Chapter 2 - Heart and Lung Flashcards

1
Q

What membrane is attached to the lungs, keeping them inflated?

A

pleural membrane

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1
Q

How does blood pressure change, starting from the aorta?

A

It is highest in the aorta and continues to fall until it comes back to the heart from the vena cava. The right ventricle pumps blood with some pressure to the pulmonary circuit that again falls.

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2
Q

What is atherosclerosis?

A

damage to endothelial cells by pressure or abrasive substances

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2
Q

What three physiologic changes cause hemoglobin to release more O2 to the tissues at the same partial pressure as in the normal case? This shifts the oxygen saturation curve for hemoglobin to the right or left?

A

1) decrease of pH
2) increase in temperature
3) increase in 2,3-bisphosphoglycerate (2,3-BPG) (a byproduct of glycolysis)

Shifts to right

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3
Q

What measurement affects the rate of blood flow the most?

A

radius of vessels

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3
Q

What is one osmol?

A

one mole of a molecule that does not ionize in solution

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4
Q

In the red blood cells, CO2 reacts with H2O and the enzyme carbonic anhydrase to form what molecule?

A

carbonic acid (H2CO3)

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5
Q

When the diaphragm contracts, do you expire or inspire?

A

inspire

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6
Q

Equation: Poiseuille’s Law (Flow)

A
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6
Q

What is sea level atmospheric pressure?

A

760 mmHg

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8
Q

What converts fibrinogen to fibrin?

A

thrombin

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8
Q

How many heme prosthetic groups (each containing Fe2+) are in hemoglobin?

A

4

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8
Q

What is the major stimulus that causes a slower rate of respiration?

A

Stimulus: an increase in O2 concentration in the blood Recognized by chemoreceptors in aorta and arteries

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9
Q

From what pulmonary structure(s) does the blood immediately leave to enter the heart?

A

right and left pulmonary veins

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10
Q

In the diffusion equation, what does the minus sign represent?

A

diffusion from high to low concentration

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12
Q

Which side of the heart pumps blood to the lungs?

A

right side

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13
Q

What causes expiration?

A

relaxation of inspiration muscles: elastic tissue in thoracic cage returns to its normal length

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13
Q

How many O2 molecules can hemoglobin bind?

A

4

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13
Q

How does HCO3- diffuse into the lungs?

A

In the capillaries of the alveoli, HCO3- diffuses into red blood cells from the plasma and combines with H+ to form carbonic acid (H2CO3). Carbonic anhydrase converts H2CO3 to water and carbon dioxide, which diffuses into the lungs.

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14
Q

Define osmotic pressure (πosm)

A

The amount of pressure that stops osmosis

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14
Q

How does osmotic pressure change with the number of dissolved molecules?

A

As solute concentration increases, osmotic pressure increases.

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14
Q

What causes inspiration?

A

Muscle contraction: as your thoracic cage expands, it expands the lungs, creating a subatmospheric pressure in the alveoli, allowing gas to rush in.

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14
Q

70% of CO2 is carried in the blood plasma in what form?

A

bicarbonate (HCO3-)

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15
Q

What vitamin is necessary in the blood clotting cascade?

A

Vitamin K

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15
Q

The head of membrane phospholipids is of what charge?

A

negative

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16
Q

Which structures of the circulatory system regulate the flow of blood and offer the most resistance?

A

arterioles: they have strong muscular walls innervated by the SNS

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17
Q

How does viscosity affect the rate of blood flow?

A

The higher the viscosity, the slower the rate of flow.

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19
Q

In which direction do veins carry blood?

A

toward the heart

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20
Q

Gas exchange between capillaries and alveoli/cells is driven by what factor?

A

partial pressures

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22
Q

Into what systemic structure(s) does the blood immediately enter from the heart?

A

aorta

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24
Q

Into what pulmonary structure(s) does the blood immediately enter from the heart?

A

pulmonary artery

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25
Q

What is the molarity of water?

A

55.5 moles/liter

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25
Q

Inside the capillaries, which is greater: hydrostatic or osmotic pressure?

A

hydrostatic pressure

26
Q

Many enzymes in the blood clotting cascade belong to what class?

A

serine proteases

28
Q

What makes the “lub” sound during a heartbeat?

A

the closing of the atrioventricular valves

29
Q

What property of arteries maintains the directional flow of blood?

A

elasticity maintains arterial pressure

29
Q

What are the epithelial cells of the blood vessels called?

A

endothelial cells

29
Q

How many subunits make up hemoglobin?

A

4

30
Q

Where is the mitral valve?

A

between the left atrium and left ventricle

31
Q

Where in the lungs does gas exchange occur?

A

alveoli

33
Q

What is average/normal blood pressure?

A

120mmHg/80mmHg

35
Q

What is the osmolarity of a 1M solution of sodium chloride?

