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Chapter 18 The Circulatory System

front 1

Identify which of the following are functions of the circulatory system.

back 1

Buffers acids and bases

Limits the spread of infection

Transports nutrients and gases

front 2

Lymphocytes, eosinophils, neutrophils, and monocytes are all examples of

back 2

leukocytes

front 3

Blood is a fluid connective tissue. Its fluid matrix is called

back 3

plasma

front 4

Hematology is the study of

back 4

blood

front 5

The formed elements of blood are platelets, erythrocytes, and five type of leukocytes, which include eosinophils, basophils, neutrophils, monocytes, and

back 5

lymphocytes

front 6

The cardiovascular (not circulatory) system includes the

back 6

heart and blood vessels

front 7

List in order the events of a platelet plug formation.

back 7

Contact with collagen of a broken vessel or another rough surface

Platelets grow long spiny pseudopods

Platelets stick to each other

The pseudopods then contract and draw the vessel walls together

This mass of platelets forms a platelet plug

front 8

Describe normal erythrocytes

back 8

Discoidal cells with a bioconclave shape and contain hemoglobin to transport gases like oxygen

front 9

When a person receives a transfusion from a compatible blood type:

back 9

no change in the person's blood type occurs

front 10

The main components of blood are a fluid portion called ____ and formed elements that include erythrocytes, leukocytes, and _____

back 10

plasma, platelets

front 11

Name the specific protein in the cytoplasm of red blood cells that transports gases in the blood

back 11

hemoglobin

front 12

Define hemopoiesis

back 12

The process of formation of all the blood formed elements

front 13

List the leukocytes from most abundant to least abundant

back 13

Neutrophils

Lymphocytes

Monocytes

Eosinophils

Basophils

front 14

The bioconcave blood cells that lack a nucleus and other organelles are called

back 14

erythrocytes

front 15

Basophils release _____ and ______

back 15

heparin and histamine

front 16

_____ is the process of development of white blood cells

back 16

leukopoiesis

front 17

List the ways that the body uses iron

back 17

Nearly all cells use Fe2+ to make electron-transport molecules (cytochromes) in their mitochondria

The muscles use Fe2+ to make the myoglobin

The bone marrow uses Fe2+ for hemoglobin synthesis

front 18

List the correct order for the steps of hemostasis

back 18

1) vascular spasm

2) platelet plug formation

3) blood coagulation

front 19

Iron is critical for the synthesis of _____, the oxygen-carrying protein in red blood cells

back 19

hemoglobin

front 20

The three components of the circulatory system are the blood vessels, the blood, and the

back 20

heart

front 21

The transport function of plasma includes the transport of

back 21

nutrients from the digestive system

front 22

Identify the characteristics of neutrophils

back 22

They are the most abundant leukocyte

They have nuclei of various shapes

front 23

The buffy coat is about 1% of the blood volume and it is composed of

back 23

leukocytes and platelets

front 24

Leukocytes called _____ function to destroy large parasites

back 24

eosinophils

front 25

Name three mechanisms that prevent inappropriate clotting

back 25

dilution of clotting factors

platelet repulsion caused by postacyclin

presence of anticoagulants such as heparin and antithrombin

front 26

The ____ are the least common of the formed elements of the blood

back 26

leukocytes

front 27

Which of the following cause hemolytic anemia?

back 27

penicillin allergy

sickle cell disease, thalassemia, malaria

blood type incompatibilities

snake and spider venom

front 28

Organize the sequence of events that lead to the disposal of the heme during RBC recycling

back 28

1) macrophages remove the iron

2) macrophages convert the heme into biliverdin

3) a yellow-green pigment called bilirubin is formed

front 29

Cell fragments produced from megakaryocytes are called ____

back 29

platelets

front 30

State the purpose of a differential WBC count

back 30

Determine the number and ratio of various leukocytes in a sample

front 31

List some causes of anemia

back 31

increased hemolysis, hemorrhage, and inadequate hemoglobin synthesis

front 32

A generalized condition in which there is too little hemoglobin or too few erythrocytes is

back 32

anemia

front 33

A blood clot consists of a meshwork formed of the protein called

back 33

fibrin

front 34

List the agranulocytes

back 34

monocytes and lymphocytes

front 35

Describe how various plasma components are continuously replaced in the body

back 35

water, nutrients, and electrolytes are obtained through absorption in the digestive tract

