Blood Physiology
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Questions and Answers

What is blood

Blood is a connective tissue in liquid form that is known as fluid of life( because it carries oxygen from the lungs to all parts of the body and carbon dioxide from all parts is the big to the lung),fliid of growth ( because it carries nutritive substance s from the endocrine glands, hormones and digestive system to all the body tissue) and fluid of health ( because it protects the body from diseases and removes waste products with the use of the excretory organs)

List the properties of blood

-Arterial blood (which is the blood that is pumped from the heart throughout the body) is red in color because it is oxygen rich -Venous blood (which is the blood that returns to the heart after circulating throughout the body) is purple red because it is carbon dioxide rich -Average blood volume in a normal adult is 5L -Average blood volume in a newborn is 450ml, it increases during growth and reaches 5L at puberty -Blood takes about 8% of the body weight -Blood is slightly alkaline and has a pH of 7.4 in normal condition -The specific gravity of blood is 1.05-1.06g/L -Blood is five times more viscous than water because of the red blood cells and plasma protein

What the the normal weight for a normal adult

70kg

What is arterial blood

<p>It is thenoxygen rich blood that is pumped from the heart to the arteries it travels from the left ventricles through the aorta and is delivered to various tissues and organs</p> Signup and view all the answers

What is venous blood

<p>It is the deoxygenated blood that travels back to the heart after circulating the body</p> Signup and view all the answers

What is the specific gravity of blood

<p>1.05-1.06 g/L</p> Signup and view all the answers

What is the pH of blood

<p>7.4</p> Signup and view all the answers

Is blood acidic or alkaline

<p>Slightly alkaline</p> Signup and view all the answers

What are the components of blood

<p>Liquid components ( plasma ) -solid components ( WBC RBC platelets)</p> Signup and view all the answers

WBC is also known as?

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

RBC is also known as?

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

Platelets is also known as

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

What is responsible for the red color in RBC's

<p>The presence of a protein colouring pigment called HAEMOGLOBIN</p> Signup and view all the answers

What is the normal value of RBC in blood

<p>4.5 million/cumm -5.5 million/cumm</p> Signup and view all the answers

What is the normal value of RBC in blood in adult male

<p>5.0 million/cu mm</p> Signup and view all the answers

What is the normal value of RBC in blood in female

<p>4.5 million/cu mm</p> Signup and view all the answers

What shape are RBC's

<p>Disk shaped and biconcave ( dumbbell shaped)</p> Signup and view all the answers

What part of the red blood cells is thinner

<p>The central portion</p> Signup and view all the answers

List the advantages of the biconcave shape of RBC'S

<p>-it helps with equal and rapid diffusion of oxygen and other substances into the interior of the cell -it provides large surface are for absorbtion and removal of different substances -it ensures minimal tension in the membrane -ability to squeeze between capillaries without getting damaged</p> Signup and view all the answers

What are the features of RBC'S

<p>-it lacks nucleus (no DNA) mitochondria and golgi body -it has a lifespan of 120 days -it contains 45% of the blood volume</p> Signup and view all the answers

What is the lifespan of RBC

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

RBC contains how many percent of the blood volume

<p>45©</p> Signup and view all the answers

What is the pcv

<p>Pcv( packed cell volume ): it is the portion of blood occupied by RBC expressed in percentage</p> Signup and view all the answers

What is another name for pcv

<p>Hematocrit value</p> Signup and view all the answers

What is the white thin layer between plasma and RBC called, what does it consist of and how many percent does it take up in the blood

<p>Buffy coat, it consist of WBC and platelets, it takes less than one percent in the blood</p> Signup and view all the answers

What are the functions of RBC'S

<p>-transport of respiratory gases( oxyhaemoglobin and carbhaemoglobin)- buffering action: haemoglobin in RBC function as a good buffer by regulating the hydrogen ion concentration to maintain acid-base balance -Blood group determination: RBC'S contains blood group antigens like antigens A, antigens B and RH factors that determines blood groups</p> Signup and view all the answers

What is erythropoiesis

<p>It is the process of production, development and maturation of erythrocytes (red blood cells)</p> Signup and view all the answers

Another word for erythropoiesis is?

