Exam 2 Info - Slides Flashcards
skeletal muscle tissue: attached to ... and ... .... ... (i.e. conscious control) powerful
bones; skin;
striated;
voluntary
cardiac muscle tissue:
only in the ..
…
…
heart
striated
involuntary
smooth muscle tissue: in the walls of ... (e..g stomach, urinary bladder, and airways) not ... ... ... to act compared to striated muscle
hollow organs;
striated;
involuntary;
slower
special characteristics of muscle tissue:
… (… or …): ability to receive and respond to stimuli
…: ability to shorten when stimulated
…: ability to be stretched
…: ability to recoil to resting length
excitability; responsiveness; irritability;
contractility;
extensibility;
elasticity
muscle functions: ... of bones/fluids (e.g. blood) maintaining ... and ... ... ... (especially skeletal muscle)
movement;
posture; body position;
stabilizing joints;
heat generation
(skeletal muscle) each muscle is served by one …, one …, and one or more …
artery; nerve; veins
(skeletal muscle)
connective tissue sheaths of skeletal muscle:
…: dense regular connective tissue surrounding entire muscle
…: fibrous connective tissue surrounding fascicles (groups of muscle fibers)
…: fine areolar connective tissue surrounding each muscle fiber
epimysium;
perimysium;
endomysium
(skeletal muscle)
muscles attach:
directly – … of muscle is fused to the … of bone or … of cartilage
epimysium; periosteum; perichondrium
(skeletal muscle)
muscles attach:
indirectly - connective tissue wrappings extend beyond the muscle as a … or …
ropelike tendon; sheetlike aponeurosis
(skeletal muscle)
periosteum: double layered connective tissue that … and … bone
perichondrium: fibrous, connective membrane covering the …. of … structures
covers; nourishes;
external surface; cartilaginous
(skeletal muscle) skeletal muscle fiber: ... cell 10-100 micrometers in diameter, up to 30 cm long multiple ... many ...
cylindrical;
peripheral nuclei;
mitochondria
(skeletal muscle)
skeletal muscle fiber:
… for glycogen storage, … for oxygen storage
glycosomes; myoglobin
(skeletal muscle) skeletal muscle fiber: also contain: ... ... ...
myofibrils;
sarcoplasmic reticulum;
T tubules
(skeletal muscle)
myofibrils:
densely packed, … elements
about …% of cell volume
rodlike; 80
(skeletal muscle) myofibrils: exhibit ...: perfectly aligned repeating series of dark A bands and light I bands A bands = ... filaments I bands = ... filaments
striations;
myosin thick;
actin thin
(skeletal muscle)
sarcomere:
smallest …. (… unit) of a muscle fiber
the region of a myofibril between two successive … (…)
composed of … and … filaments
contractile unit; functional unit;
Z discs; alpha-actinin;
thick; thin
(skeletal muscle) …: run the entire length of an an A band (dark)
…: run the length of the I band (light) and partway into the A band
thick filaments; thin filaments;
(skeletal muscle) …: coin shaped sheet of proteins that anchors the thin filaments and connects myofibrils to one another (protein is …)
…: line of protein … that holds adjacent thick filaments together
Z disc; alpha-actinin
M line; myomesin
(thick filament)
composed of the protein myosin
myosin tails contain: 2 interwoven, …
heavy polypeptide chains
(thick filament) myosin heads contain: 2 smaller, ... that act as cross bridges during contraction binding sites for ... of thin filaments binding sites for ... ... enzymes
light polypeptide chains;
actin;
ATP;
ATPase
(thin filament)
twisted double strand of fibrous protein … (…)
F actin; filamentous
(thin filament)
F actin consists of … subunits
G (globular) actin
(thin filament)
G actin bears active sites for … attachment during contraction
… and …: regulatory proteins bound to actin
myosin head;
tropomyosin; troponin
(tropomyosin and troponin) several regulatory proteins are also present in the thin filament
two strands of …, a rod-shaped protein, spiral about the actin core and help … it. Successive … molecules are arranged end to end along the actin filaments, and in a relaxed muscle fiber, they block … on actin so that the myosin heads cannot …
tropomyosin; stiffen; tropomyosin; myosin binding sites; bind to the thin filaments
(tropomyosin and troponin)
the other major protein in the thin filament, …, is a three polypeptide complex. one of these polypeptides (…) is an … subunit that binds to actin; another (…) binds to tropomyosin and helps … on actin
the third (…) binds …
Both troponin and tropomyosin help control the myosin-actin interactions involved in contraction
troponin;
Tnl; inhibitory;
TnT; position it;
TnC; calcium ions;
in the center of the sarcomere, the thick filaments lack …
These are present only in areas of …
myosin heads;
myosin-actin overlap
(sarcoplasmic reticulum) network of … surrounding each myofibril
pairs of terminal cisternae form …
functions in the regulation of … levels
smooth endoplasmic reticulum;
perpendicular cross channels;
intracellular Ca2+
(T tubules) continuous with the ….
