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APHY 102 Exam 3c
Blood
| Question | Answer |
|---|---|
| what is the body's only fluid tissue? | blood |
| what are the broad categorical types of connective tissues? | blood & lymph, bone, cartilage, dense connective tissue (dense regular, dense irregular, elastic tissue), loose connective tissue (areolar, adipose, reticular) |
| what comprises blood? | liquid plasma and formed elements. plasma includes clotting proteins, but serum does not |
| what are the 3 types of formed elements in blood? | erythrocytes (RBCs), leukocytes (WBCs), platelets |
| what is hematocrit? | blood test that measures the percentage of RBCs out of the total blood volume. often part of complete blood count (CBC) |
| plasma is about what percent of whole blood? | about 55% |
| is plasma a formed element? | no |
| what is the buffy coat? | leukocytes and platelets that make up less than 1% of whole blood |
| what percent of blood do erythrocytes make up? | about 45% |
| what is the sticky, opaque fluid with a metallic taste, with color varying from scarlet to dark red? | blood |
| what is the pH of blood? | about 7.35 to 7.45 |
| what is the normal temperature of blood in Celsius? | 38 degrees Celsius |
| how much body weight does blood account for? | about 8% body weight |
| what is the average volume of blood in liters for a human? | 5-6 L for males, and 4-5 L for females |
| true or false, blood contains just a small few solutes | false, blood contains over 100 solutes |
| what solutes does blood contain? (recognize for multiple choice...) | proteins albumin, globulins, clotting proteins, et al; lactic acid, urea, creatinine; organic nutrients glucose, carbohydrates, amino acids; electrolytes Na, K, Ca, Cl, bicarbonate; respiratory gases O2 and CO2 |
| what is the principal plasma protein and where is it made? | albumin, which is made in the liver |
| out of the formed elements, which are complete cells and why? | only WBCs are complete cells; RBCs have no nuclei or organelles, and platelets are just cell fragments of a huge bone marrow cell called a megakaryocyte |
| about how long do most formed elements survive in the bloodstream? | a few days--but RBCs last 100-120 days |
| true or false, most blood cells divide amitotically | false, most blood cells do not divide but are renewed by cells in bone marrow |
| describe what erythrocytes are like | biconcave discs, anucleate, essentially no organelles; filled with hemoglobin (Hb or Hgb), a protein that functions in gas transport |
| which formed elemtn contains the plasma membrane protein spectrin and other proteins that lend flexibility/allow shape changing? | erythrocytes (RBCs) |
| how big is an erythrocyte? | about 2.5 micrometers high, with a diameter of 7.5 micrometers |
| true or false, there are different kinds of leukocytes (WBCs) | true, there are five main types of white blood cells—neutrophils, lymphocytes, monocytes, eosinophils, and basophils -- see Fig. 16.10 |
| why or how are erythrocytes (RBCs) an example of structure/function complementarity (3 reasons)? | biconcave shape has a huge surface area relative to volume with more area to absorb O2 and CO2 through; they are more than 97% hemoglobin, and ATP is generated anaerobically, so RBCs do not consume the oxygen they transport |
| what is the name for blood cell formation and where does it take place? | hematopoiesis occurs in the red bone marrow of the axial skeleton and girdles and epiphyses of the humerus and femur |
| what are the originating cells for formed elements that give rise to all formed elements? | hemocytoblasts |
| what are the names for RBC formation, WBC formation, and platelet formation? | erythropoiesis, leukopoiesis, thrombopoiesis |
| what happens to RBCs when they get old? | they become rigid and fragile, and their hemoglobin (Hb) begins to degenerate |
| where/what is the erythrocyte "graveyard"? | the spleen! the old erythrocytes are "tested" by narrow, twisting passages of the spleen; dying RBCs are engulfed by macrophages; heme and globin and separated and the iron is salvage for reuse |
| erythrocyte disorders - true or false, anemia is technically a disease | false, anemia is a sign/symptom rather than a disease itself |
| what is the definition of anemia? | when blood has abnormally low oxygen-carrying capacity and blood oxygen levels cannot support normal metabolism |
| what are some tells of anemia? | fatigue, paleness, shortness of breath, and chills |
| what are 3 types of anemia associated with insufficient erythrocytes? | hemorrhagic anemia, hemolytic anemia, aplastic anemia |
| what are the differences between hemorrhagic anemia, hemolytic anemia, and aplastic anemia? | hemorrhagic has to do with blood loss, hemolytic has to do with prematurely ruptured RBCs, aplastic has to do with destruction or inhibition of red bone marrow |
