Chapter 19

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Platelets are best described as ______.

cell fragments

Regulation, transport and protection are all functions of the ______.

circulatory system

Platelets act in the clotting process as well as ______.

clot dissolution

Blood is a subtype of ______ tissue.

connective

Spectrin and actin _______ proteins found on the inner membrane of the red blood cell.

cytoskeletal

Causes of leukopenia include ______. Select all that apply.

heavy metal poisoning radiation sickness AIDS

Packed cell volume, the percentage of the blood volume composed of RBCs, is also called ______.

hematocrit

The percentage of erythrocytes in the blood is known as the ______.

hematocrit

An inherited clotting disorder of the blood is ______.

hemophilia

Morphological changes in red blood cells like sickle cell anemia and thalessemia are ______.

hereditary disorders

Neutrophils produce disinfectant chemicals including ______. Select all that apply.

hydrogen peroxide hypochlorite superoxide

Within the leukocytes, the chemicals and enzymes used to fight pathogens are found:

in the granules

Thrombocytopenia can result from ______.

leukemia bone marrow poisoning radiation

Blood cells that afford protection against microorganisms, infections, and other pathogens are called _____.

leukocytes

Formed elements that retain their organelles including the nucleus, endoplasmic reticulum and ribosomes include the ______.

leukocytes

Lymphocytes, eosinophils, basophils, neutrophils and monocytes are all examples of ______.

leukocytes

The formed elements that provide protection against infectious microorganisms and other pathogens are called ______.

leukocytes

The least abundant of the formed elements are the _______.

leukocytes

A abnormally high white blood cell count resulting from infection or allergy is called ______.

leukocytosis

Dehydration and infection can both lead to ______.

leukocytosis

A deficiency of white blood cells is called ______.

leukopenia

Heavy metal poisoning, radiation, the flu and chickenpox can all lead to ______.

leukopenia

All plasma proteins except globulin are produced by the _____.

liver

The second most common leukocytes, normally about 25% to 33% of the leukocytes in a sample, are called:

lymphocytes

The smallest of the leukocytes are the ______.

lymphocytes

A monocyte that migrates into the tissue and takes up residence is called a(n) ______.

macrophage

A giant precursor cell with a multilobed nucleus which fragments to form platelets is called a _______.

megakaryocyte

A macrophage is a ______ that migrates into the tissues.

monocyte

Eosinophils are found in small numbers in blood but are abundant in ______.

mucous membranes

The production of leukocytes, leukopoiesis, begins with hematopoietic stem cells that differentiate into three cell lines. Granulocytes are produced from ______.

myeloblasts

Within a healthy individual, the most abundant leukocyte is the ___ and the least abundant leukocyte is the ___

neutrophil

Leukocytes that phagocytize bacteria and produce toxic chemicals are called ______.

neutrophils

Sixty to seventy percent of the leukocytes are ______.

neutrophils

Red blood cells lack _____ and therefore can not perform mitosis or protein synthesis.

nuclei

One of the most distinctive microscopically visible features of all leukocytes is their ______.

nucleus

neutrophils

phagocytize bacteria and secretes antimicrobial agents nucleus with 2-5 lobes and appearance of reddish to violet specific granules

monocytes

phagocytizes pathogens and cellular debris ovoid or kidney shaped nucleus with sparse, fine non-specific granules

"A light yellow fluid in which suspends the formed elements and clotting precursors" describes the ______.

plasma

The matrix of the blood is the ______.

plasma

Within the circulation, ______ is a complex cell-free solution of water, proteins, nutrients, electrolytes, wastes, hormones, and gases.

plasma

Clotting, defense, and transport of minerals and hydrophobic hormones are all functions of ______.

plasma proteins

A fibrin-digesting enzyme that dissolves clots when the leak has been sealed is ______.

plasmin

Platelets aid in stimulation of fibroblasts and smooth muscle to repair the blood vessel through the production of ______.

platelet-derived growth factor

Hemostasis, the cessation of bleeding, is a complex process that involves small formed elements called ______.

platelets

The second most abundant formed elements after the erythrocytes are the ______.

platelets

An excess of red blood cells is called ______.

polycythemia

The first step of hemostasis is ______.

release of serotonin

During most of their lifetime, leukocytes are found ______.

