This MCQ module is based on: Blood Plasma Formed Elements
Blood Plasma Formed Elements
This assessment will be based on: Blood Plasma Formed Elements
Upload images, PDFs, or Word documents to include their content in assessment generation.
Blood — Plasma and the Formed Elements
All living cells have to be provided with nutrients, O₂ and other essential substances, and the waste or harmful substances produced have to be removed continuously for healthy functioning. Simple organisms manage this by moving the medium itself — sponges and coelenterates circulate water from their bodies to transport such materials. More complex animals need a dedicated fluid, and blood is the most commonly used body fluid for the purpose. Another fluid, lymph, also helps in the transport of certain substances.
15.1 Blood
| Component | Share of blood | What it is |
|---|---|---|
| Plasma | Nearly 55 per cent | The fluid matrix |
| Formed elements | Nearly 45 per cent | Erythrocytes, leucocytes and platelets |
15.1.1 Plasma
Plasma is a straw coloured, viscous fluid constituting nearly 55 per cent of the blood. 90–92 per cent of plasma is water and proteins contribute 6–8 per cent of it.
The three major plasma proteins and their jobs
| Protein | Function |
|---|---|
| Fibrinogen | Needed for clotting or coagulation of blood |
| Globulins | Primarily involved in defense mechanisms of the body |
| Albumins | Help in osmotic balance |
What else plasma carries
- Small amounts of minerals like Na⁺, Ca⁺⁺, Mg⁺⁺, HCO₃⁻, Cl⁻, etc.
- Glucose, amino acids, lipids, etc. — present in the plasma as they are always in transit in the body.
- Factors for coagulation or clotting of blood, also present in the plasma in an inactive form.
15.1.2 Formed Elements
Erythrocytes, leucocytes and platelets are collectively called formed elements, and they constitute nearly 45 per cent of the blood.
Erythrocytes — red blood cells
- Erythrocytes or red blood cells (RBC) are the most abundant of all the cells in blood.
- A healthy adult man has, on an average, 5 millions to 5.5 millions of RBCs mm⁻³ of blood.
- RBCs are formed in the red bone marrow in the adults.
- RBCs are devoid of nucleus in most of the mammals and are biconcave in shape.
- They have a red coloured, iron containing complex protein called haemoglobin, hence the colour and name of these cells.
- A healthy individual has 12–16 gms of haemoglobin in every 100 ml of blood. These molecules play a significant role in transport of respiratory gases.
- RBCs have an average life span of 120 days, after which they are destroyed in the spleen (graveyard of RBCs).
Leucocytes — white blood cells
Leucocytes are also known as white blood cells (WBC), as they are colourless due to the lack of haemoglobin. They are nucleated and are relatively lesser in number, which averages 6000–8000 mm⁻³ of blood. Leucocytes are generally short lived.
| WBC | Category | Percentage of total WBCs | Function |
|---|---|---|---|
| Neutrophils | Granulocyte | 60–65% — the most abundant | Phagocytic cells which destroy foreign organisms entering the body |
| Eosinophils | Granulocyte | 2–3% | Resist infections and are also associated with allergic reactions |
| Basophils | Granulocyte | 0.5–1% — the least | Secrete histamine, serotonin, heparin, etc., and are involved in inflammatory reactions |
| Lymphocytes | Agranulocyte | 20–25% | Of two major types, ‘B’ and ‘T’ forms; both are responsible for immune responses of the body |
| Monocytes | Agranulocyte | 6–8% | Phagocytic cells which destroy foreign organisms entering the body |
Platelets — thrombocytes
- Platelets, also called thrombocytes, are cell fragments produced from megakaryocytes (special cells in the bone marrow).
- Blood normally contains 1,50,000–3,50,000 platelets mm⁻³.
- Platelets can release a variety of substances, most of which are involved in the coagulation or clotting of blood.
- A reduction in their number can lead to clotting disorders, which will lead to excessive loss of blood from the body.
What to do. Study a prepared, stained human blood smear under the high power of a microscope. Systematically scan across the slide and, for the first hundred white cells you meet, tally which type each one is. Use the shape of the nucleus and the presence or absence of granules to decide. Then convert your tallies into percentages and compare them with the table above.