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

What site does erythropoiesis take place in 1-2 month of foetal stage

<p>Mesenchyme of the yolk sac</p> Signup and view all the answers

What site does erythropoiesis take place in the third month of foetal stage

<p>Liver ( main organ) spleen and lymphoid</p> Signup and view all the answers

What site does erythropoiesis take place in the fourth month of foetal stage

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

What site does erythropoiesis take place at 1-20 years

<p>Bone marrow of long and flat bones</p> Signup and view all the answers

What site does erythropoiesis take place at 20 years and above

<p>Vetebra, sternum. Ribs, scapula, iliac bones and skull bones</p> Signup and view all the answers

What are hematopoietic stem cells

<p>They are primary cells that are capable of self renewal and differentiating into specialized cells</p> Signup and view all the answers

What kind of cells can PHSC give rise to

<p>All cells</p> Signup and view all the answers

What are committed PHSC

<p>PHSC cells becomes committed PHSC when the types of blood cells to produce has been determined</p> Signup and view all the answers

How many types of committed PHSC are there and list them

<p>2, -LSC( Lymphoid stem cells) -CFU( colony forming unit cells)</p> Signup and view all the answers

What do LSC produce

<p>They produce lymphocytes and natural killer ( NK )cells</p> Signup and view all the answers

What does CFU produces

<p>They give rise to myleoid cells</p> Signup and view all the answers

What are myleoid cells

<p>They are blood cells other than lymphocytes i.e basophils, eosinophils, neutrophils</p> Signup and view all the answers

List the units of CFU and what they produce

<p>CFU_erythrocytes( CFU-E): this unit develop into erthrocytes -CFU_granulocytes/monocytes:this unit developes into granulocytes (basophils, eosinophils, neutrophils) and monocytes -CFU_megakaryocytes(CFU-M):This unit developes into platelets</p> Signup and view all the answers

List the stages of erythropoiesis and briefly state what happens at each stage

<ul> <li>proerythroblast(synthesis of haemoglobin starts) -early normoblast ( nucleoli disappears) - intermediate normoblast ( haemoglobin starts appearing) -late normoblast ( nucleus disappears) -reticulocyte ( reticulum is formed )- matured erythrocytes ( reticulum disappears)</li> </ul> Signup and view all the answers

List the categories of factors necessary for erythropoiesis

<p>-General factors -Maturation factors - Factors necessary for haemoglobin formation</p> Signup and view all the answers

What are the general factors necessary for erythropoiesis

<ul> <li>Erythropoietin ( produced by the kidney during hypoxia) -Thyroxine - Hemopoietic growth factors ( known as growth inducers are the interleukin ( IL 3,6,11) and stem cell factor - Vitamins(B,C D,E)</li> </ul> Signup and view all the answers

What are the maturation factors necessary for erythropoiesis

<p>-- Vitamin B12 (Cyanocobalamin): essential for maturation of red blood cells -Intrinsic factor of castle: essential for the absorbtion of vitamin B12 from the intestines</p> Signup and view all the answers

What in needed for the absorbtion of vitamin B12

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

Deficiency of Vitamin B12 causes what type of anemia

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

Vitamin B12 is called what kind of factors

<p>Anti pernicious factors</p> Signup and view all the answers

What is erythrocytes sedimentation rate

<p>It is the rate at which erythrocytes settle down</p> Signup and view all the answers

What are the other names of Erythrocytes sedimentation rate ( ESR )

<p>Sedimentation rate, sed rate, biernacki reaction</p> Signup and view all the answers

What can ESR be used for

<p>It helps with diagnosis and prognosis of inflammatory diseases</p> Signup and view all the answers

What color is WBC

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

What shape is WBC

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

Do WBC have nucleus

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

Which has a larger diameter WBC/RBC and what is the diameter

<p>WBC, 18(backwards u)</p> Signup and view all the answers

What is the life span of WBC

<p>half to 15 days</p> Signup and view all the answers

what is the diameter of RBC

<p>7.4 (backwards u)</p> Signup and view all the answers

List the factors needed for the production of haemoglobin in erythropoiesis

<p>-vitamins: C(ascorbic acid ) b2 (riboflavin) B3 (niacin) B6(pyridoxine) -copper: for the absorbtion if iron from the intestines -iron: the the formation of the haeme part of hemoglobin -protein: amino acid for the protein part of hemoglobin</p> Signup and view all the answers

