CIRC Flashcards

(165 cards)

1
Q

pumpsanddirects blood cells and
substances carried in blood to all tissues
of the body

A

CIRCULATORYSYSTEM

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2
Q

Thebloodvascular system, or
cardiovascular system consists of the
following structures:

A
  1. HEART
  2. ARTERIES
  3. CAPILLARY
  4. VEINS
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3
Q

propels blood through
the system and is
surrounded by the
pericardium (a fibrous
sac lined by serous
mesothelium)

A

heart

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4
Q

a series of vessels
efferent from the heart
that become smaller as
they branch into the organs

A

arteries

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5
Q

, carry
blood to the tissues.

A

arteries

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6
Q

sites of O2 , CO2 ,
nutrient, and waste
product exchange
between blood and
tissues.

A

capilaries

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7
Q

complex
network of thin,
anastomosing tubules

A

microvasculature

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8
Q

makes microvasculature

A

Together with the
smallest arterial and
venous branches
carrying blood to and
from them, capillaries
in almost every organ
form it

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9
Q

result from the
convergence of venules
into a system of larger
channels which
continue enlarging as
they approach the heart,

A

veins

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10
Q

carry
the blood to be pumped
again.

A

vei

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11
Q

Twomajordivisions of arteries,

A

microvasculature, and veins

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12
Q

make up the
pulmonary circulation,

A

Twomajordivisions of arteries,
microvasculature, and veins

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13
Q

where blood is
oxygenated in the lungs,

A

pulmonary circulation,

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14
Q

systemic circulation

A

lood
brings nutrients and removes wastes in
tissues throughout the body.–

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15
Q

thin-walled, closed-ended
tubules carrying lymph that merge to
form vessels of steadily increasing size.

A

lymphatic capillaries

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16
Q

Theinternal surface of all components
of the blood and lymphatic systems is
lined

A

by a simple squamous epithelium
called endothelium.

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17
Q

functions of endothelium

A

○ Notonlymust endothelial cells
maintain a selectively
permeable, antithrombogenic
(inhibitory to clot formation)
barrier,
○ theyalso determine when and
where white blood cells leave
the circulation for the interstitial
space of tissues and-
○ secrete a variety of paracrine
factors for vessel dilation,
constriction, and growth of
adjacent cells