penetrate the cell’s interior at the …
associate with the paired terminal cisternae to form … that encircle each sarcomere
sarcolemma;
A band- I band junction;
triads
(triad relationships)
T tubules … deep into muscle fiber
… protrude into the intermembrane space from T tubule and SR cisternae membranes
T tubule proteins: …
…: gated channels that regulate calcium release from the SR cisternae
conduct impulses;
integral proteins;
voltage sensors;
SR foot proteins
(contraction)
the …
does not necessarily cause … of the fiber
generation of force; shortening
(contraction) shortening occurs when tension generated by cross bridges on the thin filaments …
exceeds forces opposing shortening
(sliding filament model of contraction) in the relaxed state, thin and thick filaments … only slightly
during contraction, myosin heads bind to …, …, and … again, to propel the thin filaments toward the …
overlap;
actin; detach; bind; M line
(sliding filament model of contraction)
as H zones shorten and disappear, … shorten, … shorten, and the …shortens
sarcomeres; muscle cells; whole muscle
(requirements for skeletal muscle contraction) activation: neural stimulation at a …
excitation-contraction coupling:
generation and propagation of an … along the …; final trigger: a brief rise in … levels
neuromuscular junction;
action potential; sarcolemma;
intracellular calcium
(events at the neuromuscular junction) skeletal muscles are stimulated by …
axons of motor neurons travel from the … via nerves to …
somatic motor neurons;
central nervous system;
skeletal muscles
(events at the neuromuscular junction) each axon forms … as it enters a muscle
each axon ending forms a … with a single muscle fiber
several branches;
neuromuscular junction
(neuromuscular junction) situated midway along the length of a …
axon terminal and muscle fiber are separated by a gel-filled space called the …
muscle fiber;
synaptic cleft
(neuromuscular junction) synaptic vesicles of axon terminal contain the neurotransmitter …
junctional folds of the sarcolemma contain …
acetylcholine (ACh);
ACh receptors
(neuromuscular junction)
nerve impulse arrives at …
ACh is released and binds with receptors on the …
electrical events lead to the generation of an …
sarcolemma;
action potential
(destruction of acetylcholine) ACh effects are quickly terminated by the enzyme …
Break ACh into … and …
acetylcholinesterase;
choline; acetic acid
(destruction of acetylcholine)
choline will get recycled back to … in the NMJ …
prevents continued … in the absence of additional stimulation
ACh; axon terminal;
muscle fiber contraction
(events in generation of an action potential)
1. local depolarization (…):
ACh binding opens …
simultaneous diffusion of … and …
end plate potential;
chemically (ligand) gated ion channels;
Na+ (inward); K+ (outward)
(events in generation of an action potential)
more … diffuses, so the interior of the sarcolemma becomes …
… - …
Na+; less negative;
local depolarization. - end plate potential
(events in generation of an action potential)
generation and propagation of an action potential:
… spreads to adjacent membrane areas
… open
Na+ influx decreases the membrane voltage toward a …
if threshold is reached, an … is generated
end plate potential
voltage-gated Na+ channels;
critical threshold;
action potential
(events in generation of an action potential)
local depolarization wave continues to spread, changing the …. of the sarcolemma
… open in the adjacent patch, causing it to depolarize to threshold
permeability;
voltage-regulated sodium channels
(events in generation of an action potential)
repolarization:
sodium channels close and … open
… rapidly restores the resting polarity
fiber cannot be stimulated and is in a … until repolarization is complete
ionic conditions of the resting state are restored by the …
voltage-gated K+ channels;
K+ efflux;
refractory period;
Na+-K+ pump
(excitation contraction (E-C) coupling) sequence of events by which transmission of an AP along the sarcolemma leads to …
… period: time when E-C coupling events occur; time between … and the beginning of …
