Blood and Lymphatics Flashcards

1
Q

What components make up the blood? (big picture)

A

55% is plasma

45% are cells (44% erythrocytes and 1% leukocytes)

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

Components of the plasma

A
90% water
8% proteins
-Mostly albumin and some globulins. 
5% fibrinogen.
0.1-1% of salts, lipids, and sugars.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How many liters of blood in males and females

A

4-5 in females
5-6 in males

males also have higher levels of RBCs and hemoglobin

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

Where are RBCs formed and what do they produce?

And their properties

A

Formed by reticulocytes in the bone marrow (epiphysis)
Produces hemoglobin with the bone marrow.

Properties:
anuclear
biconcave 
Highly deformable 
120 day life span 

Phagocytized in the spleen

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

Where are RBCs phagocytized

A

Spleen after 120 day life span

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

RBC disorders

A

Anemia- low cell count due to vitamin B12 (cobalamin) or Vitamin B9 (folic aid) deficiency or iron deficiency

Sickle cell- malformed RBCs due to gene mutation

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

What two vitamins are needed for DNA synthesis, so reproduction of all body cells can occur?

A

Vitamin B12- cobalamine

Vitamin B9- folic acid

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

What is required for hemoglobin synthesis

A

iron for heme group

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

Are their more granulocytes or agranulocytes in the blood?

A

There is only 1% of white blood cells in the blood.

Of the 1%, 65% are granulocytes (with the most being neutrophils, then eosinophils, then basophils) and 35% are agranulocytes (with the most being lymphocytes, and then monocytes)

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

What dye colors neutrophils

A

Neutrophils absorb both E and H, resulting in a light purple color when stained (mix of hot pink and violet)

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

H and E

A

Hematoxylin is a basic stain that stains acidic structures or basophilic structures. Stains dark purple.

Eosin is an acidic stain that stains basic structures of acidophilic structures. Stains pink.

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

Eosin dye stains eosinophils which color

A

Pink

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

Hematoxylin dye stains basophils which color

A

Dark purple, so dark that you can hardly see the nucleus

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

Which cells are classified as polymorphonuclear? PMN

A

Neutrophils

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

Group of WBCs that are considered mononuclear

A

Agranulocytes- Monocytes(macrophage, dendritic cell, and osteoclast precursor) and lymphocytes (T cells, B cells, and NK cells)

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

Which cells can differentiate into osteoclast

A

Monocytes

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

Which WBC has a huge nucleus

A

Lymphocytes. B, T, and NK cells

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

Phagocytic WBCs

A

Mast cells, neutrophil, macrophage, dendritic cell

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

Progenitor cells

A

Pleuripotent stem cell

  • Common myeloid progenitor
  • Reticulocyte, megakaryocyte, and myeloblast
  • common lymphoid progenitor
  • Large granular lymphocytes and small lymphocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Reticulocyte is a progenitor cell of

A

Erythrocytes

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

Megakaryocyte is a progenitor cell of

A

Thrombocytes

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

Myeloblasts are progenitor cells of

A

Basophil, eosinophil, neutrophil, and monocytes (which are also progenitor cells)

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

Monocytes are progenitor cells of

A

Macrophages, Dendritic cells and osteoclasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Common lymphoid is a progenitor cell of

A

Large granular lymphocyte and small lymphocytes (both progenitors)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Large granular lymphocyte is a progenitor cell of

A

NK cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Small lymphocytes is a progenitor cell of

A

T cells
B cells
-plasma cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Role of neutrophil PMN

A

Multi-lobed.
It is the most common WBC in the blood. It circulates, plays a big role in acute inflammation and phagocytosis. First on the scene.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Role of eosinophil

A

Bi-lobed.
Immune modulation, allergy, asthma, parasites.
(Neutrophil is more common, but basophil is less common comparatively)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Role of basophils

A

Bi-lobed

Hypersensitivity, anaphylaxis and graft rejection. Least encountered in the blood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Rank the WBCs from most common to least common

A
Neutrophils 
Lymphocytes 
Monocytes
Eosinophils
Basophils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Hemostasis refers to

A

The stoppage of bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

The bodys hemostatic mechanisms are more effective where

A

In smaller blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Following injury to a vessel, three steps occur in hemostasis.

A

Blood vessel spasm, platelet plug formation and blood coagulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What occurs during the platelet plug formation?

