Hematopoietic System and Blood Functions
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Questions and Answers

Which component of the hematopoietic system is primarily responsible for producing antibodies?

  • Bone marrow
  • Platelets
  • Red blood cells
  • Plasma cells (correct)
  • What is the primary function of erythrocytes in the hematopoietic system?

  • Regulate body temperature
  • Transport oxygen (correct)
  • Clotting blood
  • Transport waste products
  • How does blood viscosity affect arterial blood pressure?

  • Higher viscosity decreases blood pressure
  • Lower viscosity prevents normal blood flow
  • Higher viscosity can lead to hypertension (correct)
  • Viscosity has no impact on blood pressure
  • Which of the following is NOT a function of blood?

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

    What is the typical range of blood volume in a healthy adult male weighing 70 kg?

    <p>5-6 L</p> Signup and view all the answers

    Which plasma protein is primarily responsible for maintaining oncotic pressure in blood?

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

    What condition is characterized by decreased blood viscosity?

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

    What is the pH range of arterial blood under normal conditions?

    <p>7.40 ± 0.02</p> Signup and view all the answers

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

    <p>To bind and transport oxygen</p> Signup and view all the answers

    What is the typical lifespan of human red blood cells in circulation?

    <p>100 to 120 days</p> Signup and view all the answers

    What factor contributes to blood viscosity?

    <p>Concentration of plasma proteins</p> Signup and view all the answers

    Which plasma protein is primarily involved in blood coagulation?

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

    What is the standard concentration of hemoglobin in 100 ml of blood for adult females?

    <p>14 g</p> Signup and view all the answers

    Which of the following describes the shape of red blood cells?

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

    Which of the following tissues is mainly responsible for the removal of aged red blood cells?

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

    In terms of red blood cell count, which of the following values is typical for adult males?

    <p>5.2 million/cubic milliliter</p> Signup and view all the answers

    What is the primary cause of vitamin B12 deficiency anemia in adults?

    <p>Pernicious anemia resulting from malabsorption</p> Signup and view all the answers

    Which condition is least likely to lead to malabsorption of vitamin B12?

    <p>Prolonged use of antibiotics</p> Signup and view all the answers

    What characteristic blood finding is associated with vitamin B12 deficiency?

    <p>High mean corpuscular volume</p> Signup and view all the answers

    Which component is essential for the absorption of vitamin B12 in the small intestine?

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

    Which of the following is NOT a clinical feature of vitamin B12 deficiency?

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

    What is the primary function of erythropoietin in erythropoiesis?

    <p>To promote the maturation of proerythoblasts from stem cells</p> Signup and view all the answers

    Which of the following is a significant factor affecting erythropoiesis?

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

    Which vitamins are crucial for nuclear maturation and cell division of red cell precursors?

    <p>Vitamin B12 and folic acid</p> Signup and view all the answers

    What happens to the level of erythropoietin production when oxygen transport to tissues rises above normal?

    <p>It decreases due to negative feedback</p> Signup and view all the answers

    Which component of hemoglobin is primarily derived from iron?

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

    Which organ produces the majority of erythropoietin?

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

    What occurs to red blood cells after approximately 120 days?

    <p>They undergo apoptosis</p> Signup and view all the answers

    Which of the following hormones is NOT specifically involved in stimulating erythropoiesis?

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

    What is a primary role of the liver in relation to red blood cells?

    <p>It manufactures globin.</p> Signup and view all the answers

    What is a common symptom associated with iron deficiency anemia?

    <p>Spoon-shaped nails.</p> Signup and view all the answers

    What can cause aplastic anemia?

    <p>Bone marrow destruction.</p> Signup and view all the answers

    What type of anemia is characterized by jaundice as a specific sign?

    <p>Hemolytic anemia.</p> Signup and view all the answers

    Which of the following is least likely to contribute to iron deficiency?

    <p>Regular iron supplementation.</p> Signup and view all the answers

    Which condition is associated with angular stomatitis as a symptom?

    <p>Iron deficiency anemia.</p> Signup and view all the answers

    What mechanism leads to anemia caused by a decrease in the concentration of hemoglobin per RBC?

    <p>Nutritional defects.</p> Signup and view all the answers

    What is one potential cause of increased iron requirements during a specific life stage?

    <p>Pregnancy and lactation.</p> Signup and view all the answers

    Study Notes

    Hematopoietic System

    • The hematopoietic system is composed of bone marrow and the cells it creates, including leukocytes, erythrocytes, and thrombocytes.
    • Blood is a connective tissue fluid that contains cells suspended in plasma.

    Blood Functions

    • Respiratory: Transports oxygen from lungs to tissues and carbon dioxide from tissues to lungs.
    • Nutrition: Transports nutrients from the gut to tissues.
    • Excretory: Transports waste products from tissues to the kidneys (e.g., urea, uric acid).
    • Protective: White blood cells, antibodies, and antitoxins defend against infection. Blood clotting stops blood loss from injured blood vessels.
    • Regulatory: Blood regulates body temperature through buffers, and water balance.

