Blood Flashcards

1
Q

____________________ a specialized fluid of connective tissue that contains cells suspended in a fluid matrix

A

Blood

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2
Q

What are the five functions of blood?

A

Functions include (1) transportation of dissolved gases, nutrients, hormones, and metabolic wastes; (2) regulation of pH and ion composition of interstitial fluids; (3) restriction of fluid loss at injury sites (i.e., blood clotting); (4) defense against toxins and pathogens; and (5) stabilization of body temperature

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3
Q

What two parts make up blood?

A

Whole blood contains plasma (fluid) and formed elements (all cells and solids)

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4
Q

_____________________ is the process of separating whole blood for clinical analysis into plasma and formed elements

A

Fractionation

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5
Q

Plasma is composed of ___________% water; the remaining ___% is composed of plasma proteins (____%) and other solutes (_____%)

A

92%

8%

7%

1%

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6
Q

What are the three main types of dissolved plasma proteins?

A
  1. Albumin
  2. Globulin
  3. Fibrinogen
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7
Q

______________ is the major protein contributor to osmotic pressure and transporter of lipids and steroid hormones

A

Albumin

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8
Q

__________________ are protein transporters of ions, hormones, and lipids and a component of immunity

A

Globulins

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9
Q

_________________ is an essential protein component of the clotting system and can be converted into insoluble fibrin

A

Fibrinogen

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10
Q

Where are most plasma proteins produced?

A

Liver

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11
Q

Where are immunoglobulins produced?

A

Leukocytes (white blood cells)

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12
Q

What three other solutes make up the 1% of plasma volume?

A
  1. Electrolytes
  2. Organic nutrients (lipids, carbohydrates, amino acids)
  3. Organic wastes
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13
Q

___________________ transport oxygen; they make up 99.9% of blood’s formed elements

A

Red blood cells or erythrocytes

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14
Q

Describe the shape of red blood cells.

A

Red blood cells are small, highly specialized discs that are thin in the middle and thicker at the edge

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15
Q

What are three ways that red blood cell structure enables its function?

A
  • 1) high surface-to-volume ration allows for quick absorption and release of oxygen;
  • (2) discs can form stacks that soothes flow through narrow blood vessels; and
  • (3) discs bend and flex entering small capillaries – 7.8 micrometer red blood cell can pass through a 4.0 micrometer capillary
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16
Q

Red blood cells transport _______________, a protein that transports respiratory gases; in an adult male, normal hemoglobin levels range from 14 to 18 grams per decaliter

A

Hemoglobin

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17
Q

___________________ refers to the production of formed blood elements

A

Hematopoiesis

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18
Q

Red blood cells form via __________________, which only occurs in the ________________ or myeloid tissue

A

Erythropoiesis

Red bone marrow

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19
Q

What provides the microenvironment that supports erthyropoiesis?

A

Bone marrow sinusoids

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20
Q

After the nucleus is ejected from an erythroblast, the cell becomes a _____________________ or immature red blood cell

A

Reticulocyte

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21
Q

Why is a reticulocyte considered immature?

A

Because it lacks the full complement of hemoglobin required to be a mature red blood cell

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22
Q

Reticulocytes are released from the bone marrow and still contain ______________, mitochondria, and ______________; they begin to synthesize ___________________ and 48 hours post-release they mature into erythrocytes

A

Golgi

Ribosomes

Hemoglobin

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23
Q

What are two ways to measure red blood cell levels in the human body?

