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Ch. 13/MED 126
The Vascular System
| Question | Answer |
|---|---|
| The vascular system consists of? | Veins, arteries, and capillaries |
| What does the vascular system circulate to provide for gas, nutrient, and waste exchange? | Blood |
| What carries blood away from the heart? | Arteries |
| In the arteries, pressure is high/low? | High |
| Arteries branch into smaller arteries until they become? | Arterioles |
| Arterioles empty into? | Capillaries |
| The 3 layers of arteries are? | Tunica intima, tunica media, and tunica externa |
| What is the innermost layer of an artery called? | Tunica intima |
| What layer is the only layer that contacts blood? | Tunica intima |
| The tunica intima is made up of ___________ epithyelium called endothelium? | Simple squamos |
| `The tunica intima is continuous with the? | Endocardium |
| The smoothness of the tunica intima prevents? | Clotting |
| What layer of the artery produces NO (nitric oxide)? | Tunica intima |
| The tunica intima produces nitric oxide which causes? | Vasodilation |
| The middle layer of the artery is called? | Tunica media |
| The tunica media is made up of ______ muscle and _______ connective tissue? | Smooth, elastic |
| The tunica media helps maintain blood pressure during? | Diastole |
| Nitric oxide increases relaxation of the tunica? | Media |
| Nitric oxide increases relaxation of the tunica media which increases/decreases BP? | Decreases |
| In the tunica media, the SNS causes vaso? | Constriction |
| What is the internal elastic lamina? | Elastic layer that separates the inner 2 layers |
| What is the external elastic lamina? | Elastic layer that separates the outer 2 layers |
| What is the outer layer of the artery called? | Tunica externa |
| The tunica externa is made up of _____________ connective tissue? | Dense, irregular, fibrous |
| The tunica externa provides strength to prevent? | Rupture/aneurysm due to high pressure |
| Arterioles do not have a tunica? | Externa |
| Arterioles allow arteries to prevent flow to? | Capillaries |
| Veins carry blood away/toward the heart? | Toward |
| In the veins, pressure is high/low? | Low |
| Veins start out as ______ from capillaries? | Venules |
| Some veins in the lower extremities contain flaps called? | Valves |
| What do valves prevent? | Backflow of blood |
| Damage of valves leads to? | Varicosities |
| The tunica media is thinner because they do little to regulate? | Blood pressure |
| Why is the tunica externa thinner? | Because of the lower pressure in veins |
| What is a connection/joining of vessels that provides an alternate pathway when blockage occurs, i.e., provides redundancy called? | Anastomosis |
| Capillaries are single layer vessels that connect _______ to ________? | Arterioles to venules |
| Capillaries contain only? | Endothelium |
| Capillaries cannot dilate/constrict? | Constrict |
| Capillaries are about the diameter of one? | RBC |
| The number of capillaries in a tissue reflects that tissue's? | Metabolic activity |
| Not all tissues contain blood vessels and must get nutrients and gases via? | Diffusion |
| Flow to capillaries is regulated by? | Precapillary sphincters |
| What takes the place of capillaries in some tissues? | Sinusoids |
| Sinusoids are more permeable to permit? | Large proteins and cells to pass through |
| Capillaries exchange material between the blood and the __________ in the tissues in both directions? | Interstitial fluid |
| Gases in capillaries move by? | Diffusion |
| What occurs because of the higher pressure in the vessel, forcing plasma, glucose, AAs, and vitamins out of the capillary? | Filtration |
| What is the pressure created in the capillary that creates a concentration gradient to pull fluid into blood? | Colloid osmotic pressure |
| COP is created primarily because of? | Albumin |
| COP can be thought of as a "pulling" pressure that pulls ______ into the blood? | Water |
| COP occurs toward the _____ side of the capillary? | Venule |
| COP helps maintain blood? | Volume |
| Excess interstitial fluid is returned via the? | Lympahatic vessels |
| What is a very important anastomosis surrounding the pituitary gl. on the inferior surface of the brain? | Circle of Willis |
| The popliteal v. changes name to become the? | Femoral v. |
| The great saphenous v. combines with the femoral v. to become the? | External iliac v. |
| The external and internal iliac v. join to become the? | Common iliac v. |
| The right and left common iliac combine to become the? | Inferior vena cava |
| What veins join the inferior vena cava? | Inferior mesenteric v., gonadal vv., renal v., right and left gastric vv., hepatic v., and intercostal vv. |
| The median v. becomes the? | Basilic v. |
| The basilic v. combines with the brachial v. to become the? | Axillary v. |
