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UCI Physio Test 2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Priming pumps   atrias  
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resistance of systemic circulation   1.0 P/Q  
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resistance of pulmonary circulation   0.14 P/Q  
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BP values for right atrium, right ventricle, pulmonary artery, pulmonary vein, left atrium, left ventricle, arteries, arteriole, capillaries, veins   0-5, 25/0, 18, 8, 0-5, 125/0, 125/80, 90, 30, 15  
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how many ml/sec of blood flow through the lungs   100 ml/sec  
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avg BP if there were no pump   7mm Hg  
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VMC stands for what and is found where   vasomotor center in the medula of the brain  
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VMC is modulated by what   stretch receptors in the right side of heart, pulmonary artery, proximal aorta, carotid sinus region, and in muscle fibers  
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baroreceptors   stretch receptors in the carotid region  
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is the VMC intrinsically active or inactive and do stretch stimuli reduce or increase its intrinsic activity   VMC is instrinsically active and stretch impulses reduce its activity  
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3 regions the VMC stimulates (and what does it stimulate with)   1)SA node 2)arteriolar beds 3)veins (norepi)  
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VMC activity does what 3 things   increased HR and strength of contraction 2)constriction of arterioles 3)constriction of veins  
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ohm's law equivalent   pressure=flow*resistence  
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CBV   central blood volume is the volume of blood in the pulmonary circulation plus the chambers of the heart  
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elastin is found to a greater extent where and what is it's purpose   artery vessels closer to the heart; elastin can expand and contract to maintain smooth BP throughout the cardiac cycle  
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collagen's purpose in arteries   provides protection and insures arteries are not over distended  
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anacrotic limb, dicrotic limb, dicrotic notch   ascending limb of arterial pulse pressure graph; descending limb; valve closing  
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compliance   (change in volume)/(change in pressure)  
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high blood pressure defnition numbers   over 139 and over 90  
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how do you adjust pressure for gravity   add 1 mmHg for every cm below the heart  
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smooth muscles in wall of arterioles are under control of what 3 things   1)sympathetic nervous system (alpha receptors), 2)circulating hormones (epi, norepi, porstaglandins), and 3) metabolites (CO2, K+, H+, adenosine, natriuretic factor)  
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3 features of capillary network   1)large surface area/volume 2)slow blood movement 3)thin walled  
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where are post-capillary sphincters found   kidney  
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thoroughfare channel   direct flow from arteriole to venule that bypasses capillary; purpose is to dissipate heat at skin  
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continuous capillary junction size, found where, and purpose   <40 angstroms; found in brain, heart, skeletal muscle, and lung; minimize protein and H2O loss  
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fenestrated capillary junction size, found where, and purpose   <0.1 micrometers; renal glomeruli, instestinal villi, intestinal mucosa; promote rapid and large exchange of fluid and solute  
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discontinuous capillary found where and purpose   liver, spleen, bone marrow; promotes exchange of macromolecules (protein and cells)  
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three types of material exchange across capillary networks   1)filtration/absorption 2)diffusion 3)micropinocytosis  
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OHM's law as applied to flow through cappillaries   Pcap=(Part(Rven/Rart)+Pven)/(1+(Rven/Rart))  
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interstitium pressure   pressure pushing fluid into vessels; usually zero unless there's a lymph removal problem  
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oncotic pressure   osmotic pressure on capillaries  
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starling landis equation and what does the K mean   F=K[(Pcap+PIint)-(PIpl+Pint)]; K tells how leaky the capillary is  
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how does H2O move across capillary endothelium   diffusion  
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liters/day of fluid moved into the lymphatic system   2-4L/day  
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what drains into the right lymphatic duct   arms, neck, head  
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what drains into the thoracic duct   everything other than arms, neck, and head  
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endothelial cell organization of lymphatic ducts   loosely arranged with large gaps anchored by collagen  
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2 primary fxns of lymphatic ducts   1)return fluid and macromolecules to circulation 2)remove protein from interstitial spaces  
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3 secondary fxns of lymphatic ducts   1)phagocytic activity 2)antibody production 3)avenue for absorbing chylomicron (tri-glycerides) from intestine  
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hemodynamics affecting lymph flow   capillary pressure and oncotic pressure  
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3 mechanical factors affecting lymph flow   1)muscle contraction 2)gut peristalsis 3)arterial pulsations  
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what happens to veins as temp increases   increased distensibility  
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what do epi and norepi do to vein capacitance   decrease capacitance  
