Human Physiology Lecture 13 - Blood
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Questions and Answers

What role do healthy cells play in the process of hemostasis?

  • They convert blood into a solid gel during clot formation.
  • They activate the coagulation cascade directly.
  • They release substances like prostacyclin and nitric oxide. (correct)
  • They form a platelet plug to stop blood loss immediately.
  • What is the primary purpose of a platelet plug during hemostasis?

  • To form fibrin that stabilizes blood vessels.
  • To slow down blood loss until clot formation occurs. (correct)
  • To completely stop blood loss immediately.
  • To initiate the coagulation cascade.
  • What is the term for the conversion of blood into a solid mass during hemostasis?

  • Vasoconstriction
  • Coagulation (correct)
  • Fibrinolysis
  • Hemorrhage
  • Which substance is NOT involved in the coagulation cascade according to the information provided?

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

    What initiates the coagulation cascade during the hemostatic process?

    <p>Damage to blood vessels</p> Signup and view all the answers

    What role does thrombomodulin play in hemostasis?

    <p>It binds to thrombin and activates protein C.</p> Signup and view all the answers

    Which condition is characterized by the deficiency of Factor VIII?

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

    What happens when low doses of aspirin are taken in relation to clotting?

    <p>It inhibits thromboxane A2 formation.</p> Signup and view all the answers

    Which factor is involved in the enzymatic breakdown of fibrin during clot dissolution?

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

    How does vitamin K deficiency affect the coagulation process?

    <p>It reduces synthesis of clotting factors.</p> Signup and view all the answers

    What percentage of transported oxygen is bound to hemoglobin?

    <p>98.5%</p> Signup and view all the answers

    What is the primary role of spectrin in erythrocytes?

    <p>Determines the shape of the erythrocyte</p> Signup and view all the answers

    What is the life span of a mature red blood cell (RBC)?

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

    Which of the following is a hematopoietic growth factor involved in erythrocyte production?

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

    What is the primary site of erythrocyte synthesis in adults?

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

    What happens to old red blood cells in the body?

    <p>They are filtered by the spleen</p> Signup and view all the answers

    What percentage of transported oxygen is dissolved in plasma?

    <p>1.5%</p> Signup and view all the answers

    Which type of cell division occurs in mature red blood cells?

    <p>No cell division</p> Signup and view all the answers

    What is the primary role of colony-stimulating factors and interleukins in leukocyte development?

    <p>They control the development of leukocytes from stem cells.</p> Signup and view all the answers

    Which cellular component is NOT found in platelets?

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

    What is the first step in the hemostasis process?

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

    What function does von Willebrand factor play in the formation of a platelet plug?

    <p>It enhances the stickiness of platelets for adherence to damaged vessels.</p> Signup and view all the answers

    Which of the following substances is released from activated platelets to promote vasoconstriction?

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

    In addition to platelets, what is a key component secreted during the formation of a platelet plug?

    <p>Von Willebrand factor</p> Signup and view all the answers

    What is the primary physiological outcome of the activation of the sympathetic nervous system during hemostasis?

    <p>Enhanced resistance to blood flow via vasoconstriction.</p> Signup and view all the answers

    Which of the following statements accurately describes the characteristics of platelets?

    <p>They are smaller than erythrocytes and lack a nucleus.</p> Signup and view all the answers

    What is the role of folic acid in erythrocyte production?

    <p>Necessary for DNA replication and cell proliferation</p> Signup and view all the answers

    Which of the following is a function of neutrophils?

    <p>Phagocytosis of foreign material during infections</p> Signup and view all the answers

    What condition is associated with a deficiency of Vitamin B12?

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

    How does iron deficiency affect hemoglobin levels in men?

    <p>Decreases hemoglobin content below 13 g/dL</p> Signup and view all the answers

    Which type of leukocyte is primarily involved in combating parasitic infections?

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

    Which type of cell is a T lymphocyte known for?

    <p>Directly damaging foreign cells</p> Signup and view all the answers

    What percentage of leukocytes in the blood are monocytes?

    <p>5%</p> Signup and view all the answers

    What is the primary function of basophils in the immune response?