| The median cubital combines the median v. with the ? | Cephalic v. |
| The cephalic v. joins the axillary v. to become the? | Subclavian v. |
| The internal jugular v., external jugular v., ad vertebral v. join the? | Subclavian v. |
| The internal jugular v. is supplied by the? | Dural venous sinuses |
| When the cross-sectional area of the vascular system increases, the velocity of blood flow? | Decreases |
| The total circulation time for the velocity of blood flow is about? | One minute |
| When blood flows, the venules to veins, the cross-sectional area _______, and the velocity ______? | Decreases, increases |
| The segment of the vascular system with the greatest cross-sectional area is the? | Capillaries |
| Velocity of blood flow in the capillaries is? | Slow |
| Explain the importance of velocity of flow in the capillaries: | Slow flow allows enough time for exchange of nutrients, wastes, and gases. |
| What is blood pressure? | The force the blood exerts against the walls of vessels |
| What is dependent on BP? | Filtration |
| Blood pressure is measured in? | mmHg-milimeters of mercury |
| Pulmonary BP prevents filtration from the capillaries which would lead to? | Pulmonary edema |
| When taking systemic arterial BP, what 2 numbers are taken? | Systolic, diastolic |
| The pressure when the left ventricle contracts is called? | Systolic |
| The pressure when the left ventricle relaxes is called? | Diastolic |
| Consistent high BP is called? | Hypertension |
| BP that is below normal is called? | Hypotension |
| Systemic BP is highest in the? | Aorta |
| Systemic BP decreases as distance the heart? | Increases |
| What is venous return? | The amount of blood returned from the veins to the heart |
| If venous return decreases, Starling's Law will prevent the heart from contracting as forcefully and BP will ______? | Decrease |
| When standing the heart must overcome gravity pulling the blood to the lower extremities. 3 mechanisms help overcome this and they are called? | Venous contriction, skeletal muscle pump, and respiratory pump |
| Constriction of the veins helps increase venous return. The tissue in the wall of a vein that is capable of contractions is? | Smooth muscle |
| The skeletal muscle pump contributes to venous retun in veins in which part part of the body? | Legs |
| Contraction of skeletal muscles (especially legs) compress these veins and force blood toward the? | Heart |
| The respiratory pump contributes to venous return in veins in which part of the body? | Thoracic cavity |
| As HR and force increases, BP ______? | Increases |
| What is the resistance of blood vessels to the flow of blood? | Peripheral resistance |
| What helps maintain diastolic pressure and pulse pressure? | Elasticity of large arteries |
| What is pulse pressure? | The difference between the systolic and diastolic pressure |
| The normal ratio for pulse pressure is? | 3:2:1 |
| The thickness of blood is called? | Viscosity |
| Viscosity of the blood is increased due to? | Solids |
| What hormone increases vasoconstriction and HR? | Epinephrine |
| What hormone increases vasoconstriction? | Norepinephrine |
| What hormone increases the reabsorption of water by the kidneys? | ADH |
| What hormone increases the reabsorption of water by the kidneys by increasing sodium reabsorption? | Aldosterone |
| What hormone increases loss of water by increasing excretion of sodium? | ANP |
| What is the distribution of blood flow? | As certain organs require more blood other organs must give up blood in order to maintain pressure |
| What are the 2 categories of BP regulation? | Intrinsic mechanisms and nervous mechanisms |
| What mechanism is within the cardiovascular system and does not require nervous system input? | Intrinsic mechanisms |
| What are the 3 mechanisms of intrinsic mechanisms? | Starling's law, filtration decrease and renin-angiotensin mechanism |
| During the renin-angiotensin mechanism, BP decrease causes kidneys to release renin which causes? | Angiotensin II to be formed which causes vasoconstriction and release of aldosterone from adrenal cortex |
| What mechanism is controlled by the ANS? | Nervous mechanism |
| The vasomotor center is located in the ______ of the brain? | Medulla |
| The vasomotor center consists of two areas called the? | Vasoconstrictor and vasodilater |
| The medulla receives sensory information about the need for changes in vessel diameter from the _______ in the carotid and aortic sinuses? | Pressoreceptors |
| The division of the autonomic nervous system that regulates the diameter of arteries and veins is the ______ division? | Sympathetic |
| Vasoconstriction is brought about by more impulses per second and will ______ BP. | Raise |
| Vasodilation is brought about by fewer impulses per second and will ______ BP. | Lower |