Leukocytes and Immune Responses Quiz
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Questions and Answers

What is the primary differentiation site for T-lymphocytes?

  • Thymus Gland (correct)
  • Liver
  • Bone Marrow
  • Spleen
  • B-lymphocytes are responsible for cell mediated immunity.

    False

    What type of cells do T-lymphocytes attack?

    Cancerous cells and transplanted organ cells

    ___ are classified as T and B cells.

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

    Match the following types of immunity to their corresponding cell type:

    <p>Cell-mediated immunity = T-lymphocytes Humoral immunity = B-lymphocytes</p> Signup and view all the answers

    Which type of T cells secrete interferon γ?

    <p>Helper T cells</p> Signup and view all the answers

    Leukocytosis refers to a decrease in leukocyte numbers.

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

    What happens to B cells after exposure to an antigen?

    <p>They proliferate and transform into plasma cells and memory cells.</p> Signup and view all the answers

    Which component activates the intrinsic pathway in coagulation?

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

    Factor VII is inactive in the intrinsic pathway.

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

    What inhibits coagulation in the body?

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

    The component that stabilizes fibrin is Factor ______.

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

    Which of the following is an example of a natural anticoagulant?

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

    Match the anticoagulants with their categories:

    <p>Heparin = Natural Na-Citrate = Synthetic EDTA = Synthetic α-Macroglobulin = Natural</p> Signup and view all the answers

    What factor is activated by Ca++ during the coagulation cascade?

    <p>Factor X</p> Signup and view all the answers

    The intrinsic pathway of coagulation is primarily activated by ______.

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

    What is the primary function of albumin in the blood?

    <p>Regulating osmotic pressure</p> Signup and view all the answers

    Fibrinogen is involved in blood coagulation.

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

    Which organ produces most plasma proteins?

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

    Plasma proteins help maintain the colloid osmotic pressure of the blood, which is essential for maintaining __________ balance.

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

    Match the following plasma proteins with their functions:

    <p>Albumin = Regulates osmotic pressure Fibrinogen = Blood coagulation α-1-antitrypsin = Neutralizes digestive trypsin Globulins = Immune function</p> Signup and view all the answers

    Which of the following is NOT a component of plasma proteins?

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

    Plasma proteins are only produced by the liver.

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

    What percentage of blood plasma is made up of proteins?

    <p>6-7%</p> Signup and view all the answers

    What is the normal range for thrombocyte count?

    <p>150,000-400,000/µL</p> Signup and view all the answers

    The lifespan of thrombocytes is approximately 3-5 days.

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

    What is the primary regulator of platelet production?

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

    Thrombocytopenia is a condition characterized by a __________ platelet count.

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

    Which component is NOT found in the cytoplasm of thrombocytes?

    <p>Red blood cells</p> Signup and view all the answers

    Thrombocytosis refers to low platelet counts.

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

    Name one substance contained in dense granules of thrombocytes.

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

    Match the following thrombocyte disorders with their descriptions:

    <p>Thrombocytopenia = Low platelet count leading to bleeding Thrombocytosis = High platelet count potentially causing thrombosis Bone marrow failure = A cause of decreased platelet production Autoimmune disease = Another possible cause of low platelet count</p> Signup and view all the answers

    What is the primary function of globulins in the immune system?

    <p>Participate in the immune response</p> Signup and view all the answers

    Vascular spasm is the first step in the process of haemostasis.

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

    What protein is vital for transporting iron in the blood?

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

    Antibodies are also known as ______.

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

    Match the globulin types with their respective functions:

    <p>α-Globulins = Transport Thyroxine (T4) and Vitamin A β-Globulins = Transport Iron δ-Globulins = Immunoglobulins (antibodies)</p> Signup and view all the answers

    Which vitamin is essential for the synthesis of several clotting factors?

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

    Clotting factors are only active forms of proteins involved in blood coagulation.

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

    What are the three main steps involved in the mechanism of haemostasis?

    <p>Vascular spasm, formation of platelet plug, blood coagulation</p> Signup and view all the answers

    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.

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