A

Platelets stick to the exposed edges of damaged blood vessels, forming a net with spiny processes protruding from their membranes.
Helps control blood loss.
Most effective in small vessels.

35
Q

_____ is the most effective means of hemostasis

A

Blood coagulation. It occurs because of a cascade of reactions.

36
Q

The major event in blood clot formation is

A

The conversion of soluble fibrinogen into insoluble fibrin by thrombin factor IIA.

37
Q

Hemophillia

A

Term for any of several X linked diseases where one or more clotting factors is missing or nonfunctional

38
Q

Extrinsic vs intrinsic clotting

A

Extrinsic- Factors needed for clotting are outside blood in the body. Injury is inside the body.

Intrinsic- Blood on table or glass slide. All clotting factors are found inside the blood.

39
Q

How is prothrombin converted to fibrin?

A

Prothrombin + Ca2+ —– >thrombin + Ca2+ + fibrinogen —–> fibrin = blood clot formation

40
Q

Type A blood

A

Has A antigens on RBC’s and anti-B antibodies in the plasma. If B blood enters blood stream, it has antigens for B on its surface.

In plasma of type A blood, anti bodies at B will target them and agglutinate.

Can accept A or O

41
Q

Type O

A

Universal donor, but can only accept blood from other type O’s.

Does not have any surface antigens.

Because it has anti B and anti A antibodies in the plasma. (when centrifuged, the anti A/B antibodies from the plasma is removed and can be used for transfusion)

42
Q

Type AB

A

Does not have any anti A or anti B antibodies in the blood. If any foreign blood enters the body, the blood will not detect it.

Rarest.

43
Q

Type B

A

Can accept type B or O blood.
Expresses B antigens on its surface
Has antibodies for type A in the blood.

44
Q

Rh Factor

A

If you are Rh- and get Rh+ blood, the person will develop antibodies for the Rh factor.

If you are Rh+, you can receive Rh+ or Rh- blood without any issues.

45
Q

Erythroblastosis fetalis

A

Mother is Rh negative, father is Rh + and the baby is Rh+

First exposure? no big deal. Antibodies are produced, but are waiting til second exposure.
Second exposure? Antibodies are ready to go and attach fetus.

46
Q

Macrocirculation vs microcirculation

A

Macro- Arteries and veins to organs

Micro- Arterioles, capillaries and venues within organs.

47
Q

4 main components of the cardiovascular system

A

Heart
Macrocirculation
Microcirculation
Lymph vessels

48
Q

Two circuit system

A

Primary circulation- blood from the heart ejected to peripheral parts of the body. Everywhere else other than pulmonary or portal.

Parallel shunt circulation-

  1. Pulmonary (heart to pulmonary artery carrying deoxygenated blood to lungs to veins carrying oxygenated blood)
  2. Portal circulation. Travels to liver through portal vein.
49
Q

Tunic intima (Interna) contains which 3 layers

A

Innermost lining of blood vessels made of (inner to outer)

  1. Endothelium (inner)
  2. Basal lamina
  3. Internal elastic lamina (outer) Helps reduce lumen diameter of blood vessel.
50
Q

Tunica media contains which 2 layers with which 3 components?

A
  1. Mostly smooth muscle with some elastic tissue (internal)

2. External elastic lamina

51
Q

Tunic adventitia (externally) contains which layers

A

contains loose/areolar connective tissue
Blood vessels, that are called vasa vasorum, will run through this external tissue to supply the outer layer of the blood vessel.

Can find adipose tissue here as well.

52
Q

3 overall layers of the blood vessels

A

Tunic intima, media, and adventita

53
Q

Vasa vasorum

A

Blood vessels that supply external layer (tunic adventitia) of blood vessels.

54
Q

Examples of elastic arteries

A

Aorta, common carotid

55
Q

Muscular arteries

A

Relatively muscular tunica media fibers with few elastic fibers.

Prominent internal and external elastic lamina.

Group of major arteries that branch off the descending aorta- splenic, renal, mesenteric.

56
Q

How can arterioles increase blood flow up to 400% ?

A

Smooth muscle

57
Q

Aneurysms big picture

A

Weak blood vessel wall. could be caused be genetics, high blood pressure.

2 types- fusiform or saccular

58
Q

Fusiform aneurysm

A

Wall swells 360 degrees around vessels. Common areas include sinus or sending aorta.

