Topics
6Chapter Overview
Overview
This chapter explains how transport of gases, nutrients, hormones, wastes and immune cells occurs in the human body. NCERT focuses mainly on blood, lymph, the human heart, blood vessels, cardiac cycle, double circulation and common circulatory disorders. Blood is a connective tissue made of plasma and formed elements. Lymph returns tissue fluid to blood and helps immunity. The four-chambered human heart pumps blood through pulmonary and systemic circuits. The cardiac cycle explains rhythmic systole and diastole, while ECG records electrical activity of the heart. NEET frequently asks blood groups, coagulation, cardiac output, heart sounds, hypertension, CAD and double circulation.
- 1Transport systems maintain homeostasis by distributing materials and removing wastes.
- 2Human circulation is closed, double and complete because blood remains in vessels and passes twice through the heart in one complete circuit.
- 3NCERT values such as 5 litres blood volume, 55 percent plasma, 45 percent formed elements, 72 beats per minute and 5 litres per minute cardiac output are high-yield.
- 4Pulmonary circulation oxygenates blood; systemic circulation supplies oxygenated blood to tissues.
- 5ECG waves represent electrical events: P wave for atrial depolarisation, QRS for ventricular depolarisation and T wave for ventricular repolarisation.
Chapter Order Trick
Remember the chapter flow as B-L-H-C-D-D: Blood, Lymph, Heart, Cardiac cycle, Double circulation, Disorders.
NEET Number Pack
Keep 55-45-72-70-5 together: plasma 55 percent, formed elements 45 percent, heart rate 72/min, stroke volume 70 mL, cardiac output about 5 L/min.
Daily Life Connection
When you run, muscles need more oxygen. Heart rate and cardiac output rise so blood can deliver more oxygen and remove carbon dioxide faster.
Mixing Blood and Lymph
Lymph is not identical to blood. It lacks RBCs and has fewer proteins, but contains lymphocytes and returns tissue fluid to blood.
Single vs Double Circulation
Humans do not have single circulation like fishes. In one complete circulation, blood passes through the heart twice.
Amount of blood pumped by each ventricle per minute. In a healthy adult, it is approximately 70 mL × 72 min⁻¹ = 5040 mL min⁻¹, about 5 L min⁻¹.
Variables
CO=Cardiac output in mL per minute or L per minute
SV=Stroke volume, blood pumped by one ventricle per beat
HR=Heart rate, number of beats per minute
Blood
Overview
Blood is a specialized fluid connective tissue that transports gases, nutrients, hormones, wastes and immune components. It consists of plasma, the straw-coloured fluid matrix, and formed elements: RBCs, WBCs and platelets. Plasma contains water, proteins, ions, nutrients, hormones and wastes. RBCs are biconcave, enucleated cells rich in haemoglobin and transport oxygen. WBCs are nucleated immune cells classified as granulocytes and agranulocytes. Platelets are cell fragments that help blood coagulation. Blood grouping depends on antigens present on RBCs, mainly ABO and Rh systems. In NEET, blood composition, cell counts, universal donor/recipient and clotting factors are frequently tested.
- 1Plasma proteins include fibrinogen for clotting, globulins for defence and albumins for osmotic balance.
- 2Erythrocytes are formed in red bone marrow and have an average lifespan of about 120 days.
- 3Neutrophils and lymphocytes are the most abundant WBCs and are high-yield for NEET.
- 4Platelet deficiency can cause clotting disorders and excessive bleeding.
- 5AB blood group is universal recipient for RBC transfusion; O negative is commonly considered universal donor.
- 6Rh incompatibility is prevented clinically by anti-Rh antibodies after first delivery.
Plasma Proteins
FAB: Fibrinogen for clotting, Albumin for osmotic balance, Globulin for defence.
ABO Antibody Logic
Your plasma carries antibodies against the antigen you do not have. A has anti-B, B has anti-A, O has both, AB has none.
WBC Types
Never Let Monkeys Eat Bananas: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils.
Blood Donation
Before transfusion, ABO and Rh matching is checked to prevent agglutination caused by antigen-antibody reactions.
Clot at a Cut
When skin is cut, platelets stick to the injured site and trigger fibrin formation, preventing excessive blood loss.
Universal Donor Confusion
For RBC transfusion, O negative is safest universal donor, but plasma transfusion rules are different. NEET usually asks RBC transfusion unless stated otherwise.
