C HAPTER 6

BLOOD AND THE LYMPHATIC

AND IMMUNE SYSTEMS

Learning Objectives
Upon completion of this chapter, you will be able to

• Recognize the combining forms and suffixes introduced in this chapter.

• Gain the ability to pronounce medical terms and major anatomical structures.
• List the major components, structures, and organs of the blood and lymphatic and immune systems and their functions.
• Describe the blood typing systems.
• Discuss immunity, the immune response, and standard precautions.
• Identify and define blood and lymphatic and immune system anatomical terms.
• Identify and define selected blood and lymphatic and immune system pathology terms.
• Identify and define selected blood and lymphatic and immune system diagnostic procedures.
• Identify and define selected blood and lymphatic and immune system therapeutic procedures.
• Identify and define selected medications associated with blood and the lymphatic and immune systems.
• Define selected abbreviations associated with blood and the lymphatic and immune systems.

© 2013 Pearson Education, Inc. 133

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6A
New Combining Form and Suffix Handout
Directions: For each combining form below, write out its meaning and then locate a new term from
the chapter that uses the combining form or suffix.

Combining Forms Meaning Chapter Term Meaning

1. agglutin/o

2. bas/o

3. chrom/o

4. coagul/o

5. cyt/o

6. eosin/o

7. erythr/o

8. fibrin/o

9. fus/o

10. granul/o

11. hem/o

12. hemat/o

13. leuk/o

14. lymph/o

15. morph/o

16. neutr/o

17. sanguin/o

18. septic/o

19. thromb/o

20. adenoid/o

21. axill/o

22. immun/o

23. inguin/o

24. lymphaden/o

134 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
Combining Forms Meaning Chapter Term Meaning

25. lymphangi/o

26. nucle/o

27. path/o

28. splen/o

29. thym/o

30. tonsill/o

31. tox/o

Suffixes

32. -apheresis

33. -crit

34. -cytosis

35. -emia

36. -globin

37. -penia

38. -phil

39. -poiesis

40. -stasis

41. -edema

42. -globulin

© 2013 Pearson Education, Inc. 135

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6B
Medical Term Analysis
Directions: Below are terms built from word parts used in this chapter that are not analyzed in the
Word Building Table. Many are built from word parts you have learned in previous chapters. Analyze
each term presented below and list and define the word parts used to build each term.

Medical Term Word Part Analysis

1. basophil

2. eosinophil

3. lymphocyte

4. neutrophil

5. hemostasis

6. hematology

7. hematoma

8. hypochromic

9. morphology

10. phlebotomy

11. axillary

136 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
Medical Term Word Part Analysis

12. immunoglobulin

13. immunology

14. lymphadenitis

15. lymphangiography

16. immunotherapy

© 2013 Pearson Education, Inc. 137

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6C
Unscramble
Directions: Unscramble each medical term below. A definition for the term is given below
each scrambled term.

1. p l a i m e o h h i
Inherited lack of one blood-clotting factor

2. m t a m o a e h
A bruise

3. t r m b s o i s h
Abnormal condition of clots

4. g l u o t a e c a
Formation of blood clot

5. l m e o n h o b i g
Blood protein that transports oxygen

6. l a y t o p o g h
The study of disease

7. g y l r e a l
Hypersensitivity to common substance

8. l n m i a n f a o i t m
Tissue response to injury

9. c a n c n i a v i o t
Exposure to weakened pathogen to stimulate immunity

10. e l e n p s
Organ that removes worn-out erythrocytes

138 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6D
Sound It Out
Directions: The following are some of the key terms from this chapter written as their phonetic
spellings. Sound out each term and write it in the blank. Pronunciations for all terms are included in
the glossary at the end of the book and in the audio glossary located on Medical Terminology
Interactive.

1. an-tih-koh-AG-yoo-lant

2. hee-MAT-ik

3. an-NEE-mee-ah

4. hee-mah-toh-poy-EE-sis

5. eh-RITH-roh-sight

6. hee-moh-GLOH-bin

7. loo-KEE-mee-ah

8. LOO-koh-sigh-toh-sis

9. throm-BOH-sis

10. hee-moh-STAY-sis

11. PAN-sigh-toe-PEE-nee-ah

12. fleh-BOT-oh-mee

13. sep-tih-SEE-mee-ah

14. hee-moh-FILL-ee-ah

15. AL-er-jee

16. lim-fad-eh-NOP-ah-thee

17. im-yoo-noh-GLOB-yoo-lin

18. path-OL-oh-gee

19. in-flah-MA-shun

20. splen-oh-MEG-ah-lee

21. lim-FAN-jee-oh-gram

22. mon-oh-nook-lee-OH-sis

23. ton-sih-LEK-toh-mee

24. thigh-MOH-mah

25. ADD-eh-noy-DYE-tis
© 2013 Pearson Education, Inc. 139
Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6E
Word Search Puzzle
Directions: Find and circle the answer for each fill-in-the-blank question in the word search puzzle.

