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Anatomy & Physiology: Blood (Chapter 17) Study Guide

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Q1. Describe the composition and physical characteristics of whole blood. Explain why it is classified as connective tissue.

Background

Topic: Blood Composition and Classification

This question tests your understanding of the components of blood, its physical properties, and the reasoning behind its classification as a connective tissue.

Key Terms:

  • Formed elements: red blood cells (erythrocytes), white blood cells (leukocytes), and platelets

  • Plasma: the liquid matrix of blood

  • Connective tissue: tissue type characterized by cells suspended in an extracellular matrix

Step-by-Step Guidance

  1. List the main components of blood, distinguishing between the cellular (formed elements) and non-cellular (plasma) parts.

  2. Describe the physical characteristics of blood, such as viscosity, color, pH, and volume.

  3. Explain the criteria for classifying a tissue as connective tissue, focusing on the presence of cells in a matrix and embryonic origin.

  4. Relate these criteria to blood, considering its structure and function.

Try solving on your own before revealing the answer!

Final Answer:

Blood is composed of formed elements (red blood cells, white blood cells, and platelets) suspended in plasma, a fluid matrix. Its physical characteristics include being a viscous, opaque fluid with a metallic taste, a pH of 7.35–7.45, and a volume of 5–6 L in males and 4–5 L in females. Blood is classified as connective tissue because it consists of cells (formed elements) suspended in an extracellular matrix (plasma), and it shares the same embryonic origin as other connective tissues.

Q2. List and describe the functions of blood.

Background

Topic: Blood Functions

This question assesses your knowledge of the three main functions of blood: transport, regulation, and protection.

Key Terms:

  • Transport: movement of substances throughout the body

  • Regulation: maintenance of homeostasis (pH, temperature, fluid volume)

  • Protection: defense against blood loss and infection

Step-by-Step Guidance

  1. Identify the three broad categories of blood function.

  2. For each category, list at least two specific examples (e.g., what is transported, how regulation occurs, what protection mechanisms exist).

  3. Briefly explain how blood achieves each function, referencing relevant components (e.g., plasma proteins, white blood cells).

Try solving on your own before revealing the answer!

Final Answer:

Blood functions in transport (delivering oxygen, nutrients, hormones, and removing wastes), regulation (maintaining temperature, pH, and fluid volume), and protection (preventing blood loss through clotting and fighting infection with immune cells and proteins).

Q3. Discuss the composition and functions of plasma. Name the plasma proteins and describe their role.

Background

Topic: Plasma Composition and Function

This question focuses on the makeup of plasma, the roles of its components, and the specific functions of plasma proteins.

Key Terms:

  • Plasma: liquid part of blood, mostly water

  • Plasma proteins: albumin, globulins, fibrinogen

  • Osmotic pressure: pressure that helps keep water in the bloodstream

Step-by-Step Guidance

  1. Describe the general composition of plasma, including the percentage of water and types of solutes present.

  2. List the major plasma proteins and their relative abundance.

  3. Explain the function of each plasma protein (e.g., albumin's role in osmotic pressure, globulins in immunity, fibrinogen in clotting).

Try solving on your own before revealing the answer!

Final Answer:

Plasma is about 90% water and contains over 100 dissolved solutes, including nutrients, gases, hormones, wastes, and proteins. The main plasma proteins are albumin (maintains osmotic pressure and acts as a carrier), globulins (involved in transport and immunity), and fibrinogen (essential for blood clotting).

Q4. Describe the structure, functions, lifespan, and developmental stages of erythrocytes.

Background

Topic: Erythrocyte (Red Blood Cell) Structure and Development

This question examines your understanding of the anatomy, physiology, and life cycle of red blood cells.

Key Terms:

  • Erythrocyte: red blood cell

  • Hematopoiesis: formation of blood cells

  • Erythropoiesis: formation of red blood cells

  • Biconcave disc: shape of RBCs

Step-by-Step Guidance

  1. Describe the physical structure of erythrocytes, including their shape and lack of organelles.

  2. Explain the main function of erythrocytes and how their structure supports this function.

  3. Outline the lifespan of erythrocytes and where they are produced.

  4. List the developmental stages from stem cell to mature erythrocyte, noting key changes at each stage.

Try solving on your own before revealing the answer!

Final Answer:

Erythrocytes are biconcave, anucleate cells filled with hemoglobin, specialized for oxygen transport. They live about 120 days and are produced in red bone marrow through stages: hematopoietic stem cell → proerythroblast → erythroblast (various stages) → reticulocyte → erythrocyte.

Q5. Describe the chemical makeup and oxygen-carrying capacity of hemoglobin.

