(5) Circulation Flashcards

(58 cards)

1
Q

What are 5 functions of the circulatory system?

A

1) Carry blood, keeping pulmonary and systemic circulation separate
2) Exchange nutrients, waste products, and gases with tissues
3) Transport substances
4) Regulate blood pressure within a normal range
5) Direct blood flow to tissue

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2
Q

What are 3 types of blood vessels?

A

Arteries
Venules/veins
Capillaries

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3
Q

What are the three wall layers of arteries and veins? Inner->Outer

A

Tunica intima
Tunica media
Tunica adventitia

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4
Q

What is the tunica intima? (general)

A

Innermost wall of arteries and venules.
Endothelium, mainly simple squamous

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5
Q

What layers make up the tunica intima? Inner->Outer

A

Basement membrane
Laminar propria
Internal elastic membrane

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6
Q

What is the tunica media? What does it allow for?

A

Smooth muscle cells arranged circularly around the blood vessel

Allows for vasoconstriction and vasodilation

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7
Q

What is the tunica adventitia made up of?

A

Connective tissue.
Varies from dense (near media) to loose (merges with surrounding connective tissue)

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8
Q

What are the three types of arteries?

A

Elastic
Muscular
Arterioles

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9
Q

What are elastic arteries (e.g.)? What is the function of elastic arteries?
Is blood pressure high or low in elastic arteries?

A

Conducting arteries, e.g. the aorta. Elastic arteries expand and recoil to prevent drops in blood pressure

Blood pressure is high.

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10
Q

What are muscular arteries? How thick are their walls? What is their function?

A

Distributing arteries.

Contain 25-40 layers of smooth muscle.

Vasoconstrict and vasodilate to regulate blood supply

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11
Q

What are arterioles? What is their function?

A

Small muscular arteries, which decrease in size, diameter and wall thickness to the terminal arterioles.

Carry blood from small arteries to capillaries.

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12
Q

What are venules? What is their function? What are their walls made up of?

A

Very small veins.
Drain fluid from the capillary network.
Made up of endothelial cells, basement cells, and a few smooth muscle cells.

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13
Q

What are veins? Is blood pressure low or high in them? Why?

A

Blood vessels with a large lumen, thin walls, and valves to prevent backflow.

Low blood pressure.
Veins can hold a lot of blood at very low pressure.

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14
Q

What are capillaries? What is their average diameter? What is their function?

A

Very small blood vessels. Average diameter of 10μm.
Allow for rapid exchange of nutrients and metabolites between bloodstream and interstitial fluid.

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15
Q

What are the walls of capillaries made up of? Inner->outer

A

Basement membrane
Endothelial cells
Thin layer of connective tissue

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16
Q

Which substances are able to diffuse directly through the plasma membrane of the capillary?

A

Lipid-soluble molecules
Some water soluble-molecules

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17
Q

How do molecules which are unable to diffuse through the capillary’s plasma membrane transport?

A

Through fenestrae in the basement membrane, or through gaps between endothelial cells

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18
Q

What are 3 types of capillaries?

A

1) Continuous
2) Fenestrated
3) Sinusoidal

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19
Q

What are the characteristics of continuous capillaries? Where might they be found?

A

Contain no gaps between endothelial cells

Found in muscle, nervous tissue and skin

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20
Q

What are the characteristics of fenestrated capillaries? Where might they be found?

A

Highly permeable. Contain numerous fenestrae.

Found in the villi of the small intestine, glomeruli in the kidneys and in endocrine glands.

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21
Q

What are the characterstics of sinusoidal glands? Where might they be found?

A

Large diameter and large fenestrae. Basement membrane sparse, or often missing.

Found in liver and bone marrow.

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22
Q

What are arteriovenous anastomoses?

A

Specialised vascular connections allowing blood to bypass capillaries and flow directly from arterioles to venules

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23
Q

What is blood pressure determined by?

A

Pressure, flow, and resistance.

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24
Q

What is blood pressure directly proportional to?

