1.8.1 The Mechanism of Blood Clotting (Structured Question 1 & 2)


Question 1:
(a)(i) Diagram below shows an electron micrograph of cellular components of human blood.


Based on Diagram I, explain how platelets help to stop bleeding when a wound occurs. [4 marks]

(ii)
A blood test shows that a man’s erythrocytes count is below normal.
Explain the possible consequences of this condition on his health.
What type of food should be included in his diet to improve this condition? [8 marks]


(b)
Diagram II shows the blood circulatory system in organism P and organism Q.


Based on Diagram II:
(i) Give one example of organism P and organism Q. [2 marks]

(ii)
Describe the similarities and differences between the blood circulatory system in organism P and organism Q. [6 marks]


Answer:

(a)(i)

  • Platelets clump together and produce thrombokinase.
  • Thrombokinase converts prothrombin to thrombin.
  • Thrombin converts fibrinogen (a type of soluble protein plasma) to fibrin (vitamin K is needed in the formation of prothrombin).
  • Fibrin forms a network to trap the erythrocytes
  • To form a clot

(a)(ii)

  • Less red blood cells to combine with oxygen
  • Less oxygen is transported to the body cells.
  • Less energy is produced
  • Resulting in tiredness/ pale looking appearance/ anaemia
  • Need food which is rich in iron
  • Examples: Cockles, liver, spinach


(b)(i)

P: Fish
Q: Human being

(b)(ii)

Similarities:

  • Both have a closed circulation
  • Blood flows in blood vessels

1.4.2 The Formation of the Interstitial Fluid and Lymph


The Formation of the Interstitial Fluid and Lymph
 
1. The blood from the arteries flows at a high pressure into the blood capillaries.
 
2. The high hydrostatic pressure in the capillaries forces the blood plasma to 
    leak out through the capillary walls into the space between the body cells.
 
3. The fluids that fill up the spaces between the cells is called tissue fluid or 
    interstitial fluid.
 
4. The interstitial fluid is made up of water, digested food, gases, hormones, 
    waste products, and small proteins from the blood.
 
5. The larger molecules like erythrocytes, platelets and plasma proteins 
    cannot pass through the capillary walls. Leucocytescan squeeze into the fine 
    pores between the capillary walls and pass through it.
 


6. The exchange of substances between the blood capillaries and the body cells 
    occurs in the interstitial fluid.
    (a)  Nutrients and oxygen diffuse from the blood through the interstitial fluid 
         into the body cells.
    (b)  Carbon dioxide and other waste products diffuse from the body cells 
          through the interstitial fluid into the blood.
 
7. There are two ways the interstitial fluid is returned to the circulatory system:
    (a)  About 90% of the interstitial fluid diffuses back into the blood 
         capillaries because the pressure in the capillary end of the venule is 
         lower than the arteriole end.
    (b)  The remaining 10%of the fluid diffuses into the lymph capillaries of the 
          lymphatic system. The fluid in the lymphatic vessels is known is 
          lymphEventually, the lymph will return to the circulatory system when 
          it flows into the subclavian veins in the shoulder.
 

1.4 The Lymphatic System

  1. The lymphatic system is part of the circulatory system, comprising a network of conduits called lymphatic vessels that carry a clear fluid called lymph directionally towards the heart.
  2. The lymphatic system consist of
    1. lymophatic vessels
    2. lymphatic capillaries
    3. lymph nodes
    4. spleen
    5. thymus


1.3.2 Consequences of Blood Clotting Related Problem



Haemophilia

  1. Haemophilia is a group of hereditary genetic disorders that impair the body's ability to control blood clotting or coagulation.
  2. As a result, minor injuries and internal bleeding can results in death owing to excessive loss of blood.

Thrombosis

  1. Thrombosis is the formation of a blood clot (thrombus) inside a blood vessel, obstructing the flow of blood through the circulatory system.
  2. When a blood vessel is injured, the body uses platelets and fibrin to form a blood clot to prevent blood loss.
  3. However, when a blood vessel is not injured, blood clots may form in the body under certain conditions such as a defective blood vessel causes the blood clotting factors to be released into the blood.
  4. When a blood clot can cause obstruction to the blood flow.
  5. If clotting occurs in the coronary artery, it is called coronary thrombosis. Coronary thrombosis can cause a heart attack.
  6. If it occurs in the artery in the brain, it will cause a stroke.
  7. Thrombosis may also cause atherosclerosis, which is the deposition of fat and cholesterol on the walls of arteries.



1.3.1 Mechanism of Blood Clotting



The figure below shows the mechanism of blood clotting.


  1. When a blood vessel is damaged, platelets will gather around the wound and coagulate.
  2. At the same time, an enzyme called thrombokinase will be released.
  3. Thrombokinase will convert the inactive prothrombin to the active thrombin.
  4. The thrombin will then catalyses the soluble fibrinogen to the insoluble fibrin.
  5. Fibrin will form a fibrous network to trap the blood cells and form the blood clot.

1.3 Blood Clotting


Hemostasis 

  1. Hemostasis is a process which causes bleeding to stop and keep blood within a damaged blood vessel. It is the first stage of wound healing.
  2. Blood clotting is an important part of hemostasis, wherein a damaged blood vessel wall is covered by a platelet and fibrin-containing clot to stop bleeding and begin repair of the damaged vessel.