H H T E Z T B J T H U
E C I Q M Y T G R Y R
M T R V L B P X A J T
O A C M H D O I G H I
P R O T X D M L Y T C
H C T Z G E K M U V A
I S A K K M U T Y S R
L R M U R S C J T T I
I S E P T I C E M I A
A L H Z Y G R E L L A
A U T O I M M U N E N

1. A(n) is a blood test to measure the volume of red blood cells within
the total volume of blood.

2. is a cancer of leukocyte-forming red bone marrow.

3. is commonly called blood poisoning.

4. is commonly called a floating clot.

5. is an inherited condition in which the blood fails to clot.

6. The gland is an organ of the lymphatic system.

7. A(n) is a hypersensitivity to a common substance.

8. A(n) disease results when the body’s own immune system attacks
healthy body cells.

9. The test is a type of allergy testing.

10. is the severe itching associated with hives.

140 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6F
Crossword Puzzle
Directions: Use the definitions given to complete the crossword puzzle.

1 2

5 6 7

10

ACROSS DOWN

© 2013 Pearson Education, Inc. 141

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 3 ber of 1 r
each I e
type of n v
a leukoc h e
n yte e n
e 9 Test r t
m that i s
i mea t
a sure e c
, s d l
volu o
me l t
r
of a
e
red c f
s
bloo k o
u
d r
l
cells o m
t
10 Cancer f a
s
of t
leukocyt i
f e- v
r i o
forming n
o bone t
m a 4 Commonly called a
marrow bruise
l
5 Another name for
B thrombocytes
1 c
7 Venipuncture
2 l
o
d t
e t
f i
i n
c g
i
e f
n a
c c
y t
6 o
Bloo r
d 2
pois S
onin u
g b
8 s
T t
e a
st n
d c
et e
er
m t
in h
e a
s t
n
u
p
m
142 © 2013 Pearson Education, Inc.
Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Crossword Puzzle
Directions: Use the definitions given to complete the crossword puzzle.

1 2

5 6

ACROSS DOWN

© 2013 Pearson Education, Inc. 143

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 1 Medication 1 Another term for
to block anaphylactic shock
effects of 2 Autoimmune disease
histamine with fibrous lesions
4 Severe 3 Also called
itching with immunization
hives 6 Organ
5 Common that
name for remove
pharyngeal s
tonsils damag
8 Protein that ed red
transports blood
oxygen cells
9 Red, pain, 7 Gland
hot, swollen necessary
issue for
response to developme
injury nt of
immune
system

144 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Worksheet 6G
Chapter Review

Anatomy and Physiology

1. The formed elements of the blood are , , and

2. The watery fluid of blood is .

3. Three examples of plasma proteins are , , and

4. is the iron-containing pigment that gives red blood cells their color.

5. Platelets release , which initiates the blood-clotting process.

6. The universal donor is type blood; the universal recipient is type

blood.

7. are lymphatic vessels around the small intestine.

8. Lymph nodes house and to remove pathogens

from lymph.

9. Tonsils protect the body from invasion of pathogens through the or

system.

10. immunity develops following direct exposure to a pathogen.

Word Building

Directions: Build a term that means:

1. blood protein

2. pertaining to fibers

3. clotting cell

4. too many red cells

5. too few clotting (cells)

