Erythropoiesis and Coagulation Quiz

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Questions and Answers

Which of the following might trigger erythropoiesis? (Select all that apply)

  • Increased tissue demand for oxygen (correct)
  • Moving to a lower altitude
  • Decreased tissue demand for oxygen
  • An increased # of RBCs

All of the following conditions impair coagulation except ________.

hypoglycemia

Which of these is not a normal plasma protein?

  • Gamma globulin
  • Albumin
  • Thromboplastin (correct)
  • Fibrinogen

Which of the following is characteristic of all leukocytes?

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

What organ in the body regulates erythrocyte production?

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

Which of the following is a characteristic of RBCs?

<p>Lack a nucleus (anucleated) (C)</p> Signup and view all the answers

Where does hematopoiesis occur?

<p>Red bone marrow (B)</p> Signup and view all the answers

Order the stages of erythropoiesis.

<p>1 → 4 → 2 → 3 → 5</p> Signup and view all the answers

What can result from a decrease in normal blood oxygen level to trigger EPO formation?

<p>All of the above (D)</p> Signup and view all the answers

What happens when kidney cells become hypoxic?

<p>Enzymes lack oxygen, so they can't carry out their function.</p> Signup and view all the answers

Why do people use blood doping?

<p>Increase oxygen level from 45% → 65%. This can cause clotting or stroke.</p> Signup and view all the answers

How does testosterone relate to red cell production?

<p>It enhances the kidney's production of erythropoietin (EPO).</p> Signup and view all the answers

How are red blood cells destroyed?

<p>Macrophages → globin to produce amino acids and heme → iron → bilirubin (bile pigment) → stercobilin.</p> Signup and view all the answers

What are the different types of anemia?

<p>All of the above (E)</p> Signup and view all the answers

Does thalassemia and sickle cell have a genetic basis?

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

What is the difference between sickle cell anemia and sickle cell trait?

<p>Anemia - 2 copies of the gene; Trait - 1 copy of the gene with a better chance of surviving malaria.</p> Signup and view all the answers

What are the characteristics of WBC?

<p>All of the above (D)</p> Signup and view all the answers

An individual who is blood type AB negative can

<p>Receive any blood type in moderate amounts except that with the Rh antigen (D)</p> Signup and view all the answers

What is it called when white blood vessels are able to leave the capillaries due to inflammation?

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

What are the 2 categories that leukocytes are grouped into?

<p>Granulocytes - granules; Agranulocytes - lack granules.</p> Signup and view all the answers

Which leukocyte is the most abundant and increases during bacterial infection like meningitis?

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

Which leukocyte plays an important role that leads to a counterattack against parasitic worms that are too large to ingest?

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

Which leukocyte is rare and contains a histamine granule?

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

Which agranulocyte plays a crucial role in immunity - T cells and B cells?

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

Which agranulocyte plays a crucial role in phagocytosis like tuberculosis?

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

What is the cause of leukemia?

<p>White blood cells usually fight infections, but in people with leukemia, the bone marrow produces abnormal white blood cells, which don't function properly.</p> Signup and view all the answers

What happens when a Rh- person receives Rh+ blood?

<p>Immune system reacts to it as a foreign protein (an invader). This causes a dangerous immune reaction. Body begins to produce anti-Rh antibodies against foreign antigen.</p> Signup and view all the answers

The hormonal stimulus that prompts red blood cell formation is

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

All of the following are true of RBCs except

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

What is the respiratory pigment of RBCs called?

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

Which of the following is the molecular composition of hemoglobin?

<p>All of the above (D)</p> Signup and view all the answers

What is the function of RBCs?

<p>Transport oxygen from the lungs to tissues.</p> Signup and view all the answers

Where does hematopoiesis occur?

<p>Red Bone Marrow (B)</p> Signup and view all the answers

Where does the destruction of RBCs occur?

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

What happens when there is a low concentration of hemoglobin?

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

How are platelets formed?

<p>Platelets, also known as thrombocytes, are fragments of large bone marrow cells called megakaryocytes.</p> Signup and view all the answers

What are the clinical consequences of the condition known as thrombocytopenia?