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18
Q

Cardiac muscle in the four chambers

A

RL ventricle
RL artery

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19
Q

propel
blood to the pulmonary circ

A

right ventricle

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20
Q

propel
blood to the circulatory circulation

A

left ventricle

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21
Q

receive blood from
the body

A

right atria

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22
Q

receive blood from
the pulmonary veins

A

left atria

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23
Q

3 major layers walls of the heart chamber

A

endocardium, myocardium, epicardium

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24
Q

endocardium made up of

A
  • lining endothelium with supportive layer of fibroelastic ct with scattered fibers of smooth muscle
  • deeper layer of ct called subendocardial layer, surrounding modified cardiac muscles
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25
modified cardiac muscle fibers that
comprise the heart’s impulse conducting system
26
-consists mainly of typically contractile cardiac muscle fibers arranged spirally around each heart chamber.
myocardium
27
- a simple squamous mesothelium supported by a layer of loose connective tissue containing blood vessels and nerves.
epicardium
28
corresponds to the visceral layer of the pericardium, the membrane surrounding the heart
epicardium
29
Where the large vessels enter and leave the heart
epicardium
30
separates the musculature of the atria from that of the ventricles, forms part of the interventricular and interatrial septa, and extends into the valve cusps and the chordae tendineae to which they are attached `
cardiac skeleton
31
FUNCTION OF VARIOUS REGION OF CARDIAC SKELETON
■ Surrounding, anchoring, and supporting all heart valves ■ Providing firm points of insertion for cardiac muscle in the atria and ventricles- ■ Helping coordinate the heartbeat by acting as electrical insulation between atria and ventricles.
32
CONDUCTINGSYSTEMOFTHE HEART ahppens at
subendocardial layer
33
what makes CONDUCTING SYSTEM OF THE HEART
adjacent myocardium, modified cardiac muscle cells make up this impulse.
34
specialized to generate and conduct waves of depolarization,which stimulate rhythmic contractions in adjacent myocardial fibers.
CONDUCTINGSYSTEMOFTHE HEART
35
⑥ consists of two nodes of specialized myocardial tissue in the right atrial wall
CONDUCTINGSYSTEMOFTHE HEART
36
two nodes of specialized myocardial tissue in the right atrial wall
SA and AV
37
STRUCTURE OF SINOATRIAL NODE
a 6- to 7-mm3 region of less well-stained cardiac muscle cells with smaller size. fewer myofibrils, and fewer typical intercalated disks than the neighboring contractile fibers.
38
LOCATION OF SA
RIGHT ATRIAL WALL NEAAR SUPERIOR VENA CAVA
39
move along myocardial fibers of both atria stimulating contraction
SA NODE
40
AV NODE LOCATION
⑧ their located in the floor of the right atrium near the AV valve
41
stimulate depolarization myocytes there.
AV NODE
42
bifurcates into left and right bundles of myocyte
CONDUCTING MYOCYTES GROUPED INTO AV BUNDLES
43
purkinje fiber location
apex of the heart
44
bundles subdivide further into a subendocardial conducting network of cardiac muscle fibers. pale-staining fibers
purkinje fiber
45
purkinje
pale-staining fibers, larger than the adjacent contractile fibers, with sparse,peripheral glycogen.
46
innervate the heart.
Both sympathetic innervate the heart. parasympathetic neural and components
47
affect heart rate and rhythm, such as during physical exercise and emotional stress.
Ganglionic nerve cells and nerve fibers
48
slows the heartbeat,
Stimulation of the parasympathetic division (vagus nerve)
49
stimulation of the sympathetic nerve
accelerates activity of the pacemaker.
50
angina pectoris
Between fibers of the myocardium are afferent free nerve endings that register pain, such as the discomfort
51
occurs when partially occluded coronary arteries cause local oxygen deprivation.
angina pectoris
52
Walls of all blood vessels except ?contain ?? in addition to the .??
Walls of all blood vessels except capillaries contain smooth muscle and connective tissue in addition to the endothelial lining.
53
endothelium is a barrier between
acts as a semipermeable barrier between two major internal compartments: the blood and the interstitial tissue fluid.
54
with its basal lamina is highly differentiated to mediate and actively monitor the bidirectional exchange of molecules by simple and active diffusion, O receptor-mediated endocytosis, transcytosis, and other mechanisms.
Endothelium
55
Vascular endothelial cells
squamous, polygonal, and elongated with the long axis in the direction of blood flow.
56
