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Human Physiology
Exam #2- Section 4
74
Biology
Undergraduate 2
10/26/2011

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Term

Veins typically carry 1.                         blood 2.                        the heart.

Arteries typically carry 3.                        blood 4.                       the heart.         

Definition

1. Deoxygenated

2. Towards

3. Oxygenated

4. Away

Term
Look at the chart on page 48
Definition
Term
Veins are 1.               , that is they are easily inflated with blood, and they have 2.             (similar to 3.              vlaves in the heart).
Definition

1. Distensible

2. Valves

3. Semilunar

Term
In the return upward trip to the heart, gravity favors blood pooling in the large veins of the 1.                (a process called 2.                      ), decreasing the amount returned to the heart ( a process called 3.                       ).
Definition

1. Lower extremities

2. Venous pooling

3. Venous return

Term
All major veins run...
Definition
parallel and inside major muscle groups
Term
When muscles contract, their bellies squeeze veins and force blood in both directions through a process known as...
Definition
Muscle pumping
Term
Since valves prevent                      flow, the squeezing forces the blood out of the             and back toward the                 .
Definition

backward

veins

heart

Term
Arteries are characteristically 1.             , with a high proportion of 2.         tissue to resist deformation by the 3.                                , so that arteries return to their smaller size after the pulse of blood moved through.
Definition

1. thick-walled

2. elastic

3. high arterial pressures

 

Term
The elastic tissue that composes arteries is  primarily composed of the proteins, 1.            and 2.              .
Definition

1. Collagen

2. Elastin

Term
Defects that weaken the walls of arteries cause a "ballooning out" or ....
Definition
Aneurysm
Term
The aorta is vulernable to a                      , an aneurysm that results from the blood under pressure slipping between layers and causing them to separate to create the aneurysm.
Definition
Dissecting hematoma
Term
Most disease occurs with the....
Definition
Arteries
Term
The tunica intima (i=inner) is made up of..
Definition

endothelial cells

connective tissue

elastic tissue

Term
The innermost layer of an artery is called the 1.                    . The middle layer is called the 2.                       , and the outermost layer is called the 3.               .
Definition

1. Tunica Intima

2. Tunica Media

3. Tunica Adventitia

 

Term
What are the volume vessels and what percent of total blood volume do they hold?
Definition

Venules, Veins, Vena Cava

54%

Term
There is an additional 1.                % of blood in the heart and 2.            % of blood in the pulmonary circulation.
Definition

1. 12%

2. 18%

Term
Look at the chart on page 51
Definition
Term
Look at the graph on page 51 (bottom)
Definition
Term
The Aorta, Arteries, and Arterioles are known as...
Definition
Resistance (Pressure) vessels
Term
What is Atherosclerosis?
Definition
The buildup of plaque in the walls of the meduim-to-large arteries, causing arteriosclerosis.
Term
The plaque first builds in the 1.            , that is , just outside the inner layer of the artery. The resulting bulging decreases the diameter of the artery, reducing blood flow. Major risk factors for atherosclerosis are:
Definition

1. sub-intima

High LDL and low HDL

High triglycerides in the blood

Smoking

Diabetes Mellitus (raises A and B)

Term
What is Arteriosclerosis?
Definition
ANy process that causes arteries or arterioles to become stiffer, less distensible. Some loss of elasticity may be due to aging, most due to advanced atherosclerosis
Term

Look at the sequence on the bottom of page 52

 

Atherosclerosis leads to Arteriosclerosis

Definition
Term

If there is an embolism or thrombus occluding an artery in the

1. Brain

2. Heart

3. Lungs

4. Legs (Deep vein thrombosis)

what is it called?

