MAPIISG1 - Circulation Flashcards

1
Q

What are the 4 purposes of circulation?

A

Transport

  1. Nutrients and O2 to Tissues
  2. Waste and CO2 away from Tissues
  3. Hormones from one area of body to another
  4. Heat throughout the body
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2
Q

What is the primary driver of circulation?

A

primarily influenced by tissue needs

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3
Q

What are the primary control mechanisms of circulation

A

vasodialiation and vasoconstriction

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4
Q

What effect does local tissue flow have on arterial pressure? Cardiac output?

A

arterial pressure is generally controlled independently of these

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5
Q

What are key factors of principles affecting the flow of liquids through vessels (fluid dynamics? (4)

A
  1. Blood Flow
  2. Pressure
  3. Resistance
  4. Control mechanisms mediating these characteristics
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6
Q

exchange site for nutrients, waste, electrolytes, fluid, etc

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

c. Capillaries

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7
Q

collect blood from capillaries

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

d. Venules

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8
Q

transport blood from tissues to heart

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

e. Veins

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9
Q

strong vascular walls

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

a. Arteries

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10
Q

blood flow is rapid

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

a. Arteries

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11
Q

Final small branch of arteriole system

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

b. Arterioles

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12
Q

Low pressure, thin walled

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

e. Veins

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13
Q

Major function: serve as blood reservoir (64% of total blood volume)

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

e. Veins

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14
Q

gradually merge into larger veins

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

d. Venules

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15
Q

walls - VERY thin (unicellular layer of endothial cells)

