A&P II Chapter 17 Blood

24 July 2022
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Leukemia refers to cancerous conditions of white blood cells.
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True
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Monocyte
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Kidney shaped clear background
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Lymphocyte
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Spherical
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Eosinophil
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Bi-lobed granular background
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Neutrophil
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Multi-lobed granular background
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Most common white blood cell found in whole blood
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Neutrophil
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Mounts an immune response by direct cell attack or via antibodies
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Lympocyte
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Kills parasitic worms
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Eosinophil
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Becomes a macrophage
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Monocyte
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Main bacteria killer during acute infections
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Neutrophil
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SEE Figure 17.1 and 17.2
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Study guide!
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Nucleus has two lobes; contains granules of lysosomal enzymes; functions in attacking parasitic worms.
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Eosinophil
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Nucleus is multilobed; functions as a phagocyte; contains fine indistinct granules
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Neutrophil
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Transports CO2 and oxygen
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Erythrocytes
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Contains a U- or an S-shaped nucleus; granules stain very dark; releases histamine and heparin
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Basophils
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Largest of the WBCs; crucial in defense against viruses; associated with chronic infections
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Monocytes
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The major contributor to plasma osmotic pressure.
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Albumin
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Thrombin catalyzes the activation of these molecules present in plasma.
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Fibrinogen
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Forms the structural framework of a blood clot.
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Fibrinogen
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Makes up most of plasma protein.
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Albumin
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Main contributor to osmotic pressure.
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Albumin
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Antibodies released by plasma cells during immune response.
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Gamma Gobulins
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Forms fibrin thread of blood clot.
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Fibrinogen
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Transport proteins that bind to lipids, metal ions, and fat-soluble vitamins.
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Alpha and Beta Gobulins
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Polymorphonuclear leukocyte.
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Neutrophil
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White blood cell with dark-staining nucleus.
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Monocyte
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Protein capable of changing shape and color in the presence of O2.
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Hemoglobin
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Adverse reaction of donor blood cells with recipient plasma.
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Agglutination
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Lacking in hemophilia type A.
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Factor VIII
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Produced by platelets.
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Prostaglandin derivates such as Thrombozane A2
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A fibrous protein that gives shape to an RBC plasma membrane.
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Spectrin
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Hormone that stimulates production of RBCs.
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Erythropoietin
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Stimulates WBC production.
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Interleukins and CSF's
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Natural anticoagulant found in basophils.
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Heparin
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Universal donor.
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Type O
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Universal recipient.
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Type AB
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Cancerous condition involving white blood cells.
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Leukemia
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Condition in which blood has abnormally low oxygen-carrying capacity.
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Anemia
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The primary source of RBCs in the adult human being is the bone marrow in the shafts of the long bones.
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False - Found in the bones of Axial Skeleton and Girdles - and in the proximal epipsys of humerus and femur
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The immediate response to blood vessel injury is clotting.
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False - It's Vascular Spasm
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The RBC "graveyard" is the liver.
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False - The RBC graveyard is the SPL
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Abnormal excess of erythrocytes resulting in an increase in blood viscosity.
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Polycythemia
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Free-floating thrombus in the bloodstream.
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Embolism
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Hemorrhagic anemias result from blood loss.
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True
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The process of fibrinolysis disposes of bacteria when healing has occurred.
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False - removes clots when healing has occurred. Without blood vessels would becomes blocked
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White blood cells are produced through the action of colony-stimulating factors.
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True - 2 families 1) Interlukeins 2) Colony stimulating factors
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Hemoglobin is made up of the protein heme and the red pigment globin.
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False - Protein globin and red heme pigment
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Each HEME contains an atom of iron and can transport one molecule of oxygen.
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True - each iron can combine reversibly w/one molecule of oxygen
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Each hemoglobin molecule can transport two molecules of oxygen.
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False - 4 molecules of oxygen
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Diapedesis is the process by which red blood cells move into tissue spaces from the interior of blood capillaries.
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False - WBC's are able to do this NOT WBC
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Positive chemotaxis is a feedback system that signals leukocyte migration into damaged areas.
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True
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A condition of leukocytosis indicates over 11,000 white blood cells per cubic millimeter in the blood.
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True
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Basophils increase in number when parasitic invasion occurs.
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False - eosinophils
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Leukopenia is an abnormally low number of leukocytes.
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True
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A person with type B blood could receive blood from a person with either type B or type O blood.
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True
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Leukocytes move through the circulatory system by amoeboid motion.
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False- they move through tissue spaces at the site of infection
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Granulocytes called neutrophils are phagocytic and are the most numerous of all white blood cell types.
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True
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All lymphocytes are leukocytes, but not all leukocytes are lymphocytes.
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True
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Myelocytic leukemia involves a cancerous condition of lymphocytes.
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False - involves myeloblast descendants
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Which of the following is a pivotal molecule associated with the external surfaces of aggregated platelets and is involved in the intrinsic and extrinsic mechanisms of blood clotting?
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PF3
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What is the average normal pH range of blood?
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7.35-7.45
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The special type of hemoglobin present in fetal red blood cells is ________.
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hemoglobin F ( Hbf )
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Which of the choices below is the parent cell for all formed elements of blood?
