Platelets and Hemostasis
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Questions and Answers

What is a distinguishing feature of lymphocytes?

  • They are large and contain abundant granules.
  • Their cytoplasm appears bluegray and foamy.
  • They have a kidney-shaped nucleus.
  • They possess a round and dark-staining nucleus. (correct)

What type of macrophage remains in a specific tissue, such as the lungs?

  • Wandering macrophages
  • Migratory macrophages
  • Fixed macrophages (correct)
  • Activated macrophages

What is the appearance of the cytoplasm of monocytes?

  • Clear with prominent vacuoles
  • Bluegray with a foamy appearance (correct)
  • Pink with coarse granules
  • Bright yellow with large granules

Which statement about the characteristics of lymphocytes is NOT true?

<p>They possess visible granules under a light microscope. (A)</p> Signup and view all the answers

Monocytes differentiate into which type of cells once they leave the bloodstream?

<p>Macrophages (C)</p> Signup and view all the answers

What is the primary function of platelets in the blood?

<p>Promoting blood clotting (A)</p> Signup and view all the answers

Which component of hemostasis involves the immediate constriction of blood vessels?

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

What is the typical lifespan of platelets in circulation?

<p>5 to 9 days (A)</p> Signup and view all the answers

Which of the following is NOT a mechanism involved in reducing blood loss during hemostasis?

<p>Blood vessel dilation (B)</p> Signup and view all the answers

How are aged and dead platelets removed from circulation?

<p>By fixed macrophages in the spleen and liver (C)</p> Signup and view all the answers

What is the primary function of B cells in the immune system?

<p>Destroying bacteria and inactivating their toxins (C)</p> Signup and view all the answers

Which type of cell primarily attacks viruses and fungi?

<p>T cells (A)</p> Signup and view all the answers

How do platelets develop from megakaryocytes?

<p>By splintering into 2000 to 3000 fragments (B)</p> Signup and view all the answers

What role does thrombopoietin play in platelet formation?

<p>Acts on myeloid stem cells to develop into megakaryocytes (D)</p> Signup and view all the answers

What types of cells do Natural Killer (NK) cells attack?

<p>A wide variety of infectious microbes and certain tumor cells (D)</p> Signup and view all the answers

What is the initial cell type involved in erythropoiesis?

<p>Proerythroblast (D)</p> Signup and view all the answers

What happens to the proerythroblast during erythropoiesis?

<p>It ejects its nucleus. (A)</p> Signup and view all the answers

What do reticulocytes retain during their development?

<p>Mitochondria, ribosomes, and endoplasmic reticulum (B)</p> Signup and view all the answers

How long does it take for reticulocytes to develop into mature red blood cells?

<p>1 to 2 days (B)</p> Signup and view all the answers

From where do reticulocytes enter the bloodstream?

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

What role do neutrophils play in response to tissue damage?

<p>They respond most quickly and use strong oxidants to combat bacteria. (A)</p> Signup and view all the answers

Which type of white blood cell is primarily responsible for intensifying inflammatory reactions?

<p>Basophils (A)</p> Signup and view all the answers

What process characterizes the action of monocytes during an immune response?

<p>They enlarge and differentiate into macrophages. (B)</p> Signup and view all the answers

How do eosinophils contribute to the immune defense?

<p>They phagocytize antigen-antibody complexes and target parasitic worms. (C)</p> Signup and view all the answers

What is a common characteristic of both neutrophils and macrophages?

<p>Both are active phagocytes responding to pathogens. (C)</p> Signup and view all the answers

What process describes the movement of white blood cells (WBCs) from the bloodstream into the tissue?

<p>Emigration (A)</p> Signup and view all the answers

Which molecules on endothelial cells assist in the rolling of white blood cells along the vessel lining?

<p>Selectins (D)</p> Signup and view all the answers

Which statement accurately describes the role of integrins in the emigration of WBCs?

<p>They help WBCs to adhere to the endothelium. (D)</p> Signup and view all the answers

What is the primary reason different types of WBCs have varying signals for emigration?

<p>WBCs respond to specific pathogens. (C)</p> Signup and view all the answers

Which of the following accurately describes the composition of MHC antigens?

<p>They are unique to each individual, except identical twins. (A)</p> Signup and view all the answers

What occurs after a white blood cell sticks to the endothelium during emigration?

<p>It squeezes between the endothelial cells to enter the tissue. (A)</p> Signup and view all the answers

What is the primary function of vascular spasm following damage to an artery?

<p>To decrease blood loss temporarily (B)</p> Signup and view all the answers

Which of the following substances is NOT involved in platelet activation?

<p>Fibrinogen (A)</p> Signup and view all the answers

What initiates the reflex that may contribute to vascular spasm?

