Human Physiology: Blood and Extracellular Fluids
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Questions and Answers

What percentage of your total body mass does blood account for?

  • 8% (correct)
  • 10%
  • 15%
  • 5%
  • Blood is less viscous than water.

    False

    What is the liquid ECM of blood called?

    blood plasma

    The three main components of blood include erythrocytes, leukocytes, and _____.

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

    Which component of blood is responsible for transporting oxygen and carbon dioxide?

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

    The average male has approximately 7–8 liters of blood.

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

    Match the following blood components with their primary function:

    <p>Erythrocytes = Transport oxygen and carbon dioxide Leukocytes = Fight infection Platelets = Blood clotting Plasma = Liquid ECM</p> Signup and view all the answers

    Blood plasma is composed of _____% water.

    <p>91.5</p> Signup and view all the answers

    What is the average hematocrit percentage for adults?

    <p>47%</p> Signup and view all the answers

    Low hematocrit levels can lead to anemia.

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

    What process describes the formation of blood cells?

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

    Erythropoiesis is stimulated by a reduction in oxygen transport to tissues or _____

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

    Match the following blood components with their descriptions:

    <p>Erythrocytes = Transport oxygen and carbon dioxide Leukocytes = Defend against pathogens Platelets = Involved in blood clotting Plasma = Liquid component of blood</p> Signup and view all the answers

    Which type of stem cell develops into lymphoid stem cells?

    <p>Pluripotent stem cells</p> Signup and view all the answers

    All white blood cells can proliferate after leaving the bone marrow.

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

    What is the primary function of hemoglobin in erythrocytes?

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

    The kidneys synthesize __________ which increases the number of erythrocyte precursors.

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

    Match the following leukocytes with their characteristics:

    <p>Neutrophils = Phagocytic cells Eosinophils = Combat parasitic infections Basophils = Release histamine during allergic reactions Monocytes = Differentiate into macrophages</p> Signup and view all the answers

    What percentage of carbon dioxide is carried by red blood cells?

    <p>23%</p> Signup and view all the answers

    Erythrocytes possess a nucleus at maturity.

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

    What role does nitric oxide (NO) play in the blood?

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

    Macrophages destroy worn-out or damaged red blood cells in the _____ or _____ marrow.

    <p>liver, red bone</p> Signup and view all the answers

    Which type of leukocyte is primarily responsible for defending against parasitic infections?

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

    Basophils primarily release chemicals that promote inflammation and hypersensitivity reactions.

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

    What is the function of neutrophils at the site of infection?

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

    Which of the following is NOT a requirement for blood coagulation?

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

    Eosinophils have granules that stain with _____ dyes.

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

    The extrinsic pathway of blood clotting is activated by the contact between damaged endothelial cells and connective tissue.

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

    Which leukocyte is derived from the lymphoid stem cell lineage?

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

    The lifespan of platelets is approximately 5 to 9 weeks.

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

    What is the primary antigen that is tested in ABO blood typing?

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

    Blood clots may result in __________ if they block small vessels.

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

    What is the main role of monocytes once they arrive at the site of infection?

    <p>Differentiate into macrophages</p> Signup and view all the answers

    Match the following blood disorders with their descriptions:

    <p>Anemia = Condition of insufficient red blood cells Hemophilia = Inherited disorder of insufficient clotting factors Polycythemia = Excessive number of red blood cells Sickle cell disease = Genetic mutation affecting hemoglobin</p> Signup and view all the answers

    Hemostasis is the process that prevents _____ from occurring.

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

    What is released by platelets to promote vasoconstriction?

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

    What happens to the second Rh+ fetus if the mother has generated anti-Rh antibodies during her first pregnancy?

    <p>The fetus is at risk for hemolytic disease of the newborn</p> Signup and view all the answers

    Individuals with blood type O have both A and B antigens on their erythrocytes.

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

    What chemical signaling leads to vascular spasm during hemostasis?

