M.15 Flashcards

1
Q
  • A connective tissue.
  • Cells and formed elements
    • WBCs,
    • RBCs,
    • PLTs.
  • Extracellular fluid matrix, plasma.
  • FUNC:
    • Homeostasis,
    • Transport,
    • regulation,
    • protection.
A

Blood

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2
Q
  • Cells ___ %
  • Formed elements
    • WBCs
    • RBCs
    • PLTs
A

45%

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3
Q

Blood ___

  • The liquid portion of unclotted blood
A

plasma

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4
Q

Blood ___

  • The liquid portion of clotted blood.
A

Blood serum

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5
Q
  • Plasma ___%.
    • Water
    • Solutes
A

55%

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6
Q

Plasma Water, ___ %

A

92%

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7
Q

Plasma ____, 8%

  • Plasma proteins
  • Miscellaneous solutes
A

Plasma Solutes

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8
Q

Plasma ___, 7-8%

  • Albumins
  • Globulins
  • Fibrinogen
A

Plasma Proteins

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9
Q

Plasma ___, 0.25%

  • Gas
  • NO2
  • O2
A

Plasma Miscellaneous

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10
Q
  • Layer
    • WBC
    • PLTs.
A

Buffy Coat

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11
Q

Blood ___ is increased, when compared to water.

A

Viscosity

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12
Q

The temperature of the blood is ___℃ in the body.

A

38

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13
Q

Blood pH is ___.

A

7.35-7.45

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14
Q

Blood color is red but varies on ___ content.

A

oxygen

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15
Q

Blood volume is ___ liters, varies on gender and body mass.

A

4-6

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16
Q

____, the development of formed elements of blood in red-marrow from pluripotent stem cells.

Matures in bone-marrow or lymphoid.

A

Hematopoiesis

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17
Q

___ increase the production of hematopoiesis.

A

Cytokines

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18
Q

The ___ stem cell creates RBC’s, Neutrophils or Leukocytes.

A

pluripotent

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19
Q

In hyper-eosinophils-syndrome, interleukin ___ is inhibited for treatment.

A

5

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20
Q

The shape of the RBCs is Bi ___Disk. Reverse deformity.

A

Concave

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21
Q

Mature RBCs lack a ___, no means of self-repairing and mitochondria, they do not metabolize oxygen.

A

Nucleus

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22
Q

___ x10⁶ RBCs are the normal range.

A

4-6

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23
Q

RBCs contain ___ million hemoglobin (HgB) molecules.

A

280

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24
Q

Each HgB molecule contains ___ heme, it contains iron and one oxygen molecules.

A

4

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25
Q

Each HgB ____ contains 4 polypeptide chains.

A

globin

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26
Q

___ x10⁶ RBCs/mm³ are created in erythropoiesis.

A

4-6

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27
Q

Hypoxemia stimulates ___ in red-marrow speeds up maturation and release of RBCs.

A

erythropoietin

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28
Q

___ count measures the rate of erythropoiesis (immature RBCs)

A

Reticulocyte

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29
Q

In RBC maturation, the cells ___ in size.

A

decrease

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30
Q

The ____ count is the percentage of whole blood occupied by RBCs.

A

hematocrit

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31
Q

Women tend to average ____ % Hct because they tend to lose blood.

A

45

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32
Q
  • Excess RBCs.
  • Viscosity increases
  • Two types
A

Polycythemia

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33
Q

___ Polycythemia

  • “is the problem”
  • May increase all formed elements.
  • May require bloodletting.
A

Primary Polycythemia

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34
Q

___ Polycythemia

  • “something else”.
    • sleep apnea
    • Any other cause of hypoxemia.
    • Dehydration. Smokin
A

Secondary Polycythemia

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35
Q

___ Polycythemia

  • Dehydration
  • Relative to blood volume
A

Relative Polycythemia

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36
Q
  • RBCs [L] or HgB [L].
  • Classified by
    • RBC size
    • Hemoglobin content
A