Definition

1. Cerebrovascular Stroke

2. Myocardial Infarction

3. Pulmonary Embolism

4. Phlebitis

Term
What are some unique features about the Coronary Circulation?
Definition

Only 2 coronary arteries, right and left, that give rise to all of the coronary circulation

No coronary veins, drainage directly into the ventricles

Circulation through the heart stops during each contraction; high myoglobin required to store oxygen between pulses

Blood flow is controlled locally by autoregulation

Term
What is Autoregulation
Definition
Low O2 in the blood-> endothelial cells release bradykinin petides-> arteriole smooth muscle relaxes -> arterioles dilate -> blood flow increases
Term
What are the unique features about the Brain Circulation
Definition

Circle of Willis

Blood flow within the brain is almost entirely by autoregulation (Brain always has priority over other circulations. Brain blood flow is very stable).

Term
Describe the Circle of Willis...
Definition
A redundant blood supply from 4 major arteries: 3 major anastomoses (fused vessels) form a combined circulation from the two carotid and the two vertebral arteries. Parts of the circle are poorly developed in humans. Helps prevent loss of blood supply to the brain.
Term
What are the unique features of the Skin Circulation?
Definition

Capable of large blood flow; major contributor of heat loss

System of Arteriovenous shunts direct blood either through top layers of skin if constricted (causing heat loss) or back to deep layers of the skin (causing heat to be saved)

Blood flow is strongly regulated by the BSCV Center, which is infulence by the temperature control centers in the brain

Term
What are the unique features of the Pulmonary Circulation?
Definition

All vessels (including the pulmonary artery) are thin-walled and distensible; fill easily wiht blood leading to a low pressure and low resistance system

Pulmonary capillaries have almost no basement membrane between capillary and air-sacs (alveoli), leading to easy gas exchange

Term
What are the unique features of the digestive system circulation?
Definition

Strongly constricted by the BSCV center; shut down during exercise

Strong autoregulation can overpower BSCV center

All digestive system blood, from stomach, pancreas, and gut, drains into portal vein which leads to the liver.

Term
What are the unique features of the Skeletal muscle circulation?
Definition

Very strongly dilated by autoregulation during exercise

Strongly constricted by BSCV center when resting

Term
Look over the page 54!!!!!!
Definition
Term
Look at page 55, 56 !!!!!
Definition
Term
Cardiac muscle cells....
Definition
Contract spontaneously
Term
Cardiac muscle in ventricles is arranged in...
Definition
3 layers to contract like a fist and push blood from the bottom to the top
Term
Cardiac muscle             (thin) and                  (thick) filaments are arranged like                   .
Definition

Actin

Myosin

Skeletal muscles

Term
Cardiac muscle cells are 1.                  with the 2.                .
Definition

1. Electrically couples via gap junctions

2. Intercalated discs

Term
Cardiac muscles are 1.                 ; this protects the heart from 2.                      .
Definition

1. Slow to repolarize

2. fibrillation

Term
Contractures of the hart are coordinated by an 1.                    of modified muscle cells known as 2.                           .
Definition

1. Electrical propagation system

2. Purkinje cells

Term
Electrical excitation proceeds from 1.                         to 2.                    to 3.                     to 4.                          in 5.                     , wich follow the path from 6.                   (bottom) of ventricles to top of ventricles.
Definition

1. Pacemaker Area (SA node)

2. Atria (atrial muscle)

3. AV node

4. Bundles of HIS

5. Ventricles

6. Apex

Term
Spontaneous contraction rate of pacemakes is increased by 1.                   (= 2.                      ) from 3.                          ( from 4.              , sympathetic NS) and decreased by 5.                          from the 6.                 (parasympathetic NS).
Definition

1. Nor-epinephrine

2. Noradrenaline

3. Cardioaccelerator nerves

4. BSCV center

5. Acetylcholine

6. Valgus nerve

Term
Acetylcholine comes from the 1.                     , which is run by the 2.                        nervous system, and 3.                 heart rate.
Definition

1. Valgus Nerve

2. Parasympathetic

3. Decreases

Term
Nor-Epinephrine comes from the 1.                      , which is governed by the 2.             nervous system, and 3.                       heart rate.
Definition

