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Quiz Ch.14 & 16
N/A
153
Physiology
Undergraduate 2
12/02/2012

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Term
End Diastolic Volume (EDV)
Definition
volume of blood in the ventricles at the end of diastole
Term
End Systolic Volume (ESV)
Definition
volume of blood in the ventricles after systole-after ejection is complete
Term
Stroke Volume (SV)
Definition
amount of blood pumped out of each ventricle w/each contraction; SV=EDV-ESV
Term
Cardiac Output (CO)
Definition
volume of blood pumped by each ventricle/min.; CO=HR X SV
Term
Cardiac Reserve
Definition
Difference between the maximum CO and resting CO
Term
Control of Cardiac Output
Definition
1)Regulation of HR 2)Changing SV 3)Venous Return
Term
Chromotropic Effect
Definition
Mechanism that affects the cardiac rate; increases HR=+ effect; decreases HR= - effect
Term
Autorhythmicity
Definition
rate set by SA node's rate of depolarization
Term
Regulation of HR: Parasympathetic input
Definition
1)Decrease HR-lengthens drift time 2)Increase PR interval-nodal delay
Term
Regulation of HR: Sympathetic input
Definition
1)Increases SA's node rate of depolarization=increases HR 2) Reduces AV nodal delay 3)Increases force of contraction
Term
Changing SV (EDV-ESV) variables
Definition
1)Increasing EDV 2)Contractility 3)TPR
Term
Changing SV: Increasing EDV
Definition
1)Increases SV 2)Increasing venous return will increase EDV
Term
Changing SV: contractility
Definition
Frank-Starling Law of the Heart: length/tension relationship of cardiac muscle; intrinsic control
Term
Changing SV: TPR
Definition
1)Increase BP-Heart has to work harder
2)Increase BP-decrease SV
3)Increase the force of contraction will decrease ESV and increase SV
4)Increase Venous return-increase EDV/SV
Term
Venous Return
Definition
depends on total blood volume and venous pressure
Term
Venous return aided by
Definition
1)1 way valves
2)respiratory pump
3)skeletal pump
4)vasoconstriction
Term
Permeability of fluid exchange between capillaries and tissues depends on what?
Definition
Diffusion and Bulk Flow
Term
Diffusion
Definition
Depends on the permeability of the solute (non-polars); exchange from plasma to ISF to ICF
Term
Bulk Flow
Definition
passive movement of H2O and solutes across the capillary walls through small pores between the endothelial cells that line the vessel
Term
Bulk flow is important for what?
Definition
balancing the ECF between the plasma and ISF
Term
Causes of Edema
Definition
1)Increase BP-excessive filtrate
2)Venous obstruction-Increases cap.pressure and increases filtrate
3)Leakage of plasma proteins
4)Decreases plasma protein concentration
5)Obstruction of lymphatic vessels
Term
Regulation of B. volume by the kidneys
Definition
1)Glomeruli-filtration
2)Reabsorption
3)Regulation by ADH
4)Regulation by aldosterone
5)Regulation by the Renin-Angiotensin-Aldosterone system
6) Atrial Natriuretic Hormone
Term
Regulation by the Renin-Angiontensin-Aldosterone System
Definition
1)decreases B. volume
2)decreases B. pressure
3)decreases B. flow to kidneys ->decreases filtration ->decreases Cl-
Term
Atrial Natriuretic Hormone
Definition
Kidney -> increases NaCl dumped -> increases H2O lose -> decreases volume -> decreases BP
Term
What is the main driving force of Blood flow?
Definition
Pressure difference
Term
3 major factors for blood flow resistance
Definition
1)Increasing length -> increases SA -> increases resistance
2)Increasing viscosity -> slows down blood flow
3)Radius-double radius increases blood flow
Term
Arterioles: Blood flow to an organ depends on...
Definition
1)BP-all over the body
2)# of arterioles supplying the organ
3)Diameter of the arterioles supplying the organ
Term
Decrease SNS activity causes...
Definition
1)Muscles to relax
2)Vasodilation
3)Decreases resistance
Term
Increase SNS activity causes...