RBC Nucleus Error
Mature human RBCs are enucleated. Do not generalize this to all vertebrates.
Platelets as Cells
Platelets are cell fragments derived from megakaryocytes, not complete typical cells.
Percentage of blood volume occupied by RBCs. It approximately corresponds to the formed element fraction, especially RBCs.
Variables
RBC volume=Packed red blood cell volume after centrifugation
Total blood volume=Total volume of blood sample
Lymph
Overview
Lymph is a colourless fluid formed when tissue fluid enters lymphatic capillaries. As blood passes through capillaries, some plasma and small molecules filter into intercellular spaces, forming tissue fluid. Most returns directly to blood, while the remaining fluid enters lymph vessels and becomes lymph. Lymph is similar to plasma but has fewer proteins, no RBCs and many lymphocytes. It transports absorbed fats from intestinal lacteals, returns excess tissue fluid to blood and supports immunity. Lymphatic vessels ultimately drain into large veins near the heart. Lymphoid organs such as lymph nodes, spleen, thymus and tonsils help filter pathogens and produce immune responses.
- 1Lymph acts as a middle link between blood and tissue cells.
- 2Exchange of nutrients and gases occurs through tissue fluid, not by direct contact of most cells with blood.
- 3Lymph flow is slow and assisted by skeletal muscle contraction and valves.
- 4Lymphatic capillaries are blind-ended and highly permeable.
- 5The immune role of lymph is mainly due to lymphocytes and lymphoid organs.
Lymph Functions
RFI: Return fluid, Fat absorption, Immunity.
Lymph is Like Plasma
Think: lymph is plasma minus many proteins and minus RBCs, plus many lymphocytes.
Swollen Lymph Nodes
During throat infection, cervical lymph nodes may swell because lymphocytes multiply and pathogens are filtered there.
Edema Connection
If lymph drainage is blocked, excess tissue fluid accumulates, causing swelling.
Calling Lymph Red
Lymph is colourless because it does not contain RBCs or haemoglobin.
Ignoring Fat Transport
Lymph is not only for immunity. Intestinal lacteals absorb dietary fats into lymph.
A conceptual balance showing why lymphatic drainage is necessary to prevent fluid accumulation in tissues.
Variables
Filtered fluid=Plasma-derived fluid leaving blood capillaries
Returned fluid=Fluid reabsorbed directly into venous end of capillaries
Lymph=Excess tissue fluid entering lymphatic vessels
Human Circulation
Overview
Human circulation is a closed circulatory system driven by a four-chambered muscular heart. The right atrium receives deoxygenated blood from the venae cavae and sends it to the right ventricle, which pumps it to lungs through the pulmonary artery. The left atrium receives oxygenated blood from pulmonary veins and sends it to the left ventricle, which pumps it through the aorta to the body. Valves prevent backflow. The conducting system includes SA node, AV node, bundle of His and Purkinje fibres, ensuring rhythmic contraction. Arteries carry blood away from the heart, veins carry blood toward the heart and capillaries allow exchange.
- 1Pulmonary artery is exceptional because it carries deoxygenated blood away from the heart.
- 2Pulmonary veins are exceptional because they carry oxygenated blood toward the heart.
- 3The left ventricle has the thickest wall because it pumps blood to the entire body.
- 4The conducting system coordinates atrial systole followed by ventricular systole.
- 5Semilunar valves at the base of aorta and pulmonary artery prevent backflow into ventricles.
Valve Positions
Try Before Leaving: Tricuspid on right before lungs; Bicuspid on left before body.
Impulse Path
SABP: SA node → AV node → Bundle of His → Purkinje fibres.
Pulse Feeling
The pulse at the wrist is due to pressure waves in arteries produced by ventricular systole.
Varicose Veins
Weak venous valves can allow pooling of blood, producing swollen veins, often in legs.
Artery Means Oxygenated
Artery means away from heart, not always oxygenated. Pulmonary artery carries deoxygenated blood.
Vein Means Deoxygenated
Vein means toward heart. Pulmonary veins carry oxygenated blood.
Pacemaker Confusion
SA node is the natural pacemaker, not AV node.
If one cardiac cycle takes 0.8 s, heart rate is 60/0.8 = 75 beats per minute, close to the NCERT average of 72 beats per minute.