What is the use of copper in erythropoiesis

<p>To absorb iron from the intestines</p> Signup and view all the answers

What is the ESR rate of males

<p>Less than(&lt;) or equal to 15 mm/hr</p> Signup and view all the answers

What is the ESR rate of females

<p>Less than(&lt;) or equal to 20 mm/hr</p> Signup and view all the answers

What is the ESR rate of children

<p>Less than(&lt;) or equal to 10 mm/hr</p> Signup and view all the answers

What is the ESR rate of newborn

<p>Less than(&lt;) or equal to 0-2 mm/hr</p> Signup and view all the answers

What is the value of WBC in blood

<p>4000-11000 cu/mm</p> Signup and view all the answers

What are the properties of WBC

<p>-diapedesis: is the process by which leukocytes squeeze through narrow blood vessels -ameboid movement: neutrophils, lymphocytes, monocytes exhibit amebic movement characterized by their change in shape -chemotaxis: is the attraction of WBC to injured tissues by the chemical substance released at the injury site -phagocytosis: neutrophils and monocytes engulf foreign bodies by the process of phagocytosis</p> Signup and view all the answers

List the features of WBC

<p>-it is colourless -its normal volume is 4000-11000 cu/mm -its has a irregular shape -it has diameter of 18 -it has nucleus -its has a lifespan of 0.5-15 days</p> Signup and view all the answers

What are the classication of WBC

<p>-Granulocytes: leukocytes that have granules e.g basophils, eosinophils, neutrophils. -Agranulocytes: leukocytes that do not have granules e.g monocytes lymphocytes</p> Signup and view all the answers

Classify granulocytes in respect to their staining properties

<p>Neutrophils ( granules with acidic and basic stains) Eosinophils (granules with acidic stains) Basophils ( granules with basic stains)</p> Signup and view all the answers

What kind of granules does Eosinophils and Basophils

<p>They have coarse granules</p> Signup and view all the answers

What stains and shape do Eosinophils granules have

<p>Pink or red stains , biloped or spectacle shaped</p> Signup and view all the answers

What stains does Basophils have

<p>Purple blue or methylene blue</p> Signup and view all the answers

What is the shape of basophils nucleus

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

What is the diameter of Eosinophils and Basophils respectively

<p>10-14, 8-10 ( backwards u)</p> Signup and view all the answers

What is plasma

<p>It is a straw colored fluid that takes up to 55 percent of blood and contains 91-92% of water and 8-9% of solids</p> Signup and view all the answers

What are the components of the solids in plasma

<p>Organic substances (carbohydrates, fat, amino acids, enzymes, plasma protein, antibodies, internal secretion and non protein nitrogenous substances) inorganic substances (gases ( oxygen carbon dioxide nitrogen) minerals (sodium magnesium chloride iodide potassium iron copper)</p> Signup and view all the answers

What is serum

<p>It is plasma without clotting factor ( fibrogen)</p> Signup and view all the answers

What cells synthesize serum in adult and feotal stage respectively

<p>Reticuloendothelial of the liver, mesenchyme cells</p> Signup and view all the answers

What are the types of serum

<p>Serum albumin ( maintains colloidal osmotic pressure). Serum globulin (alpha and beta helps in transportation of substances)(gamma helps in body defense)</p> Signup and view all the answers

What is fibrogen

<p>It is a clotting factor the clots blood to prevent blood loss</p> Signup and view all the answers

What are the functions of plasma protein

<ol> <li>Coagulation of blood (fibrogen). 2. Transportation of substances around the body (albumin, alpha and beta globulin). 3. They are responsible for ESR. 4. They are responsible for blood viscosity 5. Defense against microbes and diseases ( gamma globulin). 6. Maintenance of osmotic pressure. 7. Serves as a sources of energy reserve</li> </ol> Signup and view all the answers

What are the characteristics of monocytes

<ul> <li>they are the largest leukocytes with a diameter of 14-18 ( backwards u). -they have clear cytoplasm( no granules). - the nucleus are oval/round/horseshoe/bean/ kidney shaped. -The nucleus can be in the center or pushed to the side with a large amount of cytoplasm seen</li> </ul> Signup and view all the answers

What is hyperproteinemia

<p>It is a condition characterized by the abnormally high level of protein in blood</p> Signup and view all the answers