sliding of the myofilaments;
latent; AP initiation; contraction
(excitation contraction (E-C) coupling) AP is propagated along the sarcomere to …
voltage-sensitive proteins stimulate … from SR –> … is necessary for contraction
T tubules; Ca2+ release; Ca2+
(role of calcium in contraction) at low intracellular Ca2+ concentration:
… blocks the active sites on actin
…. cannot attach to actin
muscle fiber …
tropomyosin;
myosin heads;
relaxes
(role of calcium in contraction) at higher intracellular Ca2+ concentrations:
calcium binds to …, which changes shape and moves … away from active sites
events of the … occur
troponin; tropomyosin; cross bridge cycle
(role of calcium in contraction)
at higher intracellular Ca2+ concs:
when nervous stimulation ceases, … is pumped back into the … and contraction ends
Ca2+; SR
(cross bridge cycle) continuous as long as the … and … are present
… - high energy myosin head attaches to thin filament
… - myosin head pivots and pulls thin filament toward M line
Ca2+ signal; adequate ATP;
cross bridge formation;
working (power) stroke
(cross bridge cycle)
…: ATP attaches to myosin head and the cross bridge detaches
… - energy from … cocks the myosin head into the high-energy state
cross bridge detachment;
“cocking” of the myosin head;
hydrolysis of ATP
(muscle metabolism) … only source used directly for contractile activities –> move and detach …, … pumps in SR, return of … and … after excitation-contraction coupling
available stores of ATP depleted in … seconds
ATP; cross bridges; calcium; Na+; K+;
4-6
(muscle metabolism) ATP regenerated by: 1. direct ... of ADP by ... 2. ... (... --> ...) 3. ...
phosphorylation; creatine phosphate (CP);
anaerobic pathway; glycolysis; lactic acid;
aerobic respiration
(anaerobic pathway)
glycolysis: does not require oxygen
glucose degraded to … molecules
normally enter mitochondria –> …
2 pyruvic acid;
aerobic respiration
(anaerobic pathway) at 70% maximum contractile activity:
bulging muscles …; … is impaired
pyruvic acid converted to …
compress blood vessels; oxygen delivery;
lactic acid
(anaerobic pathway) lactic acid:
diffuses into bloodstream
used as fuel by …, …, and …
converted back into … or … by liver
liver; kidneys; heart;
pyruvic acid; glucose
(anaerobic pathway) lactic acid:
anaerobic respiration yields only … as much ATP as aerobic respiration, but produces ATP … times faster
5%; 2.5
(aerobic pathway) produces 95% of ATP during … and …; …
rest and light to moderate exercise; slow
(aerobic pathway) series of chemical reactions that require …; occur in …
breaks glucose into …, …, and large amount of …
oxygen; mitochondria;
CO2; H2O; ATP
(aerobic pathway) fuels- stored …, then bloodborne …, … from glycolysis, and …
glycogen; glucose; pyruvic acid; free fatty acids
…: length of time muscle contracts using aerobic pathways
…: point at which muscle metabolism converts to anaerobic
aerobic endurance;
anaerobic threshold
(muscle fatigue) physiological inability to … despite …
contract; continued stimulation
(muscle fatigue)
occurs when:
… (K+, Ca2+, Pi) interfere with E-C coupling
prolonged exercise damages … and interferes with … and …
ionic imbalances;
SR; Ca2+ regulation and release
(muscle fatigue) total lack of ATP occurs rarely, during states of …, and causes … (continuous contractions)
continuous contraction; contractures
(excess postexercise oxygen consumption) to return muscle to resting state
.. reserves replenished
… converted to …
… stores replaced
… and … reserves replenished
all require extra oxygen; occur post exercise
oxygen;
lactic acid; pyruvic acid;
glycogen;
ATP; creatine phosphate
(heat production during muscle activity) about …% of energy released in muscle activity useful as work
remaining energy given off as …
dangerous heat levels prevented by … from skin and sweating
… - result of muscle contractions to generate heat when cold
40;
heat;
radiation of heat;
shivering
(blood composition) blood: a fluid connective tissue composted of ... formed elements: 3 types ... (..) ... (...) ...