Background

Topic: Hemoglobin Structure and Function

This question tests your knowledge of the molecular structure of hemoglobin and its role in oxygen transport.

Key Terms:

  • Hemoglobin: oxygen-carrying protein in RBCs

  • Heme: iron-containing pigment

  • Globin: protein component

Step-by-Step Guidance

  1. Describe the structure of hemoglobin, including the number and type of subunits.

  2. Explain the role of the heme group and the importance of the central iron ion.

  3. State how many oxygen molecules each hemoglobin molecule can carry and why.

Try solving on your own before revealing the answer!

Final Answer:

Hemoglobin is made of four globin subunits (two alpha, two beta), each with a heme group containing an iron ion. Each iron binds one O2, so each hemoglobin can carry up to four oxygen molecules.

Q6. List the classes, functions, production, and relative numbers of leukocytes.

Background

Topic: Leukocyte Types and Functions

This question covers the classification, roles, and abundance of white blood cells.

Key Terms:

  • Leukocytes: white blood cells

  • Granulocytes: neutrophils, eosinophils, basophils

  • Agranulocytes: lymphocytes, monocytes

  • Diapedesis: movement out of blood vessels

Step-by-Step Guidance

  1. List the two main classes of leukocytes and their subtypes.

  2. Describe the general function of leukocytes in immunity and tissue defense.

  3. State the relative abundance of each type, using a mnemonic if helpful.

  4. Briefly mention how leukocytes are produced and how they move to sites of infection.

Try solving on your own before revealing the answer!

Final Answer:

Leukocytes are divided into granulocytes (neutrophils, eosinophils, basophils) and agranulocytes (lymphocytes, monocytes). They defend against infection, are produced in bone marrow, and move to tissues via diapedesis. Relative abundance: neutrophils > lymphocytes > monocytes > eosinophils > basophils.

Q7. Define anemia. Describe the causes of anemia and provide examples.

Background

Topic: Erythrocyte Disorders

This question tests your understanding of anemia, its causes, and examples of different types.

Key Terms:

  • Anemia: reduced oxygen-carrying capacity of blood

  • Hemorrhagic anemia: due to blood loss

  • Iron deficiency anemia: due to insufficient iron

  • Hemolytic anemia: due to RBC destruction

Step-by-Step Guidance

  1. Define anemia in terms of oxygen-carrying capacity.

  2. List the three main categories of causes: blood loss, decreased RBC production, increased RBC destruction.

  3. Provide at least one example for each category.

Try solving on your own before revealing the answer!

Final Answer:

Anemia is a condition where blood's oxygen-carrying capacity is too low. Causes include blood loss (hemorrhagic anemia), decreased RBC production (iron deficiency, pernicious anemia), and increased RBC destruction (hemolytic anemia, thalassemia, sickle-cell anemia).

Q8. Describe the processes of hemostasis, including vascular spasm, platelet plug, and coagulation.

Background

Topic: Hemostasis (Blood Clotting)

This question examines your knowledge of the steps involved in stopping bleeding after vessel injury.

Key Terms:

  • Hemostasis: process to stop bleeding

  • Vascular spasm: vessel constriction

  • Platelet plug: aggregation of platelets

  • Coagulation: formation of fibrin mesh

Step-by-Step Guidance

  1. Describe the first step: vascular spasm and its purpose.

  2. Explain how platelet plug formation occurs, including the role of exposed collagen and platelet activation.

  3. Outline the coagulation step, focusing on the conversion of fibrinogen to fibrin and the formation of a stable clot.

Try solving on your own before revealing the answer!

Final Answer:

Hemostasis involves three steps: (1) vascular spasm (vasoconstriction), (2) platelet plug formation (platelets adhere to exposed collagen and become activated), and (3) coagulation (fibrin forms a mesh that stabilizes the clot).

Q9. Describe the functions and developmental stages of platelets.

Background

Topic: Platelet Function and Development

This question tests your understanding of how platelets are formed and their role in hemostasis.

Key Terms:

  • Platelets: cell fragments involved in clotting

  • Megakaryocyte: large bone marrow cell that produces platelets

  • Hemocytoblast: stem cell for blood elements

Step-by-Step Guidance

  1. Describe the main function of platelets in blood clotting.

  2. List the developmental stages from stem cell to mature platelet.

  3. Explain how platelets are kept inactive in circulation and what triggers their activation.

Try solving on your own before revealing the answer!

Final Answer:

Platelets form temporary plugs to seal vessel breaks. They develop from hemocytoblasts → megakaryoblasts → megakaryocytes → platelets. Platelets are kept inactive by nitric oxide and prostacyclin until vessel injury occurs.

