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A&P Heart & Blood
| Question | Answer |
|---|---|
| The heart is a cone-shaped muscular organ located within the ___. | Medastium |
| Its apex rests on the ____. | Diaphragm |
| Its base is at the level of the _____ rib. | Second |
| The coronary arteries that nourish the myocardium arise from the _____. | Aorta |
| The coronary sinus empties into the ___. | Right Atrium |
| Relative to the roles of the heart chambers, the ____ are the receiving chambers. | Atria |
| Relative to the roles of the heart chambers, the ____ are the discharging chambers. | Ventricles |
| The membrane that lines the heart and also forms the valve flaps is called the ____. | Endocardium |
| The outermost layer of the heart is called the ___. | Epicardium |
| The fluid that fills the pericardial sac acts to decrease ___ during heart activity. | Friction |
| The heart muscle, or myocardium, is composed of a specialized type of muscle tissue called ____. | Cardiac Muscle |
| The contraction of the ventricles is referred to as ___. | Systole |
| The period of ventricular relaxation is called ___. | Diastole |
| The monosyllables describing heart sounds during the cardiac cycle are ___. | "lub dup" |
| The first heart sound is a result of closure of the ____ valves. | Atrioventricular valves |
| The second heart sound is caused by closure of the ____ valves. | Semilunar valves |
| The heart chambers that have just been filled when you hear the first heart sound are the ____. | Atria |
| The chambers that have just been emptied when you hear the first heart sound are the ___. | Ventricles |
| Immediately after the second heart sound, the ____ are filling with blood. | Ventricles |
| Immediately after the second heart sound, the ____ are empty. | Atria |
| Abnormal heart sounds, or ___, usually indicate valve problems. | Heart murmurs |
| Which two valves prevent back flow into the ventricles when the heart is relaxed? | Pulmonary valve & Aortic valve |
| Which two valves prevent back flow into the atria when the ventricles are contracting? | Mitral (Bicuspid) valve & Tricuspid valve |
| Which AV valve has three flaps? | Tricuspid valve |
| Which AV valve has two flaps? | Mitral (Bicuspid) valve |
| What is the pacemaker of the intrinsic conduction system? | Sinoatrial Node |
| What is the point in the intrinsic conduction system where the impulse is temporarily delayed? | Atrioventricular Node |
| What is a recording of the electrical activity of the heart called? | Electrocardiogram (ECG) |
| What is the period when the atria are depolarizing? | P Wave |
| What is the period when the ventricles are repolarizing? | T Wave |
| What is the period during which the ventricles are depolarizing, which precedes their contraction? | QRS Wave |
| What is an abnormally slow heartbeat, that is, slower than 60 beats per minute called? | Brachycardia |
| What is an abnormally fast heartbeat, that is, faster than 100 beats per minute called? | Tachycardia |
| What is the condition in which the heart is uncoordinated and useless as a pump? | Fibrillation |
| Damage to the AV node, totally or partially releasing the ventricles from the control of the sinoatrial (SA) node is called? | Heart Block |
| What is chest pain, resulting from ischemia of the myocardium called? | Angina Pectoris |
| In the relationship CO = HR x SV, CO stands for ___. | Cardiac Output |
| In the relationship CO = HR x SV, HR stands for ___. | Heart Rate |
| In the relationship CO = HR x SV, SV stands for ___. | Stroke Volume |
| The normal average adult cardiac output, therefore, is ____. | 75 bpm |
| The time for the entire blood supply to pass through the body is once each ____. | Minute |
| According to Starling's law of the heart, the critical factor that determines force of heartbeat, or ___ is the degree of ___ of the cardiac muscle just before it contracts. | Preload ; Stretching |
| Consequently, the force of heartbeat can be increased by increasing the amount of ____ returned to the heart. | Blood |
| What factors will lead to an increase in cardiac output by influencing either heart rate or stroke volume? | Epinephrine, Thyroxine, Fear, Exercise, Activation of the sympathetic nervous system, Low blood pressure, Fever |
| True or False: The resting heart rate is fastest in (adult) life. | False; Fetus |
| True or False: Because the heart of the highly trained athlete hypertrophies, its (stroke volume) decreases. | False; Resting Heart Rate |
