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APII Exam II
Circulatory System (Packet One) Dr.Brecker's Class
63
Science
Undergraduate 1
09/29/2009

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Term
What are the main Functions of blood?
Definition
a.Transport of O2 to the body tissues
b.Facilitates transport of nutrients to cells and waste from cells, including CO2.. (CO2 will lower blood pH if left in system)
c.Defense against microorganism
d.Maintains homeostasis (ph & temp)
Term
What is the volume of blood in the human body?
Definition
71 ml per kg of body weight (5000 ml in males)
Term
Makes up 55% of blood’s volume - fluid fraction of blood (IS COMPOSED OF 90% WATER, 10% SOLUTE)
Definition
Plasma
Term
What are the TWO types of solutes?
Definition
1.Crystalloids

2.Colloids
Term
What are colloids?
Definition
large organic molecules suspended in solution (food molecules, enzymes, hormones, vitamins, organic waste products and important plasma proteins. Plasma proteins contribute to overall blood viscosity, as well as to osmotic pressure, volume and pressure of blood.
Term
What are Crystalloids?
Definition
small inorganic molecules that are dissolved in solution (ex. Electrolytes)
Term
Plasma proteins are grouped into different sections. What are they called? and what percentage do they make up?
Definition
a.Albumins (60% of plasma proteins)

b.Globulins (35% of plasma proteins) Include modified globulins, (immunoglobulins), are antibodies that attack foreign proteins and pathogens.

c.Fibrinogen (5% of plasma proteins)
Term
Name the steps involved in the completion of the coagulation process.
Definition
blood clotting involves prothrombin (an inactive proenzyme), which converts into thrombin, (an active enzyme), this in turn converts fibrinogen to insoluble strands of fibrin which makes up the basis of clot.
Term
__% of plasma proteins including most globulins are made in the ________, therefore, _______ problems can cause bleeding.
Definition
90 , Liver, Liver
Term
_________ make up 45% of blood’s volume, includes cells and cell fragments.
Definition
FORMED ELEMENTS
Term
True or False:

Mature RBC have no nucleus.
Definition
True
Term
Erythroyctes
Definition
Red Blood Cells
Term
Erythroyctes are ___microns in diameter.
Definition
7
Term
Erythroyctes are ________ in shape. This permits deformability/can be twisted and bent without damage. This is controlled by ____________ PGE1, (in the lipid family)
Definition
biconcave, prostaglandin PGE1
Term
Where are RBCs derived from?
Definition
RBCs are derived from stem cells in the bone marrow.
Term
What is the difference between males and females in the amount of RBC per micro liter?
Definition
male = 1 micro liter contains 4.5-6.3 million RBC’s

female = 1 micro liter contains 4.2-5.5 million RBC’s
Term
Hemotocrit
Definition
Hemotocrit is % volume of whole blood that consists of RBCs.

females=42%, males= 46%.
Term
What is anemia?
Definition
Anything below 12g/100ml hemoglobin is anemia.

. Any condition which seriously compromises the O2 carrying capacity of blood.
Term
True or False?

Anemia is determined only by the amount of RBCs present.
Definition
False.

Anemia is also categorized by size of RBC as well as by number.
Term
A reduced # of RBCs with normal size (caused by sudden loss of blood)
Definition
Normocytic anemia
Term
Is caused by a reduced # of RBCs but large in size (caused by chronic bleeding; slow loss, like in chronic bleeding in GI tract. Ulcer)
Definition
Macrocytic anemia
Term
Is caused by a reduced # of RBCs but large in size (caused by chronic bleeding; slow loss, like in chronic bleeding in GI tract. Ulcer)
Definition
Macrocytic anemia
Term
In this type of anemia, the number of RBCs are the same but cell size is smaller (Ex: sickle cell anemia- is a genetic trait)
Definition
Microcytic anemia
Term
What is the significance of Iron in Hemoglobin ?
Definition
Iron is found in the center of hemoglobin, if not present, cannot absorb 02 (causes tiredness).
Term
What is the medical term for RBC Formation?
Definition
Erythropoiesis
Term
Where does Erythropoiesis take place?
Definition
This occurs in tissue called myeloid tissue, (found in red bone marrow), found in limited amount in the proximal epiphysis, (closed growth plate of long bones), of humerus and femur. Also found in sternum, skull and vertebrae.
Term
What is Fragmentation?
Definition
Natural destruction of RBCs.
Term
Fragmentation of RBCs occurs in the capillaries of small arteries 1( _____and ______). After this occurs, these fragments undergo 2___________ ___________, which occurs in the lining of blood vessels. These cells 3( __________) perform phagacytosis (surround fragments and transport them to the liver).
Definition
1. lungs and spleen
2. reticuloendothial phagacytosis
3. reticuloendotheliocytes
Term
How long is the lifespan of RBCs?
Definition
120 days
Term
RBCs homeostasis is a controlled_________ feedback loop.