residing in the connective tissues

lymphocytes

secretes antibodies, destroys cancer cells and promotes immune memory nucleus that typically fills most of the cytoplasm that is round or ovoid

basophils

secretes histamine and heparin irregular shaped nucleus frequently obscured from view due to course, abundant dark violent specific granules

When clotting factors and the solids are removed from blood, the resulting fluid is called ______.

serum

Disorders of red blood cell morphology include ______. Select all that apply.

sickle cell anemia thalassemia

Approximately 25-40% of platelets are found stored in the ______.

spleen

Hemolytic disease of the newborn is sometimes caused by an incompatibility of _____ blood types between the mother and fetus.

the Rh

While the absence of a nucleus prevents cell division it confers an advantage in that ______.

the small, biconcave shape is ideal for moving through small blood vessels

Neutrophils, basophils and eosinophils are called granulocytes because ______.

they contain specific secretory granules

A very low platelet count is called ______.

thrombocytopenia

The process of platelet formation is called ______.

thrombopoiesis

A condition that increases with aging is abnormal clotting of the blood called ______.

thrombosis

Granulocytes and agranulocytes are ______.

types of leukocytes

Plasma proteins called gamma globulins are produced by ______.

white blood cells

The forerunners of hematopoietic tissue in the embryo are found in the ______.

yolk sac

Which component of blood transports both oxygen and carbon dioxide?

Erythrocytes

How many RBCs are produced every second?

1 million

WBCs and platelets make up about ______ of the total blood volume.

1%

What is thrombopoiesis?

The production of platelets

What is the main function of red blood cells?

Transport both oxygen and carbon dioxide

True or false: All leukocytes have a nucleus.

True

True or false: Anemia can occur because of either a deficiency in hemoglobin or a deficiency of red blood cells.

True

True or false: Erythrocytes circulate for about 120 days before they die.

True

True or false: Leukocytes retain their organelles throughout their lifetime.

True

Which are functions of platelets? Select all that apply.

Vasoconstriction Secretion of procoagulants Chemotaxis of neutrophils

Indicate which represents the smallest proportion of the blood by percent volume.

WBCs and platelets

Which substances are found in blood plasma? Select all that apply.

Water Gases Proteins

Which of the following would not cause leukocytosis?

Water intoxication

Polycythemia is ______.

a condition where there are too many red blood cells

Monocytes and lymphocytes ______.

are agranulocytes

ABO blood groups lead to blood types A, B, AB, and O. These groups _____.

are determined by genes

eosinophils

attacks parasites and phagocytizes antigen-antibody complexes, allergens and inflammatory agents nucleus with two large lobes and appearance of large orange-pink specific granules

Antigens on the surface of the erythrocyte membranes determine ______.

blood type

All formed elements trace their origins to a hemopoietic stem cell maintained in the ______.

bone marrow

From infancy onward red blood cells are produced by the ______.

bone marrow

Leukopoiesis begins with stem cells located in the ______.

bone marrow

Platelets are not cells but fragments of large cells called megakaryocytes found in the ______.

bone marrow

Leukocytes retain organelles such as the nucleus, endoplasmic reticulum, ribosomes, mitochondria, and golgi complex. This means that unlike erythrocytes, leukocytes ______.

can synthesize proteins

WBCs are ______.

found in both the blood vessels and in the connective tissues

Destruction of red blood cells leads to the breakdown of hemoglobin molecules. Breaking down hemoglobin releases ______.

four globin chains and four heme groups

Plasma proteins that play various roles including solute transport and immunity are called _______.

globulin

The plasma membrane of the red blood cell contains _______ that determine a person's blood type.

glycolipids

Leukocytes can be divided into ______.

granulocytes and agranulocytes

Patients with leukemia ______.

have an increased risk of infection

Leukocytes ______. Select all that apply.

have conspicuous nuclei protect us against pathogens

An erythrocyte usually lasts in the circulation for about ______ days.

120

Hemoglobin consists of how many protein chains?

2 alpha and 2 beta

In an adult woman, what would be the normal range of values for the hematocrit?

37-48 %

Most adults have ______ liters of blood.

4 to 6

An important clinical estimate of oxygen carrying capacity of the blood is the red blood cell count expressed as the number of red blood cells in a microliter of blood. Normal values for this are ______.

4.2 to 5.4 million/microliter in women and 4.6 to 6.2 million/microliter in men

Which represents a normal hematocrit?

