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Physiology - Test I - Cardiovascular Overview
Questions relating to cardiovascular overview.
101
Physiology
Graduate
02/21/2011

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Term
Up to how far away from capillaries can the cells of the body be located?
Definition
Up to 10 micrometers (10 x 10-6)
Term
What is the principal function of the cardiovascular system?
Definition
To maintain homeostasis of the fluid surrounding cells (by exchanging respiratory gases, nutrients, metabolic wastes, water and electrolytes between cells and environment)
Term
What two things are required in order for the cardiovascular system to maintain the composition of interstitial fluid?
Definition
1. adequate blood flow to the tissues
2. the composition of arterial blood must be regulated (by homeostatic mechanisms)
Term
True or false" blood provides a means by which paracrine signals can reach target cells.
Definition
False; it allows ENDOCRINE signals to reach target cells. Paracrine signals do not go through circulation (they act locally)
Term
How does the cardiovascular system aid in thermoregulation?
Definition
Transports heat generated by metabolic activity to its surface to be disappated
Term
What are the characteristics of inflammation?
Definition
Redness, warmth, swelling, pain, and loss of function
Term
What happens in the acute inflammatory response?
Definition
Changes in the vasculature facilitate the movement of proteins and cells from the blood into the site of injury or infection
Term
What induces vascular changes in the acute inflammatory response?
Definition
Chemical mediators released during inflammation.
Term
What changes in heart function cause proteins and cells to move from the blood into injured tissue during inflammatory response?
Definition
Vasodilation -> increased blood flow -> extra pressure pushes fluid out into cells (protein rich exudate; edema) -> plasma becomes concentrated -> losing fluid causes loss of protein, there is a stasis of blood (slowing down of blood because it is sticky) -> leukocytes have time to find complementary proteins, accumulate along vascular endothelium
Term
What are the main functions of the cardiovascular system?
Definition
1. transport and exchange
2. transport of hormones
3. thermoregulation
4. movement of proteins and cells into injured tissues in inflammatory response
Term
What is the microvasculature?
Definition
Capillaries, tiny blood vessels that exchange substances with cells
Term
What enables the CV system to perform effectively under highly variable conditions such as temperature extremes, changes in posture, exercise, pregnancy, and childbirth?
Definition
Reflexes and other homeostatic adjustments
Term
What are the components of the CV system?
Definition
1. heart
2. blood vessels
3. blood
Term
What is the pericardium?
Definition
A double-walled, fibrous sack that surrounds the heart and roots of its great vells
Term
What is the outer wall of the pericardium composed of?
Definition
Tough fibrous tissue
Term
What is the inner wall of the pericardium composed of?
Definition
A double-layered serous membrane that lines the inner surface of the fibrous wall and outer surface of the heart
Term
What is the space between the serous layers filled with?
What secrete the filling?
What is the function of the filling?
Definition
* a thin film (15-20 mLs) of pericardial fluid
* secreted by serous cells
* lubrication
Term
What is the space between the two serous layers of the inner pericardium called?
Definition
The pericardial cavity
Term
What are two more sub-functions of the pericardium?
Definition
*Limits excessive movement of the heart within the mediastinum
*Prevents the heart from over-distending if there is a sudden increase in venous return
Term
What are the main types of blood vessels?
Definition
*Arteries and arterioles
*Veins and venules
*Capillaries
Term
What are the two main components of blood?
Definition
*Formed elements (RBC, WBC, platelets)
*Plasma (fluid component)
Term
Can there be diseases in the pericardium itself?
Definition
yes
Term
Can diseases in the pericardium be fatal?
Definition
Yes
Term
What is accumulation of fluid within the pericardium called?
What can cause it?
Definition
Pericardial effusion
Pericarditis or intrapericardial hemorrhage
Term
What condition involves a reduction in cardiac filling caused by the accumulation of pericardial fluid under high pressure, which compressses the chambers of the heart?
Definition
cardiac tamponade
Term
In what situation could the pericardium accommodate larger volumes without a dramatic increase in intrapericardial pressure?
Definition
in the case that pericardial fluid gradually accumulates over weeks or months
Term
What is the thickest part of the heart?
Definition
the left ventricle
Term
What is the main function of the heart as a pump?
Definition
To receive venous blood under low pressure and eject blood under high pressure into the great arteries at the entrance of the ventricles
Term
What are the major functional compartments of the heart?
Definition
the ventricles
Term
What is the function of the atria?
Definition
the atria are thin-walled, low pressure reservoirs that collect returning venous blood
Term
What are the main differences between the left and right ventricles?
Definition
left - high pressure pump (100-140 mmHg generated in aorta)

