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Questions and Answers
What is the primary differentiation site for T-lymphocytes?
What is the primary differentiation site for T-lymphocytes?
B-lymphocytes are responsible for cell mediated immunity.
B-lymphocytes are responsible for cell mediated immunity.
False
What type of cells do T-lymphocytes attack?
What type of cells do T-lymphocytes attack?
Cancerous cells and transplanted organ cells
___ are classified as T and B cells.
___ are classified as T and B cells.
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Match the following types of immunity to their corresponding cell type:
Match the following types of immunity to their corresponding cell type:
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Which type of T cells secrete interferon γ?
Which type of T cells secrete interferon γ?
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Leukocytosis refers to a decrease in leukocyte numbers.
Leukocytosis refers to a decrease in leukocyte numbers.
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What happens to B cells after exposure to an antigen?
What happens to B cells after exposure to an antigen?
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Which component activates the intrinsic pathway in coagulation?
Which component activates the intrinsic pathway in coagulation?
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Factor VII is inactive in the intrinsic pathway.
Factor VII is inactive in the intrinsic pathway.
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What inhibits coagulation in the body?
What inhibits coagulation in the body?
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The component that stabilizes fibrin is Factor ______.
The component that stabilizes fibrin is Factor ______.
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Which of the following is an example of a natural anticoagulant?
Which of the following is an example of a natural anticoagulant?
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Match the anticoagulants with their categories:
Match the anticoagulants with their categories:
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What factor is activated by Ca++ during the coagulation cascade?
What factor is activated by Ca++ during the coagulation cascade?
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The intrinsic pathway of coagulation is primarily activated by ______.
The intrinsic pathway of coagulation is primarily activated by ______.
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What is the primary function of albumin in the blood?
What is the primary function of albumin in the blood?
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Fibrinogen is involved in blood coagulation.
Fibrinogen is involved in blood coagulation.
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Which organ produces most plasma proteins?
Which organ produces most plasma proteins?
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Plasma proteins help maintain the colloid osmotic pressure of the blood, which is essential for maintaining __________ balance.
Plasma proteins help maintain the colloid osmotic pressure of the blood, which is essential for maintaining __________ balance.
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Match the following plasma proteins with their functions:
Match the following plasma proteins with their functions:
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Which of the following is NOT a component of plasma proteins?
Which of the following is NOT a component of plasma proteins?
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Plasma proteins are only produced by the liver.
Plasma proteins are only produced by the liver.
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What percentage of blood plasma is made up of proteins?
What percentage of blood plasma is made up of proteins?
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What is the normal range for thrombocyte count?
What is the normal range for thrombocyte count?
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The lifespan of thrombocytes is approximately 3-5 days.
The lifespan of thrombocytes is approximately 3-5 days.
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What is the primary regulator of platelet production?
What is the primary regulator of platelet production?
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Thrombocytopenia is a condition characterized by a __________ platelet count.
Thrombocytopenia is a condition characterized by a __________ platelet count.
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Which component is NOT found in the cytoplasm of thrombocytes?
Which component is NOT found in the cytoplasm of thrombocytes?
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Thrombocytosis refers to low platelet counts.
Thrombocytosis refers to low platelet counts.
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Name one substance contained in dense granules of thrombocytes.
Name one substance contained in dense granules of thrombocytes.
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Match the following thrombocyte disorders with their descriptions:
Match the following thrombocyte disorders with their descriptions:
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What is the primary function of globulins in the immune system?
What is the primary function of globulins in the immune system?
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Vascular spasm is the first step in the process of haemostasis.
Vascular spasm is the first step in the process of haemostasis.
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What protein is vital for transporting iron in the blood?
What protein is vital for transporting iron in the blood?
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Antibodies are also known as ______.
Antibodies are also known as ______.
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Match the globulin types with their respective functions:
Match the globulin types with their respective functions:
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Which vitamin is essential for the synthesis of several clotting factors?
