Circulatory System and Blood: Chapter 18

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Questions and Answers

Which of the following is NOT a primary function of the circulatory system?

  • Protection through immunity and clotting.
  • Regulation of body temperature.
  • Production of blood cells. (correct)
  • Transport of oxygen and carbon dioxide.

In adults, hematopoiesis primarily occurs in which of the following tissues?

  • Liver
  • Bone marrow (correct)
  • Spleen
  • Yolk sac

What structural adaptation of erythrocytes (RBCs) enhance their function of oxygen transport?

  • Presence of multiple nuclei.
  • Irregular cell membrane to increase surface area.
  • Biconcave shape and lack of organelles. (correct)
  • High concentration of ribosomes.

Erythropoietin (EPO) stimulates erythropoiesis. Where is erythropoietin produced?

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

What characteristic distinguishes adult hemoglobin (Hb) from fetal hemoglobin?

<p>Adult Hb has two alpha and two beta chains, while fetal Hb has two alpha and two gamma chains. (A)</p> Signup and view all the answers

What is the primary cause of Hemolytic Disease of the Newborn (HDN)?

<p>An Rh-negative mother carrying an Rh-positive fetus. (A)</p> Signup and view all the answers

Which of the following is the correct order of steps in hemostasis?

<p>Vascular spasm, platelet plug formation, coagulation. (B)</p> Signup and view all the answers

What is the primary difference between the intrinsic and extrinsic clotting pathways?

<p>The intrinsic pathway is activated by platelet activation, while the extrinsic pathway is activated by tissue damage. (B)</p> Signup and view all the answers

How does blood viscosity and osmolarity affect overall circulatory function?

<p>They affect blood flow and pressure regulation. (D)</p> Signup and view all the answers

Which of the following conditions is characterized by an excess of red blood cells, potentially increasing the risk of stroke or heart failure?

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

Flashcards

Functions of the Circulatory System

Transports O2, CO2, nutrients, wastes, and hormones; provides immunity and clotting; regulates fluid balance, pH, and temperature.

Erythrocytes (RBCs)

Red blood cells that transport oxygen.

Leukocytes (WBCs)

White blood cells for immune response.

Platelets

Cell fragments involved in blood clotting.

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Blood Plasma

The fluid component of blood, containing water, proteins, nutrients, electrolytes, and gases.

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Hematopoiesis

Process of blood cell formation.

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RBC Structure & Function

Biconcave shape, lacks nucleus and organelles, filled with hemoglobin, and has a lifespan of ~120 days.

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Erythropoiesis (RBC production)

Stimulated by erythropoietin (EPO) & Requires iron, vitamin B12, and folic acid.

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Polycythemia

Excess RBCs, increasing the risk of stroke or heart failure.

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Anemia

Low RBCs or hemoglobin, caused by blood loss, iron deficiency, or kidney disease.

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Study Notes

  • Chapter 18 focuses on the circulatory system and blood.

Functions of the Circulatory System

  • Transports oxygen, carbon dioxide, nutrients, wastes, and hormones
  • Provides protection through immunity, clotting, and inflammation
  • Regulates fluid balance, pH, and temperature

Major Components of Blood

  • Blood, including plasma and formed elements
  • The heart
  • Blood vessels

Blood Composition and Properties

  • Formed elements include erythrocytes or red blood cells (RBCs) that transport oxygen
  • Leukocytes or white blood cells (WBCs) provide an immune response
  • Platelets assist in clotting
  • Blood plasma consists of water, proteins (albumins, globulins, fibrinogen), nutrients, electrolytes, and gases
  • Blood viscosity and osmolarity affect blood flow and regulate pressure

Blood Production (Hematopoiesis)

  • Hematopoietic tissues include the yolk sac (fetal) and bone marrow (adult)
  • Myeloid hematopoiesis occurs in bone marrow, while lymphoid hematopoiesis occurs in lymphatic organs
  • Hematopoietic stem cells (HSCs) differentiate into colony-forming units (CFUs) for RBCs, WBCs, and platelets

Erythrocytes and Hemoglobin

  • Red blood cells (RBCs) are biconcave in shape, lack a nucleus/organelles, and are filled with hemoglobin
  • RBC lifespan is approximately 120 days, with removal by the spleen and liver
  • Hemoglobin (Hb) has 4 polypeptide chains, each with a heme group that binds oxygen
  • Adult Hb contains two alpha and two beta chains, while fetal Hb contains two alpha and two gamma chains
  • Erythropoiesis (RBC production) is stimulated by erythropoietin (EPO) from the kidneys
  • Erythropoiesis requires iron, vitamin B12, and folic acid

Blood Disorders

  • Polycythemia involves excess RBCs that increase risk of stroke and heart failure
  • Anemia involves low RBCs or hemoglobin that causes blood loss, iron deficiency, and kidney disease
  • Sickle-cell disease is a genetic disorder resulting in malformed RBCs that block blood flow

Blood Typing & Transfusions

  • ABO blood types are based on surface antigens A, B, AB, and O
  • Rh factor: Rh+ has antigen D, while Rh- lacks it
  • Hemolytic Disease of the Newborn (HDN) occurs if an Rh- mother carries an Rh+ fetus

Leukocytes & Immunity

  • Granulocytes include neutrophils for bacteria defense, eosinophils for allergies/parasites, and basophils for histamine release
  • Agranulocytes include lymphocytes for immune response and monocytes for macrophages
  • Leukopenia is a low WBC count, while leukocytosis is a high WBC count
  • Leukemia is cancer of WBCs

Hemostasis & Clotting

  • Hemostasis has 3 stages: vascular spasm (vasoconstriction), platelet plug formation (platelet aggregation), and coagulation (fibrin clot formation)
  • Clotting pathways include extrinsic (tissue damage) and intrinsic (platelet activation)
  • Hemophilia is a genetic clotting deficiency
  • Thrombosis is an abnormal clot formation

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