plasma;
erythrocytes; RBCs
leukocytes; WBCs
platelets
(blood composition)
….: percent of blood volume that is RBCs
…% +- …% for males
…% +- …% for females
hematocrit;
47; 5;
42; 5
(blood composition)
hematocrit:
…: least dense component, 55% of whole blood
…: leukocytes and platelets, <1% of whole blood
…: 45% of whole blood, most dense component
plasma;
buffy coat;
erythrocytes
(physical characteristics and volume of blood)
sticky, opaque fluid
color scarlet to dark red
pH …-…
38 degrees C
about 8% of body weight
average volume: … L for males, and … L for females
7.35- 7.45;
5-6; 4-5
(functions of blood) 1. distribution of:
… and … to body cells
… to the lungs and kidneys for elimination
… from endocrine organs to target organs
oxygen; nutrients;
metabolic wastes;
hormones
(functions of blood)
2. regulation of:
… by … and …
body temperature; absorbing and distributing heat
(functions of blood)
regulation of:
normal … using …
adequate … in the circulatory system
pH; buffers;
fluid volume
(functions of blood) 3. protection against:
… –> … and … initiate clot formation
blood loss; plasma proteins; platelets
(functions of blood) 3. protection against: infection: ... ... ... defend against foreign invaders
antibodies;
complement proteins
WBCs
(blood plasma)
90% …
proteins are mostly produced by the …
water;
liver
(blood plasma)
proteins:
60% … - produced by the liver, acts as a carrier molecule to shuttle certain molecules through circulation - very important …
36% … (… and …) - important in molecular transport of ions and antibodies
4% … - involved in blood clotting
albumin; blood buffer
globulins; beta and gamma;
fibrinogen
(blood plasma)
nitrogenous-by-products of metabolism: …, …, …
nutrients: …, …, …
lactic acid; urea; creatinine
glucose; carbs; amino acids
(blood plasma)
electrolytes: …, …, …, …, …
respiratory gases: … and …
…
sodium; potassium; calcium; chloride; HCO3-;
oxygen and CO2;
hormones
(formed elements) only … are complete cells
RBCs have no … or …
platelets are….