What you should find. Roughly 60 to 65 neutrophils out of your hundred — they are the most abundant cells of the total WBCs. Then about 20 to 25 lymphocytes, small cells with a large round nucleus filling most of the cell. About 6 to 8 monocytes, noticeably larger with a kidney-shaped nucleus. About 2 to 3 eosinophils, with coarse granules that take up the stain strongly. And you may well find no basophils at all in a hundred cells, since they are only 0.5 to 1 per cent — you would need to scan several hundred cells to be confident of meeting one.
The RBC : WBC ratio. RBCs number 5 to 5.5 million mm⁻³ and WBCs only 6000 to 8000 mm⁻³. That is a ratio of roughly 700 : 1 — so you must sweep past hundreds of red cells to find a single white one. This is exactly why a smear looks overwhelmingly red under the microscope.
How to tell the cells apart. First ask whether granules are visible in the cytoplasm: if yes it is a granulocyte (neutrophil, eosinophil or basophil); if not, an agranulocyte (lymphocyte or monocyte). Among granulocytes, the neutrophil's nucleus is lobed, the eosinophil's granules are large and uniform, the basophil's stain darkest. Among agranulocytes, the lymphocyte is small with little cytoplasm, the monocyte large with a bean-shaped nucleus.
Clinical relevance. This count is a real diagnostic test, the differential leucocyte count. A rise in neutrophils suggests bacterial infection; a rise in eosinophils suggests an allergic reaction or a parasitic infestation, consistent with eosinophils being associated with allergic reactions; a rise in lymphocytes suggests a viral infection.
🎯 Interactive: Pick a blood component
Amount / count: Nearly 55 per cent of blood
A straw coloured, viscous fluid. 90 to 92 per cent of plasma is water and proteins contribute 6 to 8 per cent. It also carries minerals, glucose, amino acids and lipids in transit, and the clotting factors in an inactive form.
🎯 Competency-Based Questions
Q1. Which values are abnormal, and what are the normal ranges? L3 Apply
Q2. What clinical problem would you expect in patient Q, and why? L3 Apply
Q3. Fill in the blanks: Plasma constitutes ______ per cent of blood, of which ______ per cent is water and ______ per cent proteins. The formed elements constitute ______ per cent. Plasma without clotting factors is called ______. L1 Remember
Q4. Patients R and S both have raised WBC fractions, yet their likely causes are quite different. Analyse. L4 Analyse
Q5. “Blood cannot be a connective tissue, because connective tissue holds things together and blood is a liquid that flows.” Evaluate. L5 Evaluate
(i) The definition is structural, not mechanical. A connective tissue is defined by cells suspended in an extracellular matrix, together with a mesodermal origin — not by whether it binds structures physically. Blood is a special connective tissue consisting of a fluid matrix, plasma, and formed elements: the formed elements are the cells, plasma is the matrix. The criterion is met exactly.
(ii) A matrix need not be solid. Compare the range within connective tissue itself: bone has a hard mineralised matrix, cartilage a firm one, areolar tissue a soft jelly, and blood a liquid. Fluidity places blood at one end of a continuum, not outside the category. NCERT signals this by calling it a special connective tissue.
(iii) Blood does connect. It is the tissue that links every organ to every other — carrying nutrients, O₂ and other essential substances to the cells and taking wastes away, delivering hormones, and distributing heat and immune cells. Functionally it is the most thoroughly connective tissue in the body.
A fair verdict: the objection would be sound if “connective” meant “binding”, but the histological definition rests on cells in a matrix of mesodermal origin, which blood satisfies. The lesson is a general one — biological categories are defined by stated criteria, not by what their names suggest.
🧠 Assertion–Reason Questions
For each pair choose: (A) Both A and R are true and R is the correct explanation of A. (B) Both A and R are true but R is not the correct explanation of A. (C) A is true but R is false. (D) A is false but R is true.
Assertion (A): RBCs have a limited life span of about 120 days.
Reason (R): RBCs are devoid of a nucleus in most mammals, so they cannot repair themselves or make new proteins.
Assertion (A): Blood does not clot inside intact blood vessels.
Reason (R): The factors for coagulation of blood are present in the plasma in an inactive form.
Assertion (A): Basophils are the most abundant of the white blood cells.
Reason (R): Basophils secrete histamine, serotonin and heparin, and are involved in inflammatory reactions.