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Questions and Answers

What is the primary function of neutrophils in the inflammatory response?

  • To directly kill pathogens through phagocytosis. (correct)
  • To increase blood flow to the affected area.
  • To release antibodies against foreign invaders.
  • To form a physical barrier to prevent pathogen spread.
  • Which of the following differentiates between granular and non-granular leukocytes?

  • Non-granular leukocytes typically include lymphocytes and monocytes. (correct)
  • Granular leukocytes can be derived from lymphoid tissue.
  • Non-granular leukocytes contain specific granules in their cytoplasm.
  • Granular leukocytes are primarily involved in allergic reactions.
  • What are macrophages classified as in relation to their location within the body?

  • They are all free macrophages found in circulation.
  • They can be fixed to specific tissues or free within tissues. (correct)
  • They are a type of lymphocyte with unique functions.
  • They are exclusively found in the liver and spleen.
  • Which type of white blood cell is primarily involved in the response to parasitic infections?

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

    In which step of inflammation do local capillaries vasodilate and cause redness?

    <p>Vasodilation phase</p> Signup and view all the answers

    Which mechanism describes neutrophils adhering to the walls of capillaries?

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

    What is the primary function of eosinophils?

    <p>Attack and destroy parasites</p> Signup and view all the answers

    Which type of leukocyte is primarily responsible for presenting antigens to B and T lymphocytes?

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

    What is the primary characteristic that differentiates macrophages from neutrophils?

    <p>Macrophages are more powerful phagocytes</p> Signup and view all the answers

    Which of the following leukocytes is involved in the release of heparin?

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

    What percentage of total white blood cells do eosinophils account for?

    <p>3%</p> Signup and view all the answers

    In which condition would you observe leukocytosis?

    <p>WBC count above 11,000/mm3</p> Signup and view all the answers

    Which option accurately describes the function of neutrophils?

    <p>Destroy invading bacteria through various mechanisms</p> Signup and view all the answers

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

    <p>To phagocytize (engulf) and destroy bacteria</p> Signup and view all the answers

    Which of the following leukocytes are classified as granular?

    <p>Neutrophils and Basophils</p> Signup and view all the answers

    How do monocytes and macrophages differ in their lifespan?

    <p>Macrophages have a longer lifespan in tissues than monocytes</p> Signup and view all the answers

    Which type of white blood cell forms the highest percentage of total WBC count?

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

    What is a primary role of eosinophils in the immune system?

    <p>Allergic reactions and combating parasites</p> Signup and view all the answers

    Which of the following correctly differentiates between granular and non-granular leukocytes?

    <p>Granular leukocytes contain granules, while non-granular do not</p> Signup and view all the answers

    What percentage of white blood cells do monocytes typically represent?

    <p>5-10%</p> Signup and view all the answers

    Which of the following statements about the lifespan of granulocytes is true?

    <p>They survive only a few hours in the blood</p> Signup and view all the answers

    Study Notes

    Blood Groups

    • Red blood cell (RBC) surfaces display genetically determined antigens called agglutinogens.
    • Plasma contains antibodies (agglutinins) targeting absent antigens.
    • Key blood group systems include ABO and Rhesus (Rh).
    • ABO and Rh systems are crucial in blood transfusions. Mismatched blood types can lead to transfusion reactions.

    ABO System

    • Two antigens (A and B) define four blood types.
    • Type A: RBCs with A antigen.
    • Type B: RBCs with B antigen.
    • Type O: RBCs with neither A nor B antigen.
    • Type AB: RBCs with both A and B antigens.
    • Antibodies are produced against the absent antigen; for example, type A blood produces anti-B.

    Rh System

    • This system also contains many antigens, but D is the most common.
    • Rh factor (D antigen) was discovered in Rhesus monkeys.
    • Rh factor is only detectable on RBCs.
    • Two groups are determined: Rh positive (Rh+) and Rh negative (Rh-). Individuals with Rh+ have the D antigen, while Rh-individuals lack the D antigen.
    • Rh- individuals normally do not produce anti-Rh antibodies.
    • Anti-Rh antibodies are developed when an Rh- individual is exposed to Rh+ blood (e.g., transfusion, pregnancy).

    Erythroblastosis Fetalis (HDNB)

    • This disease affects newborns.
    • It occurs when an Rh-negative mother carries an Rh-positive fetus.
    • During delivery, the fetal Rh+ blood enters the mother's circulation.
    • The mother's immune system responds by producing anti-Rh antibodies.
    • In subsequent pregnancies with an Rh-positive fetus, these antibodies cross the placenta and attack the fetal RBCs, resulting in anemia and jaundice.

    Prevention and Treatment of Erythroblastosis Fetalis

    • Injecting Rh-negative mothers with anti-D antibodies shortly after birth can prevent antibody formation.
    • Severe cases in newborns require exchange transfusions to replace the baby's blood with Rh-negative blood.

    Importance of Blood Grouping

    • Critical for safe blood transfusions.
    • Crucial for preventing erythroblastosis fetalis.
    • Essential for legal cases regarding parentage determination.

    Blood Transfusion Reaction

    • Reactions result from incompatibility between donor RBC antigens and recipient plasma antibodies.
    • Donor plasma is diluted by the recipient's plasma, leading to this risk.
    • Universal donor is O-ve blood, and universal recipient is AB+ve blood

    White Blood Cells (Leukocytes)

    • There are five main types of leukocytes (WBCs): neutrophils, eosinophils, basophils, monocytes, and lymphocytes.
    • WBC count ranges from 4,000 to 11,000 per cubic millimeter.
    • The sites of WBC formation vary; eg, lymphocytes and plasma cells form in lymphatic tissue whereas granulocytes and monocytes form in bone marrow.
    • The life span of WBCs varies significantly among types.

    Granular Leukocytes

    • Neutrophils (60-62%): first defense against bacteria and foreign invaders. They can engulf 5−20 bacteria.
    • Eosinophils (2.3-3%): modulate allergic reactions, defend against parasites.
    • Basophils (0.4%): play a role in allergic reactions and produce heparin (an anticoagulant.)

    Non-Granular Leukocytes

    • Lymphocytes (30%): crucial for acquired immunity. B and T lymphocytes, which cannot be identified morphologically.
    • Monocytes (6%): become macrophages, phagocytose large particles like bacteria or even red blood cells. They help B and T lymphocytes by presenting antigens for activation.

    Tissue Macrophages

    • These cells are located in various tissues (lungs, liver, spleen, etc.) and have roles in phagocytosis and inflammation.
    • Types include Kupffer cells in the liver, alveolar macrophages in the lungs, and histocytes in the skin.

    Inflammation

    • Inflammation is the body's response to injury or infection.
    • Steps include vasodilation (redness), increased capillary permeability (edema), and clotting.
    • Inflammatory substances such as histamine, serotonin, and bradykinin are released from damaged cells to initiate the response.
    • Neutrophils, macrophages, and other immune cells help in inflammation.

    Variations in Leukocyte Counts

    • Leukocytosis: increase in WBCs (more than 11,000/mm³).
    • Leucopenia: decrease in WBCs (less than 4,000/mm³).
    • Leukemia: increased numbers of abnormal WBCs.
    • Agranulocytosis: markedly decreased granular WBCs.

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