Definition
1)Contracts muscles
2)Vasoconstriction
3)Increases resistance
Term
4 local metabolic changes which promote vasodilation
Definition
1)Decrease O2
2)Decrease Nutrients
3)Increase CO2
4)Increase Waste
Term
Paracrine Control
Definition
Nitric Oxide; Arteriolar dilation
Term
Local Histamines
Definition
Promotes relaxation and increases blood flow
Term
Local heat or Cold application
Definition
Heat=vasodilation
Cold=vasoconstriction
Term
Norepinephrine
Definition
Alpha receptors; vasoconstriction
Term
Epinephrine
Definition
Beta 1 receptors; vasodilation
Term
Exercise: Generalized effects
Definition
Due to increased SNS activity vasoconstriction occurs
Term
Exercise: Local effects
Definition
Due to depletion of O2 and accumulation of CO2 and lactic acid in muscles dilation occurs
Term
Arterioles in skeletal and cardiac muscle...
Definition
Dilate
Term
Arterioles in digestive system and kidneys...
Definition
Constrict
Term
Arterioles in brain
Definition
same, constant, sufficient flow
Term
Blood Pressure-variables
Definition
HR & SV (blood volume) & TPR; Any one goes up-BP increases; Any one goes down-BP decreases
Term
Measurement of BP
Definition
Systolic-highest (180); Diastolic-lowest (80)
Term
Pulse pressure (PP)
Definition
Systolic-diastolic=PP
Ex) 180-80=40
Term
Mean Arterial Pressure (MAP)
Definition
Average arterial pressure during cardiac cycle
Ex)Diastolic + PP/3 = MAP
80 + 40/3 = 93
Term
What monitors BP?
Definition
1)Baroreceptors w/in the walls of the aorta and carotid arteries provide constant info. regarding BP
2)Mechanoreceptors generate an AP in response to ongoing pressure
Term
Reflex arc
Definition
1)Receptor-baroreceptors
2)Afferent pathway
3)Integrating center
4)Efferent pathway
5)Effector organ
Term
Increasing BP
Definition
1)Baro.response:increases
2)Afferent neurons: increase # of AP firing
3)Efferent neurons: increase para./decrease symp.
4)Effector organs: increase para.; decrease HR/SV; B.vessels-vasodilation
5)Overall effect: decreases CO/TPR; decreases BP-back to normal
Term
Decreasing BP
Definition
1)Baro.response: decreases
2)Afferent neuron: decreases # of AP firing
3)Efferent neuron: decreases para./increases symp.
4)Effector organs: Increases HR/SV; Blood vessels-constrict
5)Overall effect: Increases CO/TPR; Increases BP-back to normal
Term
Hypertension: Causes and Dangers
Definition
1)BP>140/90
2)Increase NaCl
3)Increase stress
4)Lack of exercise
5)Smoking
6)Obesity
7)Alcohol
8)Genetics
*All lead to heart disease and stroke*
Term
Hypotension: Causes and Dangers
Definition
1)BP<100/60
2)Orthostatic hypotension
3)Circulatory shock
4)Anaphylactic shock
5)Hypovolemic shock
6)Septic shock
Term
Orthostatic Hypotension
Definition
not enough blood to the brain
Term
Circulatory shock
Definition
inadequate blood flow
Term
Anaphylactic shock
Definition
increase histamine; severe allergic reaction
Term
Hypovolemic shock
Definition
not enough blood volume
Term
Septic shock
Definition
decrease BP; have infection that has gone systemic
Term
Decreased HR _______________ Cardiac output.
Definition
Decreases
Term
Increased stroke volume ______________ cardiac output
Definition
increases
Term
Decreased venous radius _________ the blood flow through the vein.
Definition
increases
Term
Increased skeletal muscle activity __________ venous return.
Definition
Increases
Term
Increased parasympathetic nerve activity _________ the HR.
Definition
decreases
Term
Increased sympathetic nerve activity _________ the arteriolar radius.
Definition
Decreases
Term
Decreased sympathetic activity ________ the venous radius.
Definition
Increases
Term
Increased end-diastolic volume __________ the end-systolic volume.
