CH 20 Flashcards

(48 cards)

1
Q

What are the three main types of blood vessels and their primary functions?

A

Arteries carry blood away from the heart, capillaries allow exchange between blood and tissues, and veins return blood to the heart.

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2
Q

What are the three tunics (layers) of blood vessel walls?

A

Tunica intima, tunica media, and tunica externa.

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3
Q

What is the structure and function of the tunica intima?

A

It is the innermost layer made of simple squamous epithelium (endothelium) and a subendothelial layer of areolar connective tissue; it provides a smooth surface to reduce friction as blood flows.

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4
Q

What is the structure and function of the tunica media?

A

It is the middle layer composed of circular smooth muscle and elastic fibers; it controls vasoconstriction and vasodilation to regulate blood pressure and blood flow.

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5
Q

What is the structure and function of the tunica externa?

A

It is the outer connective tissue layer containing collagen and elastic fibers; it anchors the vessel and may contain vasa vasorum in large vessels.

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6
Q

How do arteries differ structurally from veins?

A

Arteries have a thicker tunica media, more elastic fibers, and a narrower lumen; veins have a thicker tunica externa, larger lumen, less elastic tissue, and can collapse if empty.

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7
Q

Why can veins act as blood reservoirs?

A

Because they have large lumens and thin walls, allowing them to hold large volumes of blood; about 55% of blood is in systemic veins at rest.

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8
Q

What is the structure of a capillary?

A

Capillaries contain only tunica intima (endothelium and basement membrane), allowing rapid exchange.

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9
Q

What are the three types of arteries?

A

Elastic arteries, muscular arteries, and arterioles.

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10
Q

What are elastic arteries and what is their function?

A

Large arteries with high elastic fiber content that stretch and recoil to maintain blood flow during diastole; examples include the aorta and pulmonary trunk.

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11
Q

What are muscular arteries and what is their function?

A

Medium-sized arteries that distribute blood to specific body regions and contain internal and external elastic lamina.

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12
Q

What are arterioles and why are they important?

A

Smallest arteries that regulate systemic blood pressure and control blood flow into capillary beds.

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13
Q

What is an aneurysm?

A

A localized ballooning of an arterial wall due to weakening, commonly in the aorta or brain arteries, which may rupture and cause fatal bleeding.

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14
Q

What are continuous capillaries?

A

Capillaries with tightly joined endothelial cells and small intercellular clefts that allow small molecules to pass but block proteins and cells.

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15
Q

Where are continuous capillaries commonly found?

A

Muscle, skin, lungs, and central nervous system.

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16
Q

What are fenestrated capillaries?

A

Capillaries with pores (fenestrations) that allow greater fluid and small protein movement.

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17
Q

Where are fenestrated capillaries found?

A

Kidneys and intestines.

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18
Q

What are sinusoids?

A

Capillaries with large gaps and incomplete basement membranes that allow large proteins and blood cells to pass.

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19
Q

Where are sinusoids found?

A

Bone marrow, spleen, and some endocrine glands.

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20
Q

What are venules?

A

The smallest veins that collect blood from capillaries and merge into larger veins.

21
Q

What are the three mechanisms of capillary exchange?

A

Diffusion, vesicular transport, and bulk flow.

22
Q

How does diffusion work in capillaries?

A

Substances move from high to low concentration; oxygen and nutrients move to tissues, while carbon dioxide and wastes move into blood.

23
Q

What is vesicular transport in capillaries?

A

Endothelial cells use pinocytosis and exocytosis to transport substances across the cell via vesicles.

24
Q

What is bulk flow?

A

Movement of large amounts of fluid due to pressure differences across the capillary wall.

25
What is filtration?
Movement of fluid out of the capillary at the arterial end due to higher hydrostatic pressure.
26
What is reabsorption?
Movement of fluid back into the capillary at the venous end due to higher colloid osmotic pressure.
27
What is hydrostatic pressure (HP)?
The force exerted by a fluid against the vessel wall; blood hydrostatic pressure promotes filtration.
28
What is colloid osmotic pressure (COP)?
The pulling force created by plasma proteins (mainly albumin) that draws water into the blood; also called oncotic pressure.
29
What is net filtration pressure (NFP)?
The balance of hydrostatic and osmotic pressures that determines whether filtration or reabsorption occurs.
30
At which end of the capillary does filtration occur and why?
At the arterial end because blood hydrostatic pressure is greater than colloid osmotic pressure.
31
At which end of the capillary does reabsorption occur and why?
At the venous end because colloid osmotic pressure exceeds hydrostatic pressure.
32
What role does the lymphatic system play in fluid balance?
It returns about 15% of excess fluid not reabsorbed at the venous end back to circulation and prevents edema.
33
What is hemodynamics?
The study of blood flow based on pressure gradients and resistance.
34
What is systolic pressure?
The highest arterial pressure during ventricular contraction; the top number in blood pressure.
35
What is diastolic pressure?
The lowest arterial pressure during ventricular relaxation; the bottom number in blood pressure.
36
How is mean arterial pressure (MAP) calculated?
MAP = diastolic pressure + 1/3 (pulse pressure).
37
Why is MAP clinically important?
It indicates tissue perfusion; MAP below 60 mm Hg may lead to inadequate blood flow to organs.
38
What is the skeletal muscle pump?
Skeletal muscle contractions compress veins, pushing blood toward the heart while valves prevent backflow.
39
What is the respiratory pump?
Pressure changes during breathing that help move venous blood toward the heart.
40
What is deep vein thrombosis (DVT)?
A blood clot in a deep vein, often in the calf, that may lead to a pulmonary embolism.
41
What are varicose veins?
Dilated, twisted veins caused by valve failure and blood pooling, commonly in the lower limbs.
42
What is peripheral resistance?
The friction blood encounters as it flows through vessels.
43
What factors affect peripheral resistance?
Blood viscosity, vessel length, and vessel radius.
44
How does blood viscosity affect resistance?
Increased viscosity increases resistance; anemia decreases viscosity, dehydration increases it.
45
How does vessel length affect resistance?
Longer vessels increase resistance due to more friction.
46
How does vessel radius affect resistance?
Resistance is inversely proportional to radius to the fourth power; small decreases in radius greatly increase resistance.
47
What are the main determinants of blood pressure?
Cardiac output, peripheral resistance, and blood volume.
48
How does exercise affect blood flow?
Cardiac output increases, blood shifts from venous reservoirs, and more blood is directed to active tissues.