Chapter 17 - Blood Flashcards

(57 cards)

1
Q

Blood has viscous characteristic because of its [?] elements

A

Formed

RBC’s, WBC’s, Platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which part of the blood carries electrolytes, plasma protiens, nitrogenous substances, nutrients, gases, and hormones?

A

Plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

There are three blood regulations for the body name two.

Here’s a given: Maintaing appropriate body temperature by absorbing and distributing heat throughout the body and to the skin surface to encourage heat loss.

A
  1. Maintaining normal pH - Many blood proteins and other bloodborne solutes act as buffers to prevent excessive changes in blood.
  2. Maintaining adequate fluid volume in the circulatory system - Blood proteins prevent excessive fluid loss from the blood-stream intot tissue spaces. as a result, the fluid volume in the blood vessels remains ample to support efficient blood circulation to all parts of the body.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Blood has protective functions such as preventing blood loss and preventing…

A

Infection.

Drifting along in blood are antibodies, complement proteins, and white blood cells, which help defend the body against foreign susbtances such as bacteria and viruses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which plasma protein makes up 60% of plasma proteins?

Albumin

Globulins

Fibrinogen

A

Albumin

60% of plasma proteins; produced by the liver; main contributor to osmotic pressure, carrier of other molecules, and blood buffer.

Osmotic pressure = th epressure that helps keep water in the bloodstream.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Out of the formed elements, which are the two that aren’t true cells.

A

RBC’s and platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which molecule in a RBC that binds to and transports respiratory gases?

A

Hemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Most blood cells do not divide

True/False

A

True.

Stem cells divide continuously in red bone marrow to replace them. Thus, most cells originate from red bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which protein makes red blood cells red, and binds easily and reversibly with oxygen?

A

Heme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Red heme pigment bound to the protein globin makes what protein?

A

Hemoglobin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Globin consists of four polypeptide chains, called:

A

Alpha chains (2)

Beta chains (2)

Each binding a ringlike heme group.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Each heme group bears an atom of [?]

A

Iron.

Which binds directly with oxygen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A hemoglobin molecule can transport how many molecules of oxygen because of each iron atom can combine reversibly with one molecule of oxygen.

A

Four molecules of oxygen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When oxygen binds to iron, the hemoglobin, now called:

A

Oxyhemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Oxygen detaches from iron, hemoglobin resumes its former shape, and the resulting name:

A

deoxyhemoglobin (reduced hemoglobin)

becomes dark red.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

20% of carbon dioxide transported in the blood combines with hemoglobin forming a complex named:

A

carbaminohemoglobin

It binds to globin’s amino acid instead of the heme group.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Formation of all blood cells is known as

A

Hematopoiesis

this occurs in the red bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The various formed elements have different functions, but there are similarities in their life histories. All arise form the [?] cell

A

Hematopoietic stem cell (hemocytoblast)

The undifferentiated precursor cells reside in the red bone marrow. however, the maturation pathways of the various formed elements differ, and once a cell is committed to a specific blood cell pathway, it cannot change. New blood cells enter the blood via sinusoids.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Erythropoiesis:

A

Erythrocyte production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Stages of erythropoiesis:

Hematopoietic stem cell -> ? -> Basophilic erythroblast -> ? -> Orthochromatic erythroblast -> Reticulocyte -> Erythrocyte

A

Proerythroblast / Polychromatic erythroblast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When an [?] erythroblast has accumulated almost all of its hemoglobin, it ejects most of its organelles.

A

Orthochromatic erythroblast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Balance between RBC production and destruction depends on Dietary requirements and [?]

A

Hormonal controls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Tissue hypoxia

A

Too few erythrocytes causing oxygen deprivation

24
Q

Having too many erythrocytes causes undesirably [?] (Thick, sticky)