A

Pressure differences

25
What is blood pressure inversely proportional to?
Resistance
26
What is blood flow directly proportional to?
Vessel length and viscosity
27
What is blood flow inversely proportional to?
Vessel diameter?
28
What is laminar flow?
When blood flows in a streamlined fashion. Usually through smooth-walled tubes of equal diameter
29
In laminar flow, where is the blood that flows fastest? Where is the blood that flows slowest?
Fastest: Closest to centre Slowest: Closest to outermost layer
30
What is the formula for calculating the rate of blood flow per minute?
Flow = (P1 −P2)/R P1 = pressure in the vessel at point 1 P2 = pressure in the vessel at point 2 R = resistance to flow
31
What is the formula for calculating the resistance of blood flow?
Resistance = 128vl/πD4 V = viscosity of blood L = length of vessel D = diameter of vessel
32
What is Poiseulle's Law?
Equation for resistance combined with the equation for flow Π(P1-P2)D4/128vl
33
How can blood pressure in the vessels be altered in the short term
By varying the radius of the resistance vessels
34
Does blood leave the heart at high or low pressure?
High pressure
35
Does blood return to the heart at high or low pressure?
Low pressure
36
What are two homeostatic mechanisms involved in the regulation of blood flow in tissues?
Local control (relaxation and contraction of precapillary sphincters) Extrinsic (nervous and hormonal control)
37
What are the 3 subcategories of local control of tissue blood flow?
Local metabolic factors Other local vasoactive substances Myogenic control
38
How do local metabolic factors affect blood flow in tissues?
Vasodilation - increases with an increase in CO2 Blood flow increases when tissue metabolism increases, and vice versa
39
What are examples of some vasoactive substances which have an influence on the blood flow in tissues?
Vasodilators: histamines, bradykinins, prostacyclins Vasoconstrictors: Endothelin-1, leukotrienes, thromboxane-A2
40
How does myogenic control influence blood supply to tissues?
Passive stretch of blood vessels causes vasoconstriction
41
What are the two subcategories of extrinsic control of blood supply to tissues?
Nervous control Hormonal control
42
How does nervous control affect blood supply to tissues?
Sympathetic vasomotor fibres innervate blood vessels and control vasoconstriction Vasomotor centres at lower pons/upper medulla regulate constriction
43
How does hormonal control affect blood supply to tissues?
Vasoconstrictors: noradrenaline, adrenaline, angiotensin II, anti-diuretic hormone Vasodilators: Atrial natriuretic peptide
44
What is blood pressure? What is it measured in?
The measure of force that blood exerts against the walls of blood vessels. mmHg
45
What is the formula for calculating pulse pressure?
pulse pressure = systolic blood pressure - diastolic blood pressure
46
What is the formula for calculating mean arterial pressure?
Mean arterial pressure = diastolic blood pressure/ (1/3) pulse pressure
47
What is the formula for calculating blood pressure?
Cardiac output X total peripheral resistance
48
What is the formula for calculating cardiac output?
Heart rate x stroke volume
49
What are 4 methods of short-term blood pressure regulation?
Baroreceptor reflexes Adrenal medullary mechanism Chemoreceptor reflexes CNS ischemic response
50
What are baroreceptors?
Receptors sensitive to stretch, located in walls of most large arteries. Respond quickly to changes in blood pressure
51
What is the adrenal medullary mechanism method of regulating blood pressure?
Mechanism activated by an increase in sympathetic stimulation of the heart and blood vessels Sympathetic nerve fibres stimulate the adrenal medulla
52
How do chemoreceptors influence the short term regulation of blood pressure?
Recognise and respond to changes in blood composition (increase in oxygen/CO2 -> change in pH)
53
What is the CNS ischemic response?
An increase in blood pressure in response to a lack of blood flow to the medulla oblongata. Vasomotor centre stimulates vasoconstriction
54
What are 3 methods of long-term blood pressure regulation?
Renin-angiotensin-aldosterone (RAAS) mechanism ADH Atrial natriuretic mechanism
55
What are the 6 steps of the renin-angiotensin-aldosterone mechanism?
1) Kidneys detect decreased blood pressure, resulting in increased renin secretion 2) Renin converts angiotensinogen to angiotensin I 3) Angiotensin-converting enzyme in the lungs converts angiotensin I to angiotensin II 4) Angiotensin II is a potent vasoconstrictor and results in increased blood pressure 5) Angiotensin II stimulates the adrenal cortex to secrete aldosterone 6) Aldosterone acts on the kidneys to increase sodium reabsorption. Urine volume decreases, and blood volume increases, causing blood pressure to rise.
56
How does antidiuretic hormone regulate blood pressure in the long term?
1) ADH released when baroreceptors detect decrease in blood pressure 2) ADH acts directly on blood vessels to cause vasoconstriction 3) ADH decreases rate of urine production by kidneys, increasing blood volume
57
How does the atrial natriuretic mechanism affect blood pressure regulation in the long term?
Acts upon kidneys to increase rate of urine production and sodium loss in urine. Dilates arteries and veins Causes decrease in blood volume, venous return and peripheral resistance = overall decrease in blood pressure
58
Is the atrial natriuretic mechanism a vasodilator or a vasoconstrictor?
Vasodilator