6. blood producing

7. enlarged spleen

8. removal of tonsils

© 2013 Pearson Education, Inc. 145

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 9. record of lymph vessels

10. study of disease

Matching

146 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 ___ ____ vera a. Body
__ _ attacks its
1. 9. ____ own cells
aller SCI _
gy DS 18. b. Prevents
C&S blood-clot
___ ____ formation
__ _ ____
2. 10. _ c. Born
infla vacci 19. with
mm natio phleb nonfunctioni
atio n otom ng immune
n y system
____
___ _ ____ d. To stop
__ 11. _ bleeding
3. prote 20.
urtic ase antic e. Bruise
aria inhib oagul
itor ant f. Severe
___ itching with
__ ____ ____ hives
4. _ _
auto 12. 21. g.
imm ELIS thro Immunizatio
une A mbol n
dise ytic
ase ____ h. Caused
_ ____ by vitamin
___ 13. _ B12
__ dyscr 22. deficiency
5. asia SMA
opp C i. Red bone
ortu ____ marrow
nisti _ ____ stops making
c 14. _ blood cells
hem 23.
___ ostas hema j.
__ is tocrit Hypersensiti
6. vity to
ana ____ ____ common
phyl _ _ allergen
axis 15. 24.
hem perni k. Dissolves
___ ophil cious clots
__ ia anem
7. ia l. Computer
Hod ____ that does
gkin _ ____ blood
’s 16. _ chemistry
dise aplast 25. tests
ase ic hema
anem toma m.
___ ia
__ Drug
8. ____
mon _ that
onu 17.
cleo polyc keeps
sis ythe
mia virus
© 2013 Pearson Education, Inc. 147
Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
from y. Caused by Name Date Score
Epstein-Barr
reprodu virus

cing n.

Cancer

of

lymphati

c cells in

lymph

nodes o.

Test to

identify

infecting

bacteria

p. Lab test for

AIDS

q. Infection
occurring in
immunocompr
omised

r. Measures
volume of
erythrocytes in
blood

s. General
term for blood
condition

t. Tissues’
response to
injury

u.
Venipuncture

v. Prolonged
blood-clotting
time

w. Life-
threatening
allergic reaction

x. Too many
red blood cells

148 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Quiz 6A
New Word Parts Quiz
Directions: Define the combining form or suffix in the spaces provided.

1. thromb/o

2. agglutin/o

3. chrom/o

4. coagul/o

5. erythr/o

6. fibrin/o

7. hemat/o

8. phag/o

9. leuk/o

10. morph/o

11. sanguin/o

12. eosin/o

13. thym/o

14. adenoid/o

15. tonsill/o

16. tox/o

17. splen/o

18. lymphaden/o

19. lymphangi/o

20. -cytosis

21. -globin

22. -poiesis

23. -penia

24. -stasis

© 2013 Pearson Education, Inc. 149

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Name Date Score

150 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Quiz 6B
Spelling Quiz
Directions: Write each term as your instructor pronounces it.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

© 2013 Pearson Education, Inc. 151

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Name Date Score

152 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Quiz 6C
Labeling Diagram
Directions: Label the components of whole blood.

1.

4.

2.

3.

© 2013 Pearson Education, Inc. 153

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Name Date Score

148 © 2013 Pearson Education, Inc

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Quiz 6D
Labeling Diagram
Directions: Label the organs of the lymphatic system.

© 2013 Pearson Education, Inc. 149

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
Name Date Score
 Quiz 6E
Word Building Quiz
Directions: Build a single medical term for each phrase below.

1. inflammation of adenoids

2. removal of lymph gland

3. lymph vessel tumor

4. disease producing

5. enlarged spleen

6. pertaining to tonsils

7. clot dissolving

8. vein incision

9. cell without granules

10. red cell

11. pertaining to insufficient color

12. blood protein

13. too few of all cells

14. rapid flow of blood

15. fiber producing

16. more than normal number of white cells

17. blood stopping

18. blood tumor

 Name Date Score

150 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Quiz 6F
Abbreviations Quiz
Directions: Write the medical term for which each abbreviation stands.

1. AIDS

2. GVHD

3. HD

4. Ig

5. mono

6. KS

7. NK

8. PCP

9. SCIDS

10. HIV

11. CBC

12. BMT

13. diff

14. ESR

15. HCT

16. Hgb

17. PA

18. PT

19. RBC

20. WBC

21. SMAC

22. lymphs

23. ALL

24. eosins

25. monos

© 2013 Pearson Education, Inc. 151

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Name Date Score

152 © 2013 Pearson Education, Inc.

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
 Quiz 6G
Chapter Review

PART I: Multiple Choice

Directions: Circle the correct answer.

1. A blood disorder characterized by 6. Which blood test measures the volume

excessive increase in abnormal white blood of erythrocytes in a given volume of
cells is blood?
a. Hodgkin’s disease. a. differential.
b. leukemia. b. bleeding time.
c. hemophilia. c. hematocrit.
d. leukoplakia. d. hemoglobin.