Which vitamin is essential for the synthesis of several clotting factors?
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Clotting factors are only active forms of proteins involved in blood coagulation.
Clotting factors are only active forms of proteins involved in blood coagulation.
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What are the three main steps involved in the mechanism of haemostasis?
What are the three main steps involved in the mechanism of haemostasis?
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Study Notes
Leukocytes (White Blood Cells)
- Monocytes are transformed into macrophages in tissues.
- Lymphocytes are involved in immune responses.
- Lymphocytes are classified as T and B cells.
- T-lymphocytes differentiate in the thymus gland.
- B-lymphocytes differentiate in the liver, spleen, and bone marrow.
- T-lymphocytes (85% of lymphocytes) are involved in cell-mediated immunity.
- T-lymphocytes secrete Interferon γ (glycoprotein that acts as an antiviral agent).
- T-lymphocytes contain lysosomes with antifungal agents.
- Cytotoxic T cells (T-killer cells) are a type of T cell.
- T cell receptors bind to specific antigens, and cytotoxic substances are released into foreign cells (bacteria, viruses, tissue cells).
- Cytotoxic T cells attack cells of transplanted organs and cancerous cells.
- B-lymphocytes (15% of lymphocytes) are involved in humoral immunity.
- B-lymphocytes secrete IgA, Interferon α & β.
- Activated B cells proliferate and transform into plasma cells (antibodies production).
- Activated B cells also transform into memory cells (B memory cells) that produce antibodies for the same antigens.
Leukocytes Disorders
- Leukocytosis is an increase in leukocyte numbers, often seen in bacterial infections.
- Leukopenia is a decrease in leukocyte numbers, often seen in the early stages of viral infections.
- Leukemia is a cancer of white blood cells, characterized by leukocytosis.
Thrombocytes (Platelets)
- Thrombocytes are produced in the bone marrow by fragmentation of the cytoplasm of megakaryocytes.
- About 1/3 of the marrow output of platelets is trapped in the spleen.
- The normal platelet count is 150,000-400,000/µL (250,000).
- Platelets have a lifespan of 7-10 days.
- Platelets are removed from circulation by the tissue macrophage system, primarily in the spleen.
- Thrombopoietin, produced by the liver and kidney, is the major regulator of platelet production.
- Platelet cytoplasm contains contractile proteins (actin and myosin), dense granules (contain serotonin and ADP secreted in response to platelet activation), and α-granules (contain secreted proteins like platelet-derived growth factor (PDGF) that stimulates wound healing, fibrin stabilizing factor (factor XIII), and other clotting factors).
- Platelet cytoplasm stores large quantities of Ca++.
Functions of Thrombocytes
- Thromboxane A attracts more platelets to injured vessels through chemotaxis.
- Growth factors increase the growth and number of endothelial cells.
- Plasma thromboplastin activates the intrinsic pathway for fibrin formation.
- Platelet-derived growth factor (PDGF) stimulates wound healing.
Blood Coagulation (Clotting)
- Haemostasis is the process of forming clots in the walls of damaged blood vessels to prevent blood loss (haemorrhage, bleeding) and maintain blood in a fluid state within the vascular system.
- Haemostasis involves three main steps: vascular spasm, formation of a platelet plug, and blood coagulation.
- Blood coagulation involves a cascade of reactions that activate coagulation factors, most of which are proteins synthesized by the liver in inactive form.
- Vitamin K is needed for the synthesis of coagulation factors II, VII, IX, and X.
- Activated coagulation factors act as proteolytic enzymes that activate other inactive enzymes.
- Many of the coagulation reactions require Ca++ and platelet phospholipids.
Intrinsic Pathway (of Blood Coagulation)
- The intrinsic pathway is initiated by contact of coagulation factors with collagen and kallikrein.
- This pathway involves the activation of XII, XI, IX, and X coagulation factors.
Extrinsic Pathway (of Blood Coagulation)
- The extrinsic pathway is initiated by tissue thromboplastin (released from damaged tissues).