Significant of Blood Clotting





1.2.6 Regulation of Blood Pressure


  1. Pressure is how much force exerted on one unit area of a surface.
  2. Blood pressure is the pressure exerted by the blood on the walls of the blood vessels.
  3. Sometime, it is also called the arterial blood pressure as it is the pressure in the arteries.

    Normal Blood Pressure

    1. When measuring blood pressure, we measure the
      1. systolic pressure (highest pressure measured in the aorta and the arteries during ventricular contraction)
      2. diastolic pressure (lowest pressure measured after the contraction of the heart while the chambers of the heart refill with blood.)
    2. For an adult, the normal systolic pressure is 120 mm Hg whereas the diastolic pressure is 80 mm Hg.
    3. However, blood pressure may varies throughout the day.



      Factors Affecting Blood Pressure

      1. Blood pressure can be affected by the following factors:
        1. Rate of heart beat
          Higher heart rate, higher blood pressure.
        2. Volume of blood in the body
          Bigger volume, higher blood pressure.
        3. Rate and volume of blood flow
          Higher rate and volume of blood flow, higher rate of heart pumping, higher blood pressure.
        4. Resistance of blood vessels
          Higher resistance (smaller blood vessels, rough blood vessel wall), higher blood pressure. 
       


      Regulation of Blood Pressure



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      1.2.5c Circulation of Blood in Humans

      1. The circulation of blood in human is due to the pumping of the heart.
      2. The cardiac muscles contract to produce heartbeat which pumps the blood to the whole body.

      The Cardiac Cycle

      ( Image by Madhero88 shared under the Creative Commons Attribution 3.0 Unported license. )


      1. The heartbeat is initiated by the sinoatrial node (also called the SAN or pacemaker) .
      2. The SAN consists of specialised cardiac muscle fibres that generates nerve impulses.
      3. From the SAN, the electrical impulses spread to the atrioventricular node (AVN) located at the base of the right atrium (See image above).
      4. Special muscle fibres called His Bundle and the Purkinje fibres then sends the impulses to the ventricles and then stimulates both ventricles to contract simultaneously and pumps the blood out of the heart.


      Contraction of the Skeletal Muscles Around Veins

      1. The blood pressure in the vein is low and hence make it hard for the blood to flow back to the heart.
      2. Therefore, there are skeletal muscles presence around the veins to help blood circulation.
      3. When the skeletal muscles contract, blood is forced to move along the veins.
      4. The valves in the veins prevent the back flow of the blood and hence direct the blood back to the heart.


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      1.2.5b The Heart


      (Image by unknown author under Creative Commons Attribution-Share Alike 3.0 Unported license.)

      Structure

      1. The human heart consist of four compartment:
        1. two upper chambers (left atrium and right atrium
        2. two lower chambers (left ventricle and right ventricle)
      2. The chamber to the right is separated from the chamber to the left by a wall called septum.

      The Atria and Ventricles

      1. The atria are smaller and have thinner wall compare to the ventricles.
      2. The ventricles have thicker wall because they have to pump the blood to other organs of the body with greater pressure.
      3. Also, the wall of the left ventricle is thicker than the right ventricle because the right ventricle only has to pump blood to the lungs whereas the left ventricle has to pump blood to all parts of the body. 

      The Valves

      1. The function of the valves in the heart are to prevent the back flow of blood.
      2. There are 4 valves in human heart (as shown in figure above):
        1. the tricuspid valve
        2. the bicuspid valve
        3. the semi-lunar valve
        4. the aortic valve

      Contraction of Heart

      1. The wall of the heart is made up of cardiac muscle, which is myogenic.
      2. Myogenic contraction is the contraction of muscle without nervous stimulation.
      3. Contraction of heart is started by sinoatrial node (also known as the pacemaker)


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      1.2.5a The Blood Vessels

      1. Three types of blood vessels
        1. artery
        2. vein
        3. capillary
      2. Artery: Carries blood from the heart to other parts of the body.
      3. Vein: Carries blood from other parts of the body back to the heart.
      4. The arteries divides into smaller branches called arterioles.
      5. The veins receives blood from smaller branches called venules.
      6. Capillaries: Blood vessels connect the arterioles and venules.
      7. Around the capillaries are body cells.

      (Image derived from the work of Kelvinsong and is shared under the Creative Commons Attribution-Share Alike 3.0 Unported license.)



      Comparison

      Artery Vein Capillary
      Main function Carries oxygenated blood from the to ather parts of the body Carries dexoygenated blood from the other parts of the body to the heart. Connect arterioles and venules.
      Allows exchange of materials between the blood and the cells.
      Blood Carries oxygenated blood except pulmonary artery Carries deoxygenated blood except pulmonary vein
      Valves No valves except pulmonary artery All have valves except pulmonary vein No valves
      Blood pressure High Low Very low
      Blood flow Rapid Slow Very slow
      Diagram
      Wall Thick muscular wall Thin wall and less muscular Thin wall, only one-cell thick
      Size of lumen Small lumen Big lumen Very small lumen
      Branches Arterioles Venules No


      (All 3 images in the table above are derived from the work of Kelvinsong and is shared under the Creative Commons Attribution-Share Alike 3.0 Unported license.


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