2. The lymph nodes located in the underarm 7. Which is a test for infectious mononucleosis?
region are termed a. menatocrit.
a. axillary. b. prothrombin time.
b. cervical. c. erythrocyte sedimentation rate.
c. mediastinal. d. monospot.
d. inguinal.
8. In which type of blood transfusion does
3. Which blood type is known as the universal the blood come from another person?
recipient? a. autohemotherapy.
a. type O. b. dialysis transfusion.
b. type A. c. autologous transfusion.
c. type B. d. homologous transfusion.
d. type AB.
9. The largest lymph vessels are called
4. An example of active acquired immunity a. ducts.
would be b. arteries.
a. mother’s antibodies crossing placenta. c. capillaries.
b. having the disease. d. angios.
c. receiving an antitoxin.
d. macrophages engulfing bacteria. 10. Which type of anemia is
inherited?
5. Which is not a type of leukocyte? a. pernicious anemia.
a. basophil. b. aplastic anemia.
b. eosinophil. c. sickle cell anemia.
c. hemocyte. d. iron-deficiency anemia.
d. lymphocyte.

© 2013 Pearson Education, Inc. 153

Fremgen, In-Class Activities to Accompany Medical Terminology: A Living Language, 5th Edition
PART II: Matching

Directions: Match the term with its definition.

_____ 1. platelets a. Increases number of erythrocytes

_____ 2. ABO b. Plasma and formed elements

_____ 3. whole blood c. Pharyngeal tonsils

_____ 4. septicemia d. Test for inflammation in the body

_____ 5. sed rate e. Acquired in a hospital

_____ 6. hematinic f. Play role in blood-clotting process

_____ 7. adenoids g. Caused by blocked lymph flow

_____ 8. nosocomial infection h. An autoimmune disease

_____ 9. lymphedema i. Blood poisoning

_____ 10. sarcoidosis j. Blood typing system

PART III: Abbreviations

Directions: Write the full meaning of the following abbreviations.

1. ARC

2. GVHD

3. PCP

4. CBC

5. PA
Chapter 6 Answer Keys
Worksheet 6A Answer Key
Combining Forms 16. neutral
1. clumping 17. blood
2. base 18. infection
3. color 19. clot
4. clotting 20. adenoids
5. cell 21. axilla, underarm
6. rosy red 22. protection
7. red 23. groin
8. fibers, fibrous 24. lymph node
9. pouring 25. lymph vessel
10. granules 26. nucleus
11. blood 27. disease
12. blood 28. spleen
13. white 29. thymus
14. lymph 30. tonsils
15. shape 31. poison

Suffixes
32. removal, carry away 38. attracted to
33. separation of 39. formation
34. more than normal number of 40. standing still
cells 41. swelling
35. blood condition 42. protein
36. protein
37. abnormal decrease, too few

Worksheet 6B Answer Key

1. bas/o = base; -phil = attracted to 10. phleb/o = vein; -otomy = incision into
2. eosin/o = red; -phil = attracted to 11. axill/o = axilla, underarm; -ary = pertaining to
3. lymph/o = lymph; -cyte = cell 12. immune/o = protection; -globulin = protein
4. neutr/o = neutral; -phil = attracted 13. immun/o = protection; -logy = study of
to 14. lymph/o = lymph; aden/o = gland;
5. hem/o = blood; -stasis = standing still -itis = inflammation
6. hemat/o = blood; -logy = study of 15. lymph/o = lymph; angi/o = vessel;
7. hemat/o = blood; -oma = growth -graphy = process of recording
8. hypo- = insufficient; chrom/o = color; 16. immun/o = protection; -therapy = treatment
-ic = pertaining to
9. morph/o = shape; -logy = study of

Worksheet 6C Answer Key

1. hemophilia 6. pathology
2. hematoma 7. allergy
3. thrombosis 8. inflammation
4. coagulate 9. vaccination
5. hemoglobin 10. spleen
Worksheet 6D Answer Key
1. anticoagulant 14. hemophilia
2. hematic 15. allergy
3. anemia 16. lymphadenopathy
4. hematopoiesis 17. immunoglobulin
5. erythrocyte 18. pathology
6. hemoglobin 19. inflammation
7. leukemia 20. splenomegaly
8. leukocytosis 21. lymphangiogram
9. thrombosis 22. mononucleosis
10. hemostasis 23. tonsillectomy
11. pancytopenia 24. thymoma
12. phlebotomy 25. adenoiditis
13. septicemia
Worksheet 6E Answer Key
1. hematocrit 6. thymus
2. leukemia 7. allergy
3. septicemia 8. autoimmune
4. embolus 9. scratch
5. hemophilia 10. urticaria