secretes various factors that stimulate smooth muscle contraction (such as endothelin-1 and angiotensinconverting enzyme [ACE]) or relaxation (including nitric oxide [NO] and prostacyclin).
endothelium
57
is expressed rapidly on the luminal surface when unique elongated granules, called Weibel–Palade bodies, fuse with the cell membrane.
p-selectin
58
when wbc is undergoing transendothelial migration at sites of injury or infection, what is expressed rapidly o
undergo transendothelial migration at sites of injury or infection. Under those conditions, P-selectin is expressed rapidly oelectin
59
unique elongated granules, called that fuse with the cell membrane.
unique elongated granules, called Weibel–Palade bodies, fuse with the cell membrane.
60
stimulate formation of the vascular system from embryonic mesenchyme
VEGF (vascular endothelial growth factor
61
help maintain the vasculature in adults, and promote capillary sprouting and outgrowth from small existing vessels
angiogenesis
62
stimulate endothelial cells to recruit smooth muscle cells and fibroblasts to form the other tissues of the vascular wall.
angiopoietins
63
In arterioles and small arteries, the smooth muscle cells are
connected by many more gap junctions and permit vasoconstriction and vasodilation that are of key importance in regulating the overall blood pressure.
64
collagen location
found in the subendothelial layer, between the smooth muscle layers, and in the outer covering.
65
provide the resiliency required for the vascular wall to expand under pressure.
elastic fiber
66
major component in large arteries where it forms parallel lamellae, regularly distributed between the muscle layers.
elastin
67
composition of ground substance, contribute to the physical and metabolic properties of the wall in different vessels, especially affecting their permeability
Proteoglycans and Hyaluronate
68
tunica intima consists of
consists of the endothelium and a thin subendothelial layer of loose connective tissue sometimes containing smooth muscle fibers
69
layer that shows folds in cross sections
tunica intima
70
tuni intima often shows folds in cross section as a result of the loss of
ften shows folds in cross section as a result of the loss ofblood pressure and contraction of the vessel at death
71
Between the intima and the media, which is more well-defined than the elastic laminae of the media.
internal elastic lamina
72
consists chiefly of concentric layers of helically arranged smooth muscle cells
tunica media
73
In arteries, the media may also have an ??? ??? it from the outermost tunic.
In arteries, the media may also have an external elastic lamina separating it from the outermost tunic.
74
Interposed among the muscle fibers are variable amounts of elastic fibers and elastic lamellae, reticular fibers, and proteoglycans, all of which are produced by the
smooth muscle cells.
75
STRUCTURE OF TUNICA ADVENTITIA
connective tissue consisting principally of type I collagen and elastic fibers.-- continuous with and bound to the stroma of the organ through which the blood vessel runs.
76
release the vasoconstrictor norepinephrine.
VASOMOTOR NERVE
77
- & On larger vessels this also contains a network of unmyelinated autonomic nerve fibers, the vasomotor nerve
- & On larger vessels this also contains a network of unmyelinated autonomic nerve fibers, the vasomotor nerve
78
he density of this innervation is greater in ?? than in ?/.
he density of this innervation is greater in arteries than in veins.
79
vessels of the vessel.
VASO VASORUM
80
required to provide metabolites to cells in those tunics in larger vessels because the wall is too thick to be nourished solely by diffusion from the blood in the lumen.
VASOVASORUM
81
provide the needs of cells in the intima. Because they carry deoxygenated blood, large veins commonly have more vasa vasorum than arteries.
LUMINAL BLOOD
82
Large blood vessels and those of the microvasculature branch frequently and undergo gradual transitions into structures with different histologic features and functions.
VASCULATURE
83
major role is to carry blood to smaller arteries
CONDUCTIN/ELASTIC ARTERY
84
are the aorta, the pulmonary artery, and their largest branches; these large vessels are also called
conducting/ELASTIC arteries
85
most prominent feature of elastic arteries
thick tunica media which elastic lamellae alternate with layers of smooth muscle fibers.
86
numerous elastic lamellae of elastic artery helps in
makning blood flow uniformly
87
blood is moved through the arteries forcefully and the elastin is stretched, distending the wall within the limit set by the wall’s collagen.
ventricular contraction (systole)
88
diastole
ventricular pressure drops to a low level, but the elastin rebounds passively, helping to maintain arterial pressure
89
prevent backflow of blood into the heart