Definition
Decreases
Term
Increased venous constriction _________ the venous return.
Definition
Decreases
Term
Increased EDV ___________ the force of ventricular contraction, which ___________ ESV, which ___________ SV, which ___________ CO, which _____________ BP.
Definition
Increases, Decreases, Increases, Increases, Increases
Term
The faster the heart beats the less time it spends in
Definition
Diastole
Term
How does the heart meet its increased metabolic needs?
Definition
Coronary Blood vessels dilate -> increase Blood supply
Term
Decrease O2 in skeletal muscle
Definition
would produce arteriolar vasodilation
Term
A hyperemic response i the heart
Definition
would produce arteriolar vasodilation
Term
Histamine release in an injured tissue
Definition
Would produce arteriolar vasodilation
Term
Application of ice to a sprained ankle
Definition
Would produce arteriolar vasoconstriction
Term
Occlusion of an artery supplying a particular tissue
Definition
Would produce arteriolar vasodilation
Term
Norepinephrine on cerebral arterioles
Definition
Would not cause an change in arteriolar caliber
Term
Parasympathetic discharge on skeletal muscle arterioles
Definition
Would not cause any change in arteriolar caliber
Term
Respirations role in Homeostasis
Definition
1)Supply O2 for the production of ATP
2)Eliminate CO2
3)Maintain acid/base balance
Term
Respiration 3 basic functions
Definition
1)Ventilation
2)Gas exchange
3)O2 utilization-cellular respiration
Term
Other respiratory functions: respiratory related, but not for gas exchange
Definition
1)Eliminate H2O and heat
2)Enables the sense of smell
3)Enhances venous return
4)Modifies some of the material carried in the blood
5)Maintains normal pH balance
6)Enables vocalization
7)Defends against inhaled foreign materials
Term
Internal respiration
Definition
Intracellular-cellular respiration
Term
External respiration
Definition
1)Breathing
2)Exchange O2 and CO2 alveoli to blood
3)Blood transport from lungs to tissues
4)Exchange O2 and CO2 from blood to tissues
Term
Alveoli
Definition
region specialized for gas exchange between lungs and blood
Term
Compliance
Definition
the ease w/which the lungs can expand under pressure; increase age -> decrease compliance; increase height -> increase compliance
Term
Elasticity
Definition
Stretch -> then recoil
Term
Atmospheric (barometric) pressure
Definition
sea level=760mmHg; Increase altitude=thinner the air; decrease in pressure
Term
Intra-alveolar pressure
Definition
in sacs; at equilibrium=760mmHg, no air movement in/out
Term
Intrapleural pressure
Definition
pressure w/in the thoracic cavity, but outside lungs; sealed chamber, air can't enter or leave; at rest=760mmHg
Term
Transmural pressure gradient
Definition
1)Pressure across lung wall
2)Thoracic cavity is larger than lungs
3)Intra-alveolar press.>intraplueral press.
4)Elastic lungs stretch to meet and follow chest wall
Term
Pneumothorax
Definition
Intrapleural pressure=atmospheric pressure; loss of transmural press. gradient causes lungs to collapse
Term
Air movement into alveoli requires that alveolar pressure is _____ atmospheric pressure
Definition
less than; inspiration-air in until = to atom.press.
Term
Air movement out of alveoli requires that alveolar pressure is _____ atmospheric pressure
Definition
Greater than; expiration-air out until = to atmo.press.
Term
Boyle's Law
Definition
As the volume of a gas increases, the pressure exerted by the gas decreases proportionally and conversely
Term
What pressure gradient keeps the lungs and chest wall together?