    Physical Characteristics of Blood

    • Volume: Normal total circulating blood volume is 5-6 liters in a 70 kg man. About 55% of this volume is plasma.
    • pH: Normal arterial blood pH is 7.40 ± 0.02; venous blood pH is 7.38 ± 0.02.
    • Viscosity: Blood is 5 times more viscous than water. This is due to the presence of cells (primarily red blood cells) and plasma proteins.

    Blood Components

    • Plasma (55%): Water (91%), proteins (7%), and other substances (2%). Plasma proteins include albumin, globulins, and fibrinogen. Albumin is vital for osmotic pressure. Globulins (including antibodies) combat infection, and fibrinogen plays a role in blood clotting.
    • Red Blood Cells (45%): Shaped as biconcave disks, lack nuclei, and have a lifespan of approximately 120 days. They contain hemoglobin, which carries oxygen. Normal count is 4.2-5.8 million/µL in men and 4.7-5.2 million/µL in women.
    • White Blood Cells (<1%): Larger than red blood cells and have nuclei. They fight infection. Types include lymphocytes, monocytes, neutrophils, basophils, and eosinophils, and their counts and proportions vary.
    • Platelets (<1%): Crucial for blood clotting, with a count of 250,000-400,000/µL.

    Red Blood Cells (Erythrocytes)

    • Shape and size: Non-nucleated, biconcave discs for oxygen transport.
    • Life span: About 120 days.
    • Number: Approximately 5.2 million/cubic millimeter in men and 4.7 million/cubic millimeter in women.
    • Hemoglobin concentration: Usually 14-16 g/100 ml blood, depending on sex.
    • Function: Transport oxygen from lungs to tissues; maintain blood viscosity and pH.

    Erythropoiesis

    • Process of producing red blood cells.
    • Key features of the maturation process: reduction in size, disappearance of the nucleus, and hemoglobin acquisition.
    • Factors affecting erythropoiesis include: tissue oxygenation (role of erythropoietin), nutritional factors (proteins, iron, vitamins), hormones, liver, and bone marrow.

    Regulation of Erythropoiesis (Tissue Oxygenation)

    • Hypoxia (low oxygen in the blood) stimulates erythropoietin production by the kidneys.
    • Conditions that cause hypoxia: Low red blood cell count (anemia), hemorrhage, high altitude, prolonged heart failure, and lung disease.

    Regulation of Erythropoiesis (Nutritional Factors)

    • Proteins: Necessary for hemoglobin synthesis
    • Iron (Fe): Vital component of hemoglobin; mostly in hemoglobin and ferritin.
    • Vitamins (B12 & folic acid): Needed for DNA synthesis required for red blood cell precursors.

    Regulation of Erythropoiesis (Hormones)

    • Hormones such as thyroxine and androgens influence overall metabolism affecting red blood cell production.

    Regulation of Erythropoiesis (Liver)

    • The liver plays a crucial role in red blood cell formation by producing globin, a protein component of hemoglobin. It also stores iron, copper, vitamin B12, and folic acid.

    Regulation of Erythropoiesis (Bone Marrow)

    • Bone marrow is the primary site of red and most other blood cell production.

    Anemia

    • Definition: A decreased ability of the blood to carry oxygen;
      • Low RBCs count.
      • Low hemoglobin per RBC.
      • Combination of both.
    • Causes of Anemia:
      • Increased destruction (hereditary hemolytic anemia, infections, mismatched blood transfusions, autoimmune diseases).
      • Blood loss (acute or chronic).
      • Decreased production (nutritional deficiencies, bone marrow destruction/disease, megaloblastic anemia).

    Iron Deficiency Anemia (IDA)

    • A common form of malnutrition.
    • Causes: increased iron requirements (e.g., blood loss, pregnancy), inadequate iron intake, or malabsorption.
    • Symptoms: Koilonychia (spoon nails), angular stomatitis/glossitis, dysphagia (difficulty swallowing).

    Vitamin B12 Deficiency Anemia

    • Condition causing malabsorption of vitamin B12 (e.g., autoimmune gastritis, surgical removal of the stomach, chronic inflammation of the pancreas, and long-term use of proton pump inhibitors).
    • Symptoms: fatigue, headache, impaired balance, muscle weakness, mood changes, especially depression.
    • Pernicious anemia is a most common cause.

    Leukocytes (White Blood Cells)

    • Protect against infectious microorganisms.
    • 6000–11,000 per cubic millimeter in loose connective tissue.
    • Larger than red blood cells and have nuclei.
    • Most are produced in the bone marrow.

    Types of Leukocytes

    • Granular: neutrophils, eosinophils, basophils.
    • Agranular: lymphocytes, monocytes.

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    Description

    Explore the components and functions of the hematopoietic system, including the various types of blood cells and their roles. This quiz also covers the physical characteristics of blood, such as volume and pH levels, providing a comprehensive overview of its essential functions in the body.

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