aortic and pulmonary valce
90
decrease and become less variable as the distance from the heart increases.
arterial blood perssure and velovity
91
slight dilations of the bilateral internal carotid arteries where they branch from the (elastic) common carotid arteries.
carotid sinus
92
act as important baroreceptors monitoring arterial blood pressure.
carotid sinus
93
Histologically, more complex ??? that monitor blood CO2 and O2 levels, as well as its pH, are found in the ???? and in the??? , located in the walls of the ? ? respectively.
Histologically, more complex chemoreceptors that monitor blood CO2 and O2 levels, as well as its pH, are found in the carotid bodies and in the aortic bodies, located in the walls of the carotid sinuses and aortic arch, respectively.
94
large, neural crest-derived.
glomuss cell
95
glomus cells are filled and contained with
O with dense-core vesicles containing dopamine, acetylcholine, and other neurotransmitters, which are supported by smaller satellite cells
96
on channels in the????? respond to stimuli in the arterial blood, primarily hypoxia (low O2 ), hypercapnia (excess CO2 ), or acidosis, by activating release of neurotransmitters.
glomus cellmembranes
97
also called distributing arteries.
muscular arteries
98
distribute blood to the organs and help regulate blood pressure by contracting or relaxing the smooth muscle in the media.
muscular artery
99
structure of muscular artery
The intima has a thin subendothelial layer and a prominent internal elastic lamina. The media may contain up to 40 layers of Iel large smooth muscle cells interspersed with a variable number of elastic lamellae (depending on the size of the vessel).---e An external elastic lamina is present only in the larger muscular arteries. The adventitial connective tissue contains lymphatic capillaries, vasa vasorum, and nerves, all of which may penetrate to the outer part of the media
100
Muscular arteries branch repeatedly into smaller and smaller arteries, until .
reaching a size with three or four layers of medial smooth muscle
101
smallest artery
muscular artery
102
ndicate the beginning of an organ’s microvasculature where exchanges between blood and tissue fluid occur.
muscular artery having 1 or 2 layer which is the usual
103
lumens approximately as wide as the wall is thick.
muscular artery
104
branch to form anastomosing networks of capillaries that surround the parenchymal cells of the organ.
muscular atrery
105
At the ends of arterioles-Act as sphincters and produce periodic blood flow into capillaries
- . Smooth muscle fibers-
106
keeps arterioles partially closed, resisting blood flow, which makes these vessels the major determinants of systemic blood pressure
muscle tone
107
control the degree of vasoconstriction at the shunts, regulating blood flow through the capillary beds.
AUTONOMIC FIBERS
108
blood flows through two successive capillary separated by a portal vein
venous portal system,
109
Lacks media and adventita tunics
CAPILLARIES
110
allows transit of blood cells only one at a time,
CAPILLARIES
111
make up over 90% of the body’s vasculature, w
CAPILLARIES
112
can be recognized by nuclei adjacent to small lumens or by highly eosinophilic red blood cells in the lumen.
Paraffin sections
113
nuclei are often distinctively curved to accommodate the very small tubular structure
capillaries
114
maintain the tubular structure, with variable numbers of tight junctions having an important role in capil lary permeability. Capillaries permit and regulate
Along with the basal lamina, junctional complexes between the cells
115
permit and regulate metabolic exchange between blood and surrounding tissue
capillaries
116
These smallest blood vessels always function in networks calle
capillary beds
117
types of capillaries
1. continuous 2.fenestrated 3. disontinuous
118
Most common capillary type
Continuous capillaries
119
have many tight, well-developed occluding junctions between slightly overlapping endothelial cells
continuois capillaryq
120
provide for continuity along the endothelium and well-regulated metabolic exchange across the cells
continuous cpaillary
121
continuous capillary loc
O found in muscle, con nective tissue, lungs, exocrine glands, and nervous tissue. MuConLuExNe
122
exert the tightest control over what molecules leave and enter the capillary lumen
continuous capillary
123
have a sieve-like structure that allows more- extensive molecular exchange across the endothelium
fenestrated capillary
124
structure of fesnestrated capillary
Some fenestrations are covered by very thin diaphragms of proteoglycan.The ② basement membrane however is continuous and covers the fenestrations
125
location of fenestrated capillary
in organs with rapid inter change of substances between tissues and the blood, such as the kidneys, intestine, choroid plexus, and endocrine glands. kiInChoEn