25
Blood has abnormally low oxygen-carrying capacity that is too low to support normal metabolism: Anemia Polycythemia
Anemia Fatigue, pallor, dyspnea, and chills are the symptoms. Causes: Blood loss, not enough RBC's produced, and too many RBC's being destroyed.
26
For **iron-deficiency anemia** RBCs produced are called [?]. they are small, pale in color and cannot synthesize hemoglobin because there is a lack of iron. Microcytes Macrocytes
Microcytes
27
**Pernicious anemia**: Autoimmune disease that destroys stomach mucosa that produces intrinsic factors which are needed to absorb B-12 (which is needed to help RBC's to divide. Without B-12, RBC's enlarge but cannot divide, resulting in cells called [?] Microcytes Macrocytes
Macrocytes
28
Which anemia is considered autoimmune? Iron-deficiency anemia Pernicious anemia
Pernicious anemia autoimmune disease that destroys stomach mucosa that produces intrinsic factors that are needed to absorb b-12
29
Thalassemias and Sickle-cell anemia are in which anemia category: Iron-deficiency anemia Pernicious anemia Hemolytic anemias
**Hemolytic anemias** Thalassemias: RBC's are thin and delicate Sickle-cell anemia are deformed in deoxygenated state. People who have only one traight (heterozygous) for sickle-cell become malaria resistant!
30
Abnormal excess of RBCs; increases blood viscosity, causing sluggish blood flow: Anemia Polycythemia
Polycythemia
31
Bone marrow cancer leading to excess RBC's Iron-deficiency anemia Polycythemia vera Hemolytic anemia
Polycythemia
32
Secondary polycythemia is caused by low oxygen levels or increased EPO production. This can be caused by high/low altitude.
High altitude
33
Heme is degraded to yellow pigment called: Bilirubin Urobilinogen Sterobilin
Bilirubin
34
Live secretes bilirubin (in bile) into intestines, where it is degraded to pigement Urobilinogen Stercobilin
Urobilinogen
35
Urobilinogen is transformed into brown pigment: Bilirubin Stercobilin
**Stercobilin** Leaves the body in via feces.
36
Used when only blood loss is rapid and substantial Whole-blood transfusions Packed red blood cells
Whole blood transfusions
37
Anything that is perceived foreign: Antigen Antibody
Antigen RBC's antigens are known as **agglutinogens**
38
Name the three granuloctyes.
Neutrophils, eosinophils, and basophils Lobed rather than circular nuclei. All phagocytic to a degree.
39
List the two agranulocytes
Monocytes and Lymphocytes
40
Which granulocyte stains with acid and basic dyes, contains hydrolytic enzymes or antimicrobial proteins called **defensins**?
Neutrophils Kills mirobes by a process caleed *respiratory burst*
41
Which granulocyte contains digestive enzymes that release on parasitic worms and also plays a role in allergices and asthma?
Eosinophils
42
Which agranuloctye has two types and one acts against virus-infected / tumor cells, and the other give rise to plasma cells, which produce antibodies.
**Lymphocytes** T-cells: Act against virus-infected/tumor cells B-cells: Give rise to plasma cels, which produce antibodies
43
Which granulocyte that it's granules contain histamine, an inflammatory chemical that acts as a vasodilator and attracts WBCs to inflamed sites?
Basophils
44
Which agranulocyte has the ability to leave circulation, enter tissues, and differentiate into macrophages against viruses, bacterial parasites, chronic infections?
**Monocytes** Also the largest WBC
45
Overproduction of abnormal WBC's are leukemias and: Infectious mononucleosis Leukopenia
Infectious mononucleosis
46
Abnormally low WBC count: Leukemia Infectious mononucleosis Leukopenia
Leukopenia
47
A cancerous condition involving overproduction of abnormal WBC's and named according to abnormal WBC clone involved. Leukemia Leukopenia
Leukemia
48
Which leukocyte disorder is considered the kissing disease? Leukopenia Infectious mononucleosis
**Infectious mononucleosis** Viral disease
49
Megakaryocytes are also which formed element?
platelets
50
Which formed elements contains several chemicals involved in clotting process?
Platelets
51
Circulating platelets are kept (active/inactive) and mobile by nitric oxide (NO) and prostcyclin from endothelial cells lining blood vessels.
Inactive
52
Step 1. Vascular spasm Step 2. Platelet plug formation Step 3. Coagulation (blood clotting) What is the name for this series of steps?
Hemostasis Fast series of reactions for stoppage of bleeding.
53
Which step responds to injury with vasoconstriction and is triggered by direct injury to vascular smooth muscle, chemicals released by endothelial cells and platelets, and pain reflexes. Also this step is most effective in smaller blood vessels. It can signifcantly reduce blood flow until other mechanisms can kick in. Vascular spasm. Platelet plug. Coagulation
Step 1. Vascular spasm
54
Which step is when platelets stick to collagen fibers that are **exposed** when vessel is damaged. platelets do not stick to intact vessel walls because collagen is not exposed. Also, prostacylcins and nitric oxide secreted by endothelial cells act to prevent platelet sticking.
Step 2. Platelet plug formation
55
Causes more platelets to stick and release their contents. ADP Serotinin Thromboxane A2
ADP
56
Enhance vascular spasm and platelet aggregation. ADP Serotonin and thromboxane A2
Serotinin and Thromboxane A2
57
Which step has a series of reactions using **clotting factors (procoagulants)**, mostly consisting of plasma proteins.
Step 3. Coagulation