Anemia

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37
Q

___ Anemia

  • Too big
  • Not developed right
  • Immature,
A

Macrocytic Anemia

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38
Q

___ Anemia

  • Not enough RBCs (Aplastic)
  • or hemorrhaging.
A

Normocytic Anemia

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39
Q

___ Anemia

  • Not full of hemoglobin
  • Problem with HgB synthesis
A

Microcytic Anemia

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40
Q

___ Anemia

  • Color is too not red.
A

Hypochromic Anemia

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41
Q

___ Anemia

  • Color is too red.
A

Hyperchromic Anemia

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42
Q

___ Anemia

  • Caused by Bleeding.
A

Hemorrhagic Anemia

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43
Q

___ ___ Anemia

  • Unable to produce hemoglobin
  • lack of iron
A

Iron Deficient Anemia

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44
Q

___ Anemia

  • Lack of B12 absorption in the GI tract.
A

Pernicious Anemia

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45
Q

___ Anemia

  • Red cell lysis.
A

Hemolytic Anemia

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46
Q

___ Anemia

  • Lack of cell production in the bone marrow.
A

Aplastic Anemia

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47
Q

Leukocytes (WBCs) ___ x10³ range.

A

5-10

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48
Q

WBCs are larger than RBCs, include ___ but lack Hgb.

A

nuclei

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49
Q

Granulocyte WBCs stains granules, they include ___, ___, and ___.

A

eosinophils, neutrophils, basophils.

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50
Q

Agranulocytes WBCs lack granule stain, they include ___ and ___.

A

monocytes, lymphocytes

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51
Q

____ disease;

  • WBC count > 10.0x10³
  • Normal psychological response to disease.
    • Pneumonia.
    • Appendicitis,
    • Abscess.
    • Leukemia.
A

Leukocytosis

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52
Q

____ disease;

  • WBC count > 25-400x10³.
  • Abnormal.
    • Bone marrow production increase.
A

Leukemia

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53
Q

____ disease;

  • WBC count < 10.0x10³.
  • Never a normal response.
    • Aids.
    • Chemotherapy.
    • Bone marrow failure.
A

Leukopenia

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54
Q

A WBC ___ uses a percentage of WBCs in the blood to diagnose disease.

A

diff

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55
Q

In the WBC diff:

____ [H].

  • Bacterial infections.
  • Treat with Antibiotics.
A

Granulocytes

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56
Q

In the WBC diff:

____ [H].

  • Viral infections.
  • Treat with Antivirals.
A

Lymphocytes

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57
Q

Mnemonics for Granulocytes:

A

Never Let Monkeys Eat Burritos.

70%, 20%, 5%, 4%, 1%.

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58
Q

WBC diff

  • ___ [70%].
  • Granular cytoplasm.
  • Phagocytes.
  • Prominent in acute inflammation and bacterial inflammation.
A

Neutrophils

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59
Q

WBC diff

  • [2-4%].
  • Large red granules.
  • Prominent in allergic response and parasite infections.
A

Eosinophils

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60
Q

WBC diff

  • [0-1%].
  • Large blue to black.
  • Chronic inflammation responses.
A

Basophils

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61
Q

WBC diff

  • [20-25%].
  • Participate in acquired cellular immunity.
  • Major role in viral infections
  • Cancer preventions.
A

Lymphocytes

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62
Q

WBC diff

  • [2-8%].
  • Chronic inflammation and infections.
  • Enlarge and mature into macrophages in various tissues of the body.
A

Monocytes

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63
Q

The cytoplasmic fragments ___, of megakaryocytes from leaving the bone marrow.

Help form platelet plug.

A

Platelets

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64
Q

The ___ process by which bleeding is stopped.

Three mechanisms, vascular spasm, platelet formation, and coagulation.

A

Hemostasis

65
Q

In hemostasis, ___ ___ involuntary contracts to try to stop bleeding.

A

vascular spam

66
Q

In hemostasis, ___ ___ causes PLTs to stick, forming a clog to stop bleeding.

A

platelet plug

67
Q

In hemostasis, ___ forms fibrin strands that stabilizes the PLT-plug.

A

coagulation

68
Q

The ___ is a series of enzymatic reactions designed to activate specific coagulation proteins.

A

Coagulation

69
Q

The ___ ___ are meshes that holds blood clots together.

A

Fibrin threads

70
Q

The ___ pathway activation involves either the extrinsic or intrinsic pathway merges at the common pathway.

A

Clotting Pathway Activation

71
Q

The common pathway begins with the formation of the enzyme ___, it converts prothrombin to thrombin.

A

prothrombinase

72
Q

The ___ converts fibrinogen to fibrin.

A

thrombin

73
Q

___ forms clots and strengthens the PLT-plug.

A

Fibrin

74
Q

A ___ is a stationary blood clot.

A

Thrombus

75
Q

A ____ is a circulating particle (clot) that may abstract a blood vessel. Fat, air, cholesterol, plaque

A

Embolus

76
Q

A ___ is a mobile clot that is dislodged from its primary site and travels to another site.