| what is iron-deficiency anemia? | decreased hemoglobin content could result from lost blood (hemorrhagic anemia), but more commonly from inadequate intake of iron-containing foods or impaired iron absorption |
| what is pernicious anemia? | decreased hemoglobin content resulting from vitamin B12 deficiency, or lack of intrinsic factor needed for B12 absorption (from parietal cells of the gastic mucosa) |
| what is the treatment for pernicious anemia? | intramuscular injection of B12; applicaation of Nascobal (B12 gel applied to nasal lining once a week) |
| what are the only blood components that are complete cells? | leukocytes |
| what are 4 characteristics of leukocytes? | less numerous than RBCs, make up 1% of total blood volume, can leave capillaries via diapedesis, move through tissue spaces |
| what is diapedesis? | also known as leukocyte extravasation, is the process where white blood cells (leukocytes) squeeze through intact capillary walls to migrate from the bloodstream into surrounding tissues |
| what constitutes leukocytosis? | a WBC count over 11,000/mm3, but is a normal response to baterial or viral invasion |
| what are the 3 different kinds of granulocytes among leukocytes? | neutrophils, eosinophils, basophils |
| what are the 2 kinds of agranulocytes among leukocytes? | lymphocytes, monocytes |
| what are the percentages of the different types of leukocytes? | 50-70% neutrophils, 2-4% eosinophils, 0.5-1% basophils, 25-45% lymphocytes, 3-8% monocytes |
| what are the characteristics of granulocytes (neutrophils, eosinophils, basophils)? | contain cytoplasmic granules that stain specifically with Wright's stain whether they are acidic, basic or both; are larger and usually shorter lived than RBCs, have lobed nuclei and are all phagocytic cells |
| why are lobed nuclei significant? | their segmented structure provides high flexibility and a smaller surface area, allowing cells to rapidly squeeze through narrow gaps in tissues to reach sites of infection (diapedesis) |
| how many types of granules do neutrophils have? | two |
| which leukocyte type are our body's bacteria slayers? | neutrophils |
| what are some characteristics of neutrophil granules? | take up both acidic and basic dyes, giving the cytoplasm a lilac color; contain peroxidases, hydrolytic enzymes, and defnsins (antibiotic-like proteins) |
| true or false, neutrophils are the most numerous granulocyte AND most numerous leukocyte | true |
| what are some important features of eosinophils? | nuclei are bilobed and stain red, have red to crimson (acidophilic) large, coarse, lysosome-like granules |
| which leukocyte leads the body's counterattack against parasitic worms? | eosinophils |
| which leukocyte lessens the body's severity of allergies by phagocytizing immune (antigen-antibody) complexes? | eosinophils |
| what are the rarest leukocytes? | basophils |
| describe the histology of basophils, which are functionally similar to mast cells | they have U- or S-shaped nuclei with two or three conspicuous constrictions, and have large, purplish-black (basophilic) granules that contain histamine |
| what is histamine? | inflammatory chemical that acts as a vasodilator and attracts other WBCs (chemotaxis!) |
| what counters histamines? (easy) | antihistamines |
| what are the agranulocytes? | lymphocytes and monocytes; they lack visible cytoplasmic granules. their difference is that lymphocytes have spherical nuclei and monocytes have kidney-shaped nuclei |
| what are the two types of lymphocytes and what do they do? | T cells and B cells. T cells function in the immune response, B cells give rise to plasma cells which produce antiboies |
| what is the second-most abundant leukocyte type? | lymphocytes (T cells and B cells) |
| what are histological features of lymphocytes (T cells and B cells)? | they have large, dark-purple, circular nuclei with a thin rim of blue cytoplasm, and are found mostly enmeshed in lymphoid tissue though some circulate in the blood |
| what are the largest leukocytes and what percentage of leukocytes do they account for? | monocytes are largest leukocytes and account for 4-8% of leukocytes |
| what histological features do monocytes have? | they have abundant pale-blue cytoplasm, they have purple-staining, U- or kidney shaped nuclei |
| what function should I know about monocytes? | they leave the circulation, enter tissue, and differentiate into macrophages |
| where do macrophages come from? | they derived from monocytes |
| what do macrophages do? | essentially the vacuum cleaners for your tissues, macrophages are highly mobile an actively phagocytic, activating lymphocytes to mount an immune response |
| which type of cell activates lymphocytes to mount an immune response? | macrophages |
| what is a leukemia? | a leukocyte disorder referring to cancerous conditions involving WBCs, and these are named according to the abnormal WBCs involved (myelocytic, lymphocytic...) |