right - low pressure pump (20-30 mmHg generated in pulmonary artery)
Term
What generates the pressure gradient necessary to promote the flow of blood in circulation?
Definition
the contraction of the heart
Term
What two terms describe the cycle of cardiac contraction?
Definition
Systole = contraction

Diastole = relaxation
Term
Is the function of the atria only passive?
Definition
no; in addition to passive filling of blood, the contraction of the atria or "atrial kick" pushes blood from the atria into the ventricles; they do not have to contract much, as 80% of the flow between atria and ventricles is passive
Term
What is responsible for the unidirectional flow of blood in the heart?
Definition
the cardiac valves
Term
Are the two sides of the heart in series or in parallel with each other as pumps?
Definition
in series
Term
What are the papillary muscles?
Definition
muscles located within the ventricles that contract to prevent mitral valve prolapse
Term
What are the left and right atrial appendages?
Definition
muscular pouches within the atria
Term
What does the left side of the heart pump to?
Definition
Systemic circulation
Term
What does the right side of the heart pump to?
Definition
the lungs
Term
What does the right atrium receive? Where does it receive it from?
Definition
deoxygenated venous blood
from venous circulation (inferior and superior vena cava)
Term
What does the right ventricle pump blood into?
Definition
pulmonary circulation (pulmonary artery)
Term
What does the left atrium take in?
Definition
oxygenated blood from the lungs from the pulmonary veins
Term
What does the left ventricle pump blood into?
Definition
the aorta, which distributes it to the organs via the arterial system
Term
True or false: the amount of blood ejected by the right ventricle must closely match the volume of blood ejected by the left ventricle?
Why or why not?
Definition
True
Because the left and right heart are in series
Term
Where is the mitral valve?
Definition
Between the left atrium and left ventricle
Term
Where is the tricuspid valve?
Definition
Between the right atrium and right ventricle
Term
What are the mitral and tricuspid valves together known as?
What is their function?
Definition
the atrioventricular valves.

to prevent blood backflow from the ventricles to the atria
Term
What are the chordate tendinae?
Definition
Strong ligaments that attach the free surface of AV valves to papillary muscles in the ventricular wall
Term
When are AV valves open?

When do they close?
Definition
When blood flows into the ventricles

When the ventricles contract
Term
What are the names of the semilunar valves?

Where are they found?
Definition
aortic valve - separates left ventricle from aorta

pulmonary valve - separates right ventricle from pulmonary artery
Term
Why do the semilunar valves close abruptly?
Definition
high pressures in the aorta and pulmonary arteries
Term
Does blood flow with greater velocity through the AV valves or semilunar valves?
Why?
Definition
Semilunar valves due to smaller openings
Term
What causes heart murmurs?
Definition
the turbulent flow of blood across a defective heart valve
Term
What is stenosis?
Definition
narrowing of a valve, which causes blood to flow faster
Term
What is regurgitation/insufficiency?
Definition
the backward flow of blood through a valve which fails to close properly
Term
Is heart rhythm intrinsic or extrinsic?
What determines heart rhythm?
Definition
Intrinsic
Pacemaker cells
Term
How are the action potentials generated by pacemakers transmitted throughout the myocardium in an organized fashion?
Definition
The conduction system
Term
What is the normal pacemaker of the heart?
Which chambers polarize and contract first?
Definition
The SA Node
The atria
Term
What is the function of the AV node in the conduction system?

