1.
Blood does not
Correct Answer
D. Produce plasma hormones.
Explanation
Blood does not produce plasma hormones. Hormones are produced by endocrine glands such as the pituitary gland, thyroid gland, and adrenal glands. These hormones are then released into the bloodstream to be transported to target cells and organs where they regulate various bodily functions. While blood plays a crucial role in transporting hormones, it does not produce them itself.
2.
The buffy coat does not contain
Correct Answer
C. Erythrocytes
Explanation
The buffy coat is a layer of blood that contains white blood cells and platelets. It does not contain erythrocytes, which are red blood cells responsible for carrying oxygen.
3.
The hematocrit is _____ of the total blood volume
Correct Answer
E. 37% to 52%
Explanation
The correct answer is 37% to 52%. Hematocrit is a measure of the percentage of red blood cells in the total blood volume. A normal hematocrit range for men is typically between 37% and 52%, while for women it is usually between 36% and 48%. This range is important for assessing the oxygen-carrying capacity of the blood and diagnosing conditions such as anemia or polycythemia.
4.
_____ is not found in plasma
Correct Answer
A. Glycogen
Explanation
Glycogen is not found in plasma because it is a storage form of glucose in the liver and muscles, not a component of blood plasma. Plasma is the liquid component of blood that contains various proteins, electrolytes, hormones, and waste products, but not glycogen. Glycogen is converted into glucose when the body needs energy, and glucose can be found in plasma.
5.
____ is a protein not commonly found in plasma
Correct Answer
E. Fibrinogen
Explanation
Fibrinogen is a protein not commonly found in plasma. Fibrinogen is an important protein involved in the clotting process of blood. It is converted into fibrin during the clotting process, which helps in the formation of blood clots. While albumin, hemoglobin, transferrin, and prothrombin are all proteins commonly found in plasma, fibrinogen is an exception and is not commonly found in plasma.
6.
____ would not decrease colloid osmotic pressure (COP) in blood
Correct Answer
B. A diet predominantly based on red meat
Explanation
A diet predominantly based on red meat would not decrease colloid osmotic pressure (COP) in blood. COP is primarily determined by the concentration of proteins in the blood, specifically albumin. Red meat is a good source of protein, so a diet rich in red meat would likely provide an adequate amount of protein to maintain COP. Severe liver failure, starvation, an extremely low-protein diet, and hypoproteinemia can all lead to a decrease in COP as they result in a decrease in protein levels in the blood.
7.
____ is the most abundant protein in plasma
Correct Answer
D. Albumin
Explanation
Albumin is the most abundant protein in plasma. It is synthesized in the liver and plays a crucial role in maintaining osmotic pressure, transporting various substances such as hormones, fatty acids, and drugs, and regulating pH. It is responsible for maintaining the balance of fluids between the blood vessels and tissues. Insulin is a hormone produced by the pancreas that regulates blood sugar levels. Creatine is a compound found in muscle cells that provides energy for muscle contractions. Bilirubin is a yellow pigment produced during the breakdown of red blood cells. Creatinine is a waste product of muscle metabolism that is excreted by the kidneys.
8.
Serum is essentially identical to plasma except for the absence of __________.
Correct Answer
A. Fibrinogen
Explanation
Serum is the liquid component of blood that remains after the blood has clotted and the clot has been removed. It is very similar to plasma, but it lacks fibrinogen, which is a protein involved in blood clotting. This is why serum is often used in laboratory tests and medical procedures that require the absence of clotting factors. Therefore, the correct answer is fibrinogen.
9.
Tissues can become edematous (swollen) when
Correct Answer
B. There is hyperproteinemia.
Explanation
When tissues become edematous (swollen), it means that there is an abnormal accumulation of fluid in the tissues. One possible cause of tissue edema is high colloid osmotic pressure (COP). However, the correct answer states that tissues can become edematous when there is hyperproteinemia. Hyperproteinemia refers to an increased level of proteins in the blood. Proteins play a crucial role in maintaining the balance of fluid in the body. Therefore, when there is an excess of proteins in the blood, it can lead to fluid accumulation in the tissues, resulting in edema.
10.