    <p>Reflexes initiated by pain receptors</p> Signup and view all the answers

    Match the following leukocytes with their primary functions:

    <p>Neutrophils = Fast response to bacterial infections Lymphocytes = Defend against viral infections and cancer cells Eosinophils = Fight parasitic infections Basophils = Release histamine during inflammation</p> Signup and view all the answers

    What kind of antibodies does an individual with blood type O produce?

    <p>anti-A and anti-B</p> Signup and view all the answers

    Sickle cell disease is characterized by a genetic mutation in the _________ gene.

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

    Neutrophils release _____ to disrupt bacterial membranes.

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

    Chemotaxis is the process that allows white blood cells to move toward chemical signals released by invaders.

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

    Match the types of hemoglobin with their characteristics:

    <p>Normal hemoglobin = Disc-shaped red blood cells Sickle hemoglobin = Elongated red blood cells Oxygen-carrying capacity = Affected in sickle cell disease Protection against malaria = Advantage of sickle cell alleles</p> Signup and view all the answers

    What type of granules do basophils contain that stains with basic dyes?

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

    Which of the following treatment options is commonly used for hemophilia?

    <p>Infusions of synthetic clotting factors</p> Signup and view all the answers

    What is released in response to tissue damage to help activate platelets?

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

    Individuals with sickle cell disease have a lower risk of malaria.

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

    What is the main consequence of excessive clot formation in blood vessels?

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

    In the common pathway for blood clotting, activated factor X joins with factor V to form __________.

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

    Study Notes

    Extracellular Fluids of the Body

    • Three extracellular fluids: blood, interstitial fluid, and lymph
    • Nutrients move from blood to interstitial fluid to cells.

    Blood: Composition and Function

    • Blood is a connective tissue with formed elements (cells) in a liquid extracellular matrix (plasma).
    • Blood accounts for ~8% of body mass.
    • Average male blood volume: 5-6 L; average female: 4-5 L.
    • Blood is more viscous than water.
    • Blood temperature: ~38ºC; pH: 7.35-7.45.
    • Three main functions:
      • Transportation (oxygen, nutrients, hormones, heat, waste)
      • Regulation (pH, body temperature, osmotic pressure)
      • Protection (against blood loss, invasion, disease)

    Composition of Blood

    • Two components:
      • Blood plasma (55%):
        • Liquid extracellular matrix containing dissolved substances (91.5% water, 8.5% solutes).
        • Proteins: albumin (maintains osmotic pressure), globulins (antibodies, transport proteins), fibrinogen (blood clotting).
        • Other solutes: electrolytes, nutrients, enzymes, hormones, gases, metabolic wastes.
      • Formed elements (45%):
        • Erythrocytes (red blood cells): most abundant, transport O2 and CO2. Lack organelles at maturity to maximize space for hemoglobin.
        • Leukocytes (white blood cells): various types, fight infection and invasion.
        • Platelets (thrombocytes): cell fragments, crucial for clotting.

    Blood Cell Formation (Hemopoiesis)

    • Blood cells are continuously replenished.
    • Hemopoiesis occurs in red bone marrow.
    • Starts from pluripotent stem cells.
    • Develops into two lineages: myeloid stem cells and lymphoid stem cells.
    • Each lineage produces precursor cells that differentiate into formed elements.
    • WBCs divide after leaving bone marrow.

    Regulation of Blood Cell Formation

    • Hematopoietic growth factors (hormones affecting blood cell formation):
      • Erythropoietin (EPO): increases erythrocyte production, produced in kidneys.
      • Thrombopoietin (TPO): stimulates platelet formation, produced in the liver.
      • Cytokines: stimulate leukocyte and lymphocyte proliferation, produced in red bone marrow.

