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

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

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

    What is the liquid portion of clotted blood known as?

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

    What triggers the release of erythropoietin from the kidneys?

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

    What process immediately follows vascular spasm during hemostasis?

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

    What differentiates granular leukocytes from agranular leukocytes?

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

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

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

    What is the primary structure that splinters to produce platelets?

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

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

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

    What role does blood play in regulating homeostasis?

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

    What is primarily responsible for the volume regulation of blood?

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

    Which component of blood is crucial for clotting?

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

    Which statement accurately describes anemia?

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

    What feature distinguishes lymphocytes from other blood cells?

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

    What is the function of Aldosterone in blood regulation?

    <p>Helps kidneys retain salt and water</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</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.</p> Signup and view all the answers

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

    <p>Extrinsic pathway</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.</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</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.</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</p> Signup and view all the answers

    What is plasmin's role in the bloodstream?

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

    How are blood types classified based on antigens?

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

    What is sickle cell disease primarily caused by?

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

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

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

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

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

    What is a key characteristic of Chronic leukemia?

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

    What is the primary consequence of anemia?

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

    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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    Description

    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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