A

Thromboembolus

77
Q

The ___ system also called the “unclot” system. Plasminogen to plasmin.

A

Fibrinolytic System

78
Q

The ___ is the potent proteolytic enzyme in the fibrinolytic system, responsible for plasminogen conversion.

Dissolves clots by digesting fibrin.

A

Plasmin

79
Q

The ___ are chemicals that stop or slow the clotting process.

A

Anticoagulants

80
Q

The anticoagulant ___ inactivates thrombin and factor X.

A

Heparin

81
Q

The anticoagulant ___ interferes with the synthesis of clotting proteins.

A

Warfarin

82
Q

The anticoagulant ___ binds to calcium.

A

Sodium Citrate

83
Q

The ___ chemicals breakdown clots already formed. Tissue-Plasminogen activator (TPA).

A

Thrombolytics

84
Q

The ___ RBCs is a cell surface protein that is a target for an immune response.

A

Antigen

85
Q

The Plasma ___ is a protein that attacks cell protein targets for immune response.

A

Antibody

86
Q

ABO-blood groups determined by ___ antigens on the red cell surface.

A

AB

87
Q

ABO-blood groups ___ -gene codes for the A-Antigen.

A

A

88
Q

ABO-blood groups ___-gene codes for the B-Antigen.

A

B

89
Q

ABO-blood groups ___-gene codes for the lack of A/B-antigens.

A

O

90
Q

___ Type makes Anti-B antibodies.

A

A-Type

91
Q

___ Type makes Anti-A antibodies.

A

B-Type

92
Q

___ Type makes Anti-A and Anti-B antibodies.

A

O-Type

93
Q

___ Type makes neither Anti-A nor Anti-B antibodies.

A

AB-Type

94
Q

___ ___, A person with blood type-AB.

A

Universal Recipient

95
Q

___ ___, A persons with blood type-O.

A

Universal Donor

96
Q

___ factor, the determinant of positive or negative blood, referred to as “D”.

A

Rh Factor

97
Q

A blood problem in the newborn when a baby’s RBCs break down at a fast rate. Rh factor involved.

A

Hemolytic Disease of Newborn (HDN) —

98
Q

In HDN, typically father and son are ___, while the mother is Rh-.

A

Rh +

99
Q

In HDN, the mother makes ____ antibodies which attack the fetus.

A

Anti-Rh Antibodies

100
Q

___ tricks mother immune system into thinking it does not need to make its own anti-Rh antibodies.

A

Rhogam

101
Q

The ___ system consisting of lymphatic vessels through which clear fluid (lymph) passes.

A

Lymphatic System

102
Q

The lymphatic system drains ___ fluid in-between cells into lymph vessels.

A

Interstitial

103
Q

The lymphatic system transports ___ absorbed from the GI-tract into the blood.

A

Fat

104
Q
  • Extracellular fluids.
  • Filtered through capillaries wall to form interstitial fluid.
A

Plasma

105
Q
  • Clear fluid.
  • Resorbed back into the blood.
A

Interstitial fluid

106
Q

Unaltered interstitial fluid in the lymphatic vessels.

A

Lymphatic fluid

107
Q

The left-side of the body drains by the ___ ___.

A

thoracic duct

108
Q

The right-side is drained by the ____ `.

A

right lymphatic duct

109
Q

___ Lymphatic Organs — Location where stem cells divide to produce immune cells. Bone marrow and thymus.

A

Primary

110
Q

___ Lymphatic Organs — Locations of cell maturation and immune activation responses. Lymph nodes, spleen, lymphoid tissue (tonsils, MALT).

A

Secondary

111
Q

____ organ = T-Cells

A

Thymus

112
Q

— Like lymph node but for blood.

A

Spleen

113
Q

____ — They serve as filters for lymph fluid. Foreign objects trapped and destroyed. Groups of lymph nodes.

A

Lymph nodes

114
Q

Lymph fluid enters through the ___ vessels, exits efferent.

A

afferent

115
Q

— First line of defense. Non-Specific. Non-Adaptive. Barriers. Skin. Mucous. Microbiota. Inflammation. Phagocytes. Fever.

A

Innate Immunity

116
Q

— Specific. Adaptive. Barriers. T-Cell. B-Cell. Plasma-Cell. Antibodies. Enzymes.

A

Adaptive Immunity

117
Q

— The innate immunities defense “keeps it out”. Includes: Skin. Mucous membranes. Lacrimation. Salvation. Urine flow. Vaginal secretions. Defecation. Vomiting.