What is hypoproteinemia

<p>It is a condition characterized by a abnormally low level of protein in blood</p> Signup and view all the answers

What are the characteristics of lymphocytes

<p>-they have clear cytoplasm without granules -nucleus is oval/ bean/ kidney shaped -the nucleus occupies the whole cytoplasm</p> Signup and view all the answers

Types of lymphocytes

<p>-T lymphocytes: cells that are concerned with cellular immunity -B lymphocytes: cells that are concerned with humoral immunity</p> Signup and view all the answers

What are the characteristics of platelets

<p>They are small, colourless and non nucleated</p> Signup and view all the answers

Platelets are responsible for what by forming what

<p>They are responsible for blood clotting by forming prothrombin</p> Signup and view all the answers

What are the properties of platelets

<p>-Diameter:2.5 (2-4). Backwards u -Volume 7.5 (7-8) backwards u. -Shape:viz, spherical and rod shaped when activated. Oval or disk shaped when inactivated</p> Signup and view all the answers

What are activated and inactivated platelets

<p>Activated platelets develop processes and filopodia while inactivated are without processes and filopodia</p> Signup and view all the answers

What is filopodia and lamellipodia

<p>They are cellular protrusion containing bundles of actin filaments</p> Signup and view all the answers

Lamellipodia help to do what

<p>They help the platelets to cover wounded area</p> Signup and view all the answers

What is normal the normal value of platelets in blood

<p>250,000 cu/mm it ranges between 200,000-400,000</p> Signup and view all the answers

What were the physiologycal variations of platelets

<p>Age: platelets count are less in infant and reaches normal value at 3rd month after birth. -Sex:males and females have the same platelets count. -Aftermeal: platelets count increases after meal. -High altitude: platelets count increases in high altitude</p> Signup and view all the answers

What are the functions of blood

<ol> <li>Transportation of respiratory gases 2. Transportation of nutrient 3. Transportation of hormones and enzymes 4. Transportation of metabolic waste products 5. Regulation of blood temperature 6. Regulation of acid-base balance 7. Regulation of water balance 8. Defense against germs and diseases</li> </ol> Signup and view all the answers

What are the clinical/ nutritional relevance of blood Physiology

<ol> <li>Anaemia 2. Polycythemia 3. Leukemia 4. Leukopenia 5. Cancer of the blood cells 6. Hypoxia 7. Hemophilia 8. Haemorrhage 9. Thalassemia 10. Hemoglobinopathies</li> </ol> Signup and view all the answers

What are the types of anaemia

<ol> <li>Aplastic anaemia: failure of bone marrow to produce new blood cells for the body. 2. Iron deficiency anaemia: caused by the deficiency of iron in blood 3. Suckle cell anaemia: it is caused by genetic changes( mutation) that leads to abnormal blood cells and affect haemoglobin gene 4. Thalassemia: low haemoglobin production 5. Vitamin deficiency</li> </ol> Signup and view all the answers

Vitamin B,C,D,E deficiency can lead to what anaemia and what respectively

<p>Pellgra, scurvy, ticket, malnutrition</p> Signup and view all the answers

What is polycythemia

<p>It is a condition characterized by abnormally high RBC count in blood</p> Signup and view all the answers

What is leukemia

<p>It is a condition which is characterized by abnormally or uncontrollably increase in leukocytes (more than 1000000 cu/mm)it is also known as blood cancer</p> Signup and view all the answers

What is hypoxia

<p>It is a medical condition characterized by lack of oxygen in tissues and organs</p> Signup and view all the answers

What is hemophilia

<p>It is a rare genetic disorder in which blood does not clot properly due to the deficiency or dysfunction of clotting factors</p> Signup and view all the answers

What is haemorrhage

<p>It is a medical term for blood loss due to injury, disease or other condition</p> Signup and view all the answers

What is thalassemia

<p>It is a group of inherited blood disorders characterized by the the reduced or defective production of haemoglobin</p> Signup and view all the answers

What is hemoglobinopathies

<p>It is a genetic disorder caused by abnormal polypeptide chains of haemoglobin</p> Signup and view all the answers

What is cancer of the blood cells

<p>It occurs when abnormal cell in bone marrow or blood grow uncontrollably, disrupting the production and functions of healthy blood cells</p> Signup and view all the answers

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