<p>Pain receptor activation (A)</p> Signup and view all the answers

During platelets’ release reaction, which of the following is a function of thromboxane A2?

<p>Acting as a vasoconstrictor (C)</p> Signup and view all the answers

What role do activated platelets play during platelet plug formation?

<p>They become activated and help recruit more platelets (D)</p> Signup and view all the answers

What is the primary stimulus for erythropoiesis?

<p>Cellular oxygen deficiency (C)</p> Signup and view all the answers

Which of the following conditions can lead to hypoxia?

<p>High altitude (D)</p> Signup and view all the answers

Which type of white blood cell is classified as a granular leukocyte?

<p>Basophil (C)</p> Signup and view all the answers

Which vitamin deficiency can contribute to anemia?

<p>Vitamin B12 (D)</p> Signup and view all the answers

What defines the controlled condition in the regulation of erythropoiesis?

<p>Amount of oxygen delivered to body tissues (D)</p> Signup and view all the answers

What color do the granules of eosinophils stain with acidic dyes?

<p>Red-orange (A)</p> Signup and view all the answers

Which characteristic is unique to basophils compared to eosinophils?

<p>Granules stain blue-purple (B)</p> Signup and view all the answers

Which statement about the nucleus of the eosinophil is true?

<p>It has two lobes (D)</p> Signup and view all the answers

What type of granules do basophils possess?

<p>Round, variable-sized granules (A)</p> Signup and view all the answers

What makes eosinophils eosinophilic?

<p>Their granules stain with acidic dyes (A)</p> Signup and view all the answers

What is the characteristic lifespan of lymphocytes compared to other white blood cells?

<p>They can live for months or years. (C)</p> Signup and view all the answers

Which of the following statements about leukocytosis is true?

<p>It is a protective response that can occur during strenuous exercise. (A)</p> Signup and view all the answers

How are neutrophils commonly identified under a light microscope?

<p>They possess a pale lilac color with small granules. (B)</p> Signup and view all the answers

What happens to the number of nuclear lobes in neutrophils as they age?

<p>It increases to two to five lobes. (C)</p> Signup and view all the answers

Which condition is described as never being beneficial in terms of white blood cell levels?

<p>Leukopenia (C)</p> Signup and view all the answers

Flashcards

Platelets (Thrombocytes)

Irregular disc-shaped cells, lacking a nucleus, responsible for blood clotting.

Hemostasis

A process that involves the formation of a blood clot to stop bleeding from a damaged blood vessel.

Agranular Leukocytes

A type of white blood cell that lacks visible cytoplasmic granules under a light microscope.

Lymphocytes

The most common type of agranular leukocyte, responsible for specific immune responses.

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Monocytes

Large agranular leukocytes that differentiate into macrophages in tissues.

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Macrophage types

Fixed macrophages reside in specific tissues, while wandering macrophages roam to sites of infection.

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B cells

A type of lymphocyte responsible for the production of antibodies to fight bacteria and toxins.

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T cells

A type of lymphocyte involved in attacking viruses, fungi, cancer cells, and some bacteria.

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Natural Killer (NK) cells

A type of lymphocyte that attacks various infectious microbes and certain tumors.

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Active Phagocytes

White blood cells that are active phagocytes, engulfing and destroying foreign bodies.

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Neutrophils

A type of granular leukocyte that responds rapidly to bacterial infections.

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Monocytes (related to macrophages)

A type of granular leukocyte that arrives later but in greater numbers to infection sites, differentiating into macrophages.

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Basophils

A type of granular leukocyte that releases histamine and heparin, intensifying inflammatory reactions.

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Eosinophils

A type of granular leukocyte that releases histaminase, phagocytizes complexes, and combat parasitic infections.

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WBC Emigration

The process by which WBCs leave the bloodstream and enter tissues.

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Proerythroblast

A precursor cell in red bone marrow that gives rise to red blood cells.

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Reticulocyte

A stage in red blood cell development where the nucleus is ejected.

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Erythropoiesis

The process of red blood cell production.

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Vascular Spasm

The immediate contraction of smooth muscle in damaged blood vessels to limit blood loss.

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Platelet Plug Formation

The process by which platelets stick to damaged vessel areas and form a plug to stop bleeding.

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Platelet Activation

The process by which platelets are activated and release chemicals to recruit more platelets.

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Hypoxia

The process of cellular oxygen deficiency.

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Hypoxia Feedback Mechanism

A feedback mechanism that controls red blood cell production.

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Leukocytosis

An increase in white blood cell count, often a sign of infection or stress.

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Leukopenia

A decrease in white blood cell count, potentially indicating a health issue.