Myeloid hemopoiesis in adults happens in the
Correct Answer
C. Red bone marrow
Explanation
In adults, myeloid hemopoiesis occurs in the red bone marrow. Red bone marrow is responsible for the production of red blood cells, white blood cells, and platelets. It is found in the spongy bone, such as the vertebrae, ribs, sternum, and pelvis. The red bone marrow contains stem cells that differentiate into various blood cell types, ensuring the continuous production of these cells throughout life. The other options listed (thymus, spleen, yellow bone marrow, and liver) are not involved in myeloid hemopoiesis in adults.
11.
The viscosity of blood is due more to _____________ than to any other factor.
Correct Answer
D. Erythrocytes
Explanation
The viscosity of blood is due more to erythrocytes than to any other factor. Erythrocytes, or red blood cells, are the most abundant cells in the blood and contribute significantly to its viscosity. Their shape, size, and concentration in the blood affect its flow properties. The presence of erythrocytes causes blood to be thicker and more resistant to flow, leading to its higher viscosity.
12.
Erythrocytes transport oxygen and
Correct Answer
E. Transport some carbon dioxide.
Explanation
Erythrocytes, or red blood cells, are responsible for transporting oxygen from the lungs to the body's tissues. However, they also play a role in transporting some carbon dioxide, which is a waste product of cellular respiration. As blood circulates through the body, erythrocytes pick up carbon dioxide from the tissues and carry it back to the lungs, where it is expelled during exhalation. This helps to maintain the balance of gases in the body and ensure that oxygen is efficiently transported to the tissues.
13.
Most oxygen is transported bound to
Correct Answer
E. Heme groups in hemoglobin.
Explanation
Oxygen is transported in the blood by binding to the heme groups in hemoglobin. Hemoglobin is a protein found in red blood cells, and each hemoglobin molecule contains four heme groups. These heme groups have iron ions that bind to oxygen molecules, allowing for efficient oxygen transport throughout the body. The plasma membrane of erythrocytes, alpha chains, beta chains, and delta chains in hemoglobin are not directly involved in the binding and transport of oxygen.
14.
If all the molecules of hemoglobin contained in RBCs were free in the plasma,
Correct Answer
D. It would significantly increase blood osmolarity
Explanation
If all the molecules of hemoglobin contained in RBCs were free in the plasma, it would significantly increase blood osmolarity. Hemoglobin is a large protein molecule that has a high molecular weight. When it is contained within red blood cells, it does not contribute to the osmolarity of the blood. However, if it were free in the plasma, it would add to the overall solute concentration and increase the osmolarity of the blood. This would have implications for fluid balance and could potentially lead to changes in cell volume and function.
15.
An increased erythropoietin (EPO) output by the kidneys would lead to all of the following except
Correct Answer
A. Increased hypoxemia
Explanation
An increased erythropoietin (EPO) output by the kidneys would lead to increased RBC production, increased blood viscosity, increased hematocrit, and increased blood osmolarity. However, it would not lead to increased hypoxemia. Hypoxemia refers to a low level of oxygen in the blood, and increased EPO output would actually stimulate the production of more red blood cells, which would help to increase oxygen-carrying capacity and potentially alleviate hypoxemia.
16.
Many RBCs die in the
Correct Answer
B. Spleen and liver
Explanation
RBCs have a lifespan of around 120 days, after which they are removed from circulation and broken down. The spleen and liver play a crucial role in this process. The spleen filters the blood, removing old and damaged RBCs, while the liver breaks down the components of the RBCs, such as hemoglobin, for recycling. Therefore, the spleen and liver are responsible for the elimination of many RBCs from the body.
17.
All these can lead to polycythemia except
Correct Answer
B. Iron deficiency
Explanation
Polycythemia is a condition characterized by an increased number of red blood cells in the bloodstream. Iron deficiency is not a cause of polycythemia, but rather a condition that can lead to anemia, which is characterized by a decrease in the number of red blood cells. Polycythemia can be caused by factors such as dehydration, emphysema, and excessive aerobic exercise, as these conditions can lead to an increase in the production of red blood cells. Additionally, certain cancers of the erythropoietic line of the red bone marrow can also cause polycythemia.
18.