| True or False: If the (right) side of the heart fails, pulmonary congestion occurs. | False; Left |
| True or False: In (peripheral) congestion, the feet, ankles, and fingers become edematous. | True |
| True or False: The pumping action of the healthy heart ordinarily maintains a balance between cardiac output and (venous return). | True |
| Which term does not belong: Pulmonary Trunk, Vena Cava, Right side of the heart, Left side of the heart | Right side of the heart |
| Which term does not belong: QRS wave, T wave, P wave, Electrical activity of the ventricles | P wave |
| Which term does not belong: AV valves closed, AV valves opened, Ventricular systole, Semilunar valves open | AV valves opened |
| Which term does not belong: Papillary muscles, Aortic semilunar valve, Tricuspid valve, Chordae tendinae | Aortic semilunar valve |
| Which term does not belong: Tricuspid valve, Mitral valve, Bicuspid valve, Left AV valve | Tricuspid valve |
| Which term does not belong: Ischemia, Infarct, Scar tissue repair, Heart block | Scar tissue valve |
| The central cavity of a blood vessel is called the ___. | Lumen |
| Reduction of the diameter of the lumen is called ____. | Stenosis |
| Enlargement of the diameter of the lumen is called ____. | Dilation |
| Blood is carried to the heart by ____. | Vena cava |
| Blood is carried away from the heart by _____. | Aorta |
| Capillary beds are supplied by ___. | Arterioles |
| Capillary beds are drained by ____. | Venules |
| Why do veins need valves but arteries do not? | Veins need valves to create pressure to pump the blood to the heart. |
| Name two events occurring within the body that aid in venous return. | Respiratory Pump and Muscular Pump |
| Which type of Tunica is a single, thin layer of endothelium? | Tunica Intima |
| Which type of Tunica is the bulky middle coat, that contains a smooth muscle and elastin? | Tunica Media |
| Which type of Tunica provides a smooth surface to decrease resistance to blood flow? | Tunica Intima |
| Which type of Tunica is the only tunica of capillaries? | Tunica Intima |
| Which type of Tunica is also called the adventitia? | Tunica Externa |
| Which type of Tunica is the only tunica that plays an active role in blood pressure regulation? | Tunica Media |
| Which type of Tunica is the supporting, protective coat? | Tunica Externa |
| Describe the physical characteristics of an artery. | It has no valves, and it has small lumen. |
| Describe the physical characteristics of a vein. | It has valves, and it has big lumen. |
| Describe the physical characteristics of a capillary. | It is only a thin wall of tunica intima. |
| Deep veins, draining the forearm are | Radial and Ulnar |
| Vein that receives blood from the arm via the axillary vein is called | Subclavian |
| Vein that drain venous blood from the myocardium of the heart into the coronary sinus is called | Cardiac |
| Vein that drains the kidney | Renal |
| Vein that drains the dural sinuses of the brain | Internal Jugular |
| Two veins that join to become the superior vena cava | Brachiocephalic |
| Veins that drain the leg and foot | Anterior Tibial & Posterior Tibial |
| Large vein that carries nutrient-rich blood from the digestive organs to the liver for processing | Hepatic Portal |
| Superficial vein that drains the lateral aspect of the arm | Cephalic |
| Vein that drains the ovaries or testes | Gonadal |
| Vein that drains the thorax, empties into the superior vena cava | Azygos |
| Largest vein below the thorax | Inferior Vena Cava |
| Vein that drains the liver | Hepatic |
| Three veins that form/empty into the hepatic portal vein | Gastric, Inferior Mesenteric, Superior Mesenteric |
| Longest superficial vein of the body; found in the leg | Greater Saphenous |
| Vein that is formed by the union of the external and internal iliac veins | Common iliac |
| Deep vein of the thigh | Femoral |
| Two arteries formed by the division of the brachiocehpalic trunk | Common carotid & Subclavian |
| First artery that branches off the ascending aorta; serves the heart | Coronary |
| Two paired arteries, serving the brain | Internal Carotid & Vertebral |
| Largest artery of the body | Aorta |
| Arterial network on the dorsum of the foot | Dorsalis Pedis |
| Artery that serves the posterior thigh | Deep artery of the thigh |
| Artery that supplies the diaphragm | Phrenic |