Seen often in Ehlers- Danolos and Marfans. (connective tissue disorders)

59
Q

Saccular aneurysm

A

Only 1 portion of the wall is weakened. Ballooning of a blood vessel. Referred to as “berry aneurysms”.

Seen in the brain, cavernous sinus.

60
Q

Aortic dissections- what causes it and what are the predisposing factors

A

Split between the tunica intima layer and the tunica media and the space is filled with blood.

Predisposing factors- Men, older age, hypertension, atherosclerosis, illicit drug use.

61
Q

Two types of aortic dissections

A

Type A- Where the split is it forms the ascending aorta and arch. Highest hydrostatic pressure in the entire body. Major medical emergency. Surgical intervention. 75% of all dissections.

Type B- Mostly managed medically Ex: lower blood pressure. Split occurs in the descending aorta.

62
Q

Where are valves found

A

In veins. Ex: Getting blood back to the heart against gravity. Legs. Will see one way valves. Valves are not seen in veins above heart.

63
Q

Differences between venules, muscular venules, and large veins

A

Venules- Smallest. Endothelium surrounded by pericytes.
Muscular venules- Contains valves except those above heart.
Large veins- Most elastic tissue and smooth muscle of all veins. Thick tunica adventitia (outer)

64
Q

3 types of capillaries

A

Continuous capillary
Fenestrated
Discontinuous (sinusoids)

65
Q

Continuous capillaries

  • Structure
  • Location
A

Both endothelium and basal lamina are continuous
Highly selective permeability
Ex: blood brain barrier, subdermis (under skin)

66
Q

Fenestrated capillaries

  • Structure
  • Location
A

Basal lamina is continuous, with a fenestrated endothelium.

Ex: Kidney, gut. Only small particles can pass through.

67
Q

Discontinuous capillaries (sinusoids)

  • Structure
  • Location
A

Both layers, the endothelium and basal lamina, are discontinuous.
Permits generous exchange of RBC”s and WBC’s and some serum proteins.
Ex: Liver, spleen, BM

68
Q

When arterioles are traveling through capillaries to venules, approximately ___% is reabsorbed back into blood circulation and __% remains in the lymphatics as lymph

A

90%

10%

69
Q

Lymphatic system runs __ to __

A

Parallel to venous system

70
Q

Where does the lymphatic system originate

A

With blood vessels in capillary regions.

71
Q

Role of lymphatic system

A

Collects extracellular fluid that accumulates and returns fluid to venous system via lymphatic vessels.

Lymph nodes are interspersed.

Valves required below heart and fluid is usually returned to vena cava.

72
Q

Are lymph capillaries smaller or larger than blood capillaries?

A

Lymph capillaries are larger than blood capillaries.

73
Q

What 2 ducts in the body return lymph to the circulatory system?

A

The thoracic duct returns the majority of the lymph back to the heart. All of the left side of the body, and the right side of the body below the diaphragm.

The right lymphatic duct returns lymph from the right side of the body above the diaphragm.

74
Q

Structural regions of the lymph node

A

Cortex- peripheral. (B cell region)
Paracortex- middle. (T cell region)
Medulla- center (plasma cell region)

75
Q

Structural regions of the lymph node

A

Cortex- peripheral. (B cell region)
Paracortex- middle. (T cell region)
Medulla- center (plasma cell region)

76
Q

Germinal centers (follicles) of the lymph node

A

This is in the cortex, which is where antigens interact with immune cells.

77
Q

T-lymphocyte region

A

In the paracortex between and below the secondary follicles.

High endothelial venules that facilitate extravasation of lymphocytes.

78
Q

Elephantiasis

A

Lymph restriction resulting in infection

79
Q

Proteus syndrome

A

Elephant man. Proliferation of tissues- skin, bone, fat and lymphatics.

80
Q

Leukemia

  1. origin
  2. cell type
  3. location
  4. Types
A

Origin: Bone marrow
Cell type: Myeloid or lymphoid
Location: circulating in blood
Types: AML, ALL, CML, CLL

81
Q

Lymphoma

  1. Origin
  2. Cell type
  3. Characteristic
  4. Types
A

Origin: lymph node
Cell type: Lymphoid
Characteristic: Solid tumor
Types: Hodgkin, non-hodgkin

82
Q

Myeloma

A

Origin: bone marrow
Cell type: Plasma cells
Location: Bone marrow

83
Q

Reed Sternberg cells

A

Characteristic of Hodgkin lymphoma. Large cell seen in the lymph node.