126
AKA sinusoids
discontinuous capillaries
127
permit maximal exchange of macromolecules as well as allow easier movement of cells between tissues and blood
discontnuous capillary/sinusoids
128
have highly basement membranes and much larger diameters, often 30-40 μm, which slows blood flow
sinusoids
129
sinusoids location
O e found in the liver, spleen, some endocrine organs, and bone marrow LiSpleEnBo
130
At various locations along continuous capillaries and postcapillary venules are mesenchymal cells called
pericytes
131
ecrete many ECM components and form their own basal lamina fuses with the basement membrane of the endothelial cell
pericytes
132
dilate or constrict capillaries, helping to regulate blood flow in some organ
pericytes
133
maintaining the endothelial blood-brain barrier. in CNS
Pericytes
134
proliferate and differentiate to form smooth muscle
pericytes
135
The density of the capillary bed is related to the ??? of the tissues.
The density of the capillary bed is related to the metabolic activity of the tissues.
136
tissue with low metabolic rates,
such as smooth muscle and dense connective tissue
137
Capillary beds are supplied preferentially by one or more terminal arteriole branches called ,
metarterioles
138
capillary beds are continuous with thoroughfare channels connected with the
postcapillary venules
139
The ???? act as ???? that control blood flow into the capillaries
The metarteriole muscle cells act as precapillary sphincters that control blood flow into the capillaries.T
140
.These sphinc ters contract and relax cyclically, causing blood to pass through capillaries in a pul satile manner
precapillary sphincters
141
When the sphincters are closed, blood flows directly from
metarterioles
142
capillary beds are composed of
Composed o simple layer of endothelial cells rolled up as a tube surrounded by basement membrane
143
not all interstitial fluid formed at capillary beds is drained into venules; the excess is called
lymph
144
lymph collects in thin-walled, irregularly shaped
lym phatic vessels (L),
145
lymphatic vessels are see in
connective tissue and smooth muscle
146
imilar to capillar ies with pericytes but larger,
Postcapillary venules
147
characteristic feature of all venules is
the large diameter of the lumen compared to the overall thin ness of the wall (
148
primary site at which white blood cells adhere to endothelium and leave the circulation at sites of infection or tissue damage.
post capillary venules
149
Blood entering veins is under very low pres sure and moves toward the heart by
contraction of the smooth muscle fibers in- the media and by external compressions from surrounding skeletal muscles and other organs
150
location of vein
close and parallel to corresponding muscular arteries
151
directly connect the arterial and venous systems and temporarily capillaries.
av shunts//anastosomes
152
In skin, blood flow can be varied according to external condi tions by ,
arteriovenous (AV) shunts, or anastomoses
153
col lect excess interstitial fluid from the tissue spaces as lymph and return it to the blood.
lymphatic capillaries
154
sually rich in lightly staining proteins but does not normally contain red blood cells, although lymphocytes and other white blood cells may normally be present
LYMPH
155
Except ??? and ???? , most tissues with blood micro vasculature also contain lymphatic capillaries (or lymphatics)
Except bone marrow and most of the CNS, most tissues with blood micro vasculature also contain lymphatic capillaries (or lymphatics)
156
originate locally as tubes of very thin endothelial cells, which lack tight junctions and rest on a discontinuous basal lamina.
lymphatic capillaries
157
interstitial fluid enters capillaries VIA
entering lymphatic capillaries by flowing between endothelial cells and by transcytosis.
158
lack hemidesmosome connections to the basal lamina and extend into the lumen to form leaflets of valves facilitating fluid >-- entry and preventing most backflow of lymph
Specific domains of adja cent endothelial cells
159
larger lymphatic vessels
are lymph nodes
160
lymphat8ic capillaries ultimately converge as two large trunks:
thoracic duct and the right lymphatic duct,
161
empty lymph back into the blood
vright lymphatic duct,
162
⑳ connects with the blood circulatory system near the junction of the lefinternal jugular vein with the left sub clavian vein,
thoracic duct
163
② enters near the confluence of the right subclavian vein and the right internal jugular vein.
right lymphatic duct
164
major distributor of lymphocytes, antibodies, and other immune components that are carried through many organs to and from lymph nodes and other lymphoid tissues
lymphatic vascular system
165
where lymph is processed by cells of the immune system
lymph nodes