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Ch. 13/MED 126
The Vascular System
Question | Answer |
---|---|
The vascular system consists of? | Veins, arteries, and capillaries |
What does the vascular system circulate to provide for gas, nutrient, and waste exchange? | Blood |
What carries blood away from the heart? | Arteries |
In the arteries, pressure is high/low? | High |
Arteries branch into smaller arteries until they become? | Arterioles |
Arterioles empty into? | Capillaries |
The 3 layers of arteries are? | Tunica intima, tunica media, and tunica externa |
What is the innermost layer of an artery called? | Tunica intima |
What layer is the only layer that contacts blood? | Tunica intima |
The tunica intima is made up of ___________ epithyelium called endothelium? | Simple squamos |
`The tunica intima is continuous with the? | Endocardium |
The smoothness of the tunica intima prevents? | Clotting |
What layer of the artery produces NO (nitric oxide)? | Tunica intima |
The tunica intima produces nitric oxide which causes? | Vasodilation |
The middle layer of the artery is called? | Tunica media |
The tunica media is made up of ______ muscle and _______ connective tissue? | Smooth, elastic |
The tunica media helps maintain blood pressure during? | Diastole |
Nitric oxide increases relaxation of the tunica? | Media |
Nitric oxide increases relaxation of the tunica media which increases/decreases BP? | Decreases |
In the tunica media, the SNS causes vaso? | Constriction |
What is the internal elastic lamina? | Elastic layer that separates the inner 2 layers |
What is the external elastic lamina? | Elastic layer that separates the outer 2 layers |
What is the outer layer of the artery called? | Tunica externa |
The tunica externa is made up of _____________ connective tissue? | Dense, irregular, fibrous |
The tunica externa provides strength to prevent? | Rupture/aneurysm due to high pressure |
Arterioles do not have a tunica? | Externa |
Arterioles allow arteries to prevent flow to? | Capillaries |
Veins carry blood away/toward the heart? | Toward |
In the veins, pressure is high/low? | Low |
Veins start out as ______ from capillaries? | Venules |
Some veins in the lower extremities contain flaps called? | Valves |
What do valves prevent? | Backflow of blood |
Damage of valves leads to? | Varicosities |
The tunica media is thinner because they do little to regulate? | Blood pressure |
Why is the tunica externa thinner? | Because of the lower pressure in veins |
What is a connection/joining of vessels that provides an alternate pathway when blockage occurs, i.e., provides redundancy called? | Anastomosis |
Capillaries are single layer vessels that connect _______ to ________? | Arterioles to venules |
Capillaries contain only? | Endothelium |
Capillaries cannot dilate/constrict? | Constrict |
Capillaries are about the diameter of one? | RBC |
The number of capillaries in a tissue reflects that tissue's? | Metabolic activity |
Not all tissues contain blood vessels and must get nutrients and gases via? | Diffusion |
Flow to capillaries is regulated by? | Precapillary sphincters |
What takes the place of capillaries in some tissues? | Sinusoids |
Sinusoids are more permeable to permit? | Large proteins and cells to pass through |
Capillaries exchange material between the blood and the __________ in the tissues in both directions? | Interstitial fluid |
Gases in capillaries move by? | Diffusion |
What occurs because of the higher pressure in the vessel, forcing plasma, glucose, AAs, and vitamins out of the capillary? | Filtration |
What is the pressure created in the capillary that creates a concentration gradient to pull fluid into blood? | Colloid osmotic pressure |
COP is created primarily because of? | Albumin |
COP can be thought of as a "pulling" pressure that pulls ______ into the blood? | Water |
COP occurs toward the _____ side of the capillary? | Venule |
COP helps maintain blood? | Volume |
Excess interstitial fluid is returned via the? | Lympahatic vessels |
What is a very important anastomosis surrounding the pituitary gl. on the inferior surface of the brain? | Circle of Willis |
The popliteal v. changes name to become the? | Femoral v. |
The great saphenous v. combines with the femoral v. to become the? | External iliac v. |
The external and internal iliac v. join to become the? | Common iliac v. |
The right and left common iliac combine to become the? | Inferior vena cava |
What veins join the inferior vena cava? | Inferior mesenteric v., gonadal vv., renal v., right and left gastric vv., hepatic v., and intercostal vv. |
The median v. becomes the? | Basilic v. |
The basilic v. combines with the brachial v. to become the? | Axillary v. |