A

2 osmols/liter (one from Na+, one from Cl-)

36
Q

What is edema?

A

An excess of interstitial fluid because it cannot be reabsorbed by the lymphatic system.

38
Q

How are varicose veins formed?

A

When the one-way valves are damaged, blood can flow backwards and build up pressure.

39
Q

What is the diaphragm?

A

skeletal muscle and connective tissue separating the lungs from the abdomen

39
Q

How much bound oxygen is typically released to the tissues from the blood?

A

25%

40
Q

What specific molecule forms a blood clot?

A

fibrin

41
Q

How does H2CO3 react in red blood cells??

A

It ionizes to form bicarbonate (HCO3-) and H+

42
Q

Equation: relationship of O2 partial pressure in gas and liquid phases

A

(PO2)gas = (PO2)liquid

43
Q

Which side of the heart pumps blood to the tissues of the body and back?

A

left side

45
Q

From what systemic structure(s) does the blood immediately leave to enter the heart?

A

superior and inferior vena cava

46
Q

Where is the tricuspid?

A

between the right atrium and right ventricle

48
Q

What is meant by turbulent arterial flow?

A

The opening of the artery is narrow as a result of the pressure cuff, so blood has a difficult time flowing.

48
Q

What is the major stimulus that causes inspiration muscles to contract and how is it recognized?

A

Stimulus: an increase in CO2 concentration in the blood Recognized by chemoreceptors in the brainstem

49
Q

What and where is the pacemaker of the heart?

A

sinoatrial (SA) node, on the right atrium

51
Q

Two ways baroreceptors negate the loss of arterial pressure:

A

They send impulses to the medulla, which activates the sympathetic nervous system. 1) The SNS releases norepinephrine at the SA node, which increases heart rate, contraction, and blood pressure 2) SNS will stimulate adrenal medulla to release epinephrine (adrenaline), which increases heart rate, contraction, and blood pressure.

52
Q

Define diastole?

A

ventricular relaxation

54
Q

How does vessel length affect the rate of blood flow?

A

The longer the vessel, the slower the rate of flow.

55
Q

What is meant by laminar arterial flow?

A

The opening of the artery is normal, so blood can easily flow.

56
Q

Define systole?

A

ventricular contraction

58
Q

What is partial pressure of a gas?

A

concentration of that gas in a mixture of gases

60
Q

How do metabolites affect circulation?

A

Upon diffusion to the arterioles of the tissues, smooth muscle dilates, allowing increased flow of blood to supply nutrients and oxygen, while carrying away waste.

61
Q

Equation: Fick’s Law (net rate of diffusion)

A

J = - DA(ΔC/Δx)

J = mol/sec

D = diffusion coefficient

A = area in plane of interest (cm2)

ΔC = concentration gradient (mol/cm3)

x = distance (cm)

62
Q

Define osmolarity

A

The concentration of solute particles in solution

63
Q

Equation: cardiac output

A

Cardiac Output = Heart Rate x Stroke Volume

CO = liters/minute

HR = beats/minute

SV = liters/beat (out of ventricles)

65
Q

What is the purpose of the lymphatic system?

A

It collects excess fluid that leaked into the interstitial space from the capillaries, filters it, and returns it to the circulatory system.

66
Q

What is arteriosclerosis?

A

cholesterol builds up on lesions of damaged endothelial cells, causing plaque and hardened arteries

67
Q

Where do electrical impulses go from the SA node?

A

They travel over the atria and spread to the atrioventricular (AV) node, to the bundle of His, which spreads over the ventricles.

69
Q

Define hydrostatic pressure (PH2O)

A

Fluid pressure at equilibrium that arises from the force of gravity

70
Q

How much oxygen in the alveoli capillaries is typically bound?

A

98%

71
Q

What is asthma?

A

an allergic hypersensitivity to airborne antigens that cause mast cells to released substances that cause bronchiole smooth muscle to constrict

72
Q

What is oxygen’s transport protein in the blood?

A

hemoglobin

73
Q

Which structures in the circulatory system contain one-way valves?

A

veins

74
Q

ventricle ► atrium or atrium ► ventricle?

A

atrium ► ventricle

75
Q

What makes the “dub” sound during a heartbeat?

A

the closing of the pulmonary and aortic valves

76
Q

Where is the lymphatic system?

A

parallel to the circulatory system

77
Q

What is the purpose of the chordae tendineae?

A

They hold the atrioventricular valves in place so they do not invert.

78
Q

Which structures in the circulatory system carry 50% of the blood volume?

A

veins

79
Q

Which structures in the circulatory system cary 16-20% of the blood volume?

A

aorta and arteries

80
Q

What causes hemophelia?

A

lack of Factor VIIIa that helps make Factor Xa

81
Q

What is the purpose of cilia in the respiratory tract?

A

They beat toward the pharynx, moving mucus and foreing particles upward.