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NUR968 RBC Physiology & Pathophysiology Test With Solution

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NUR968 RBC Physiology & Pathophysiology Test With Solution...

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Uploaded on
August 16, 2024
Number of pages
63
Written in
2024/2025
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NUR968 RBC Physiology & Pathophysiology Test
With Solution


__: is the aqueous (water) medium or fluid part of the blood - ANSWER
Plasma

What substances are dissolved in plasma? (10) - ANSWER 1. Electrolytes

2. Proteins

3. Lipids

4. Carbohydrates

5. Amino acids

6. Vitamins

7. Hormones

8. Urea

9. Uric acid

10. Oxygen, carbon dioxide & nitrogen

True or false: Red blood cells, white blood cells & platelets are all suspended
in plasma - ANSWER True

In the plasma, what helps maintain osmolarity? - ANSWER The ions

What is the chief CATION in the plasma? - ANSWER Sodium (Na+)

What is the chief ANION in the plasma? - ANSWER Chloride (Cl-)

Many different proteins are dissolved in the plasma. The most abundant is

,what? - ANSWER Albumin

What does albumin do? - ANSWER Provides the critical osmotic or oncotic
pressure that regulates the movement of water in & out of the vascular space

-Think back to Starling's forces

What does the loss of plasma proteins into the extravascular space result in?
(4) - ANSWER 1. Ascites

2. Edema in closed cavities

3. Pleural effusions (lungs)

4. Pericardial effusions (heart)

What is the second largest group of plasma proteins? - ANSWER
Immunoglobulins

True or false: Other plasma proteins include the clotting factors, components
of the compliment cascade (part of the immune system), enzymes, enzyme
inhibitors & many others - ANSWER True

The RBC is a "bag" containing fluid & hemoglobin. The RBC takes on a
BICONCAVE shape with an average diameter of __ micrometers - ANSWER 7
micrometers

-RBC's can change shape & squeeze through capillaries (smaller than 7
micrometers)

What is the lifespan of a RBC? - ANSWER 120 days

Do RBCs contain a nucleus or mithochondria? - ANSWER No!

RBCs contain no nucleus or mitochondria yet they contain enzymes that are

,able to produce enough ATP to: (4) - ANSWER 1. Maintain ion composition

2. Maintain the cell membrane

3. Keep iron in the cell in the ferrous form (Fe+2) form which binds oxygen as
opposed to the ferric (Fe+3) form which does not bind oxygen

4. Prevent oxidation of the proteins in the RBC




What happens to the metabolic systems of the RBC as they age? - ANSWER
The metabolic systems of the RBC become progressively LESS ACTIVE as they
age thus, the cells become more fragile with age




Many RBCs self-destruct in the __ - ANSWER Spleen




True or false: Remember that the spleen has capillaries the size of 3
micrometers, thus the RBC must fold like a taco to squeeze through. This is
not a problem if the cell is healthy, but becomes a problem when the
membrane is fragile - ANSWER True




So how big are the capillaries of the spleen? - ANSWER 3 micrometers




-RBCs are 7 micrometers

-They must fold up & squeeze through

, -Not a problem unless the RBC membrane is fragile




What happens when the spleen is removed? - ANSWER When the spleen is
removed, the number of abnormally old RBC's greatly increase




-As an old RBC becomes frail, it will fall tear apart




RBC's first appear in the early weeks of embryonic life. Early cells are
produced in the __ __ - ANSWER Yolk sac




During the middle trimester, what predominately produces RBCs? - ANSWER
The LIVER is the main organ for production of RBC's followed by the SPLEEN
& lymph nodes




During the last trimester, & after birth, where are RBCs predominately
produced? - ANSWER Predominantly in the BONE MARROW




The bone marrow of ALL bones produces RBC's up to the age of __ years -
ANSWER 5 years




By the age of 20 years, most of the RBC's are produced by the membranous
bones such as the: (4) - ANSWER 1. Vertebrae
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