WBCs;
nuclei; organelles;
cell fragments
(formed elements) most formed elements survive in the bloodstream for only a …
most blood cells originate in … and do not …
few days;
bone marrow; divide
(erythrocytes) … discs, …, essentially no organelles
filled with … for gas transport
biconcave; anucleate;
hemoglobin (Hb)
(erythrocytes) contain the plasma membrane protein … and other proteins –> provide … to change shape as necessary
are the major factor contributing to blood …
spectrin; flexibility;
viscosity
(erythrocytes)
structural characteristics contribute to …
biconcave shape – huge … relative to …
>97% … (not counting water)
gas transport;
surface area; volume; hemoglobin
(erythrocytes) structural characteristics contribute to gas transport:
no …; ATP production is …; no … is used in the generation of ATP
mitochondria; anaerobic; oxygen
(erythrocytes) RBCs are dedicated to …
hemoglobin binds … with …
respiratory gas transport;
reversibly; oxygen
(erythrocytes) hemoglobin structure
protein …: two … and two … chains
…. pigment bonded to each globin chain
globin; alpha; beta;
heme
(erythrocytes) … atom in each heme can bind to one oxygen molecule
each Hb molecule can transport … oxygens
iron;
four
(hemoglobin structure) … composed of 4 polypeptide chains: two alpha and two beta chains
… pigment bonded to each globin chain (gives blood red color)
heme’s central … atom binds one oxygen
each Hb molecule can transport …
each RBC contains … Hb molecules
globin; heme; iron; four oxygen; 250 million
(Hemoglobin) oxygen loading in the lungs, produces … (ruby red)
oxygen unloading in the … –> produces .. or … (dark red)
oxyhemoglobin;
tissues;
deoxyhemoglobin; reduced hemoglobin
(Hemoglobin) CO2 loading in the tissues
produces … (carries 20% of CO2 in the blood)
carbaminohemoglobin
…. (…): blood cell formation
occurs in … of axial skeleton, … and … of humerus and femur
hematopoiesis; hemopoiesis; red bone marrow; girdles and proximal epiphyses
(hematopoiesis) … (hematopoietic stem cells):
give rise to all formed elements
… and … push the cell toward a specific pathway of blood cell development
hemocytoblasts;
hormones; growth factors
(hematopoiesis) new blood cells enter …: …
blood sinusoids; wide blood capillaries
…: red blood cell production
erythropoiesis
(erythropoiesis) a … is transformed into a …, which develop into early …
hemocytoblast; proerythroblast; erythroblasts
(erythropoiesis)
1. phases in development:
… synthesis
…
ejection of the … and formation of …, which then become mature …
ribosome;
hemoglobin accumulation;
nucleus; reticulocytes;
erythrocytes
(erythropoiesis)
hemocytoblast becomes committed cell as …
phase 1 is ribosome synthesis, known as … erythroblast
phase 2 is hemoglobin accumulation, known as … erythroblast, which then becomes an …. erythroblast
in phase 3, nucleus is ejected, forming the … that then matures into erythrocyte
proerythroblast; basophilic; polychromatic; orthochromatic; reticulocyte
(erythropoiesis) regulation of erythropoiesis:
too few RBCs leads to …
too many RBCs increases …
tissue hypoxia; blood viscosity
(erythropoiesis) balance between RBC production and destruction depends on :
… controls: …
adequate supplies of …, …, and …
hormonal; EPO;
iron; amino acids; B vitamins
(erythropoiesis)
hormonal control:
… (EPO): … play direct role in erythropoiesis
erythropoietin; kidneys
(erythropoiesis) hormonal control through EPO:
direct stimulus for erythropoiesis by … sensitive enzymes are unable to carry out their normal functions of degrading an intracellular signaling molecule called …: ….
this causes …
O2;
HIF: hypoxia-inducible factor;
increase in HIF levels
(erythropoiesis) EPO is released by the … in response to …
as HIF increases, … also increases
kidneys; hypoxia;
EPO
(erythropoiesis) causes of hypoxia:
… or increased … reduces RBC numbers
… (e.g. iron deficiency)
reduced availability of … (e.g. high altitudes)
hemorrhage; RBC destruction;
insufficient hemoglobin;
oxygen