gamma globulins come from plasma cells

most proteins are produced by the liver

front 36

Albumin is the most abundant plasma protein. List its functions

back 36

pH buffering of plasma, solute transport, and maintenance of osmolarity

front 37

_____ is the process of platelet formation

back 37

thrombopoiesis

front 38

Place in the order the steps in iron metabolism from the moment it is absorbed from the intestine until it is distributed to be used in the body

back 38

1) Absorbed Fe2+ binds to transferrin in plasma

2) Some transferrin releases Fe2+ for storage in the liver

3) Fe2+ binds apoferritni to be stored as ferritin

4) Remaining transferrin goes to other organs where Fe2+ is used

front 39

Which describes leukemia?

back 39

A form of cancer that results in very high numbers of leukocytes and their precursors in he blood

front 40

List some causes of leukocytosis

back 40

infection, dehydration, and allergy

front 41

Match the precursos cell with the cells that arise from each

back 41

monoblast and monocyte

myeloblast and granulocyte

lymphoblast and lymphocyte

front 42

Define viscosity

back 42

resistance to flow due to the cohesion of its particles

front 43

The largest type of leukocyte (based on size) found circulating in the blood is the

back 43

monocyte

front 44

Thrombosis is more likely to occur in veins than in arteries because

back 44

blood flows more slowly and does not dilute thrombin and fibrin as rapidly

front 45

Name three clinical measurements that express the blood's ability to carry oxygen

back 45

hemoglobin concentration, hematocrit, and RBC count

front 46

In addition to water, the plasma consists of

back 46

ablumins, globulins, and fibrinogen

electrolytes, nutrients, and organic wastes

front 47

Leukocytes called _____ have a two-lobed nucleus and rosy to orange-colored granules when stained

back 47

eosinophils

front 48

Place in order the steps in iron metabolism from the moment of iron intake until it is absorbed from the digestive tract

back 48

1) a mixture of Fe2+ and Fe3+ is ingested

2) the stomach acid converts Fe3+ and Fe2+

3) Fe2+ binds to gastroferrin

4) Gastroferrin carries Fe2+ to intestine for absoprtion

front 49

Antigens on the surface of the erythrocyte membranes determine

back 49

blood type

front 50

A person with blood type B was accidentally given a transfusion of blood type A. List the consequences of this transfusion reaction.

back 50

hemolysis of RBCs occurs and hemoglobin is released over the next few hours to days

agglutinated RBCs block small blood vessels

front 51

Name the site of plasma proteins production

back 51

liver

front 52

_____ is the condition in which the platelet count is less than 100,000

back 52

thrombocytopenia

front 53

The process by which clots become more compact is called clot

back 53

retraction

front 54

Hemostasis typically involved ____ mechanisms of coagulation

back 54

both extrinsic and intrinsic

front 55

Indicate which of the following are the correct values of some characteristics of blood

back 55

total WBC count: 5,000-10,000

pH: 7.35-7.45

osomlarity: 280-296

volume in females: 4-5 L; volume in males: 5-6 L

front 56

The interaction of protein factors to produce a clot is called

back 56

coagulation

front 57

List, in order, the stages of erythropoiesis from least differentiated to most differentiated

back 57

hemopoiectic stem cell

colony-forming unit

eryhtroblast

reticulocyte

erythrocyte

front 58

Define hemostasis

back 58

physiological process that controls excessive bleeding

front 59

List two features of reticulocytes that differ from a mature red blood cell

back 59

reticulocytes have polyribosomes; RBCs do not

RBCs are more numerous; only 0.5-1.5% of circulating blood cells are reticulocytes

front 60

Identify the test that provides information about RBC, WBC, and platelet count

back 60

CBC

front 61

_____ is the rupture of red blood cells

back 61

hemolysis

front 62

People with blood type O are considered universal

back 62

donors

front 63

Myeloid hemopoiesis occurs in the ____, while lymphoid hemopoiesis occurs in _____