Variables
Heart Rate=Number of heartbeats per minute
Duration=Time taken for one complete heartbeat in seconds
Cardiac Cycle
Overview
The cardiac cycle is the sequence of events completed during one heartbeat. At an average heart rate of about 72 beats per minute, one cycle lasts about 0.8 seconds. It includes joint diastole, atrial systole and ventricular systole. During joint diastole, all chambers relax and blood flows passively into ventricles. Atrial systole completes ventricular filling. Ventricular systole closes AV valves, produces the first heart sound, and pumps blood into aorta and pulmonary artery. Ventricular relaxation closes semilunar valves, producing the second heart sound. ECG records electrical activity: P wave, QRS complex and T wave, which correspond to atrial and ventricular electrical events.
- 1Atrial systole increases ventricular filling but most filling occurs passively during diastole.
- 2Ventricular systole raises ventricular pressure, forcing semilunar valves to open.
- 3AV valves prevent backflow into atria during ventricular systole.
- 4T wave represents ventricular repolarisation, not atrial relaxation.
- 5ECG is useful for detecting rhythm abnormalities and myocardial problems.
Cardiac Cycle Durations
Remember 4-1-3 in a total of 8 tenths: joint diastole 0.4 s, atrial systole 0.1 s, ventricular systole 0.3 s.
Heart Sounds
LUB closes AV doors before ventricles pump; DUB closes arterial doors after pumping.
ECG Waves
P for Push by atria, QRS for Quick ventricular squeeze, T for Tired ventricles relaxing.
Stethoscope Sounds
Doctors hear lub-dub sounds to check valve function and rhythm. Murmurs may indicate abnormal valve flow.
ECG in Emergency
An ECG can quickly detect abnormal rhythms or signs of reduced blood supply to heart muscle.
T Wave Misinterpretation
T wave is ventricular repolarisation, not atrial repolarisation. Atrial repolarisation is hidden by QRS.
Heart Sound Source
Heart sounds are due to valve closure, not valve opening.
Cycle Duration Calculation
Do not confuse 72 beats per minute with exactly 0.8 s. 0.8 s corresponds to 75/min; NCERT uses approximate average values.
Time for one heartbeat. At 75 beats per minute, duration is 0.8 s.
Variables
Duration=Time taken for one cardiac cycle in seconds
Heart Rate=Beats per minute
Double Circulation
Overview
Double circulation means blood passes through the heart twice during one complete circulation: once through the pulmonary circuit and once through the systemic circuit. In pulmonary circulation, deoxygenated blood from the right ventricle goes to the lungs via pulmonary artery and returns oxygenated to the left atrium through pulmonary veins. In systemic circulation, oxygenated blood from the left ventricle goes to body tissues through the aorta and returns deoxygenated to the right atrium through venae cavae. This separation maintains high oxygen efficiency and prevents mixing. Blood pressure measures force exerted by blood on arterial walls, while cardiac output measures blood pumped per minute.
- 1Pulmonary circuit is low-pressure compared with systemic circuit.
- 2Systemic circuit requires high pressure because blood must reach the entire body.
- 3Complete double circulation supports high metabolic rate in mammals.
- 4Blood pressure is measured using a sphygmomanometer.
- 5Cardiac output can increase during exercise by increasing heart rate and stroke volume.
Pulmonary Path
R-L-L: Right ventricle sends blood to Lungs, which return it to Left atrium.
Systemic Path
L-B-R: Left ventricle sends blood to Body, which returns it to Right atrium.
Blood Pressure
120 is the Pumping peak, 80 is the Resting base.
Exercise Response
During running, cardiac output may increase several times to supply oxygen to muscles.
Blood Pressure Reading
A reading of 120/80 mm Hg means arterial pressure reaches about 120 during systole and falls to about 80 during diastole.
Double Circulation Count
Double circulation does not mean two hearts. It means blood crosses the heart twice in one complete round.
Wrong Pressure Assignment
Systolic pressure is the higher value and diastolic pressure is the lower value.
Cardiac Output Unit
Cardiac output is volume per minute, not volume per beat. Volume per beat is stroke volume.
Amount of blood pumped by each ventricle per minute. Example: 70 mL × 72 min⁻¹ ≈ 5040 mL min⁻¹.
Variables
CO=Cardiac output
SV=Stroke volume
HR=Heart rate
For normal blood pressure 120/80 mm Hg, pulse pressure is 40 mm Hg.