(erythropoiesis) effects of EPO:
more rapid maturation of …
increased circulating … count in 1-2 days
…. also enhances EPO production, resulting in higher … in males
committed bone marrow cells;
reticulocyte;
testosterone; RBC counts
fate and destruction of erythrocytes:
life span: … - … days
old RBCs become fragile, and Hb begins to …
100; 120; degenerate
fate and destruction of erythrocytes:
… engulf dying RBCs in the … – often called the RBC graveyard
macrophages; spleen
fate and destruction of erythrocytes:
… and … are separated:
… is salvaged for reuse
heme; globin;
iron
fate and destruction of erythrocytes:
heme is degraded to the yellow pigment …, which the … secretes in bile into the intestines
bilirubin; liver
fate and destruction of erythrocytes:
degraded pigment leaves the body in feces as … (brown color)
globin is metabolized into … - released into circulation
stercobilin;
amino acids
iron from broken down hemoglobin is stored as …, …
it is then bound to … and released to blood from liver as needed for erythropoiesis
ferritin; hemosiderin; transferrin
(erythrocyte disorders) …: blood has abnormally low oxygen carrying capacity
a … rather than a disease itself
anemia; sign
(erythrocyte disorders) anemia:
blood oxygen levels cannot support …
accompanied by …, …, …, and …
normal metabolism;
fatigue; paleness; shortness of breath; chills
(causes of anemia)
1. insufficient …:
…: acute or chronic loss of blood
…: RBCs rupture prematurely; due to mismatched blood, certain bacterial and parasitic infections
…: destruction/inhibition of red bone marrow: drugs, chemicals, ionizing radiation and viruses
erythrocytes;
hemorrhagic anemia;
hemolytic anemia;
aplastic anemia
(causes of anemia) 2. low … content:
… anemia:
secondary result of … anemia or inadequate intake of … foods or impaired …
hemoglobin;
iron-deficiency;
hemorrhagic; iron-containing; iron absorption
(causes of anemia) …:
deficiency of vitamin B12
lack of … (found in the stomach lining) needed for absorption of …
treated by … of B12 or application of … (B12 containing gel)
pernicious anemia;
intrinsic factor; B12;
intramuscular injection;
Nascobal
(causes of anemia) sickle-cell anemia:
defective gene codes for … (…)
one change in an … of the 146 needed to make this protein causes disease
causes the beta chains to … under … conditions, thus forming stiff rods (instead of flexible)
abnormal hemoglobin (HbS);
AA;
link together; low oxygen
(causes of anemia) sickle cell anemia:
causes RBCs to become … shaped in low oxygen situations
upon unloading of O2, RBC … easily and tend to … up small blood vessels (very painful)
patients usually get … to control the condition
sickle;
rupture; clog up;
blood transfusion
(causes of anemia) in sickle cell anemia, the change is … to ..
glutamic acid; valine
(erythrocyte disorders) ..: excess of RBCS that increase blood viscoisty
polycythemia
(erythrocyte disorders) polycythemia:
results from … - …
secondary polycythemia: when less … is available (…) or when … production increases
blood … (in athletes, for ex)
polycythemia vera; bone marrow cancer;
oxygen; high altitude; EPO;
blood doping
(leukocytes) make up less than 1 percent of total blood volume
can leave capillaries via …: slip/squeeze out
move through tissue spaces by … motion and positive …
diapedesis;
ameboid; chemotaxis
(leukocytes) WBC count over 11,000/mm^3
normal response to … or …
bacterial; viral invasion
granulocytes: …, …, and … (…)
neutrophils; eosinophils; basophils (NEB)
(granulocytes) ... stain specifically with Wright's stain .. and ... than RBCs ... nuclei ...
cytoplasmic granules;
larger; shorter-lived;
lobed;
phagocytic
neutrophils:
most … WBCs
…. (PMNs)
numerous;
polymorphonuclear leukocytes
neutrophils:
fine granules take up both … and … dyes
give the cytoplasm a … color
granules contain … or …
acidic; basic; lilac; hydrolytic enzymes; defensins
neutrophils:
very … - “bacteria slayers”
chemically attracted to sites of … and active …
phagocytic; inflammation; phagocytes