    Erythrocytes (Structure and Function)

    • Biconcave discs: large surface area to volume ratio, flexible for capillary passage.
    • Anucleate at maturity; lack most organelles except for hemoglobin (Hb).
    • Hb transports oxygen (~250 million Hb/erythrocyte).
    • Also carry ~23% of body's CO2.
    • Contain carbonic anhydrase: converts CO2 to carbonic acid (important blood buffer).
    • Nitric oxide (NO) acts as a hormone, released by endothelial cells in response to stress, causing vasodilation.
    • Life span: ~120 days.
    • Worn-out erythrocytes are destroyed by macrophages in the liver, spleen, or red bone marrow.

    Erythrocyte Life Cycle

    • Hemoglobin broken down; globin into amino acids (recycled); iron (ferric) bound to transferrin, stored in ferritin or transported to bone marrow for new erythropoiesis.
    • Iron-less heme products: yellow products excreted by kidneys, others in feces.
    • Erythropoiesis is stimulated by reduced oxygen transport (hypoxia) via EPO.

    Leukocytes (Structure and Function)

    • Granular leukocytes: neutrophils, eosinophils, basophils (contain visible granules).
    • Agranular leukocytes: lymphocytes (derived from lymphoid stem cells), monocytes (derived from myeloid stem cells, differentiate into macrophages).
    • Major functions: infection and invasion defense.

    Leukocyte Function: Inflammation and Immunity

    • WBCs defend against infection, express MHC proteins (self-identifying).
    • Invaders trapped, cilia sweep away debris.
    • WBCs accumulate at infection site (emigration), chemotaxis.
    • Neutrophils: fast responders, phagocytize pathogens, release lysozyme, oxidizing chemicals, defensins.
    • Eosinophils: fight parasites, secrete histaminase to disrupt signaling.
    • Basophils: inflammatory and hypersensitivity reactions, release heparin, histamine, serotonin.
    • Lymphocytes: circulate and reside in lymphatic system, B lymphocytes produce antibodies, T lymphocytes and natural killer cells fight infected and cancerous cells.
    • Monocytes: differentiate into wandering macrophages, clean up cell debris.
    • Inflammation leads to emigration, chemotaxis, tissue disinfection, and tissue healing.

    Platelets

    • Formed from megakaryocytes which divide themselves into fragments that are now platelets.
    • Contain granules with clotting factors.
    • Life span: 5-9 days.

    Hemostasis

    • Hemostasis prevents excessive bleeding:
      • Vascular spasm: blood vessel damage causes smooth muscle spasm
      • Platelet plug formation: platelets adhere, activate, aggregate (clumping).
      • Blood clotting (coagulation): platelet plug + insoluble protein fibers for reinforcement.

    Blood Clot Formation

    • Clotting factors (including Ca2+, liver-made enzymes, platelet substances): intrinsic (internal damage) and extrinsic (external factor) pathways.
    • Activation of factor X leads to formation of prothrombinase from factor X and V which then converts prothrombin to thrombin.
    • Thrombin acts on fibrinogen converting it into fibrin.
    • Factor XIII stabilizes fibrin threads.

    Blood Clotting Regulation

    • Tightly controlled: thrombosis (clumping) = blocked vessels, emboli (embolism) = stroke, pulmonary embolism; hemorrhage (excessive bleeding) = anemia, shock.

    Diseases and Disorders of Blood

    • ABO blood groups: glycolipid antigens; agglutinins (antibodies) clump erythrocytes (agglutination), individuals make antibodies against foreign antigens.
    • Hemolytic Disease of the Newborn (HDN): Rh factor incompatibility between mother and fetus.
    • Anemia: reduced oxygen carrying capacity (many causes).
    • Sickle cell disease: genetic mutation in globin gene, elongated cells, protects against malaria.
    • Hemophilia: insufficient clotting factors.
    • Polycythemia: too many erythrocytes, thickened blood.

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    Description

    This quiz covers the composition and functions of blood as well as the three types of extracellular fluids: blood, interstitial fluid, and lymph. It delves into the roles blood plays in transportation, regulation, and protection within the body, providing essential knowledge for understanding human physiology.

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