(a)negative
(b)positive
Definition
(a) negative
Term
An increase of ________ in myeloid tissue in bone marrow will increase RBCs to normal levels.
Definition
erythopoesis
Term
If RBC #’s are decreased (caused by bleeding) or if tissue hypoxia occurs, (decrease of normal level of O2) it would cause an increase of secretion of _____, which is actually erythropoietin (EPO), this is secreted by the kidneys
Definition
erythrocyte stimulating factor (ESF)
Term
What are Leukocytes?
Definition
White Blood Cells
Term
True or False?

There are less RBCs than WBCs.
Definition
False.

(There are less WBCs than RBCs); (5,000-10,000 per cubic milliliter)
Term
What is the life span of a WBC?
Definition
No more than 2 days.
Term
What is the Function of WBCs?
Definition
FUNCTION is defense
Term
What is the elimination of WBCs?
Definition
*ELIMINATION-uncertain but is phagocytic
Term
True or False?

Granulocytes have a spherical shaped nucleus.
Definition
False.

Granulocytes have granular cytoplasm (coarse), irregular shaped nucleus (not spherical)
Term
True or False?

65% of WBC’s are called neutrophils because they are neutral for acid and basic stains.
Definition
True
Term
What are some of the characteristics of Neutrophils?
Definition
*Nucleus is 4 lobules; polynucleus or polymorphonuclear
*Cytoplasm stains lavender (purple) and granular
*Function is phagocytic (engulf bacteri
Term
Eosinophils/acidophils compose ___% of WBCs
Definition
3%
Term
Name the Characteristics of Eosinophils/acidophils ?
Definition
*Nucleus is bi- lobed

*Cytoplasm stains pink to orange red; has many large granules

*Function is detoxification and defense of large multicellular parasites

*They are increased in allergic reactions
Term
Basophils make up __% of all WBCs.
Definition
1%
Term
Name the characteristics of Basophils.
Definition
*Nucleus is not visible

*Cytoplasm is coarse and stains dark blue

* Produce Heparin
Term
What is Heparin?
Definition
Heparin is a natural occurring anticoagulant keeps blood from clotting
Term
__________ will go to sites of injury and will attract WBCs to area
Definition
Basophils
Term
These are nongranular (homogenous) cytoplasm
Definition
Agranulocytes, and include:
. monocytes
. Lymphocytes
Term
These compose 25% of all WBCs and are smallest (same size as RBC) type of agranulocytes.
Definition
Lymphocytes
Term
What are the characteristics of Lymphocytes?
Definition
*Nucleus is a large spherical shape (occupies most of cell volume)

*Cytoplasm stains pale blue

*Formed in lymphatic tissue (lymph nodes and spleen)

*Function is antibody formation
Term
(Antibodies)

Cellular immunity /co-ord of immune responses.
Definition
T Cells (AIDS)
Term
(Antibodies)

humoral immunity-fluid/semi-fluid found in the body (attack foreign antigens)
Definition
B Cells
Term
(Antibodies)

Contain anticancer functions
Definition
NK
Term
Monocytes compose _% of WBCs.
Definition
6%
Term
What are the characteristics of monocytes?
Definition
Monocytes-(6% of WBCs, and largest)

*Nucleus has distinct cleft (horseshoe or kidney shaped)

*Cytoplasm stains pale blue

*Function as macrophage (phagacytosis (cell eating), and they bring in other WBCs to area.
Term
THROMBOCYTES AKA-1_________ are Cell fragments that come from 2___________, which are large cells that break down to become platelets (*produced in myeloid tissue) (red bone marrow) and then fragmented in the capillaries of the lungs and spleen.
Definition
1. Platelets

2. megakaryocytes
Term
Platelets are activated within _ to _ secs after injury to form coagulation.
Definition
1 - 5 seconds
Term
-HEMOSTASIS (MAINTENANCE OF CONSTANT BLOOD VOLUME) is performed by ________ and ____________ (like a prostaglandin) function by controlling vaso- constriction and vaso- dilation (increase or decrease blood flow).
Definition
1.prostaglandin

2.thromboxane
Term
True or False?

Genetic traits are A, B, O and RH. Used in typing of blood and have indicators on them called antigens, except “RH”, they do not have any antigens. These antigens are present on RBC membranes.
Definition
False.

type "o" does not have antigens.
Term
True or False.

A & B are dominant to O. If one parent is A, and the other is O, A will be dominant.
Definition
True.
Term
What blood type is also know as the "Universal Recipient"?
Definition
AB +
Term
Which blood type is known as the "Universal Donor"?
Definition
O-
Term
True or False?

RH Factor- RH+ is dominant over RH-. RH is named from experiments using rhesus monkey to learn blood typing.
Definition
True
Term
Plasma does not normally contain RH antibodies, they appear only in RH- individual after RH+ enters the blood stream. This can happen in a blood transfusion or during pregnancy. If a RH- mother carries an RH+ child, RH+ blood can enter the mother’s blood stream in miscarriage or placental breakdown prior to delivery. Mother then develops antibodies to RH+. If second pregnancy involves an RH+ child, mother’s antibodies can cross placental barrier. This may kill the fetus.

What is the name of this condition?
Definition
Erythroblastosis fetalis

Note: Give mother “Rogan” (RhoGAM), within 72 hours of delivery to prevent this immune response from occurring.
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