neutrophils:
use process called … to kill – releases …/… products
respiratory bust; bleach; H2O2
eosinophils:
red-staining, … nuclei
red to crimson (…) coarse, …-like granules
digest … that are too large to be phagocytized
bilobed; acidophilic; lysosome;
parasitic worms;
eosinophils:
modulators of the …
roughly 2-4% of all leukocytes
also have involvement in … and …
immune response; allergy; asthma
basophils:
… WBCs
large, purplish-black (basophilic) granules contain …
…: an inflammatory chemical that acts as a … and attracts other WBCs to inflamed sites
rarest;
histamine; histamine; vasodilator
basophils:
are functionally similar to … cells
rarest at only .5-1% of total leukocyte population
mast
agranulocytes:
… and …
lack visible …
have … or .. shaped nuclei
lymphocytes; monocytes;
cytoplasmic granules;
spherical; kidney-shaped
lymphocytes:
large, dark-purple … nuclei with a thin rim of blue cytoplasm
mostly in … tissue; few circulate in the blood
crucial to …
circular; lymphoid; immunity
lymphocytes - 2 types:
…. act against virus-infected cells and … cells
… cells give rise to … cells, which produce antibodies
T cells; tumor cells;
B cells; plasma cells
…: the largest leukocytes
monocytes
monocytes:
abundant pale-blue cytoplasm
dark purple-staining, … or … shaped nuclei
U; kidney
monocytes:
leave …, enter .., and differentiate into …
circulation; tissues; macrophages
monocytes:
actively … cells; crucial against …,, …, and …
phagocytic; viruses; intracellular bacterial parasites; chronic infections
monocytes;
activate … to mount an immune response
lymphocytes
leukopoiesis:
production of …
stimulated by chemical messengers from … and …
WBCs; bone marrow; mature WBCs
leukopoiesis:
stimulated by chemical messengers:
… (e.g. IL-1, IL-2)
… (CSFs) named for the WBC type they stimulate
interleukins
colony-stimulating factors
leukopoiesis:
all leukocytes originate from …: branch into … (…) and … (…)
hemocytoblasts;
lymphoid SC; agranulocytes;
myeloid SC; granulocytes
… stem cell: same stem cell that produces the erythrocyte lineage
myeloid
(leukocyte disorders)
…: abnormally low WBC count- … induced
leukopenia; drug
(leukocyte disorders) leukemias: ... condiitons involving WBCs named according to the ... involved ... involves ... ... involves ...
cancerous;
abnormal WBC clone;
myelocytic leukemia; myeloblasts;
lymphocytic leukemia; lymphocytes
(leukocyte disorders) acute leukemia involves … cells and primarily affects …
… leukemia is more prevalent in older people
blast-type cells; children;
chronic
(leukocyte disorders) leukemia:
… totally occupied with cancerous leukocytes
… in the bloodstream
death caused by … and overwhelming …
bone marrow;
immature nonfunctional WBCs;
internal hemorrhage;
infections
(leukocyte disorders) leukemia:
treatments include …, … drugs, and …
irradiation; antileukemic; stem cell transplants
(platelets) small fragments of …
formation is regulated by …
blue staining outer region, purple granules
megakaryocytes;
thrombopoietin;
(platelets) granules contain …, …, …, …, and … (PDGF)
serotonin; calcium; enzymes; ADP; platelet-derived growth factor
(platelets) form a temporary … that helps seal breaks in blood vessels
circulating platelets are kept inactive and mobile by …. and … from … cells of blood vessels
platelet plug;
NO; prostacyclin; endothelial
platelet formation:
starts with hematopoietic stem cell (hemocytoblast)
goes to … (… megakaryocyte) to …. megakaryocyte to … megakaryocyte and finally to platelets
megakaryoblast; stage I;
stage II/III;
Stage IV
…: fast series of rxns for stoppage of bleeding
hemostasis
hemostasis requires …, and substances releases by … and …
clotting factors; platelets; injured tissues
hemostasis involves 3 steps:
- …
- … formation
- … (…)
vascular spasm;
platelet plug;
coagulation; blood clotting
(hemostasis) Step 1- vascular spasm: ... of damaged blood vessel triggers: direct injury to ... chemicals released by ... and ... ... most effective in ...
