EXAM #1 Flashcards
Structures of the body, pure memorization
anatomy
How the body works, processes
physiology
- Heart, blood vessels, and blood
- contains nervous tissue, muscle tissue, connective tissue and epithelial tissue
The cardiovascular system
3 main functions of the cardiovascular system
- Transport
- Maintenance of homeostasis
- Protection
The Cardiovascular System:
Transport function
- carries nutrients from _ _ to cells throughout body
digestive system
The Cardiovascular System:
Transport function
- carries _ _ from cells of body to kidneys
waste products
The Cardiovascular System:
Transport function
- carries _ from endocrine glands to target cells
hormones
The Cardiovascular System:
Transport function
- carries _ _: oxygen from lungs to cells and carbon dioxide from cells to lungs
respiratory gases
The Cardiovascular System:
Maintenance of Homeostasis
- Helps maintain normal, balanced function of the body by participating in maintenance of:
1. _ _ by absorbing and redistributing heat
2. _ _ levels
3. _ _ and _ concentrations
- body temperature
- body fluid
- pH levels and electrolyte
The Cardiovascular System:
Protection function
- Protects body from _ and other pathogens through the _ _ _
- Prevents excess _ _ at injury sites through _ _ _
- bacteria, immune system elements
- fluid loss, blood clotting mechanisms
What is blood?
- _ _ _
- _ & _ _ (RBC, EBC, platelets) known collectively as the _ _
- Surrounded in _ _ _
- Fluid connective tissue
- cells & cell fragments, formed elements
- liquid extracellular matrix (plasma)
Characteristics of blood:
Approximately _ of body weight
7%
Characteristics of blood:
Average of _ liters
5
Characteristics of blood:
_ liters in smaller adults
4-5
Characteristics of blood:
_ liters in larger adult
5-6
Characteristics of blood:
1 liter ~ 1 quart = _
2 pints
Characteristics of blood:
pH between _ and _
7.35 & 7.45
Characteristics of blood:
pH is <7.35
Acidosis
Characteristics of blood:
pH is >7.45
Alkalosis
pH scale:
Basic = _
Neutral = _
Acidic = _
- 14
- 7
- 1
Characteristics of blood:
Viscosity - _ _ _ than water
- Blood thicker than water because of soluble proteins
5 times greater
Components of Blood:
Makes up about 55% of blood volume
Plasma
Components of Blood:
Makes up about 45% of blood volume
Formed elements (RBC, WBC, Platelets)
Components of Blood:
The pale yellow fluid that makes up the extracellular matrix
Plasma
Components of Blood:
Plasma
- _ ~ 92%
- _ _ ~7%
- Ions, nutrients, gases, hormones, wastes ~ _
- water
- plasma proteins
- 1%
Components of Blood:
More than 90% of plasma is _
- also contains dissolved plasma proteins & other solutes
water
Components of Blood:
Blood cells suspended in the plasma
formed elements
Components of Blood:
Formed elements
- _ ~ 99.9%
- _ ~ > .1%
- ~ > .1%
- Red blood cells
- White blood cells
- Platelets
Components of Blood:
Plasma is very similar to _ _ because water, ions, and small solutes are exchanged across capillary walls
interstitial fluid
Components of Blood:
Difference between plasma and interstitial fluid
interstitial fluid has plasma proteins
Components of Blood:
Plasma proteins (90% synthesized in liver)
- Albumins
- Globulins
- Fibrinogens
Components of Blood:
Plasma proteins
- 60% of plasma proteins
- Responsible for _ _ of blood
Albumins
- osmotic pressure
Components of Blood:
Plasma proteins
- ~35% of plasma proteins
- immunoglobulins attack foreign proteins and _
Globulins
- pathogens
Components of Blood:
Plasma proteins
- Transport _ bind ions, hormones, cholesterol, and other compounds
globulins
Components of Blood:
Plasma proteins
- clotting proteins
Fibrinogens
Components of Blood:
Plasma proteins
- Fibrinogens
- serum = _ after removal of clotting proteins
plasma
Erythrocytes
Red Blood Cells (RBCs)
Function of Red Blood Cells:
- Transport some _ from tissues to lungs
carbon dioxide
Function of Red Blood Cells:
- Transport most _ from lungs to tissues
oxygen
Abundance of Red Blood Cells:
- slightly less than _ the blood volume
half (~45% average)
Abundance of Red Blood Cells:
