NEET Biology — Chapter 18

Body Fluids and Circulation

Body Fluids and Circulation covers the composition of blood and lymph, ABO and Rh blood grouping, the mechanism of coagulation, the structure and functioning of the human heart, the cardiac cycle and its ECG correlates, and the concept of double circulation. NEET consistently asks 3–4 questions from this chapter — the ABO table, ECG waves, and the SA node as pacemaker are perennial MCQ favourites.

1. Blood — Composition and Formed Elements

Blood is a fluid connective tissue consisting of plasma (55%) and formed elements (45%). It transports respiratory gases, nutrients, hormones, and metabolic wastes.

Plasma is a straw-coloured fluid containing water (~92%), proteins (fibrinogen, globulins, albumins), glucose, amino acids, lipids, and inorganic salts.

Formed elements:

  • RBCs (Erythrocytes) — 5 million/mm³; biconcave; no nucleus in mature mammalian RBCs; contain haemoglobin; life span ~120 days; produced in red bone marrow (haematopoiesis).
  • WBCs (Leucocytes) — 6,000–8,000/mm³; nucleated; defend against pathogens.
    Granulocytes: Neutrophils (most common, phagocytic), Eosinophils (anti-allergic), Basophils (release histamine).
    Agranulocytes: Lymphocytes (produce antibodies), Monocytes (become macrophages).
  • Platelets (Thrombocytes) — 150,000–400,000/mm³; cell fragments; essential for clotting.

2. Blood Groups and Coagulation

ABO blood groups — based on presence or absence of antigens A and B on RBC surface:

Blood GroupAntigen on RBCAntibody in PlasmaCan donate to
AAAnti-BA, AB
BBAnti-AB, AB
ABA and BNoneAB only (universal recipient)
ONoneAnti-A and Anti-BAll groups (universal donor)

Rh factor — Rh antigen present in ~80% of humans (Rh⁺). Rh incompatibility during pregnancy can cause erythroblastosis foetalis.

Blood coagulation: Injury → platelets aggregate → release thromboplastin → prothrombin → thrombin → fibrinogen → fibrin (clot).

3. Human Heart — Structure and Blood Flow

The human heart is a myogenic (self-generating) muscular organ located in the thoracic cavity between the lungs. It has four chambers: two atria (thin-walled, receiving) and two ventricles (thick-walled, pumping).

Valves:

  • Tricuspid valve — between right atrium and right ventricle (3 flaps).
  • Bicuspid (mitral) valve — between left atrium and left ventricle (2 flaps).
  • Semilunar valves — at the opening of aorta and pulmonary artery; prevent backflow.

Nodal tissue (conduction system):

  • SA node (sinoatrial node) — in right atrium wall; pacemaker of the heart; initiates impulse.
  • AV node (atrioventricular node) — at atrioventricular junction.
  • Bundle of His and Purkinje fibres — transmit impulse to ventricular walls.

4. Cardiac Cycle and ECG

The cardiac cycle is the sequence of events in one heartbeat (~0.8 seconds at 72 beats/min):

  • Atrial systole — 0.1 s; atria contract, blood enters ventricles.
  • Ventricular systole — 0.3 s; ventricles contract, blood ejected into aorta and pulmonary artery.
  • Joint diastole — 0.4 s; all chambers relax; heart fills passively.

Cardiac output = Stroke volume × Heart rate = ~70 mL × 72 beats/min = ~5 L/min.

ECG (Electrocardiograph):

  • P wave — atrial depolarisation (SA node fires, atria contract).
  • QRS complex — ventricular depolarisation (ventricles contract).
  • T wave — ventricular repolarisation (ventricles relax).
NEET tip: ECG wave sequence is P → Q → R → S → T. Each wave or complex corresponds to a specific electrical event. Abnormal ECG patterns are used to diagnose arrhythmias and heart blocks.

5. Double Circulation and Circulatory Disorders

Double circulation means blood passes through the heart twice per complete circuit — once through the pulmonary circuit and once through the systemic circuit. This ensures oxygenated and deoxygenated blood never mix.

  • Pulmonary circulation — right heart → lungs → left heart (blood gets oxygenated).
  • Systemic circulation — left heart → body → right heart (blood delivers O₂ to tissues).

Lymphatic system — returns excess tissue fluid to blood via lymph capillaries and lymph vessels. Lymph nodes filter lymph and are sites of immune response.

Disorders:

  • Hypertension — blood pressure consistently above 120/80 mmHg; damages arteries.
  • Coronary artery disease (CAD) — narrowing of coronary arteries due to atherosclerosis.
  • Angina pectoris — chest pain due to insufficient blood supply to heart muscle.
  • Heart failure (Cardiac failure) — heart unable to pump sufficient blood; should not be confused with cardiac arrest.
Deep Revision

High-Yield Concept Depth

Use this section after the first reading. It connects facts into mechanisms, comparisons, and NEET-style decision rules.

Blood Group Logic

ABO questions become simple if you separate antigen and antibody. The antigen is on RBC; the antibody is in plasma. Group A has A antigen and anti-B antibody. Group B has B antigen and anti-A antibody. Group AB has both antigens and no anti-A/anti-B antibodies. Group O has no antigen and both antibodies.

Heart Flow and ECG Decision Rules

Blood flow sequence: body -> right atrium -> right ventricle -> lungs -> left atrium -> left ventricle -> body. Valves enforce one-way flow. SA node starts the impulse, AV node delays it, and Purkinje fibres spread it through ventricles.

ECG: P wave = atrial depolarisation, QRS = ventricular depolarisation, T wave = ventricular repolarisation.

Study System

How to Master This Chapter

Use this process after reading the notes. It turns NCERT lines into exam-ready recall, diagrams, and MCQ decisions.

NCERT to MCQ Flow

  1. Read one NCERT paragraph and underline the exact term.
  2. Convert it into a one-line cause-effect rule.
  3. Attach one example, diagram label, exception, or comparison.
  4. Solve five MCQs from the same subtopic immediately.
  5. Write why each wrong option is wrong, not only why the answer is right.

Mistake Repair

Memory mistake: make a two-column comparison table.

Diagram mistake: redraw the labelled structure from memory.

Process mistake: rewrite the sequence with arrows.

Assertion-reason mistake: check truth of each statement first, then relation.

Easy Examples for Quick Revision

Practice these before starting MCQs. They are designed to lock core concepts with minimum theory load.

Example 1: Which node is called the pacemaker of the heart?

SA node.

Example 2: What does the QRS complex represent?

Ventricular depolarisation.

Example 3: Universal donor and recipient in ABO system?

O group is universal donor; AB group is universal recipient for ABO matching.

Example 4: Which valve lies between left atrium and left ventricle?

Bicuspid or mitral valve.

Example 5: Cardiac output formula?

Cardiac output = stroke volume x heart rate.

NEET Bio Body Fluids Notes
NEET Biology Revision

Chapter note placement for Body Fluids and Circulation.

Practice Tests

The Practice Zone

Test your understanding of Body Fluids and Circulation with focused sectional tests and a full-length NEET-style module test. Each chapter now runs 5 practice tests of 25 questions each, and every question has a 90-second timer — matching real NEET exam pacing.

Session Tests

5 focused sessions: blood composition & RBC/WBC, ABO groups & clotting, heart anatomy & valves, cardiac cycle & ECG, and double circulation & disorders — 15 MCQs each.

Open Session Tests

Full-Length Mock

NEET-style 125-question module test on Body Fluids and Circulation with timer, palette, review, and subtopic accuracy breakdown.

Open Full Mock
NEET Bio Body Fluids Notes Practice
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