Definition
Transmural Pressure Gradient
Term
When the chest wall expands, the lungs expand, _______ lung volume
Definition
Increasing
Term
When the chest wall/lungs expand and lung volume increases, consequently, the pressure w/in the lungs ______
Definition
decreases
Term
Inhalation
Definition
1)Chest walls/lungs expand
2)Lung volume increases
3)Pressure w/in lungs decreases
4)Creates a pressure gradient allowing air to enter the lungs
Term
Respiratory cycle: Rest
Definition
1)Muscles relaxed
2)Alveolar press.=atmospheric pressure
3)No air flow/movement
Term
Respiratory cycle: Inspiration
Definition
1)Active process-phrenic nerve
2)Diaphragm contracts (pulls down)
3)External intercostals contract (pull chest wall up and out)
4)Atmo.pressure>intra-alveolar pressure
5)Intrapleural pressure decreases
6)Transmural pressure increases
7)Air enters until alveolar pressure=atmospheric pressure
Term
Forced inspiration
Definition
1)Increase lung expansion and decrease intra-alveolar pressure
2)Atmospheric pressure is much greater than intra-alveolar pressure
Term
Quiet Expiration
Definition
1)Passive-no ATP; inspiratory muscles relax
2)Chest wall falls and lungs recoil
3)Lung volume decreases, alveolar pressure increases
4)Intra-alveolar pressure>atmospheric pressure
5)Air flows out of lungs until alveolar pressure=atmospheric pressure
Term
Elastic recoil
Definition
How readily the lungs rebound after inflation
Term
Active expiration
Definition
1)Active process-ATP
2)Abs contract-pull in
3)Internal intercostal muscles contract-pull rib cage in
4)Thoracic cavity/lung volume decreases
5)Intra-alveolar pressure is much greater than atmospheric pressure
6)Lungs NEVER empty completely
Term
What does Airway diameter determine?
Definition
1)Resistance to air flow
2)Narrower airways-less room -> less movement
3)Wider airways-more room -> more movement
Term
Parasympathetic stimulation of Bronchioles causes...
Definition
Bronchioconstriction
Term
Sympathetic stimulation of Bronchioles causes...
Definition
Bronchiodilation
Term
Chronic obstructive Lung (Pulmonary) Disease
Definition
1)Asthma
2)Chronic bronchitis
3)Emphysema
4)All forms of obstructive lung disease make expiration more difficult than inspiration
5)FEV1-less than 80%
Term
Restrictive lung diseases
Definition
Inspiration capacity is reduced because 1 can't expand lungs; decrease TLC -> decreases VC
Term
Tidal Volume
Definition
The volume of air entering or leaving the lungs in a single breath during quiet breathing (500cc)
Term
Inspiratory reserve volume
Definition
The extra volume of air that can be maximally inspired over and above the tidal volume
Term
Expiratory reserve volume
Definition
The extra volume of air that can be actively expired by contraction of expiratory muscles beyond that normally expired (1000cc)
Term
Residual volume
Definition
the minimum volume of air remaining in the lungs after maximal expiration
Term
Total lung capacity
Definition
1)Maximum volume of air that the lungs can hold
2)Vital capacity + residual volume
Term
Vital capacity
Definition
1)Maximum volume of air that can be moved in and out during a single breath
2)Inspiratory reserve volume + tidal volume + expiratory reserve volume
Term
Inspiratory capacity
Definition
The maximum volume of air that can be inspired at the end of a normal expiration
Term
Functional residual capacity
Definition
Volume of air in the lungs at the end of a normal passive expiration
Term
Pulmonary ventilation
Definition
1)Amount of air breathed in and out in one minute
2)Respiratory rate X tidal volume
Term
Alveolar ventilation
Definition
1)Respiratory rate X (tidal volume - dead space volume)
2)Amount of air that is available for exchange of gases w/the blood per minute
Term
Respiratory rate
Definition
breaths per minute
Term
FEV1
Definition
Volume of air that can be expired during the first second of expiration in a vital-capacity determination
Term
Atomic dead space volume
Definition
Volume of air i the respiratory airways
Term
The size of the thoracic cavity when the diaphragm is contracting is ____ the size of the thoracic cavity when the diaphragm is relaxed.
Definition
Greater than
Term
Lung volume before the diaphragm contracts is ___ lung volume after the diaphragm contracts.
Definition
less than
Term
Intra-alveolar pressure during inspiration when air is flowing into the lungs is ___ intra-alveolar pressure before the onset of inspiration when no air is flowing.