A

Red blood cell count

Hematocrit

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24
Q

_______________________ reports the number of red blood cells in 1 microliter of whole blood

A

Red blood cell count

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25
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ reports the percentage of red blood cells in centrifuged whole blood
Hematocrit or packed cell voume
26
Normal _______________________ in males range from 4.5 to 6.3 million, in females 4.0 to 5.5 million
Red blood cell counts
27
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are part of the immune system of which there are five types present in normal human blood
White blood cells or leukocytes
28
What are the five hematopoietic growth factors that stimulate white blood cell lineages from common progenitor cells?
1. Granulocyte-monocyte colony stimulating factor 2. Interleukin 5 3. Interleukin 3 4. Monocyte colony stimulating factor 5. Granulocyte colony stimulate factor
29
White blood cells can be divided into two large groups. What are they?
Granulocytes Agranulocytes (mononuclear leukocytes)
30
Granulocytes or myeloid cells are formed by ________________ and contain prominent type-specific cytoplasmic granules; they have a single nucleus segmented into multiple lobes with variable shapes (i.e., \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_); they originate from bone marrow and are involved in the innate defense system against infection in the \_\_\_\_\_\_\_\_\_\_\_\_\_, where they migrate via _________________ movement from the blood vessels in which they are carried and release chemotactic signals
Granulopoiesis Polymorphonuclear Tissues Pseudopodal
31
Granulocytes undergo granulopoiesis from myeloblast – promyelocyte – myelocyte – \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, which is not capable of cell division and instead begins nuclear segmentation, and thus they are the immediate precursors of mature granulocytes
Megamyelocyte
32
**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** comprise 50 to 70% of circulating white blood cells where they engage in phagocytosis to engulf and digest pathogens (primarily *bacterial*) at which point they release prostaglandins and leukotrienes (inflammation) and form pus
Neutrophils or polymorphonuclear leukocytes
33
What type of action do neutrophils engage?
Phagocytosis of primarily bacterial pathogens
34
What chemicals do neutrophils release?
Prostaglandins and leukotrienes
35
What white blood cell type forms pus?
Neutrophils
36
What happens to neutrophils after they phagocytose a pathogen?
They die in the tissue
37
What color does the cytoplasm of neutrophils stain?
Lilac
38
Neutrophil granules contain __________________ and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Lysosomal enzymes Bactericides
39
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ compromise 2 to 4% of circulating white blood cells where they attack large parasites, respond to allergens, and control inflammation with enzymes that counteract the inflammatory effects of neutrophils and mast cells
Eosinophils or acidophiles
40
What white blood cell type counteracts the inflammatory effects of neutrophils and mast cells?
Eosinophils
41
What color do eosinophils stain?
Red
42
What toxic compounds do eosinophils excrete?
Nitric oxide Cytotoxic enzymes
43
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ comprise less than 1% of circulating white blood cells and accumulate in damaged tissue where they release histamine (blood vessel dilation) and heparin (blood clotting prevention)
Basophils
44
What white blood cell type releases histamine and heparin?
Basophils
45
What does histamine do?
Dilates blood vessels
46
What does heparin do?
Prevents blood clot formation
47
What color do basophils stain?
Blue
48
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are white blood cells that contain non-lobulated nuclei
Agranulocytes or mononuclear leukocytes
49
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ comprise 2 to 8% of circulating white blood cells; they are large and spherical and entire peripheral tissues to become macrophages, where they *engulf large particles and pathogens* *and secrete substances* that attract immune system cells and fibroblasts to injured areas
Monocytes
50
Monocytes are inactive precursors of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, which engulf large particles and secrete substances that attract immune system cells and fibroblasts to injured areas
Macrophages
51
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ comprise 20 to 30% of circulating white blood cells; they are larger than red blood cells and migrate in and out of the blood, mostly in connective tissues and lymphatic organs, where they are a part of the body’s specific defense system​
Lymphocytes
52
Stem cells in the bone marrow divide to produce lymphoid stem cells, which become \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Lymphocytes
53
There are three primary types of lymphocytes. What are they?
1. T cells 2. B cells 3. Natural killer cells
54
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are lymphocytes that engage in cell-mediated immunity and attack foreign cells directly
T cells
55
\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are lymphocytes that engage in humoral immunity and differentiate into plasma cells where they synthesize antibodies
B cells
56
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are lymphocytes that detect and destroy abnormal tissue cells (cancer)
Natural killer cells
57
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ refers to a raised neutrophil count and indicates acute inflammation or bacterial infection
Neutrophilia
58
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ refers to increased eosinophils and indicates allergy or parasitic infection
Eosinophilia
59
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ refers to a high lymphocyte count and results from viral infections
Lymphocytosis
60
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ refers to a reduction in neutrophil levels
Neutropenia
61
\_\_\_\_\_\_\_\_\_\_ refers to a large number of abnormal circulating cells
Leukemia
62
White blood cells except for _________________ develop in the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; _____________________ develop into macrophages in the peripheral tissues
Monocytes Bone marrow Monocytes
63
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are cell fragments involved in clotting
Platelets
64
How long do platelets circulate?
9 to 12 days
65
Platelets are produced via \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Thrombocytopoiesis
66
What organ removes platelets?
Spleen
67
Platelets derive from \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, giant cells that manufactor platelets from their cytoplasms
Megakaryocytes
68
What are the three functions of platelets?
* (1) *release* of important *clotting* chemicals; * (2) temporary *patch* of damage to vessel walls; and * (3) *contract tissue* after clot formation
69
An abnormally low platelet count is known as \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; and abnormally high platelet count is known as \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Thrombocytopenia Thrombocytosis
70
How are blood samples fixed?
With alcohol
71
What types of stains are used in blood tissue preparation?
Romanowsky-type (Giemsa, Wright)
72
Basophilic organelles (DNA – nucleus, RNA – ribosomes) stain \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Deep blue
73
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ organelles (lysosomes, leukocyte granules) stain purple
Azurophilic
74
Eosinophilic organelles (\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_) stain pink or red
Cytoplasm
75
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ organelles (cytoplasmic granules of neutrophils) stain salmon or \_\_\_\_\_\_\_\_\_\_\_\_
Neutrophilic Lilac