______________ is more likely to cause anemia than any of the other factors below.
Correct Answer
C. Renal disease
Explanation
Renal disease is more likely to cause anemia than any of the other factors listed. Renal disease can lead to a decrease in the production of erythropoietin, a hormone that stimulates the production of red blood cells in the bone marrow. Without enough erythropoietin, the body is unable to produce an adequate number of red blood cells, leading to anemia. High altitude, air pollution, smoking, and any factor that creates a state of hypoxemia may contribute to anemia, but they are not directly linked to the decreased production of erythropoietin like renal disease.
19.
Anemia has these potential consequences except
Correct Answer
A. Blood viscosity is increased
Explanation
Anemia is a condition characterized by a decrease in the number of red blood cells or a decrease in the amount of hemoglobin in the blood. This leads to a reduced oxygen-carrying capacity of the blood. The potential consequences of anemia include lethargy, reduced blood osmolarity, reduced blood resistance to flow, and more fluid transferring from the bloodstream to the intercellular spaces. However, one consequence that does not occur in anemia is an increase in blood viscosity. Anemia actually leads to a decrease in blood viscosity due to the reduced number of red blood cells or hemoglobin.
20.
What is the final product of the breakdown of the organic nonprotein moiety of hemoglobin?
Correct Answer
B. Bilirubin
Explanation
Bilirubin is the final product of the breakdown of the organic nonprotein moiety of hemoglobin. When hemoglobin is broken down, heme is converted into biliverdin, which is then further converted into bilirubin. Bilirubin is then released into the bloodstream and transported to the liver where it is conjugated and eventually excreted in the bile.
21.
Correction of hypoxemia is regulated by
Correct Answer
D. A negative feedback loop.
Explanation
The correction of hypoxemia is regulated by a negative feedback loop. In this mechanism, when the oxygen levels in the body decrease (hypoxemia), it triggers a response to increase the oxygen supply. This response includes increasing the respiratory rate and depth, increasing heart rate, and constricting blood vessels to redirect blood flow to vital organs. Once the oxygen levels return to normal, the feedback loop reduces the response, maintaining homeostasis. This negative feedback loop helps to regulate and stabilize oxygen levels in the body.
22.
A deficiency of _____________ can cause pernicious anemia.
Correct Answer
C. Vitamin B12
Explanation
A deficiency of vitamin B12 can cause pernicious anemia. Vitamin B12 is essential for the production of healthy red blood cells. Without enough vitamin B12, the body is unable to properly form red blood cells, leading to pernicious anemia. This condition can cause fatigue, weakness, shortness of breath, and other symptoms. It is important to ensure an adequate intake of vitamin B12 through diet or supplements to prevent pernicious anemia.
23.
Sickle-cell disease is not
Correct Answer
D. A cause of malaria
Explanation
Sickle-cell disease is caused by a recessive allele that modifies the structure of hemoglobin, resulting in abnormal red blood cells. These sickle-shaped cells can cause blockages in blood vessels, leading to various health issues. However, carriers of the sickle-cell trait, who have one copy of the allele, are actually protected against malaria. Malaria is caused by the Plasmodium parasite, which cannot easily invade and reproduce in sickle-shaped red blood cells. Therefore, the presence of the sickle-cell allele in carriers provides an advantage against malaria infection.
24.
The ABO blood group is determined by _____________ in the plasma membrane of RBCs.
Correct Answer
A. Glycolipids
Explanation
The ABO blood group is determined by glycolipids in the plasma membrane of RBCs. Glycolipids are molecules that consist of a carbohydrate chain attached to a lipid. These glycolipids act as antigens on the surface of red blood cells and are recognized by antibodies in the plasma. The presence or absence of specific glycolipids determines an individual's blood type, whether it is A, B, AB, or O. The antibodies in the plasma can bind to these glycolipids, leading to agglutination or clumping of the red blood cells.
25.
Type A blood can safely donate RBCs to _____________ and can receive RBCs of type ___________.
Correct Answer
B. AB; O
Explanation
Type A blood can safely donate RBCs to individuals with AB blood type because individuals with AB blood type have both A and B antigens on their red blood cells, and individuals with type A blood have A antigens. Type A blood can receive RBCs of type O because individuals with type O blood have neither A nor B antigens on their red blood cells, making it compatible with type A blood.