vasoconstriction; vascular smooth muscle; endothelial cells; platelets; pain reflexes; smaller blood vessels
(hemostasis) step 2-platelet plug formation:
example of a … cycle
as a rule- platelets do not … together –> … and … prevent platelet aggregations in undamaged tissue
positive feedback;
nitric oxide; prostacyclin (PGI2);
(hemostasis) step 2- platelet plug formation:
damaged endothelium exposes …
platelets stick to these via plasma protein …
swell, become spiked and sticky, and release chemical messengers:
… causes more platelets to stick and release their contents
… and … enhance vasular spasm and platelet aggregation
collagen fibers;
von Willebrand factor;
ADP;
serotonin; thromboxane A2
(hemostasis) step 3- coagulation:
a set of rxns in which blood is transformed from a .. to a …
reinforces the platelet plug with …
liquid; gel;
fibrin threads
coagulation phase 3: common pathway to the fibrin mesh:
… converts soluble fibrinogen into …
thrombin; fibrin
coagulation phase 3: common pathway to the fibrin mesh:
fibrin strands form the … of a clot
fibrin causes plasma to become a … for formed elements
thrombin with … activate …
structural basis;
gel-like trap;
calcium; factor XIII
factor XIII
… fibrin
… and … the clot
cross-links;
strengthens; stabilizes
clot retraction:
… and … in platelets contract within 30-60 mins
platelets pull on the .., squeezing … from the clot
actin; myosin;
fibrin strands; serum
clot repair;
… stimulates division of smooth muscle cells and .. to rebuild blood vessel wall
… stimulates endothelial cells to multiply and restore the endothelial lining
platelet-derived growth factor (PDGF); fibroblasts;
vascular endothelial growth factor (VEGF)
fibrinolysis;
begins within …
… in clot is converted to … by …, … and …
two days;
plasminogen; plasmin; tissue plasminogen activator (tPA); factor XII; thrombin
fibrinolysis:
plasmin is a … enzyme
fibrin-digesting
factors limiting clot growth/formation:
two homeostatic mechanisms prevent clots from becoming large:
swift removal and … of …
inhibition of …
dilution; clotting factors
activated clotting factors
inhibition of clotting factors:
most thrombin is bound to …, and prevented from acting elsewhere
…, …, and … inactivate thrombin and other procoagulants
fibrin threads;
antithrombin III; protein C; heparin
inhibition of clotting factors:
…,another anticoagulant, also inhibits thrombin activity
heparin
factors preventing undesirable clotting:
platelet adhesion is prevented by:
… of blood vessels
antithrombic substances … and … secreted by endothelial cells
…., …, which act as potent anticoagulants
smooth endothelial lining;
nitric oxide; prostacyclin;
vitamin E; quinine;
….: undesirable clot formation
…: abnormalities that prevent normal clot formation
thromboembolytic disorders;
bleeding disorders
(thromboembolytic conditions) …: clot that develops and persists in an unbroken blood vessel; may block …, leading to …
thrombus; circulation; tissue death
(thromboembolytic conditions) …: a thrombus freely floating int he blodostream
… impair the ability of the body to obtain oxygen
… can cause strokes
embolus;
pulmonary emboli;
cerebral emboli
(thromboembolytic conditions) prevented by : ... ... ...
aspirin;
heparin;
warfarin
(thromboembolytic conditions)
aspirin: … that inhibits …
antiprostaglandin; thromboxane A2
(thromboembolytic conditions) heparin: … used clinically for … and … cardiac care
anticoagulant; pre- and postoperative
(thromboembolytic conditions) warfarin: used for those prone to
atrial fibrillation
(bleeding conditions) …: deficient number of circulating platelets
thrombocytopenia
(bleeding conditions) thrombocytopenia:
… (small red/purple spots) appear due to spontaneous, widespread hemorrhage
petechia
(bleeding conditions) thrombocytopenia:
due to suppression or destruction of … (e.g., malignancy, radiation)
platelet count below …/mm^3 is diagnostic
treated with transfusion of …
bone marrow;
50,000;
concentrated platelets
(bleeding conditions)
impaired liver function:
inability to synthesize …
procoagulants
(bleeding conditions) impaired liver function:
causes include …, …, and …
liver disease can also prevent the liver from producing …, impairing … and … absorption
vitamin K deficiency; hepatitis; cirrhosis;
bile;
fat; vitamin K
(bleeding conditions)
hemophilias include similar hereditary bleeding disorders:
… most common type; due to a deficiency of …
…: deficiency of factor IX
…: mild type; deficiency of factor XI
hemophilia A; factor VIII;
hemophilia B;
hemophlia C
(bleeding conditions) hemophilia:
symptoms include ..,. especially into …
treated with … and injections of …
prolonged bleeding; joint cavities;
plasma transfusions; missing factors