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A&P Exam 2

QuestionAnswer
arteries carry oxygenated blood from the heart and have thick tunica media, regulate blood pressure
veins returns blood to the heart (typically deoxygenated except for pulmonary veins), has valves to prevent backflow and wider lumen
capillaries connects arteries and veins, very thin for gas exchange
valves made of elastic tissue, ensures blood only flows towards the heart
pulmonary circuit transports blood to and from the lungs, picking up oxygen and delivering CO2 for exhalation
systemic circuit transports oxygenated blood to body tissues and returns deoxygenated blood and CO2 to the heart to be sent thru the pulmonary system
pulmonary loop RA --> tricuspid valve --> RV --> pulmonary semilunar valve --> pulmonary trunk --> right and left pulmonary arteries --> lungs --> pulmonary veins --> left atrium
systemic loops RA --> bicuspid valve (mitral) --> LV --> aortic semilunar valve --> aorta --> arteries --> arterioles --> capillaries --> venules --> veins --> vena cavae --> right atrium
____________and ____________ are sites of gas exchange lungs and capillaries
cardiac output volume of blood pumped by each ventricle per minutes (Liters/minute)
cardiac output equation CO = SV x HR
CO at rest and exercise rest --> 5 Liters/min exercise --> 30-35 Liters/ min
factors that affect stroke volume larger end diastolic volume --> larger SV sympathetic nerves secreting epinephrine increases SV plasma epinephrine from adrenal medulla increases SV
factors that affect heart rate stimulation of sympathetic nerves increases HR stimulation of parasympathetic nerves decreases HR plasma epinephrine from adrenal medulla increases HR
EKG electrocardiogram; traces electrical signal of the heart
P wave first small wave, depolarization of the atria
QRS complex larger, repolarization of the ventricles
T wave repolarization of the ventricles
when is the atria repolarized? during the QRS complex
systole vs diastole contraction relaxation
electrical system of the heart Sinoatrial (SA) node --> atrioventricular (AV) node --> atrioventricular bundle (bundle of his) --> purkinje fibers
SA node sinoatrial node in the superior and posterior RA walls, initiates sinus rhythm
AV node atrioventricular node in the inferior portion of the RA, slows signals
bundle of his bridge that transmits impulses from AV node to ventricles
purkinje fibers final high speed conduction pathway
fetal vs adult heart 1. foramen ovale 2. ductus arteriosus 3. ductus venosus 4. remnants of umbilical arteries
foramen ovale allows blood to flow from RA thru interatrial septum to LA; seals up as an adult and becomes the fossa ovalis
ductus arteriosus connects pulmonary trunk to aorta; degenerates to CT, becomes ligamentum arteriosum in adults
ductus venosis temporary vessel that branches off umbilical vein; allows blood from placenta to heart; closes in first weeks of infancy and becomes ligamentum venosum
frank-starling law of the heart the force of contraction is directly proportional to initial length of muscle fibers the greater the stretch of the ventricular muscle, the more powerful the contraction, increasing SV
frank starling equations BP = CO x PR CO = SV x HR BP = (SV x HR) PR
heart murmur abnormal heart sound
myocardial infarction decreased or complete cessation of blood flow to myocardium
aneurysm blood vessel bursts
varicose vein valve flips wrong way, trapping blood
mitral stenosis narrowing of mitral valve
mitral valve prolapse valve flops back during contraction --> regurgitation
cardiac tamponade blood filling the sac around the heart
bradycardia too slow HR
tachycardia too fast HR
CVI/CVA cerebral vascular incident/accident (stroke) disrupted brain blood flow
pulmonary RA to lungs to LA
systemic LA to body to RA
endocardium thin endothelial layer
myocardium middle thickest layer, contracts to pump
epicardium visceral layer of pericardium containing vessels
tricuspid valve between. RA and RV
mitral valve between LA and LV
pulmonary valve between. RV and pulmonary artery
vena cava brings oxygen poor blood to RA
pulmonary artery carries blood from RV to lungs
pulmonary veins oxygen rich blood from lungs to LA
aorta oxygen rich blood from LV to body
antigens foreign substances that trigger immune responses
antibodies immunoglobulins that neutralize antigens
B cells mature in bone marrow; produce antibodies and involved in humoral (body fluid) immunity
T cells mature in thymus gland; cell mediated immunity
normal blood pH 7.35-7.45
acidosis more acidic blood pH
alkalosis more basic blood pH
hematocrit % of RBC's to whole blood cells usually about 45%
erythrocytes (RBC's) transport oxygen and CO2
neutrophils active phagocytes; increase in acute infections
eosinophils kill parasitic worms, increase during allergy attacks (antihistamine)
basophils make histamine and discharge it at inflammation sites
lymphocytes involved in immune system
monocytes become macrophages, long term clean-up,
2 types of blood typing ABO and Rh
ABO can have A, B, A and B, or neither A or B (O)
Rh if RhD is present, you are positive, if it is absent, negative
erythropoesis formation of RBC's in red bone marrow
erythropoietin stimulates stem cells in bone marrow to differentiate into reticulocytes
where does erythropoietin come from? 85% kidneys and 15% liver
what is secretion of erythropoietin stimulated by? low oxygen levels in plasma
agranulocytes lymphocytes and monocytes
hemoglobin carries oxygen by attaching it to iron and CO2 by hanging it off the cages
albumin most abundant plasma protein, binds proteins for transport, COP, 54% plasma proteins
globulins alpha and beta transport iron, lipids and fat soluble vitamins gamma are immunoglobins 38%
fibrinogen needed for clotting 7%
RBC lifespan 120 days
RBC recycling macrophages phagocytize worn out RBC's to break heme down to bilirubin and to transport iron (using transferrin) to be reused in the production of hemoglobin
Created by: kingsleya27
 

 



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