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Granular Leukocyte Identification

The process of identifying different types of granular leukocytes based on their appearance under a microscope

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Neutrophil identification

A multilobed nucleus with light-staining granules

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Eosinophil identification

A dual-lobed nucleus with red-orange granules

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Basophil identification

A dual-lobed nucleus with blue-purple granules

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Study Notes

Platelets (Thrombocytes)

  • Normal range: 150,000 to 400,000 platelets per µl of blood
  • Shape: Irregular disc, 2-4 µm diameter, lacks a nucleus but contains vesicles
  • Vesicles store chemicals essential for coagulation (blood clotting)
  • Lifespan: 5 to 9 days; aged platelets are cleared by macrophages in the spleen and liver
  • Development involves thrombopoietin influencing myeloid stem cells to become megakaryocytes, which fragment to release platelets

Hemostasis

  • Hemostasis is a series of processes to stop bleeding from damaged blood vessels
  • Characteristics of hemostatic response: quick, localized, and tightly regulated
  • Mechanisms for reducing blood loss:
    • Vascular spasm
    • Platelet plug formation
    • Blood clotting (coagulation)

Agranular Leukocytes

  • Lack visible cytoplasmic granules under a light microscope
  • Lymphocyte Characteristics:
    • Nucleus: Round and dark-staining
    • Cytoplasm: Stains sky blue
    • Size classification: Large and small lymphocytes
  • Monocyte Characteristics:
    • Nucleus: Kidney-shaped or horseshoe-shaped
    • Cytoplasm: Blue-gray with a foamy appearance due to azurophilic granules
    • Monocytes differentiate into macrophages in tissues
  • Macrophages Types:
    • Fixed (tissue) macrophages: Reside in specific tissues
    • Wandering macrophages: Roam tissues to sites of infection

Lymphocyte Function

  • Major players in the immune response:
    • B cells: Target and destroy bacteria and toxins
    • T cells: Attack viruses, fungi, cancer cells, and some bacteria
    • Natural Killer (NK) cells: Attack various infectious microbes and certain tumors

White Blood Cells (WBCs)

  • Active phagocytes include:
    • Neutrophils: Respond quickly to bacterial infection using lysozymes and defensins
    • Monocytes: Arrive later but in greater numbers, differentiating into macrophages
  • Basophils:
    • Release granules (heparin, histamine, serotonin) at inflammation sites
    • Play a role in allergies and intensify inflammatory reactions
  • Eosinophils:
    • Release histaminase, phagocytize complexes, and combat parasitic infections

WBC Emigration

  • WBCs leave the bloodstream via emigration (previously known as diapedesis)
  • Process involves rolling along the endothelium, adhering, and squeezing between endothelial cells
  • Signals for emigration vary by WBC type, involving selectins and integrins

Erythropoiesis: Production of RBCs

  • Begins with proerythroblasts in red bone marrow, which synthesize hemoglobin
  • Proerythroblast divides, eventually ejecting the nucleus to become reticulocytes
  • Reticulocytes mature into RBCs within 1-2 days after entering circulation

Vascular Spasm

  • Immediate contraction of smooth muscle in damaged blood vessels to limit blood loss for minutes to hours
  • Initiated by smooth muscle damage, platelet release substances, and pain reflexes

Platelet Plug Formation

  • Adhesion: Platelets stick to damaged vessel areas (collagen fibers)
  • Activation: Platelet activation leads to projection extension and vesicle content release; ADP and thromboxane A2 recruit more platelets
  • Function of serotonin and thromboxane A2: Vasoconstriction to reduce blood flow

Hypoxia and Feedback Mechanism

  • Hypoxia: Cellular oxygen deficiency, stimulating erythropoiesis
  • Conditions leading to hypoxia: High altitudes, pneumonia, anemia (iron, amino acids, vitamin B12), and circulatory problems
  • The primary controlled factor is oxygen delivery to tissues

White Blood Cell Overview

  • WBCs (leukocytes) possess nuclei and organelles; do not contain hemoglobin
  • Classified as granular (neutrophils, eosinophils, basophils) and agranular (lymphocytes, monocytes)
  • Live for varying durations: a few days for most, but lymphocytes can last months to years
  • Leukocytosis: Increase in WBCs as a normal response to infection or stress
  • Leukopenia: Abnormally low WBC count, indicating potential health issues

Granular Leukocytes Identification

  • Neutrophils: Multilobed nucleus, light-staining granules
  • Eosinophils: Dual-lobed nucleus, red-orange granules
  • Basophils: Dual-lobed nucleus, blue-purple granules

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Description

Learn about the structure and function of platelets, also known as thrombocytes, and the process of hemostasis, which stops bleeding when blood vessels are damaged.

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