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

c. Capillaries

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16
Q

Act as control conduits - blood released into capillaries

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

b. Arterioles

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17
Q

Innervated by SNS only

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

b. Arterioles

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18
Q

muscular enough to can constrict/dialate

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

e. Veins

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19
Q

contain small capillary pores

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

c. Capillaries

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20
Q

Strong muscular walls that vasoconstrict/dialate

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

b. Arterioles

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21
Q

Permeable to small molecular substances, H2O

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

c. Capillaries

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22
Q

Transport blood under high pressure

a. Arteries
b. Arterioles
c. Capillaries
d. Venules
e. Veins

A

a. Arteries

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23
Q

Holds 64% of blood

a. Arteries
b. Capillaries
c. Veins
d. Total Pulmonary
e. Total Heart

A

c. Veins

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24
Q

Holds 15% of blood

a. Arteries
b. Capillaries
c. Veins
d. Total Pulmonary
e. Total Heart

A

a. Arteries

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25
Holds 5% of blood a. Arteries b. Capillaries c. Veins d. Total Pulmonary e. Total Heart
b. Capillaries
26
Holds 7% of blood a. Arteries b. Capillaries c. Veins d. Total Pulmonary e. Total Heart
e. Total Heart
27
Holds 9% of blood
d. Total Pulmonary
28
Define blood flow
the volume of blood flowing through a vessel, an organ, or the entire circulation in a given period (ml/min)
29
Define blood pressure
the force per unit area exerted on a vessel wall by the contained blood (mmHg)
30
Define resistance
opposition to flow; amount of friction blood meets when passes through the vessels
31
Blood Flow is affected by what 2 factors?
1. Pressure Gradient | 2. Vascular Resistance
32
What does Ohm's Law tell us?
Calculation of blood flow through a vessel
33
In Ohm's Law F=delta P / R what is delta P?
change in blood pressure between 2 ends of vessel
34
In Ohm's Law F=delta P / R what is R?
Resistance
35
What is normal adult overall blood flow?
~5,000 ml/min = cardiac output
36
What are the two descriptors of blood flow?
Laminar and Turbulant
37
Describe Laminar Flow
streamline: velocity of flow in center is > outer edges = parabolic profile
38
Describe Turbulent Flow
blood flows crosswise in vessel forming whorls or eddy currents
39
In Poiseuille's Law F = (pie deltaP r^4) / 8nl what is deltaP?
Pressure difference
40
In Poiseuille's Law F = (pie deltaP r^4) / 8nl what is r^4
Radius ^4
41
In Poiseuille's Law F = (pie deltaP r^4) / 8nl what is n?
viscosity
42
In Poiseuille's Law F = (pie deltaP r^4) / 8nl what is l?
length
43
What does Poissuilles' Law tell us?
measure of blood flow through a vessel for a given pressure difference
44
What is the reciprocal of resistance?
Conductance
45
Poissuile's Law tells us that a small change in vessel diameter causes ___
enormous change in conductance
46
Why does Poissuile's Law tells us that a small change in vessel diameter causes an enormous change in conductance?
Conductance of a vessel increase in proportion to the 4th power of diameter.
47
What plays the greatest role in resistance to flow for systemic circulation?
2/3 of resistance to flow is arteriole resistance
48
What influence can strong muscular walls of arterioles have on diameter?
can change diameter up to fourfold
49
What influence can strong muscular walls of arterioles have on blood flow?
fourfold increase in diameter can increase blood flow up to 256-fold
50
Viscosity has an inverse relationship to ___
blood flow
51
What is hematocrit?
% of blood that consists of cells
52
What is average Hematocrit?
40
53
Do men or women have a higher hematocrit?
men ~ 42 women ~ 38
54
Why is Polycythemia?
elevated hematocrit
55
What is the Theory of Circulatory Function?
NEEDS OF TISSUE tightly controls blood flow; small tissue-specific vessels dilate or constrict locally to control flow in addition to change in cardiac output (cardiac output primarily controlled by sum of all local tissues. in general, arterial pressure is controlled independently of local blood flow or cardiac output)
56
What is Mean Arterial Pressure (MAP)?
Pressure that propels blood to tissues
57
What is the equation for Mean Arterial Pressure?
MAP = DP + 1/3(PP)
58
What is the equation for pulse pressure?
SP - DP
59
What happens to MAP with increasing distance from the heart? PP?
Both MAP and PP decrease
60
What is the equation for Mean Pressure?
Mean Pressure = (SP + DP) / 2
61
What is Mean Pressure at the Vena Cavae?
~0mmHg
62
What is the Mean Pressure at Capillaries?
~17mmHg
63
What is the Mean Pressure in Pulmonary Circulation
~16mmHg
64
What effect does pressure have on blood flow?
increases force on blood flowing through vessels
65
What are the effects of vessel distension?
veins > arteries --> provide resevoir function for storing large quantities of extra blood
66
Compliance = ____
Capacitance
67
Compliance = Capacitance = total ___
total quantity of blood that can be stored in a given portion of the circulation for each mmHg pressure rise
68
Central Venous Pressure = ___
Right atrial pressure ~0mmHg
69
What 5 places serve as blood reservoirs?
1. Veins 2. Spleen 3. Liver 4. Heart 5. Lungs
70
What are the two phases of local blood control?
1. Acute | 2. Long Term
71
Describe the Acute Phase of local blood control
Fast adjustment of arterioles, metarterioles, and precapillary sphincters (i.e. small vessels)
72
Describe Long-Term Phase of local blood control
Adjustment over days/weeks/months to control blood flow to tissue
73
What are the 2 Theoretical Perspectives of local blood flow regulation?
1. Vasodilator Theory | 2. O2 Lack Theory
74
Describe the Vasodialator Theory
Vasodialor substance released form local tissue
75
What are 6 substances that vasodialiate?
1. Adenosine 2. CO2 3. Adenosine Phosphate Compounds 4. Histamine 5. Potassium Ions 6. H+
76
Describe the O2 Lack Theory
absence of O2, and maybe other substances, casue precapillary and metarteriole sphincters to relax and dialate
77
Describe dialating "upstream" arteries
Larger arteries "upstream" from local tissue control respond to effects of "downstream regulation" -Drag on "upstream" endothelium of vessel walls by rapid increased flow allows release of substance that can vasodialate the "upstream" vessels
78
What is released do vasodilate upstream vessels in response to an increase in blood flow?
Endothelium-derived relaxing factor (EDRF) made primarily of nitric oxide (NO)
79
What is Reactive Hyperemia?
is the transient increase in organ blood flow that occurs following a brief period of ischemia
80
What is Active Hyperemia?
is the increase in organ blood flow (hyperemia) that is associated with increased metabolic activity of an organ or tissue (exercise and skeletal muscle)
81
Define autoregulation of blood flow
after increase in blood flow to a tissue due to increase in arterial pressure, blood flow returns to near normal levels
82
What are the two theories of autoregulation of blood?
1. Metabolic | 2. Myogenic
83
Metabolic and myogenic?
dunno
84
Humoral Control | 4 Vasocontrictors
1. Norepinephrine/Epinephrine 2. Angiotension II 3. Vasopressin 4. Endothelin
85
Humoral Control | 2 Vasodilators
1. Bradykinin | 2. Histamine