- _ of the formed elements
99.9%
Abundance of Red Blood Cells:
- _ _ per microliter of blood
4-6 million
Abundance of Red Blood Cells:
_ new RBCs enter blood stream every second & _ RBCs breakdown every second
- 3 million
- 3 million
Abundance of Red Blood Cells:
- % of RBCs
- _ obtained by centrifuging blood sample to separate formed elements from plasma
- buffy coat is layer of WBC & platelets
Hematocrit
Abundance of Red Blood Cells: Example
Hematocrit of _ means whole blood is 58% plasma & 42% formed elements
42
Abundance of Red Blood Cells:
Males have slightly higher _ than females due to more testosterone
hematocrit
Structure of Red Blood Cells
- very small, highly specialized cells
- biconcave disc shape
Structure of Red Blood Cells:
Very small, highly specialized cells
- when mature have _ and _ other organelles (allows to be small)
no and few
Structure of Red Blood Cells:
Very small, highly specialized cells
- densely packed with _
hemoglobin
Structure of Red Blood Cells:
Biconcave disc shape
- Provides large surface to volume ratio necessary for _ _ _
- allows RBCs to stack, bend, flex
rapid gas exchange
Globular protein, formed from 4 polypeptide subunits (2 alpha & 2 beta)
Hemoglobin (Hb)
Hemoglobin (Hb):
- each subunit contains a molecule of _
heme
Hemoglobin (Hb):
Heme - Pigment molecule containing ionized iron (Fe2+) which can _ bind an oxygen molecule
- weak bond, easily broken by pressure gradient
reversibly
Hemoglobin (Hb):
- Each RBC contains about _ Hb
280 million
Hemoglobin (Hb):
- Each RBC can carry over _ molecules of oxygen
a billion
Hemoglobin function:
At lungs, where oxygen concentration is high
- hemoglobin _ oxygen
binds
Hemoglobin function:
At lungs, where oxygen concentration is high
- _ = bright red in color
oxyhemoglobin
Hemoglobin function:
At peripheral tissues, where oxygen concentration is low
- carbon monoxide _ binds to heme iron preventing oxygen from binding
- strong bond, stays for a very long time, blocks out oxygen (O2 cannot compete with CO)
irreversibly
Oxygen concentration high in _ and low in _
- lungs
- tissues
Hemoglobin disorder:
- most common in people from African descent
sickle-cell anemia
Hemoglobin disorder:
- beta chain of Hb is abnormal
- In _ oxygen, Hb molecules interact causing cell to become stiff and curved
low
Hemoglobin disorder:
Sickle-cell
- _ _ _ = 1 single gene, normally fine, extreme oxygen deficit can activate
- _ _ _ = active all the time
- sickle-cell trait
- sickle-cell anemia disorder
Hemoglobin disorder:
- similar but less common genetic hemoglobin disorder
- most common in people of Mediterranean descent
Thalassemia
Blood:
- cells & cell fragments
- approximately 45% of total blood volume
Formed Elements
Blood:
Formed Elements
- Red blood cells (RBC) = _
erythrocytes
Blood:
Formed Elements
- White blood cells (WBC) = _
leukocytes
Blood:
Formed Elements
- Platelets ~ _
thrombocytes
Blood: Formed Elements
White blood cells (WBC) = leukocytes are mostly found in _
tissues
Blood: Formed Elements
The production of blood cells in red bone marrow (known as myeloid tissue)
Hemopoiesis (hematopoiesis)
Pre-fix -cyte means
ex: erythrocyte, leukocyte
cell
Blood: Formed Elements
platelets are _ _
cell fragments
Blood: Hemopoeisis
All begins with _
hemocytoblasts ( -blasts=build, - cyto=cells/stem cells)
Blood: Hemopoeisis
_ in myeloid tissue (red bone marrow) that divide to produce
Stem cells
Blood: Hemopoeisis
2 main kinds of stem cells in myeloid tissue (red bone marrow) that divide to produce
- myeloid stem cells
- lymphoid stem cells
Blood: Hemopoeisis
A kind of stem cell in myeloid tissue (red bone marrow) that divide to produce
- Give rise to RBCs, platelets, and 4 of the 5 types of WBCs
myeloid stem cells
Blood: Hemopoeisis
A kind of stem cell in myeloid tissue (red bone marrow) that divide to produce
- Become lymphocytes (specialized WBCs)
lymphoid stem cells
Blood: Hemopoeisis
_ white blood cells
_ from myeloid stem cells
_ from lymphoid stem cells
- 5
- 4
- 1
Blood: Hemopoeisis
Hemocytoblasts divide by mitosis into _ & _