back 63

bone marrow; lymphatic organs

front 64

List some functions of proteins in plasma

back 64

transport of iron, copper, lipids, hydrophobic hormones

body defense

clotting

front 65

The ABO blood type _____ is sometimes called the universal recipient

back 65

AB

front 66

Place in order the main steps of development of white blood cells or leukopoiesis

back 66

hemopoietic stem cells (HSE)

colony forming units (CFU)

precursor cells (myeloblasts, monoblasts, lymphoblasts)

mature cells

front 67

Define eryhtopoiesis

back 67

production of RBCs

front 68

A blood cell called a ____ is the granulocyte whose granules contain heparin and histamine

back 68

basophil

front 69

Describe he role of erythopoietin

back 69

stimulates red blood cell production

front 70

Describe lymphocytes

back 70

a small cell with a large round nucleus

front 71

An excess of red blood cells is called

back 71

polycythemia

front 72

Name the most common ion found in the blood

back 72

sodium

front 73

Identify which of the following are functions of lymphocytes

back 73

Coordinate actions of other immune cells

"present" antigens to activate other cells of immune system

serve in immune memory

destroy cancer cells , cells infected with viruses, and foreign cells

front 74

The percentage of the blood's volume composed of erythrocytes is called the

back 74

hematocrit

front 75

List, in order, the events that occur during fibrinolysis

back 75

1) prekallikrein is converted to kallikrein

2) kallikrein catalyzes the formation of plasmin

3) plasmin dissolves the blood clot

front 76

When collagen in the wall of a blood vessel is exposed as a result of injury, _____ adhere and develop long, spiny pseudopods which draw the vessel walls back together

back 76

platelets

front 77

A blood clot that forms in an undamaged vessel is called a ______. If it breaks loose and travels through the bloodstream it is called a ______

back 77

thrombus, embolus

front 78

____ anemia is more common in women because of blood loss during menses

back 78

hemorrhagic

front 79

Name the result of coagulation

back 79

conversion of fibrinogen to fibrin

front 80

List functions of macrophages

back 80

phagocytize dead cells, destroy foreign antigens, and present antigens

front 81

High levels of bilirubin in the blood lead to a condition called

back 81

jaundice

front 82

A ____ is a mass of clotted blood in the tissues

back 82

hematoma

front 83

Describe the function of an antibody

back 83

to bind to an antigen and mark it for destruction

front 84

Name the erythrocyte-bound antigens used to determine the most common type of blood typing

back 84

A,B

front 85

Describe erythrocytes

back 85

they lack internal organelles and perform anaerobic fermentation

front 86

Two alpha and two beta protein chains form ____ hemoglobin

back 86

adult

front 87

The clinical values for the RBC and hemoglobin content of the blood differ significantly between women and men. List three factors that explain the difference

back 87

men have less body fat

women sustain menstrual losses

androgens stimulate RBC production

front 88

Bone marrow transplants are a treatment options for several conditions such as leukemia. Indicate which of the following statements are true

back 88

it is difficult to find compatible donors

up to one-third of patients die from complications

a graft-versus-host response may occur

front 89

Resulting in different blood types, red blood cells have specific antigens on their surfaces called

back 89

agglutinogens

front 90

The enzyme _____ converts fibrinogen into fibrin

back 90

thrombin

front 91

A ____ is a giant precursor cell with a multilobed nucleus which fragments to form platelets

back 91

megakaryocyte

front 92

Toxic end products of catabolism include _____ such as urea, which is a product of amino acid catabolism

back 92

nitrogenous wastes

front 93

Name the function of hemopoietic tissue

back 93

they produce the formed elements of blood

front 94

A clot is formed by a mesh framework of the protein called

back 94

fibrin

front 95

_____ leukemia is typified by uncontrolled production of agranulocytes (lymphocytes and monocytes) and agranulocyte precursors

back 95

lymphoid

front 96

Name the formed element of blood that transports both oxygen and carbon dioxide

back 96

erythrocytes

front 97

List some risks associated with polycythemia

back 97

increased blood viscosity, increased blood volume, and high blood pressure

front 98

List possible causes of hypoplastic or aplastic anemia

back 98

drugs and posions, viruses, radiation, and autoimmune disease

front 99

Monocytes that migrate into the tissues become phagocytes called

back 99

macrophages

front 100

Name the first response to a blood vessel injury

back 100

vascular spasm