Variables
PP=Pulse pressure
Systolic BP=Maximum arterial pressure
Diastolic BP=Minimum arterial pressure
Circulatory Disorders
Overview
Circulatory disorders arise when normal heart or blood vessel function is disturbed. Hypertension is persistently elevated blood pressure, commonly above 140/90 mm Hg, and can damage heart, brain and kidneys. Coronary artery disease occurs when coronary arteries supplying the heart become narrowed, often due to atherosclerosis. Atherosclerosis is deposition of calcium, fat, cholesterol and fibrous tissue in arterial walls, reducing lumen size. Angina pectoris is chest pain due to insufficient oxygen supply to heart muscle, usually during exertion or stress. Heart failure means the heart cannot pump enough blood to meet body needs; it is not the same as cardiac arrest or heart attack.
- 1Atherosclerosis is an underlying cause of many cases of CAD.
- 2Angina pain can radiate to left arm, shoulder, neck or jaw.
- 3Hypertension increases workload on heart and damages arteries over time.
- 4Heart failure does not mean heart has stopped beating.
- 5Lifestyle factors such as high-fat diet, smoking, obesity, stress and inactivity increase risk.
CAD Chain
Fat Plaque Closes Coronary Artery: Atherosclerosis → CAD → low oxygen → angina or heart attack.
Heart Failure Meaning
Failure means weak pumping, not stopped beating. Cardiac arrest means sudden stopping of effective heart action.
Angina During Climbing Stairs
A person with narrowed coronary arteries may feel chest pain while climbing because the heart needs more oxygen than the narrowed vessels can supply.
Silent Hypertension
Many people with high blood pressure feel normal, but long-term pressure can damage kidneys, eyes, brain and heart.
Heart Failure vs Heart Attack
Heart failure is chronic inability to pump enough blood. Heart attack is death of heart muscle due to blocked blood supply.
Angina vs CAD
CAD is the artery disease; angina is chest pain caused by inadequate oxygen supply, often due to CAD.
Hypertension as Temporary Stress
A single high reading during stress is not enough. Hypertension means persistent elevation.
Clinical readings are written as two values, such as 120/80 mm Hg. Persistently high values suggest hypertension.
Variables
Systolic Pressure=Arterial pressure during ventricular contraction
Diastolic Pressure=Arterial pressure during ventricular relaxation
Formula Sheet
10Amount of blood pumped by each ventricle per minute. In a healthy adult, it is approximately 70 mL × 72 min⁻¹ = 5040 mL min⁻¹, about 5 L min⁻¹.
Variables
CO=Cardiac output in mL per minute or L per minute
SV=Stroke volume, blood pumped by one ventricle per beat
HR=Heart rate, number of beats per minute
Difference between maximum arterial pressure during ventricular systole and minimum arterial pressure during ventricular diastole.
Variables
SP=Systolic pressure, normally about 120 mm Hg
DP=Diastolic pressure, normally about 80 mm Hg
Percentage of blood volume occupied by RBCs. It approximately corresponds to the formed element fraction, especially RBCs.
Variables
RBC volume=Packed red blood cell volume after centrifugation
Total blood volume=Total volume of blood sample
NCERT-highlighted approximate composition of human blood by volume.
Variables
Plasma=Fluid matrix of blood
Formed elements=RBCs, WBCs and platelets
A conceptual balance showing why lymphatic drainage is necessary to prevent fluid accumulation in tissues.
Variables
Filtered fluid=Plasma-derived fluid leaving blood capillaries
Returned fluid=Fluid reabsorbed directly into venous end of capillaries
Lymph=Excess tissue fluid entering lymphatic vessels
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NEET PYQs — Body Fluids and Circulation
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Select the incorrect statement with reference to Rh grouping: A. Erythroblastosis foetalis is a condition observed having foetus with Rh⁻ᵛᵉ blood and mother with Rh⁺ᵛᵉ blood. B. Rh antigen is observed on RBCs in the majority of human beings. C. Before blood transfusion, Rh group should also be matched. D. Rh incompatibility is observed when a pregnant mother is Rh⁻ᵛᵉ and the foetus is Rh⁺ᵛᵉ. E. Erythroblastosis foetalis can be avoided by administering anti-Rh antibodies to the mother immediately after the delivery of the second child.
The WBC count of a person's blood sample is 8000/cu mm. How many eosinophils and lymphocytes would be in the same blood sample approximately?
Match the items given in Column I with those in Column II and select the correct option given below:
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