A

First Line

118
Q

— The innate immunities defense “get it out”. Internal. Includes: Antimicrobials. Complement System. Iron-Binding Proteins. Interferon. Phagocytes. NK-Cells.

A

Second Line

119
Q

— Abnormal high body temperature. Reseting of hypothalamic thermostat. Non-specific response. Speeds up body reactions. Increases effects of endogenous antimicrobials. Sequesters nutrients from microbes.

A

Fever

120
Q

Inflammation — ____ response.

A

Non-specific

121
Q

Inflammation. Non-specific response. Has local signs. ___ ___ ___ ___ ___.

A

Redness, pain, heat, swelling. Possible loss of function.

122
Q

In inflammation, ___ cause heat. This helps vasodilation.

A

pyrogens

123
Q
A

Chemotaxis

124
Q
A

Phagocytosis

125
Q
A

Emigration

126
Q
A

Vasodilation

127
Q

The complement system is ___ line of defense. System of proteins that help destroy something.

A

second

128
Q

The ___ complement proteins recognize.

A

C1-4

129
Q

The ___ complement proteins promotes inflammation.

A

C3a

130
Q

The ___ complement proteins coats surface of the cell, encourages phagocytosis.

A

C3b

131
Q

The ___ complement proteins attack the membrane through complex MAC.

A

C5-9

132
Q

The antigen ____ covers complement components on microbes, enhances phagocytosis.

A

opsonization

133
Q

The adaptive immunity is ___ driven. A third line of defense.

A

lymphocyte

134
Q

A substance is ___ if it is: foreign or seen as foreign, organic, structurally complex, large enough.

A

antigenic

135
Q

An antigens ___ can have multiple sites that will induce an immune response.

A

epitope

136
Q

In adaptive immunity, ____: produced in bone marrow, mature in thymus. T helper (CD4+) cells cells help with immune response. T cytotoxic (CD8+) kills cells. T regulator cells. Memory t helper cells.

A

t lymphocytes

137
Q

In adaptive immunity, ___: produce and mature in bone marrow. Activated to become plasma cells, produce antibodies.

A

B lymphocytes

138
Q

In ____ mediated immunity (adaptive), t cytotoxic lymphocytes: detect and destroy abnormal cells. Virally-infected cells, cancer cells, cells infect by intercellular bacterial.

A

cell

139
Q

In ____ mediated immunity also called humoral (adaptive), b lymphocytes become activated to become plasma cells and produce antibodies.

A

antibody

140
Q

A ___ complex is a group of genes that code for a group of transmembrane proteins, on the surface of all nucleated cells.

A

MHC

141
Q

The ___ / ____ molecules classes are important for antigen processing and presentation.

A

MHC I / MHC II

142
Q

The ___ molecules present on all body cells, except RBCs.

A

MHC I

143
Q

The ___ molecules present on the surface of antigen presenting cells (APCs). APCs have a primary responsibility to present antigen to other components of the immune system. APCs are usually phagocytes, but B-Cells can be APCs.

A

MHC II

144
Q

___ antigen — antigen from outside, able to be processed by immune system.

A

Exogenous

145
Q

In ___ ___ activation, activated by directed recognition of antigen.

A

b-cell

146
Q

Antibodies ___ antigens, restricting virus binding to receptors. Toxin neutralization.

A

neutralize

147
Q

___ antibodies show up at the second response, live longest, about 80% of total antibody, cross placenta.

A

IgG

148
Q

___ antibodies, primary responders, short lived, first to be secreted by plasma antibodies.

A

IgM

149
Q

____ antibodies most numbers in body secretions, dimmer four antigen binding sites.

A

IgA

150
Q

____ antibodies involved in allergic reactions, monomer, trigger mast cells.

A

IgE

151
Q

___ immunity — immunity not gained through modern medicine.

A

Natural

152
Q

___ immunity — immunity gained through artificial means.

A

Artificial

153
Q

___ immunity — the body responds to a pathogen (antigen) to make antibodies (long-term immunity).

A

Active

154
Q

___ Immunity — the body simply receives antibodies with no effort of its own (short-term immunity).

A

Passive

155
Q

Active immunity is ___, passive immunity is short-term.

A

long-term,

156
Q
  • ability to recognize ones own cellular markers.
A

Self recognition

157
Q

— the immune system must leave self antigens alone.

A

Self tolerance

158
Q
A

IgG

159
Q
A

IgM