The median cubital combines the median v. with the ? | Cephalic v. |
The cephalic v. joins the axillary v. to become the? | Subclavian v. |
The internal jugular v., external jugular v., ad vertebral v. join the? | Subclavian v. |
The internal jugular v. is supplied by the? | Dural venous sinuses |
When the cross-sectional area of the vascular system increases, the velocity of blood flow? | Decreases |
The total circulation time for the velocity of blood flow is about? | One minute |
When blood flows, the venules to veins, the cross-sectional area _______, and the velocity ______? | Decreases, increases |
The segment of the vascular system with the greatest cross-sectional area is the? | Capillaries |
Velocity of blood flow in the capillaries is? | Slow |
Explain the importance of velocity of flow in the capillaries: | Slow flow allows enough time for exchange of nutrients, wastes, and gases. |
What is blood pressure? | The force the blood exerts against the walls of vessels |
What is dependent on BP? | Filtration |
Blood pressure is measured in? | mmHg-milimeters of mercury |
Pulmonary BP prevents filtration from the capillaries which would lead to? | Pulmonary edema |
When taking systemic arterial BP, what 2 numbers are taken? | Systolic, diastolic |
The pressure when the left ventricle contracts is called? | Systolic |
The pressure when the left ventricle relaxes is called? | Diastolic |
Consistent high BP is called? | Hypertension |
BP that is below normal is called? | Hypotension |
Systemic BP is highest in the? | Aorta |
Systemic BP decreases as distance the heart? | Increases |
What is venous return? | The amount of blood returned from the veins to the heart |
If venous return decreases, Starling's Law will prevent the heart from contracting as forcefully and BP will ______? | Decrease |
When standing the heart must overcome gravity pulling the blood to the lower extremities. 3 mechanisms help overcome this and they are called? | Venous contriction, skeletal muscle pump, and respiratory pump |
Constriction of the veins helps increase venous return. The tissue in the wall of a vein that is capable of contractions is? | Smooth muscle |
The skeletal muscle pump contributes to venous retun in veins in which part part of the body? | Legs |
Contraction of skeletal muscles (especially legs) compress these veins and force blood toward the? | Heart |
The respiratory pump contributes to venous return in veins in which part of the body? | Thoracic cavity |
As HR and force increases, BP ______? | Increases |
What is the resistance of blood vessels to the flow of blood? | Peripheral resistance |
What helps maintain diastolic pressure and pulse pressure? | Elasticity of large arteries |
What is pulse pressure? | The difference between the systolic and diastolic pressure |
The normal ratio for pulse pressure is? | 3:2:1 |
The thickness of blood is called? | Viscosity |
Viscosity of the blood is increased due to? | Solids |
What hormone increases vasoconstriction and HR? | Epinephrine |
What hormone increases vasoconstriction? | Norepinephrine |
What hormone increases the reabsorption of water by the kidneys? | ADH |
What hormone increases the reabsorption of water by the kidneys by increasing sodium reabsorption? | Aldosterone |
What hormone increases loss of water by increasing excretion of sodium? | ANP |
What is the distribution of blood flow? | As certain organs require more blood other organs must give up blood in order to maintain pressure |
What are the 2 categories of BP regulation? | Intrinsic mechanisms and nervous mechanisms |
What mechanism is within the cardiovascular system and does not require nervous system input? | Intrinsic mechanisms |
What are the 3 mechanisms of intrinsic mechanisms? | Starling's law, filtration decrease and renin-angiotensin mechanism |
During the renin-angiotensin mechanism, BP decrease causes kidneys to release renin which causes? | Angiotensin II to be formed which causes vasoconstriction and release of aldosterone from adrenal cortex |
What mechanism is controlled by the ANS? | Nervous mechanism |
The vasomotor center is located in the ______ of the brain? | Medulla |
The vasomotor center consists of two areas called the? | Vasoconstrictor and vasodilater |
The medulla receives sensory information about the need for changes in vessel diameter from the _______ in the carotid and aortic sinuses? | Pressoreceptors |
The division of the autonomic nervous system that regulates the diameter of arteries and veins is the ______ division? | Sympathetic |
Vasoconstriction is brought about by more impulses per second and will ______ BP. | Raise |
Vasodilation is brought about by fewer impulses per second and will ______ BP. | Lower |