1. Cardioaccelerator Nerves

2. Sympathetic

3. Increases

Term
Centricle contraction cycle is divided into two parts...
Definition

1. Contraction Phase of ventricle = Ejection phase = Systole

2. Relaxation Phase of ventricle = Filling phase = Diastole

Term
Each ventricle fills with new blood coming in from the atria, plus the blood left over from the last beat. This is called the...
Definition
End diastolic volume or EDV, about 140 ml before contraction
Term
The volume of blood pumped out (or ejected) from each ventricle with each beat is called the...
Definition
Stroke volume, about 70-80 ml per beat from each ventricle (70+70=140ml)
Term
The Frank-Starling law of the heart can be stated as:
Definition
Within limits, Stroke Volume is proportional to End-Diastolic Volume
Term
Another way of stating this is that...
Definition
Within limits, all the new blood that enters the heart each beat will be pumped out.
Term
Overstretching of cardiac muscle fibers leads to...
Definition
Congestive Heart Failure
Term
Look at the picture on page 59 (both)
Definition
Term

Contraction of the heart gives us...

Relaxation of the heart gives us

Definition

Systole

Diastole

Term
During contraction (systole) large numbers of muscle cells are electrically active at one time (especially the ventricles), producing a
Definition
Compound action potential
Term
Compound action potentials produce an electric current carried by the salt solutions of the body, that is large enough to be measured with a simple electrical amplifier, usuing silver electrodes and a NaCl past to make a 1.                  through the skin.
Definition
1. Salt Bridge
Term
Coordinated waves of electrical activity move over the regions of heart muscle as sets of heart muscle cells depolarize, then repolarize again.
Definition
Term
Recordings are 1.                ; which means that...
Definition
Position-sensitive; depending on where the EKG is measure, each electrode combination give a different electrical perspective of the hearts electrical activity
Term
What is the P wave?
Definition
Small wave of atrial depolarization of about 200 million atrial muscle cells.
Term
What should we remember about Atrial repolarization?
Definition
It is hidden by the QRS
Term
What is the "QRS" wave?
Definition
Large wave of ventricular depolarization of about 2 billion ventricule muscle cells, from bottom to top
Term
What is the "T" wave?
Definition
A large wave of ventricular repolarization of about 2 billion ventricle muscles from bottom to top
Term
When the circulation ot the heart is poor, the ventricle muscle becomes irritable, the 1.            interval shortens until it becomes an 2.                   .
Definition

S-T

Inverted T-wave

Term
The inverted T-wave is...
Definition
repolarization so fast that the T runs into the S limb of the QRS wave
Term
Look at page 61 & 62
Definition
Term
What is the Two-Phase Pumping Cycle?
Definition

Contraction (Ejection) Phase: Systole

Relaxation (Filling) Phase: Diastole

Term
During systole, what is going on?
Definition
A-V valves are closed; semilunar valves are opened (blood would go back if they weren't)
Term
During Diastole, what is happening?
Definition
A-V valves are open; semi-lunar valves are closed
Term
What are the Heart (Valve) sounds?
Definition

S1= "Lub"

S2= "Dub"

Term
What makes the "Lub" sound?
Definition
A-V valves close at the beginning of systole
Term
What makes the "Dup" sound?
Definition
Semilunar (arterial) valves close at the end of systole
Term
Abnormal heart sounds, 1.             ; "shhhh-ing" sound may occur before or after the normal lub-dup sounds. These are caused tiher by a leaking valve (2.                              ) or by a narrowing of a valve opening or blood vessel (3.                     or 4.                       )
Definition

1. Heart murmurs

2. Valvular regurgitation

3. Valvular

4. Vascular Stenosis

Term

1. P wave=

2. QRS complex=

3. T wave=

Definition

1. Atrial depolarization

2. Ventricular depolarization

3. Ventricular repolarization

Term

Remember... "Electrical evens always precede mechanical events" meaning that...

Depolarization precedes 1.                           

Repolarization precedes 2.                            .

Definition

1. Contraction

2. Relaxation

Term
The aorta and pulmonary artery....
Definition
"balloon-out" with each ventricular contraction
Term
Understand Page 64
Definition
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