myeloid stem cells & lymphoid stem cells
Blood: Hemopoeisis
Lymphoid stem cells result in what kind of white blood cell
lymphocyte
Blood: Hemopoeisis
Myeloid stem cells result in what kinds of white blood cells
- basophils
- eosinophils
- neutrophils
- monocytes
Blood: Hemopoeisis
Myeloid stem cells result in
- erythrocytes
- platelets
- 4/5 white blood cells
Blood: Hemopoeisis
Myeloid stem cells
- _ become platelets
megakarocyte
Blood: Hemopoeisis
Myeloid stem cells
- EPO
- ejection of nucleus = _
- then become _
- reticulocyte
- erythrocyte
Blood: RBC formation and turnovers
1% of circulating RBCs are replaced per day
- about _ _ new RBCs enter bloodstream each second
3 million
Blood: RBC formation and turnovers
life span = approximately _ days
- travel ~ 700 miles
120 days
Blood: RBC formation and turnovers
RBCs travel ~ _ per 120 days
700 miles
Blood: RBC formation and turnovers
RBCs are _ and _ constantly at approximately the same rate
destroyed and replaced
Blood: RBC formation and turnovers
RBC made by erythropoiesis in _ _ _
red bone marrow
Blood: RBC formation and turnovers
RBC destroyed by phagocytosis in _ & _
liver and spleen
RBC production called _
- occurs in red bone marrow
erthropoiesis
Stages in RBC production
- Hemocytoblast
- Myeloid stem cell
- Proerythroblast
2-4. erythroblast stages
5-7. reticulocyte
= mature erythrocyte
Stages in RBC production
- immature red blood cell,
- ejected nucleus
- enters bloodstream days 5-7
reticulocyte
Stages in RBC production
- EPO (erythropoietin)
day 1: proerythroblast
Regulation of RBC production (erythropoiesis):
- adequate supply of _ _ and _ and _ _
- _
- amino acids, vitamins B6 & B12, and folic acid
- hormones
Regulation of RBC production (erythropoiesis):
- Hormones
- Thyroxine
- Androgens (testosterone)
- Growth hormone
Regulation of RBC production (erythropoiesis):
Hormones
- released by kidney in response to hypoxia
erythropoietin (EPO)
Regulation of RBC production (erythropoiesis):
Hormones
- stimulates erythroblast cell division
erythropoietin (EPO)
Regulation of RBC production (erythropoiesis):
Hormones
- accelerates Hb synthesis and RBC maturation
erythropoietin (EPO)
erythropoietin (EPO) involved in what 3 main things of RBC production
- released by kidney in response to hypoxia
- stimulates erythroblast cell division
- accelerates Hb synthesis and RBC maturation
Regulation of RBC production (erythropoiesis):
- EPO or packed RBCs –> not a good idea
blood doping
RBC turnover:
After ~120 day lifespan OR damage _ of spleen, liver, and red bone marrow engulf RBCs, remove Hb and break Hb into components
macrophages
RBC turnover:
Macrophages (of spleen, liver & red bone marrow) _ aged or damaged RBCs
engulf
RBC turnover:
Macrophages (of spleen, liver & red bone marrow) remove Hb molecules from _ RBCs
hemolyzed (ruptured)
RBC turnover:
Macrophages (of spleen, liver & red bone marrow) break _ into components
hemoglobin (Hb)
small macrophage (active) = _
Monocyte (inactive)
3 ways for hemoglobin (Hb) turnover
- Globulin proteins
- Heme pigments
- Heme iron is recycled
Hemoglobin (Hb) turnover:
Globulin proteins - disassembled into _ _ to be re-used
amino acids
Hemoglobin (Hb) turnover:
Heme pigments
- converted to biliverdin (greenish), then _ (yellow-orange)
bilirubin
Hemoglobin (Hb) turnover:
Heme pigments
- _ is excreted by liver in bile
Bilirubin
Hemoglobin (Hb) turnover:
Heme pigments
- _ is caused by buildup of bilirubin
jaundice
Hemoglobin (Hb) turnover:
Heme pigments
- converted by intestinal bacteria and oxygen to _ and _
urobilins and stercobilins
Hemoglobin (Hb) turnover:
Heme iron is recycled
- stored in _
- or transported throughout the bloodstream bound to transferrin
phagocytes
Hemoglobin (Hb) turnover:
Bilirubin at high levels can be _
toxic
Hemoglobin (Hb) turnover:
_ stores bile
gallbladder
Hemoglobin (Hb) turnover:
Heme pigments
- makes pee yellow
urobilins
Hemoglobin (Hb) turnover:
Heme pigments
- makes poo brown
stercobilins
Blood disorders:
Low RBC or low hemoglobin
anemia
Blood disorders:
Anemia