40% for a 35-year-old female

What proportion of the blood volume does the plasma represent?

47-63 %

Most of the platelets circulation in the blood ______.

5 to 6 days

Genetically determined blood groups include ______. Select all that apply.

A, B, AB, and O Rh positive

Which is not a leukocyte?

Basocyte

Which best describes a red blood cell?

Biconcave, anucleate cell approximately 7.5 microns in diameter

Describe how CO2 binds with hemoglobin.

CO2 binds to the globin portion of hemoglobin.

True or false: All leukocytes are roughly the same size and shape and carry out the same functions.

False

True or false: Each hemoglobin molecule consists of 6 protein (globin) chains and 6 heme groups.

False

True or false: The heme portion of hemoglobin binds carbon dioxide.

False

Describe megakaryocytes.

Gigantic bone marrow cells that produce platelets

Name the function of the granules found in the cytoplasm of the WBCs.

Granules contain enzymes and chemicals to fight pathogens.

Which best describes the components of the circulatory system?

Heart, blood, and vessels

Identify the component of red blood cells that binds to oxygen.

Heme

Which of the following best describes the heme group?

Iron containing groups that bind oxygen

Leukocytes in general can live for years, regenerate granule components and divide. What does this suggest about the the cell's components?

Leukocytes have organelles

Which of the leukocytes are agranulocytes?

Monocytes and lymphocytes

Which is the most common leukocyte?

Neutrophil

While leukocytes are usually phagocytized and digested by macrophages, these cells are found in pus and can be disposed of through rupture on the skin's surface.

Neutrophils

Place the specific leukocytes in order from most abundant to least abundant in a healthy individual.

Neutrophils Lymphocytes Monocytes Eosinophuls Basophils

List the white blood cells that are classified as granulocytes?

Neutrophils, basophils, eosinophils

An adult patient is brought into the emergency room of a local hospital. The EMTs report the patient lost about 300 cc (cubic centimeters or milliliters) of blood. Is this life-threatening?

No, most adults have 4-6 liters of blood so a loss of 300 cc would not be life threatening.

Which component of the blood comprises the greatest percentage of the blood's volume?

Plasma

Which is not a formed element of the blood?

Plasmin

Identify the mechanisms involved in hemostasis. Select all that apply.

Platelet plug formation Coagulation Vasoconstriction

Which of the following lists all of the formed element(s) of the blood?

Platelets, red and white blood cells

Leukocytes are similar and yet they vary in many ways. Identify the characteristic shared by all leukocytes.

Presence of a nucleus

What can occur if an individual is given an incompatible blood type in a transfusion?

Recipient antibodies attack donor RBCs which agglutinate and hemolyze.

Which is not a function of the circulatory system?

Secretion of hormones

There are three functional classes of lymphocytes. These include NK (natural killer) cells, B cells, and ______.

T cells

While some lymphocytes function in non-specific immunity, most are involved in response to specific antigens which is called ______.

adaptive immunity

Two alpha and two beta protein chains form ______ hemoglobin.

adult

The plasma protein that contributes to viscosity and osmolarity of the blood, and is also the most abundant of the plasma proteins, is _____.

albumin

The condition in which the oxygen-carrying capacity of the blood is lowered, whether due to an erythrocyte or hemoglobin deficiency, is referred to by the general term ______.

anemia

A person's specific blood type is based on ______.

antigens on the RBC plasma membrane

Leukocytes that secrete heparin and histamine are called ______.

basophils

The rarest of the leukocytes are called ______.

basophils

Plasma proteins perform many roles including ______. Select all that apply.

blood clotting defense mineral transport

Erythropoiesis is the production of red blood cells and takes about 3 to 5 ______.

days

While some leukocytes survive in the blood for only a few hours, lymphocytes can live for up to ______.

decades

Nonstructural disorders of the blood include ______.

embolism hemophilia

The leukocyte that typically has a bilobed nucleus connected by a thin strand and orange-pink granules in the cytoplasm is the ______.

eosinophil

Leukocytes that rise in allergies and parasitic infections are called ______.

eosinophils

About 1 million ______ are produced every second.

erythrocytes

Atrophy of the kidneys which happens as part of the aging process can reduce the amount of _____ needed for blood cell production

erythropoietin

Plasma and serum are identical except that plasma contains ______ and serum does not.

fibrinogen


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