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Pluripotent stem cell (hemocytoblast)
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Which blood type is called the universal donor?
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O
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Which of the following is a regulatory function of blood?
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maintenance of normal pH in body tissues
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Which of the following is a protective function of blood?
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prevention of blood loss
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Which of the statements below is an incorrect or false statement?
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Blood typing for the Kell, Lewis, and Duffy factors is always done before a blood transfusion.
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Which of the following might trigger erythropoiesis?
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hypoxia of EPO-producing cells
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As red blood cells age ________.
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membranes "wear out" and the cells become damaged - 100-120 days
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An individual who is blood type AB negative can ________.
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receive any blood type in moderate amounts except that with the Rh antigen
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The most abundant plasma protein is ________.
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albumin
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When neither anti-A sera nor anti-B sera clot on a blood plate with donor blood, the blood is type ________.
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O
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Select the correct statement regarding blood cell formation.
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Red marrow is the main site of blood cell formation throughout adult life.
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Blood volume restorers include all of the following except ________.
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packed cells
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James has a hemoglobin measurement of 16 g/100 ml blood. This is ________.
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within the normal range
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Which of these is not a normal plasma protein?
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thromboplastin
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All of the following can be expected with polycythemia except ________.
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low blood viscosity
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No visible cytoplasmic granules are present in ________.
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monocytes
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Which of the following is not a phase of hemostasis?
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fibrinolysis
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Place the following in correct developmental sequence:
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2, 4, 3, 1 proerythroblast, late erythroblast, normoblast, reticulocyte
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A lack of intrinsic factor, leading to a deficiency of vitamin B12 and large pale cells called macrocytes, is characteristic of ________.
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pernicious anemia
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The slowest step in the clotting process is ________.
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formation of prothrombin activator
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Thromboembolic disorders ________.
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include embolus formation, a clot moving within the circulatory system
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Which of the following is not a cause of bleeding disorders?
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excess secretion of platelet-derived growth factor (PDGF)
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Which of the following is characteristic of all leukocytes?
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they are nucleated
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Which of the following is true about blood plasma?
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It is about 90% water
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Platelets ________.
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stick to the damaged area of a blood vessel and help seal the break
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Which sequence is correct for the following events?
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3,4,1,2 formation of thromboplastin, prothrombin β†’ thrombin, fibrinogen β†’ fibrin, clot reaction
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Fred's blood was determined to be AB positive. What does this mean?
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There are no antibodies to A, to B, or to Rh antigens in the plasma.
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Sickling of red blood cells can be produced in those with sickle-cell anemia by ________.
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travel at high altitude and vigorous exercise
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All of the following conditions impair coagulation except ________.
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vascular spasm
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When can erythroblastosis fetalis not possibly happen in the child of an Rh negative mother?
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when the father is Rh-
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Complications of aplastic anemia generally do not include ________.
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increase of leukocytes as a result of erythrocyte loss
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Blood is a ________.
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suspension
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What organ in the body regulates erythrocyte production?
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kidney
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The formed element ________ can kill parasitic worms.
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eosinophil
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A(n) ________ is a committed granular leukocyte stem cell that produces neutrophils.
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myeloblasts
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The rarest leukocyte is the ________.
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basophil
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Potent platelet aggregates that attract more platelets to the site of an injury are ________ and ________.
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ADP and Thromboxane Serotonin
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The universal recipient blood type is ________.
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AB
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When monocytes migrate into the interstitial spaces, they are called ________.
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macrophages
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Destruction of the hematopoietic components of red marrow leads to a condition called ________.
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aplastic anemia
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________ is the stage of development in the life of an erythrocyte during which the nucleus is ejected.
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normoblast
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Hemoglobin is composed of ________ polypeptide chains.
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4
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List the general factors that limit normal clot growth
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removal of clotting factors Aspirin - an antiprostaglandin that inhibits thromboxane A2 Heparin - an anticoagulant used clinically for pre- and postoperative cardiac care Warfarin (trade name Coumadin) - used for those prone to atrial fibrillation
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When are whole blood transfusions routinely given?
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Substantial and rapid blood loss
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List the most common causes of bleeding disorders
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Thrombocytopenia - condition of decreased circulating platelets with vitamin K deficiency and defective clotting cascade
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List one example for each of these three functions of blood: distribution, regulation, and protection
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Distribution - delivering O2 from lungs and waste Regulation - maintenance of normal ph in body tissues Protection - prevention of blood loss
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List the granulocytes and describe their granules
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Neutrophil - fine, faint pink granules Eosinophil - full of pink-orange granules Basophil - large dark deep purple ganules
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Why is iron not stored or transported in its free form? In what form(s) is it stored or transported in blood?
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Because iron can be toxic. Intracellular iron is stored in protein-iron complexes such as ferritin and hemosiderin. **FYI** The body stores iron in Hb (65%), the liver, spleen, and bone marrow Circulating iron is loosely bound to the transport protein transferrin
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What determines whether blood is bright red or a dull, dark red?
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the amount of oxygen
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What is the buffy coat found in centrifuged whole blood?
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Leukocytes and platelets
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Name the granulocytes and state their average percentage in whole blood.
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Neutrophil 50-70% Eosinophil 2-4% Basophil .5-1%