    <p>Contributing to allergic reactions</p> Signup and view all the answers

    Study Notes

    Human Physiology Lecture 13 - Cardiovascular System - Blood

    • Objectives: Blood composition (excluding hematopoiesis), plasma, erythrocytes, leukocytes, platelets, and hemostasis. Textbook reference: Chapter 13, Section 13.2 (pp. 405-417, selected sections).

    Erythrocytes

    • 5 million/mm³
    • Lack nuclei, mitochondria, and organelles.
    • Biconcave disc shape, due to spectrin forming a spectrin net.

    Oxygen and Carbon Dioxide Transport

    • Hemoglobin greatly increases oxygen transport.
    • 98.5% of transported oxygen is bound to hemoglobin, 1.5% dissolved in plasma.
    • Hemoglobin also binds to carbon dioxide, hydrogen ions, and carbon monoxide.

    Life Cycle of Erythrocytes

    • Mature red blood cells (RBCs) cannot divide.
    • Short lifespan of 120 days.
    • Replacement rate of 2-3 million RBCs/second.
    • 200 billion RBCs are replaced daily.
    • Synthesized in red bone marrow (erythropoiesis).
    • Old RBCs are filtered by the spleen.

    Erythrocyte Production (Erythropoiesis)

    • Erythropoiesis occurs in bone marrow.
    • Dependent on hematopoietic growth factors (HGFs), specifically erythropoietin (EPO).
    • Leukocyte production also occurs in bone marrow, stimulated by colony-stimulating factors and interleukins.

    Dietary Requirements for Erythrocyte Production

    • Iron is a component of hemoglobin.
    • Normal hemoglobin levels:
      • Men: 13-18 g/dL
      • Women: 12-16 g/dL
    • Iron deficiency anemia is a condition where iron levels are insufficient.
    • Folic acid is necessary for DNA replication and cell proliferation.
    • Vitamin B12 is also necessary for DNA replication and cell proliferation and deficiency can lead to pernicious anemia.

    Hemostasis

    • Defined as the mechanisms to stop bleeding.
    • Three stages:
      1. Vascular spasm: Blood vessel constriction to minimize blood loss.
      2. Formation of a platelet plug: Platelets form a plug at the site of vessel damage.
      3. Formation of a blood clot: Blood is converted to a solid clot around the platelet plug.

    Platelets

    • Colorless cell fragments formed from megakaryocytes.
    • Smaller than erythrocytes; contain mitochondria, smooth endoplasmic reticulum, and cytoplasmic granules, but lack a nucleus.
    • Crucial for blood clot formation.

    Coagulation Factors in Clot Formation

    • Von Willebrand factor (vWF) is a key protein involved in platelet plug formation; secreted by megakaryocytes, platelets, and endothelial cells.
    • Coagulation factors involved in blood clot formation: (Intrinsic or Extrinsic pathways)
    • Involved in coagulation cascade, a series of proteolytic activations from peptide bond hydrolysis

    Factors Limiting Clot Formation

    • Anticoagulants: Proteins in plasma and on endothelial cell surfaces.
    • Tissue factor pathway inhibitor: Inhibits the extrinsic pathway.
    • Thrombomodulin: secreted by healthy endothelium, binds to thrombin, making an anticoagulant complex inhibiting intrinsic and extrinsic pathways
    • Plasmin dissolves clots enzymatically by breaking down fibrin.

    Role of Coagulation Factors in Clot Formation Disorders

    • Hemophilia: Genetic disorder caused by a deficiency of a clotting factor (e.g., Factor VIII).
    • Von Willebrand's disease: Reduced levels of vWF lead to reduced platelet plug formation.
    • Vitamin K deficiencies: Decrease the synthesis of clotting factors.

    Aspirin as an Anticoagulant

    • Low doses inhibit thromboxane A2 (TXA2) production, decreasing platelet aggregation.
    • High doses inhibit prostacyclin (PGI2) production, which is important in preventing the spread of the platelet plug and increasing likelihood of clot formation.

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    Description

    Explore the essential components of the cardiovascular system, specifically focusing on blood composition, erythrocytes, and the transport of oxygen and carbon dioxide. This quiz will help reinforce your understanding of hematology and erythropoiesis as outlined in Lecture 13. Reference your textbook for detailed sections.

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