- lysing (exploding) of RBCs too fast
Hemolytic
Blood disorders:
Anemia
- low B12
pernicious
Blood disorders:
Anemia
- not enough iron in diet
- pregnancy
iron deficiency
Blood disorders:
Anemia
- actively hemorrhaging (may be internal)
- menstruation
hemorrhagic
Blood disorders:
- high RBC count
polycythemia
Blood disorders:
- _ is blood in urine
- _ is blood proteins in urine
- hematuria
- hemoglobinuria
Leukocytes
White Blood cell
White Blood cells function
- defend the body against pathogens
- remove toxins, wastes & abnormal cells
Abundance of WBCs:
Less than _ of the formed elements
0.1%
Abundance of WBCs:
1 microliter of blood has ~5 million RBCs and _ WBCs
~7 thousand
Abundance of WBCs:
WBCs in blood are small fraction of total WBCs
- majority of WBCs are in _
tissues
White Blood Cells structure:
WBCs have _ _ and typical _ _
- high concentration of secretory vesicles, phagocytic vesicles, and lysosomes
- large nucleus
- cellular organelles
White Blood Cells activity:
WBCs exhibit _ movement
amoeboid
White Blood Cells activity:
WBCs exhibit amoeboid movement in which 2 ways
- emigration (move to areas in need)
- positive chemotaxis (move toward chemicals)
Most White Blood Cells are _
phagocytic
White Blood Cells: Defense against pathogens
nonspecific defenses
- neutrophils
- eosinophils
- basophils
- monocytes
White Blood Cells: Defense against pathogens
specific defenses
lymphocytes
Types of WBCs:
- 50-70% of circulating WBCs
neutrophils
Types of WBCs:
- short life span of ~ 10 hours, or even shorter if
actively engulfing bacteria, debris, etc. (Pus-many dead)
neutrophils
Types of WBCs:
- Phagocytic: engulf pathogens or debris in tissues
neutrophils
Types of WBCs:
- 2-4% of circulating WBCs
eosinophils
Types of WBCs:
- increase in number during parasitic infections (release toxins)
eosinophils
Types of WBCs:
- increase number during allergic reactions
eosinophils
Types of WBCs:
- Phagocytic: engulf antibody-labeled materials, reduce inflammation
eosinophils
Types of WBCs:
- 2-8% of circulating WBCs
Monocytes/Macrophages
Types of WBCs:
- Largest WBC
Monocytes/Macrophages
Types of WBCs:
- Migrate out of blood vessels and become macrophages
Monocytes
Types of WBCs:
- Macrophages = aggressive phagocytes, engulf pathogens or debris
Macrophages
Types of WBCs:
- less than 1% of circulating WBCs
basophils
Types of WBCs:
- cross capillary endothelium and accumulate in damaged tissue
basophils
Types of WBCs:
- release histamine and heparin
basophils
Types of WBCs: Basophils
dilates blood vessels
histamine
Types of WBCs: Basophils
prevents blood clotting
heparin
Types of WBCs:
- 20-40% of circulating WBCs
lymphocytes
Types of WBCs:
- continuously migrate in and out of bloodstream
lymphocytes
Types of WBCs:
- provide defense against specific pathogens or toxins
lymphocytes
Types of WBCs: Lymphocytes
- 3 types of cells
- T cells
- B cells
- NK cells
Types of WBCs: Lymphocytes
mediated immunity
- secrete chemicals
T cells
Types of WBCs: Lymphocytes
humoral immunity, produce antibodies
- when activated pump out antibodies
B cells
Types of WBCs: Lymphocytes
natural killer cells, destroy abnormal tissue cells
- cancer
NK cells
White Blood Cells:
_ _ used to distinguish among disorders
- parasitic infection, inflammation, allergic reaction
differential count
WBC differential count can indicate a disorder of WBCs:
- decreased # of WBCs
Leukopenia
WBC differential count can indicate a disorder of WBCs:
- increased # of WBCs
- leukemia
leukocytosis
cancer of WBCs
leukemia
White Blood Cells:
Leukopenia
decreased # of WBCs
White Blood Cells:
Leukocytosis
increased # of WBCs
WBC produced from _
hemocytoblasts (stem cells)
WBC production:
Eosinophils, basophils, neutrophils and
monocytes are produced in bone marrow by
_ _ _
myeloid stem cells
WBC production:
Lymphocytes produced from stem cells that
migrate to _ _ (thymus, spleen,
lymph nodes)
lymphoid tissue
Platelets:
cell fragments involved in _
clotting
Platelets:
_ per microliter of blood
150,000 to 500,000
low # of platelets
- increased risk for hemorrhage
thrombocytopenia