<p>Thrombocytopenia is a clinical condition in which the blood platelet count of an individual is lower than normal.</p> Signup and view all the answers

How can the blood coagulation (clotting) process be described?

<p>In the plasma, thromboplastinogen transforms into thromboplastin, a reaction triggered by tissue and platelet factors released after injury to a blood vessel.</p> Signup and view all the answers

What are the 3 main steps to hemostasis?

<ol> <li>Vascular Spasm 2. Platelet plug formation 3. Coagulation</li> </ol> Signup and view all the answers

Where are most of the clotting factors produced?

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

What is necessary in order for clotting factors to be activated and for the proper function of coagulation?

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

What is factor VIII? What is the genetic disease in which this factor is absent?

<p>Factor VIII has the function of activating factor X, which is necessary for the transformation of prothrombin into thrombin during the clotting cascade. Hemophilia A is the X-linked genetic disease in which the individual does not produce factor VIII.</p> Signup and view all the answers

What are the practical applications of anticoagulants, such as heparin, in medicine?

<p>Anticoagulants such as heparin are used in surgeries in which tissue injuries could trigger undesirable systemic blood clotting.</p> Signup and view all the answers

What name is given to the immature cell type released to the circulation?

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

The three major steps of coagulation include

<p>The formation of prothrombin activator by a cascade of activated procoagulants, the use of prothrombin activator to release thrombin, and the use of thrombin to cause fibrinogen to form fibrin strands.</p> Signup and view all the answers

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Study Notes

Erythropoiesis

  • Triggered by increased tissue demand for oxygen.
  • Decreased blood oxygen levels can result from hemorrhage, iron deficiency, or high altitudes.

Coagulation

  • Conditions impairing coagulation include factor 8 deficiency, vitamin K deficiency, and liver disease; hypoglycemia does not impair coagulation.
  • Clotting factors are primarily produced in the liver.
  • Vitamin K is essential for activating clotting factors.

Blood Cells

  • Leukocytes are characterized by being all nucleated and have various roles including immunity.
  • Red blood cells (RBCs) are anucleated and primarily responsible for oxygen transport.
  • Hematopoiesis occurs in red bone marrow.
  • Types of anemia include iron deficiency, pernicious, renal, and aplastic.

White Blood Cells

  • Leukocytes are divided into granulocytes (with granules) and agranulocytes (without granules).
  • Neutrophils are the most abundant leukocyte and increase in bacterial infections.
  • Eosinophils are involved in combating parasitic infections and allergies.
  • Monocytes play a role in phagocytosis, especially in infections like tuberculosis.

Thrombocytes (Platelets)

  • Formed from megakaryocytes and are crucial for blood clotting.
  • Thrombocytopenia, a low platelet count, increases susceptibility to hemorrhage.

Blood Type and Compatibility

  • An individual with blood type AB negative can receive any blood type except Rh+.
  • The process of diapedesis allows white blood cells to exit capillaries during inflammation.

Hemostasis

  • Involves three main steps: vascular spasm, platelet plug formation, and coagulation.
  • Fibrin is formed from fibrinogen during coagulation, creating a mesh that traps blood cells and platelets, leading to a clot.

Genetic Factors in Blood Disorders

  • Thalassemia and sickle cell disease both have a genetic basis.
  • Sickle cell anemia results in two copies of the gene, while sickle cell trait results from one copy, providing some malaria resistance.

Blood Doping and Testosterone

  • Blood doping can increase blood oxygen levels significantly but poses risks of clotting and stroke.
  • Testosterone enhances erythropoietin (EPO) production, stimulating red blood cell formation.

Reflections on Blood Composition

  • Hemoglobin, the respiratory pigment of RBCs, consists of four polypeptide chains and is essential for oxygen transport.
  • Anemia can result from low hemoglobin levels, indicating insufficient oxygen transport capacity.

Anticoagulants in Medicine

  • Anticoagulants like heparin prevent unwanted clotting during surgeries and in patients at risk of thrombosis.

Common Pathologies

  • Leukemia is characterized by abnormal white blood cell production leading to ineffective immune responses.
  • The presence of factor VIII is crucial for clotting, and its absence leads to Hemophilia A, a genetic condition.

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