H H T E Z T B J T H U
E C I Q M Y T G R Y R
M T R V L B P X A J T
O A C M H D O I G H I
P R O T X D M L Y T C
H C T Z G E K M U V A
I S A K K M U T Y S R
L R M U R S C J T T I
I S E P T I C E M I A
A L H Z Y G R E L L A
A U T O I M M U N E N
Worksheet 6F Answer Key
Solution:

Solution:
Worksheet 6G Answer Key
Anatomy and Physiology
1. erythrocytes, leukocytes, platelets 6. O, AB
2. plasma 7. lacteals
3. albumin, globulins, fibrinogen 8. lymphocytes, antibodies
4. hemoglobin 9. respiratory, digestive
5. thromboplastin 10. active acquired
 Word Building
1. hemoglobin 6. hematopoiesis
2. fibrinous 7. splenomegaly
3. thrombocyte 8. tonsillectomy
4. erythrocytosis 9. lymphangiogram
5. thrombopenia 10. pathology

Matching
1. j 14. d
2. t 15. v
3. f 16. i
4. a 17. x
5. q 18. o
6. w 19. u
7. n 20. b
8. y 21. k
9. c 22. l
10. g 23. r
11. m 24. h
12. p 25. e
13. s

Quiz 6A Answer Key

1. clot 13. thymus
2. clumping 14. adenoids
3. color 15. tonsils
4. clotting 16. poison
5. red 17. spleen
6. fibers, fibrous 19. lymph node
7. blood 20. lymph vessel
8. eat, swallow 21. more than the normal number of cells
9. white 22. protein
10. shape 23. formation
11. blood 24. abnormal decrease, too few
12. rosy red 25. standing still
Quiz 6B Answer Key
1. hematopoiesis 11. hematocrit
2. erythrocyte 12. phlebotomy
3. eosinophil 13. plasmapheresis
4. thromboplastin 14. macrophage
5. leukocytopenia 15. vaccination
6. dyscrasia 16. lymphadenopathy
7. septicemia 17. anaphylaxis
8. hypochromic 18. urticaria
9. pernicious 19. immunodeficiency
10. thalassemia 20. sarcoidosis
Quiz 6C Answer Key
1. plasma 3. platelets or thrombocytes
2. red blood cells or erythrocytes 4. white blood cells or leukocytes

Quiz 6D Answer Key

1. thymus gland 4. spleen
2. lymph node 5. lymphatic vessels
3. tonsil

Quiz 6E Answer Key

1. adenoiditis 10. erythrocyte
2. lymphadenectomy 11. hypochromic
3. lymphangioma 12. hemoglobin
4. pathogenic 13. pancytopenia
5. splenomegaly 14. hemorrhage
6. tonsillar 15. fibrinogen
7. thrombolytic 16. leukocytosis
8. phlebotomy 17. hemostasis
9. agranulocyte 18. hematoma

Quiz 6F Answer Key

1. acquired immunodeficiency syndrome 14. erythrocyte sedimentation rate
2. graft versus host disease 15. hematocrit
3. Hodgkin’s disease 16. hemoglobin
4. immunoglobulins 17. pernicious anemia
5. mononucleosis 18. pro-time
6. Kaposi’s sarcoma 19. red blood cell
7. natural killer cells 20. white blood cell
8. Pneumocystis carinii pneumonia 21. sequential multiple analyzer computer
9. severe combined immunodeficiency syndrome 22. lymphocytes
10. human immunodeficiency virus 23. acute lymphocytic leukemia
11. complete blood count 24. eosinophils
12. bone marrow transplant 25. monocytes
13. differential
Quiz 6G Answer Key
Multiple Choice
1. b 6. c
2. a 7. d
3. d 8. d
4. b 9. a
5. c 10. c
Matching
1. f 6. a
2. j 7. c
3. b 8. e
4. i 9. g
5. d 10. h

Abbreviations
1. AIDS-related complex 4. complete blood count
2. graft versus host disease 5. pernicious anemia
3. Pneumocystis carinii pneumonia