| Artery generally auscultated to determine blood pressure in the arm | Brachial |
| Artery that supplies the last half of the large intestine | Inferior Mesenteric |
| Artery that serves the pelvis | Internal iliac |
| External iliac becomes this artery on entering the thigh | Femoral |
| Major artery serving the arm | Brachial |
| Artery that supplies most of the small intestine | Superior Mesenteric |
| The terminal branches of the dorsal, or descending, aorta | Common iliac |
| Arterial trunk that has three major branches, which serve the liver, spleen, and stomach | Celiac Trunk |
| Major artery, serving the tissues external to the skull | External Carotid |
| Three arteries, serving the leg inferior to the knee | Posterior Tibial, Anterior Tibial, & Peroneal |
| Artery generally used to feel the pulse at the wrist | Radial |
| Damage to the left semilunar valve would interfere with blood flow into this vessel | Aorta |
| An anastomosis that allows communication between the posterior and anterior blood supplies of the brain | Circle of Willis |
| The vessel carrying oxygen and nutrient-rich blood to the fetus from the placenta | Umbilical Vein |
| The shunt that allows most fetal blood to bypass the liver | Ductus Venosus |
| Two pairs of arteries, arising from the internal carotid artery | Anterior cerebral artery & Middle cerebral artery |
| The posterior cerebral arteries, serving the brain, arise from here | Basilar artery |
| Fetal shunt between the aorta and pulmonary trunk that allows the lungs to be bypassed by the blood | Ductus Arteriosus |
| Opening in the interatrial septum that shunts fetal blood from the right to the left atrium, thus bypassing the fetal lungs | Foramen Ovale |
| Why are the lungs largely bypassed by the circulating blood in the fetus? | The fetus is given oxygen and nutrients by maternal blood. The lungs are mostly used for oxygenation, so it's not needed yet. |
| Which term does not belong: High Pressure, Vein, Artery, Spurting Blood | Vein |
| Which term does not belong: Carotid Artery, Cardiac Vein, Coronary Sinus, Coronary Artery | Cardiac Vein |
| Which term does not belong: Increased Venous Return, Respiratory Pump, Vasodilation, Milking Action of Skeletal Muscle | Milking Action of Skeletal Muscle |
| Which term does not belong: High Blood Pressure, Hemorrhage, Weak Pulse, Low Cardiac Output | High Blood Pressure |
| Which term does not belong: Resistance, Friction, Vasodilation, Vasoconstriction | Vasodilation |
| Expansion and recoil of an artery during heart activity | Pulse |
| Pressure exerted by the blood against the blood vessel walls | Blood Pressure |
| Factors related to blood pressure | Cardiac Output & Diastolic Blood Pressure |
| Event primarily responsible for peripheral resistance | Constriction of arterioles |
| Blood pressure during heart relaxation | Diastolic blood pressure |
| Site where blood pressure determinations are normally made | Over arteries |
| Points at the body surface where the pulse may be felt | Pressure points |
| Sounds heard over a blood vessel when the vessel is partially compressed | Sounds of Korotkoff |
| In terms of its tissue classification, blood is classified as a ___ because it has living blood cells, called ___. | Connective tissue; formed elements |
| Formed elements are suspended in a nonliving fluid matrix called ____. | Plasma |
| The "fibers" of blood only become visible during ____. | Blood clotting |
| If a blood sample is centrifuged, the heavier blood cells become packaged at the bottom of the tube. Most of this compacted cell mass is composed of ___. | Erythrocytes |
| The volume of blood accounted for by Erythrocytes is referred to as ____. | Hematocrit |
| The less dense ___ rises to the top and constitutes about 45% of the blood volume. | Plasma |
| The so-called "buffy coat," composed of ___ and ___, is found at the junction between the other two blood elements. | Leukocytes; Platelets |
| The buffy coat accounts for less than ___ % of volume. | one |
| Blood is scarlet red in color when it is loaded with ____; otherwise it tends to be dark red. | Oxygen |
| Most numerous leukocyte | Neutrophil |
| Granular leukocytes | Eosinophil, Basophil, & Neutrophil |
| Also called an erythrocyte; a nucleate | Red Blood Cell |
| Actively phagocytic leukocytes | Monocyte & Neutrophil |
| Agranular leukocytes | Monocytes & Lymphocytes |
| Fragments to form platelets | Megakaryocyte |
