Respiratory system and circulation Flashcards

(56 cards)

1
Q

What is arterial system?

A

Aorta –> arteries –> arterioles –> branch into capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is venus system?

A

Capillaries –> diverge into venues –> veins –> vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which vessels act as volume reservoir?

A

Veins.
They can send blood back to arteries if blood pressure suddenly drops.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which vessels act as pressure reservoir?

A

Arteries with their thick elastic walls which contract according to cell rhythm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which vessels act as the site of variable resistance (may change blood flow to the tissues)?

A

Arterioles.
They may selectively constrict and dilate according to paracrine signals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are metarterioles?

A

The type of arterioles just before capillaries.

There are precapilary sphincters between metaarterioles and capillaries to restrict blood flow to certain capillaries according to some signals.

Metaarterioles may also act as bypass channels: connect arterioles and venules without entering capillaries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which layer of vessels sends paracrine signals?

A

Endothelium secrets paracrine signals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the basic layers of vessels and their functions?

A

1) Endothelium (inner lininng): sends paracrine signals, allows transport of nutrients with its leakiness in capillaries.

2) Elastic tissue: connective tissue for elasticity (ability to stretch and retain back to its original shape).

3) Smooth muscle in circular or spiral layers: always partially contracted (have muscle tone) according to hormones and neurotransmitters. Contraction depends on Ca2+ entry.

4) Fibrous tissue: connective tissue for vessel stiffness (prevent it from damage due to pressure).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the structural features of the arteries?

A
  • From 0.1 mm to over 1 cm in diameter
  • Walls are 1 mm thick
  • have lots of smooth muscle (the most among other vessel types)
  • have slightly less elastic tissue (still the most among other vessel types)
  • have some fibrous tissue (the same amount as in venules and veins)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the structural features of arterioles?

A
  • 10-100 microns in diameter
  • Walls are 6 microns thic
  • have some smooth muscle (the same amount as in veins)
  • have no elastic and fibrous tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the structural features of capillaries?

A
  • 4-10 microns in diameter
  • 0.5 microns thick
  • have one-cell thick endothelium only (no muscle, no elastic and fibrous tissue)
  • endothelium is leaky, there are pores between cells allowing blood plasma to enter extracellular fluid
  • contractive pericytes (irregularly shapes highly branched cells) surround capillaries and control their level of leakiness
  • capillaries are supported with basal lamina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the features of venules?

A
  • 10-100 microns in diameter (just like arterioles)
  • walls are 1 micron thick (6 time thinner than in arterioles)
  • have some fibrous tissue (the same amount as in arteries and veins)
  • have no muscle tissue and elastic tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the structural features of veins?

A
  • from 0.1 mm to 1.5 cm in diameter
  • walls are 0.5 mm thick
  • have some muscle tissue (the same amount as in arterioles)
  • have some elastic and fibrous tissue in the approximately equal amount
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are other differences between veins and arteries?

A

Veins:
- located closer to the body surface, they are visible under skin
- there more veins than arteries
- some have valves to prevent blood backflow
- skeletal muscles contraction helps to pump venous blood back to the heart

Arteries:
- found deeper in body, far away from the body surface
- no valves
- only rely on the heart for blood pumping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is external respiration?

A

Movement of gases (particularly oxygen and carbon dioxide) between the environment and body cells.

There are 3 stages:
1) ventilation: air to lungs (airways and alveoli)
2) lugs to blood (pulmonary and systemic circulation)
3) blood to cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is upper respiratory tract?

A

1a) oral cavity

1b) nasal cavity

2b) pharynx

3) larynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is lower (thoracic) respiratory tract?

A

1) trachea

2) two primary bronchi

3) secondary (lobar) bronchi

4) teriary (segmental) bronchi

5) bronchioles, surrounded with smooth muscle (like arterioles, they can constrict and dilate)

6) alveoli cluster on the end of bronchioles. Surrounded by the dence network of elastic fibres (elastin and collagen) and capillaries.

Starting from the middle of primary bronchi, the rest are inside of lungs.

Trachea and bronchi are covered with ring cartilage to prevent collapse. They are not fully closed to allow enough expansion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the function of pleural membranes and pleural fluid between them?

A
  • Decease friction when lungs expand in thorax
  • Hold lungs tight against the thoracic wall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What can disrupt the normal function of pleural membranes?

A

Pleurisy: inflammation of pleural membranes due to infections. Makes breathing difficult because friction increases.

Pleural effusion: accumulation of pleural fluid, creates pressure to decrease normal lung volume.

Pneumothorax: normal pressure in pleural space is subatmospheric (-3 mm Hg); but when pleural membranes are damaged (often due to knife stubbed into chest), pressure becomes equal to atmospheric and lung collapses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the features of the surface tissue in the airways?

A
  • columnar ciliated epithelia with tight junctions
  • covered with mucus and saline, which are produced by submucosal glands and goblet cells
  • mucus traps dirt and pathogens, cillia beat to remove mucus away from the airways
  • saline layer decreases friction when mucus is removed away with cillia beating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the cells in alveoli?

A

Type I: gas exchange
- one cell thick layer of squamous epithelia (thin cells to allow faster gas diffusion)

Type II: surfactant production:
- prevent alveoli collapse by decreasing surface tension
- killing pathogens
- regulate other immune responses

There are also alveolar macrophages to keep alveoli clean.

24
Q

What is the difference between active (forced) and passive (quiet) breathing?

A

Passive: normal breathing, diagram takes most of the load among muscles.

Active: deep breathing, often after physical activity or voluntary control. Several muscles are involved: diaphragm, interconstals etc.