- This pathway involves the activation of VII and X coagulation factors.
Common Pathway (of Blood Coagulation)
- Both the intrinsic and extrinsic pathways converge on the common pathway, leading to the activation of prothrombin (factor II) into thrombin.
- Thrombin converts fibrinogen into fibrin, which forms a mesh-like structure that traps blood cells and forms a clot.
- Factor XIII stabilizes the fibrin clot.
Anticoagulants
-
Natural anticoagulants include:
- Endothelium factors: smoothness of the endothelium (XII with collagen), glycocalyx (mucopolysaccharides).
- Heparin
- α-Macroglobulin
-
Synthetic anticoagulants include:
- Na-Citrate
- Na-Fluoride
- Ca-oxalates
- EDTA
- Heparin
- Anticoagulants prevent blood clotting.
The Plasma
- Plasma is the liquid component of blood.
- Plasma transports nutrients, gases, wastes, hormones, and other substances throughout the body.
Plasma Components
- Plasma is composed of:
- Water (90-92%)
- Proteins (6-7%)
- Albumin, fibrinogen, and globulins.
- Other components (2-3%), including: fats, carbohydrates (glucose), electrolytes, gases (O2, CO2), chemical messengers.
Plasma Proteins
- Plasma proteins are produced by the liver (except for immunoglobulins).
- Plasma proteins are produced by the rough endoplasmic reticulum (ER) in hepatocytes and exported into the blood via the Golgi complex.
- Plasma proteins have various functions, including:
- Maintain blood pH slightly alkaline by binding excess H+ in the blood.
- Provide a source of amino acids if required by being broken down by macrophages.
- Act as carriers for small molecules and transport them to tissues via protein carriers.
- Help maintain the colloid osmotic pressure of the blood, which is important in maintaining body fluid balance.
Albumin
- Albumin regulates the osmotic pressure of the blood (and hence moderates the osmotic pressure of body fluids).
- Albumin transports hormones and minerals.
- Hypoalbuminaemia can lead to edema.
Fibrinogen
- Fibrinogen is involved in blood coagulation.
- Soluble fibrinogen can form an insoluble fibrin clot.
α-1-antitrypsin
- α-1-antitrypsin is found in low concentrations in plasma.
- α-1-antitrypsin neutralizes digestive trypsin.
Globulins
- Globulins participate in the immune system (e.g. immunoglobulins) and also act as transport proteins (T4 and Vitamin A).
- Types of globulins:
- α-Globulins: transport thyroxin (T4) and vitamin A.
- β-Globulins: (transferrin) transport iron.
- γ-Globulins: immunoglobulins (Igs).
γ-Globulins (Antibodies)
- γ-globulins are also called immunoglobulins.
- Immunoglobulins are produced by B lymphocytes.
- Antibodies are responsible for the body's humoral immune function, recognizing pathogens via specific receptors and neutralizing them through various mechanisms.
Haemostasis and Blood Coagulation
- Haemostasis is the process of forming clots in the walls of damaged blood vessels to prevent blood loss (haemorrhage, bleeding) and maintain blood in a fluid state within the vascular system.
Thrombocytopenia
- Thrombocytopenia is a low platelet count, which can cause bleeding (haemorrhage).
- Thrombocytopenia can be caused by:
- Decreased production due to bone marrow failure, leukemia, or autoimmune disease.
- Enlarged spleen.
Thrombocytosis
- Thrombocytosis is a high platelet count, which can cause thrombosis (blood clot formation).
- Thrombocytosis can be caused by:
- Myeloproliferative disorders
- Inflammation
- Iron deficiency
- Drugs (aspirin)
- Splenectomy
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Description
Test your knowledge on leukocytes, including lymphocytes and their roles in the immune system. This quiz covers the transformation of monocytes, the differentiation of T and B cells, and their specific functions in immunity. Challenge yourself to recall key concepts about the types of T-cell responses and the roles of B-lymphocytes.