Q10. Describe the triggers for the intrinsic and extrinsic pathways.

Background

Topic: Coagulation Pathways

This question focuses on the initiation of the two main blood clotting pathways.

Key Terms:

  • Intrinsic pathway: triggered by factors within blood

  • Extrinsic pathway: triggered by tissue factor outside blood

  • Tissue factor (TF): initiates extrinsic pathway

Step-by-Step Guidance

  1. Define the intrinsic and extrinsic pathways in terms of their triggers.

  2. List examples of what can trigger each pathway (e.g., activated platelets, collagen, tissue factor).

  3. Explain which pathway is faster and why.

Try solving on your own before revealing the answer!

Final Answer:

The intrinsic pathway is triggered by negatively charged surfaces (like activated platelets or collagen), while the extrinsic pathway is triggered by tissue factor (TF) from damaged tissues. The extrinsic pathway is faster because it bypasses several steps of the intrinsic pathway.

Q11. Describe coagulation beginning with the prothrombin activator.

Background

Topic: Coagulation Cascade

This question tests your understanding of the sequence of events in blood clotting after the formation of prothrombin activator.

Key Terms:

  • Prothrombin activator: complex that converts prothrombin to thrombin

  • Thrombin: enzyme that converts fibrinogen to fibrin

  • Fibrin: protein that forms the mesh of a blood clot

Step-by-Step Guidance

  1. State what prothrombin activator does in the coagulation cascade.

  2. Describe the conversion of prothrombin to thrombin.

  3. Explain how thrombin acts on fibrinogen to produce fibrin.

  4. Summarize how fibrin forms the structural basis of a clot.

Try solving on your own before revealing the answer!

Final Answer:

Prothrombin activator converts prothrombin to thrombin, which then converts soluble fibrinogen into insoluble fibrin strands. These strands form a mesh that traps blood cells and platelets, creating a stable clot.

Q12. Describe platelet activity during clot retraction.

Background

Topic: Clot Retraction

This question focuses on what happens to platelets and the clot after it has formed.

Key Terms:

  • Clot retraction: process of clot shrinking and stabilizing

  • Fibrin: protein mesh in clot

Step-by-Step Guidance

  1. Explain what happens to platelets after they are trapped in the fibrin mesh.

  2. Describe the role of platelets in pulling the edges of the wound together.

  3. Discuss how clot retraction contributes to tissue repair.

Try solving on your own before revealing the answer!

Final Answer:

During clot retraction, platelets trapped in the fibrin mesh contract, pulling the torn vessel edges together and helping to stabilize and shrink the clot, which aids in tissue repair.

Q13. Describe fibrinolysis and its triggering factors, including the functions of plasminogen and plasma.

Background

Topic: Fibrinolysis (Clot Removal)

This question tests your understanding of how blood clots are removed after healing.

Key Terms:

  • Fibrinolysis: breakdown of fibrin in clots

  • Plasminogen: inactive enzyme in clot

  • Plasmin: active enzyme that digests fibrin

  • tPA: tissue plasminogen activator

Step-by-Step Guidance

  1. Define fibrinolysis and its purpose in the body.

  2. Explain how plasminogen is incorporated into the clot during formation.

  3. Describe how plasminogen is activated to plasmin, including the role of tPA and other factors.

  4. Summarize the function of plasmin in dissolving the clot.

Try solving on your own before revealing the answer!

Final Answer:

Fibrinolysis is the process of breaking down clots after tissue repair. Plasminogen, trapped in the clot, is activated by tPA and other factors to become plasmin, which digests fibrin and dissolves the clot.

Q14. List the factors that limit clot formation and prevent undesirable clotting.

Background

Topic: Regulation of Clotting

This question examines your knowledge of the mechanisms that control clot size and prevent inappropriate clotting.

Key Terms:

  • Antithrombin III: plasma protein that inactivates thrombin

  • Heparin: anticoagulant that enhances antithrombin III

  • Nitric oxide and prostacyclin: substances that prevent platelet aggregation

Step-by-Step Guidance

  1. List the mechanisms that limit clot growth (e.g., removal of clotting factors, inhibition of activated factors).

  2. Describe the role of antithrombin III and heparin in inhibiting clotting.

  3. Explain how the endothelium prevents platelets from sticking and forming clots unnecessarily.

Try solving on your own before revealing the answer!

Final Answer:

Clot formation is limited by removal/dilution of clotting factors and inhibition by antithrombin III and heparin. Undesirable clotting is prevented by smooth endothelial lining and secretion of antithrombotic substances like nitric oxide and prostacyclin.

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