| what is myelocytic leukemia? (also known as myeloid, myelogenous, or non-lymphocytic leukemia) | myelocytic leukemia is a type of cancer that starts in the bone marrow's myeloid cells involving an overproduction of abnormal, immature, or ineffective myeloid cells (blasts) that crowd out healthy blood cells |
| what is lymphocytic leukemia? | a cancer of the blood and bone marrow that occurs when the body produces too many abnormal, ineffective lymphocytes, crowding out healthy blood cells and impairing the immune system |
| acute leukemia advances quickly and involved blast-type cells, primarily affecting whom? | children |
| chronic leukemia advances slowly and is more prevalent in whom? | older people |
| true or false, immature WBCs are found in the bloodstream in all leukemias? | true, bone marrow becomes totally occupied with cancerous leukocytes and the WBCs produced, though numerous, are nonfunctional |
| what are treatments for leukemia? | irradiation, antileukemic drugs, and bone marrow transplants |
| platelets are fragments of megakaryocytes. what are their histological features? | blue-staining outer region and a purple granular center |
| what 5 things do platelet granules contain? | serotonin, Ca2+, enzymes, ADP, and platelet-derived growth factor (PDGF) |
| how do platelets function? | when the body undergoes breaks/cuts etc in the blood vessels, the clotting mechanism forms a temporary plug (coagulation) using platelets |
| which sticky protein is used when platelets help in the clotting mechanism? | fibrin |
| which substances keep platelets inactive when not being used in clotting? | nitrous oxide and prostacyclin |
| what is the genesis of platelets pathway? | stem cell is the hemocytoblast -> megakaryoblast -> promegakaryocyte -> megakaryocyte -> platelets |
| what is a thrombus vs. an embolus? | a thrombus is a stationary clot that forms locally within a vessel and remains attached to the vessel wall. an embolus is any detached mass—most commonly a broken-off piece of a thrombus |
| what is the danger of thrombi (plural of thrombus)? | thrombi can block circulation resulting in tissue death; a coronary thrombosis is in a blood vessel of the heart |
| what is the danger of pulmonary emboli and cerebral emboli? | pulmonary emboli can impair the ability of the body to obtain oxygen; cerebral emboli can cause strokes |
| what 3 substances can prevent undesirable clots? | aspirin, heparin, warfarin |
| what is aspirin? | an antiprostaglandin that inhibits thromboxane A2 |
| what is heparin? | an anticoagulant used clinically for pre- and postoperative cardiac care |
| what is warfarin (coumadin)? | used for those pront to atrial fibrillation; actually is also used as a rat poison to make them bleed to death internally |
| what is hemostasis? | the rapid process that stops bleeding at the site of an injured blood vessel while maintaining normal blood flow elsewhere, involving vascular constriction, formation of a platelet plug, and blood coagulation to create a stable clot |
| if you have a hemostasis disorder, what kind of general term disorder do you have? | bleeding disorder |
| what is a hemophilia? | a hereditary(!) bleeding disorder caused by lack of clotting factors |
| what is the most common type of hemophilia and what is it due to? | hemophilia A is due to a deficiency of factor VIII and makes up the most commont type of hemophilia at 83% of cases |
| what are symptoms of hemophilia/hemophilia A and its treatments? | prolonged bleeding and painful and disabled joints, treated with blood transfusions and the injection of missing factors |
| what are 2 types of blood transfusions and how do they differ in what they treat? | whole blood transfusions are used for when blood loss is substantial or in treating thrombocytopenia. packed red cells (cells with plasma removed) are used to treat anemia |
| true or false, agglutinogens are types of antigens | true |
| where are glycoprotein antigens found for RBCs? | not in RBCs, but rather *on* RBCs: RBC membranes have glycoprotein antigens (markers) on their external surfaces |
| what are characteristics of glycoprotein antigens and what are they known as? | referred to as agglutinogens, these antigens are unique to the individual, recognized as foreign (non-self) if transfused into another individual, and promoters of agglutination (as the name suggests) |
| what is used to classify blood groups? | presence or absence of specific agglutinogens |
| how many naturally occuring RBC antigens do humans have? | the human race has 30 varieties of naturally occuring RBC antigens |
| which antigens of RBCs are most significant and why? | antigens of the ABO and Rh blood groups cause vigorous transfusion (agglutination) reactions when improperly tranfused; think of it like antibodies (police) handcuff foreign cells to each other (handcuffing) |
| what about other blood groups? (M, N, Dufy, Kell, Lewis) | other blood groups are mainly used for legalities |