platelet plug formation, and blood clotting (coagulation).
  • Coagulation factors (numbered I-XIII) work in a cascade to form a clot.
  • Vitamin K is necessary for normal clot formation.
  • Unwanted clots are dissolved by plasmin (fibrinolysin).
  • Blood clotting involves several clotting factors identified by Roman numerals and is divided into three stages: the extrinsic pathway, the intrinsic pathway, and the common pathway.

Blood Groups

  • Blood groups are characterized by antigens (glycoproteins/glycolipids) on red blood cell surfaces.
  • ABO and Rh blood groups are important clinically
  • ABO: A, B, AB, O, based on the presence or absence of A and B antigens
  • Rh: presence (Rh+) or absence (Rh-) of Rh antigen.
  • Blood typing and cross-matching are crucial before transfusions.
  • Individuals will not have agglutinins (antibodies) against their own blood type.

Hemolytic Disease of the Newborn (HDN)

  • Small amounts of fetal blood enter maternal circulation during birth.
  • If the baby is Rh+ and the mother is Rh-, the mother will form Rh antibodies.
  • During subsequent pregnancies, maternal antibodies attack fetal RBCs causing hemolysis (destruction of blood cells), jaundice, and possibly, death.

Blood Disorders

  • Anemia (low oxygen-carrying capacity)
  • Sickle cell disease (genetic anemia where RBCs have abnormal hemoglobin which causes shape changes and reduced oxygen capacity)
  • Leukemia (cancer of blood cells)
  • Thrombocytopenia (low platelet count)
  • Pancytopenia (low counts of all blood cell types)
  • Hemophilia (inherited clotting factor deficiency)

Stem Cell Transplants

  • Bone marrow transplants replace cancerous red bone marrow with normal red bone marrow. Donors marrow is usually collected from the iliac crest of the hip bone
  • Stem cells from umbilical cord blood can be used as a donor source and has advantages over bone marrow transplants.

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Explore the vital components and functions of blood in this detailed quiz. From the composition of plasma to the role of red blood cells, learn how blood regulates the body's homeostasis and protects against infections. Test your knowledge on the mechanisms controlling total blood volume and its importance in bodily functions.

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