Costanzo Phys Flashcards

(33 cards)

1
Q

What part of the circulation is the most dynamic in size

A

Arterioles

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2
Q

What receptor found in arterioles causes them to constrict

A

α1 receptors

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3
Q

What receptor in arterioles causes them to relax

A

β2 receptors

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4
Q

What are the general category of chemicals that cause changes in arteriole size

A

Catecholamines

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5
Q

What is the volume of blood inside the arteries called

A

Stressed volume

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6
Q

What is the volume of blood inside veins called

A

Unstressed volume

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7
Q

How is blood flow to one area altered

A
  1. Increase CO
  2. Divert blood from other structures to it
  3. Combine 1 and 2
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8
Q

What is velocity of blood related to?

A

Flow/area

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9
Q

What is the major mechanism for changing blood flow in CV system

A

Increasing or decreasing arteriole resistance

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10
Q

The most susceptible variable in the resistance equation?

A

Radius

Stuff/(pi*r^4)

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11
Q

What is resistance to flow directly correlated to

A

Length of vessel (length inc = resistance inc)

Viscosity (hematocrit)

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12
Q

Which resistance system shows the system as a whole? Closed loop?

A

Parallel = system
-no decrease in pressure among organs

One loop = series (A->ariole->cap->vule->V)
-sum of pressures is sum of system

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13
Q

What are turbulent sounds of blood called

A

Kortokoff sounds

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14
Q

What are audible murmurs

A

Turbulent flow sounds caused by disruptions of laminar flow

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15
Q

Reynolds number less than what is laminar

A

2000

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16
Q

Anemia can cause what changes in blood flow

A

Decreased hematocrit means less viscosity means less resistance

17
Q

Thrombi cause what relating to blood flow

A

Decreased diameter means increased velocity means more likely turbulent flow

18
Q

At what part of a blood vessel is viscosity and blood cells lowest

19
Q

Where is the largest pressure drop seen

A

Small A to arterioles

20
Q

What causes the small dip in systolic pressure? (Dicrotic notch or incisura)

A

The aortic valve closing

21
Q

Stroke volume is…

A

The volume ejected from the LV in one stroke

22
Q

Why is pressure higher in large A than aorta

A

The pressure wave from the contraction travels faster than flow; the large A need to contract to keep the blood moving

23
Q

Where is pulse pressure lost

A

Arterioles due to increased resistance and more compliant vessels

24
Q

What changes do we see to BP in arteriosclerosis? Aortic stenosis? Aortic regurgitation?

A
  1. Hardened vessels are less compliant causing a larger change in pressure than normal
  2. Valve stenosis causes decreases pressure because less blood can leave the ventricle
  3. Same as stenosis
25
Which portion of cardiac conduction ensures that the ventricles have time to fill
Slow conduction through AV node
26
What are the components of normal sinus rhythm
SA node initiates, 60-100 bpm, correct sequence
27
What phase is the upstroke?
0
28
What is phase 1 of the cardiac AP
The initial repolarization
29
What is phase 2 of cardiac AP
The plateau (longer in vent)
30
What is phase 3 of cardiac cycle
Repolarization
31
What is phase 4 of cardiac AP
Rest
32
What ultimately controls the HR
The pacemaker cell with the fastest phase 4 depolarization
33
What causes a latent pacemaker to take over
1. SA node inhibited by drugs or disease 2. Signal from SA node cannot reach the heart 3. Latent pacemaker cell becomes faster than SA node