Definition
less than
Term
Intra-alveolar pressure at the end of inspiration is ___ atmospheric pressure
Definition
equal too
Term
The number of molecules of air in the lungs at the onset of inspiration is ___ the number of molecules of air in the lungs at the end of inspiration
Definition
less than
Term
Intra-alveolar pressure during expiration when air is flowing out of the lungs is ___ intra-alveolar pressure before the onset of expiration when no air is flowing.
Definition
Greater than
Term
Intra-alveolar pressure at the end of expiration, prior to the onset of inspiration, is ___ atmospheric pressure.
Definition
equal too
Term
Intrapleural pressure at any point during the respiratory cycle is ___ intra-alveolar pressure
Definition
less than
Term
The number of molecules of air in the lungs at the onset of expiration is ___ the number of molecules of air in the lungs at the end of expiration.
Definition
Greater than
Term
Intra-alveolar pressure upon relaxation of the diaphragm is ___ intra-alveolar pressure upon relaxation of the diaphragm plus contraction of the abdominal muscles
Definition
less than
Term
The size of the thoracic cavity during contraction of the internal intercostal muscles is ___ the size of the thoracic cavity during contraction of the external intercostal muscles.
Definition
less than
Term
During quiet breathing, energy expenditure during inspiration is ___ energy expenditure during expiration
Definition
greater than
Term
Air flow during passive expiration is ___ air flow during active expiration
Definition
less than
Term
Inrapleural pressure in the presence of pnemonthorax is ___ atmospheric pressure
Definition
equal too
Term
The total lung capacity of a person with restrictive lung disease is ___ the total lung capacity of a person with obstructive lung disease.
Definition
less than
Term
the residual volume of a person with restrictive lung disease is ___ the residual volume of a person with obstructive lung disease
Definition
less than
Term
The FEV1/VC% of a person with restrictive lung disease is ___ the FEV1/VC% of a person with obstructive lung disease.
Definition
greater than
Term
What is the purpose of breathing?
Definition
To get O2 in the blood and to remove CO2 from the blood
Term
Effects of altitude on partial pressures
Definition
Increases altitude -> decreases air or decreases pressure -> decreases p.p. of gas
Term
What is the partial pressure of O2 and CO2 from the pulmonary artery to the alveoli?
Definition
PO2=40mmHg -> PO2=105mmHg
PCO2=46mmHg -> 40mmHg
Term
Disorders caused by high partial pressures of gases
Definition
1)Oxygen tonicity
2)Nitrogen narcosis
3)Depression sickness
Term
O2 transport in blood
Definition
1)Dissolved in plasma water: Freely dissolved- 1.5%
2) Bound to hemoglobin in RBCs: 98.5%
Term
Carbon dioxide transport in the blood
Definition
1)Dissolved in plasma and RBC's: 10%
2)Bound to hemoglobin: 30%
3)As bicarbonate (HCO3) buffer: 60%
Term
Bicarbonate Buffer system equation
Definition
CO2 + H2O <-> H2CO3 <-> H + HCO3
Term
Hypoxia
Definition
decrease in PO2
Term
Hyperoxia
Definition
increase in PO2 (toxicity)
Term
Hypocapnia
Definition
1)Decrease in PCO2 -> hyperventilation
2)Decrease in PCO2 -> decrease in H+ (alkalosis)
Term
Hypercapnia
Definition
1)Increase PCO2 -> hypoventilation
2)Increase PCO2 -> increase H+ (acidosis)
Term
Hyperpnea
Definition
increase breathing meeting metabolic needs for exercise
Term
Dyspnea
Definition
difficulty breathing
Term
Control of respiration: At rest
Definition
1)Spontaneous discharge of pacemaker cells in brain stem
2)Neurons stop firing
Term
Control of respiration: During exercise
Definition
second set of neurons begin to fire and override the first set
Term
Chemoreceptors
Definition
Send input to the respiratory center about blood O2 and CO2 levels, permitting appropriate control of respiratory rate and tidal volume
Term
Peripheral chemoreceptors
Definition
1)Location: carotid artery and aorta
2)Respond to: low PO2
Term
Central chemoreceptors
Definition
1)Location: medulla
2)Respond to: hydrogen ions
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