25
What does happen during inspiration (breathing in)?
1) Diaphragm contract (becomes flat) 2) It increases lung volume 3) Pressure in lungs becomes subatmospheric 4) Air comes from outside to the lungs down pressure gradient.
26
What does happen during expiration (exhaling or breathing out)?
1) Diaphragm relaxes (becomes dome shaped) 2) It decreases volume in lungs 3) Pressure becomes bigger than atmospheric 4) Air goes out from the lungs to outside down pressure gradient Elastic recoil of the lungs also plays significant role at expiration.
27
What are the aspects influencing lung function and hence breathing?
Anatomical aspects: - lungs themselves (bronchi, bronchioles, alveoli) - chest cavity (ribs, interconstal muscles, diaphragm) - pleural membranes (fluid and pressure) Functional aspects: - passive breathing (elastic recoil and pressure gradients) - active breathing (all muscles involved such as intercostals and abdominal muscles)
28
Does air move when the atmospheric and lung (alveolar) pressure is equal?
No, because there is no pressure gradient.
29
Do changes in interpleural pressure correspond to the changes in alveolar pressure?
No. Highest (-3 mm Hg) and lowest (-6 mm Hg) interpleural pressures happen when the air flow stops (no difference between atmospheric and alveolar pressure).
30
Do changes in alveolar pressure correspond to the changes of air volume moved?
No. When alveolar pressure is equal to 0 (no difference between atmospheric and alveolar pressure), volume reaches its peaks (no more volume exchange can happen)
31
What is the difference between total pulmonary ventilation and alveolar ventilation?
No all inhaled air reaches alveoli for gas exchange because of the dead space (150 ml occupied by upper respiratory organs).
32
What is respiration cycle?
1) End of inspiration: 2.7 L in lungs + 150 ml of fresh air in the dead space. 2) Beginning of expiration: 2.2 L in lungs + 150 ml of stale air in the dead space - 500 ml exhaled (350 ml from alveoli and 150 ml from the dead space). 3) End of expiration: 2.2 L in lungs + 150 ml of stale air in the dead space 4) Beginning of inspiration: 2.2 L in lungs + 150 ml of stale air from the dead space coming to lungs + 500 ml inhaled (350 ml into alveoli and 150 ml of fresh air in the dead space.
33
34
What is an average tidal volume?
500 ml - the volume of air inhaled and exhaled during breathing.
35
What is inspiratory reserve volume and inspiratory capacity?
IRV is how much air can be additionally inhaled beyond tidal volume, ~3L. IC is IRV + TV ~3.5L
36
What is expiratory reserve volume, residual volume and functional residual capasity?
ERV - how much extra air can be exhaled beyond tidal volume, ~1L. RV - always stays in the lungs to prevent their collapse, 1.2L. FRC = ERV + RV
37
What is vital lung capacity?
TD + IRV + ERV
38
What is total lung capacity?
TV + IRV + ERV + RV
39
What are the key clinically important measures to monitor lung function?
Forced vital capacity: take one deep breath and blow out as much as possible. Impaired in people with COPD. Forced expiratory volume in 1 second.
40
Is total lung capacity similar for each adult person?
No, it significantly varies according to gender: 4.2 L in females (50 kg) and 5.8 in males (70 kg). Also depends on ethnicity.
41
What is hypoxia?
Lack of oxygen.
42
What is hypercarpnia?
Too much carbon dioxide.
43
What are concentrations of oxygen and carbon dioxide in alveoli and arterial blood?
Oxygen: 100 mm Hg Carbon dioxide: 40 mm Hg
44
What are concentrations of oxygen and carbon dioxide in cells and venous blood?
Oxygen: 40 mm Hg Carbon dioxide: 46 mm Hg
45
Why there is such a big difference in oxygen and carbon dioxide concentrations?
Oxygen is non-polar and hence less soluble. Bigger concentration are needed to compensate. Also, unlike other substances, oxygen is more soluble in cold water than hot water.
46
What is the distance between alveolar epithelia and capillary lumen?
0.1-1.5 micron
47
At the end of inspiration, how many % of the total lung volume is fresh air?
~10%
48
49
Why ventilation and alveolar blood flow are matched?
To ensure efficiency of gas exchange between alveoli and capillaries.
50
What are pHs of arterial and venous blood?
pH 7.4 for arterial and 7.37 for venous.
51
How is oxygen transported in the blood?
2% is dissolved in plasma, 98% bound to hemoglobin, 4 oxygen molecules per one hemoglobin molecule.
52
How is carbon dioxide is transported in blood?
7% dissolved in plasma, 23% as carbaminohemoglobin and 70% as bicarbonate ions dissolved in plasma.
53
Why there is a need for oxygen binding protein such as hemoglobin?
Oxygen is not very soluble in plasma. Without hemoglobin, there would only be 3 ml/L of oxygen in blood. However, with half-saturated hemoglobin, there would be 100 ml/L of oxygen in blood, and with fully saturated, there would be 200 ml/L - sufficient for the body to survive.
54
Which factors affect hemoglobin binding?
- amount of oxygen - amount of hemoglobin - pH (more basic = more affinity) - temperature (colder = more affinity) - amount of 2,3-biphosphoglycerate (more of it = more affinity
55
What is the shape of haemoglobin oxygen binding curve?
Sigmoid - shows positive cooreparativity: binding of one oxygen molecule to haemoglobin makes it easier for the rest 3 oxygen molecules to bind. In alveoli, haemoglobin is almost 100% saturated. In resting cell, 75% of haemoglobin is saturated.
56
How is bicarbonate is transported from erythrocyte to plasma?
With chloride shift, bicarbonate is exchanged for Cl-.