| Red Blood Cell, Megakaryocyte, Eosinophil, Basophil, Monocyte, Neutrophil, and Lymphocyte are all examples of this ____. | Formed Elements |
| Increases during allergy attacks | Eosinophil |
| Releases histamine during inflammatory reactions | Basophil |
| After originating in bone marrow, may be formed in lymphoid tissue | Lymphocyte |
| Contains hemoglobin | Red blood cell |
| Primarily water, noncellular; the fluid matrix of blood | Plasma |
| Increases in number during prolonged infections | Monocyte |
| Least numerous leukocyte | Basophil |
| Also called white blood cells | Eosinophil, Basophil, Monocyte, Neutrophil, & Lymphocyte |
| White blood cells move into and out of blood vessels by the process of ___. | Diapedesis |
| An abnormal decrease in the number of WBCs is ____. | Leukopenia |
| When blood becomes too acidic or too basic, both the respiratory system and the ____ may be called into action to restore it to its normal pH range. | Kidneys |
| The normal pH range of blood is ___ to 7.45. | 7.35 |
| The cardiovascular system of an average adult contains approx. ___ liters of blood. | 5 |
| The only WBC type to arise from lymphoid stem cells is the ____. | Lymphocyte |
| An abnormal increase in the number of white blood cells is ____. | Leukocytosis |
| The normal RBC count is ______ million/mm^3. | 3.5 - 4.5 |
| Normal ______ values are in the area of 42% - 47% of the volume of whole blood. | hematocrit |
| An anemia resulting from a decreased RBC number causes the blood to become ___ viscous. | less |
| Phagocytic agranular WBCs are _____. | Monocytes |
| The Leukocytes particularly important in the immune response are _____. | Lymphocytes |
| Which term does not belong: Erythrocytes, Lymphocytes, Monocytes, Eosinophils | Erythrocytes |
| Which term does not belong: Neutrophils, Monocytes, Basophils, Eosinophils | Monocytes |
| Which term does not belong: Hemoglobin, Lymphocyte, Oxygen Transport, Erythrocytes | Lymphocytes |
| Which term does not belong: Platelets, Monocytes, Phagocytosis, Neutrophils | Platelets |
| Which term does not belong: Thrombus, Aneurysm, Embolus, Clot | Aneurysm |
| Which term does not belong: Plasma, Nutrients, Hemoglobin, Wastes | Hemoglobin |
| Which term does not belong: Myeloid stem cell, Lymphocyte, Monocyte, Basophil | Lymphocyte |
| What factors would serve as stimuli for erythropoiesis? | Hemorrhage, Aerobic Respiration, & Living at a high altitude |
| Clotting begins when a ____ occurs in a blood vessel wall. | Break |
| Almost immediately, ___ cling to the blood vessel wall and release _____, which helps to decrease blood loss by helping to constrict the vessel. | Platelets; Serotonin |
| ____, released by damaged cells in the area, interacts with _____ on the platelet surfaces and other clotting factors to form _____. | Tissue factor, PF3, Prothrombin activator |
| This chemical substance causes ___ to be converted to ____. | Prothrombin; Thrombin |
| Once present, molecule #8 acts as an enzyme to attach ___ molecules together to form long, threadlike strands of ___ which then traps ____ flowing by in the blood. | Fibrinogen, Fibrin, & Erythrocytes |
| Normally blood clots within _____ minutes. | 3 - 6 |
| The most important natural body anticoagulant is ______. | Heparin |
| _____ means stoppage of blood flow. | Hemostasis |
| What blood type is the universal donor? | Type O |
| What blood type is the universal recipient? | Type AB |
| Define Transfusion Reaction: | Plasma antibodies attach and destroy the red blood cells different from the person receiving the antibodies. |
| A fetus has a special type of hemoglobin, hemoglobin ____. | F |
| An infant's tissues can become yellowed, or ____. | Jaundiced |
| An anemia in which RBCs become sharp and "logjam" in the blood vessels under conditions of low-oxygen tension in the blood is ____ anemia. | sickle cell |
| Bleeder's disease, or ____, is a result of a deficiency of certain clotting factors. | Hemophilia |
| Women are particularly prone to ____ - deficiency anemia. | Iron |
| Elderly people are susceptible to ___ anemia. | Pernicious |
| Pernicious anemia is a result of lack of intrinsic factor, which is necessary for vitamin ___ absorption. | B |
| An important problem in aged individuals is their tendency to form undesirable clots or ___. | Macrocytes |
| Both the young and the elderly are at risk for cancer of the blood, or ____. | Leukemia |