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4 mechanisms that aid in venous return   1)valves 2)muscular pumping/milking 3)respiratory pump 4)venous tone via sympathetics (smooth muscle contraction)  
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DVT   deep vein thrombosis; blood clots develop in deep veins (usually leg) from inability to milk blood back to heart  
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mean BP equation   BP=Pd+1/3(Sys-Dia)  
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blood resistance equation   Resistance=(P1-P2)/Flow  
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2 types of remote control on arterioles   nervous and hormonal  
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2 types of local control on arterioles   metabolic and myogenic  
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Beta 1 receptor locations, physiological activators, and responses   heart (SA node, AV node, Ventricles); Norep, Epi, Dopa; Norep and Epi increase HR, conduction, and contractility; Dopa just increases contractility  
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Beta 2 receptor locations, physiological activators, and responses   vascular smooth muscle in skeletal, coronary, and liver/splanchnic (also in muscle, kidney, and liver cells); epi, dopa, norepi (high conc. Req.); vasodilation, glycogenolysis, renin release  
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alpha 1 receptor locations, activators, and response   postsynaptically in vascular smooth muscle in all organ systems; norepi, epi (high dose), dopa (high dose); vasoconstriction  
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alpha 2 receptor locations, activators, and response   presynaptically on alpha motor neurons in all organ systems; epi, dopa, norepi (inhibitor); vasoconstriction  
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cholinergic receptor location, activator, and response   all beds; acetylcholine; vasodilation  
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sympathetic cholinergic (via hypothalamus) receptor location, activator, and response   skeletal muscle; acetylcholine; vasodilation  
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dopamine receptor locations and response   renal, splanchnic, cerebral, skeletal, skin; vasodilation  
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beta 2 receptor affinity for epi and norepi   much greater affinity for epi than norepi  
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overall effect of norepi   vasoconstriction at all concentrations  
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overall effect of epi   vasodilation at low concentrations (beta response) and vasoconstriction at high concentrations (alpha response)  
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equation to determine flow of blood through lung using O2 as indicator (ficke method)   Flow=(O2 uptake)/(ArtO2/100ml-VenO2/100ml); this is on the test  
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how to measure cerebral blood flow   modified ficke using nitrous oxide  
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4 features of cerebral blood flow   1)constant flow, 2)tight capillary jxns, 3)little anaerobic metabolism, 4)CSF pressure is 80% less than mean arterial perfusion pressure  
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effects of increased CO2 on CSF pH and then on cerebral flow   more CO2 → lower CSF pH → higher cerebral blood flow  
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what happens to cerebral blood flow as arterial pressure increases   increases at first and then flattens due to auto regulation by sympathetics  
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what happens to cerebral blood flow as cerebral spinal fluid pressure increases   remains constant until the CSF pressure shuts the arteries and CBF pressure drops  
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what is the cushing reflex   as the CSF pressure increases it hits a point where massive peripheral vasoconstriction occurs to ensure enough pressure in the spinal canal to keep CBF up  
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what disease causes high CSF pressure   spinal meningitis  
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splanchnic blood flow equation   infusion rate (mg/min)/[Conc.(artery)-Conc.(hepatic vein)]  
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portal system   unique splanchnic plumbing system where the liver receives the venous drainage from other intestinal organs  
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significance of hepatic vein   entire venous drainage of splanchnic (including liver) goes through the hepatic vein  
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dye used for modified ficke on splanchnic blood flow   indocyanine green  
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normal splanchnic flow during rest   1000-1500 ml/min  
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what happens to splanchnic blood flow when arterial pressure rises? Why?   splanchnic pressure rises because the stretch receptors inhibit the VMC, so the resistance stays low, increasing splanchnic pressure  
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O2, CO2, and pH must move in which way to give positive feedback to the VMC   O2 decreases, CO2 increases, pH decreases  
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splanchnic blood flow decreases from what changes in BP, central blood volume, and VO2 max   decreased blood pressure, decreased central blood volume, increased exercies  
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venous occlusion plethysmography   way to measure skeletal muscle blood flow (crude); occlude veins but not arteries and see how fast volume increases  
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microsphere uptake   way to measure skeletal muscle blood flow; only works on animals because they have smaller capillaries; give animal radioactive microspheres and see how fast they build up in different locations  
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the amount of blood flowing to a certain muscle depends on what   activity, type of muscle (oxidative gets more), and number of mitochondria  
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what kind of feedback to the VMC do active skeletal muscle fibers send   positive to enhance sympathetic activity  
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what muscle system is the only system to be innervated with hypothalamic sympathetic cholinergic neurons   skeletal muscle system  
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what creates a peaked T wave on an EKG   hyperkalemia  
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