Why is this important?
Definition
to serve as a pathway for the wave of depolarization from the SA Node; slows conduction velocity

It gives time for the atria to depolarize and contract before the ventricles are depolarized
Term
What can modulate the intrinsic rhythm of the heart rate?
Definition
The actions of autonomic nerves and hormones on the activity of pacemaker cells; drugs
Term
What is the cardiac cycle?
Definition
the mechanical and electrical events associated with one complete sequence of contraxtion and relaxation
Term
What is cardiac output?

What is it used as a measure of?
Definition
the volume of blood pumped by each ventricle per minute

cardiac function
Term
How can cardiac output be calculated?
Definition
CO = SV * HR
Term
What is the stroke volume?
Definition
The amount of blood ejected by each ventricle per heartbeat
Term
What is a normal resting CO?
Definition
4 to 6 L/min
Term
What can modulate stroke volume?
Definition
Intrinsic mechanisms such as stretch
The actions of autonomic nerves, hormones, and drugs
Term
What does compliance mean for blood vessels?

Do arteries have high or low compliance?
Definition
The ease with which a vessel expands when it is filled

Low
Term
What is the highest blood pressure recorded during the cardiac cycle called?
Definition
systolic blood pressure
Term
What is the lowest pressure point in the cardiac cycle called?
Definition
Diastolic pressure
Term
What is the pulse pressure?
Definition
the difference between systolic and diastolic blood pressure
Term
Does the heart spend more time in systole or diastole?
Definition
diastole
Term
How can one calculate the mean arterial pressure?
Definition
MAP = Pdiastolic + 1/3 pulse pressure
Term
How is blood pressure maintained during diastole?
Definition
elastic recoil
Term
When does the greatest degree of blood pressure drop occur in systemic circulation?
Definition
While blood is in the arterioles
Term
How is blood flow to particular organs regulated?
Definition
Contraction and relaxation in the smooth muscle in the walls of small arteries and arterioles
Term
What are resistance vessels?

What are they able to change?
Definition
Vessels that are able to change the size of their lumens, such as small arteries and arterioles

Vacular resistance
Term
Which blood vessels provide the most resistance to blood flow and are therefore the principal site for regulation of resistance to blood flow?
Definition
arterioles
Term
What can be regulated by the arterioles?
Definition
1. Blood flow into specific capillary beds
2. Mean arterial pressure
Term
What organ receives both arterial and venous blood?
Definition
the liver
Term
What is the major site of exchange between the blood and interstitial fluid?
Definition
the capillaries
Term
What is the average transit time through a capillary?
Definition
1-3 seconds
Term
What types of cessels can bypass capillaries and flow directly from arterioles to venules in some tissues?
Definition
metarterioles
Term
How do veins compare to corresponding vessels on the arterial side?
Definition
they are larger in diameter and have thinner walls
Term
Where is approximately 65% of blood found?
Definition
in the veins
Term
What are capacitance vessels?

Why are they so-called?
Definition
Veins

Because they can hold large volumes of blood
Term
What promotes venous return to the heart?
Definition
Contraction of smooth muscles in the walls of veins
Term
In what type of vasculature arrangement does blood pass through two capillary beds before returning to the heart?
Definition
series arrangment
Term
What type of vasculature arrangement allows for the distribution of cardiac output based on the needs of individual tissues?
Definition
parallel arrangement
Term
Is more blood held in systemic circulation or pulmonary circulation?
Definition
systemic circulation
Term
What type of vessels have the greatest cross-sectional area?
Definition
capillaries
Term
Which branch of physiology studies the principles governing the movement of blood in the CV system?
Definition
hemodynamics
Term
Which equation shows the relationship between flow, pressure, and resistance in the CV syste,?
Definition
Q = change in P / R

(Q is flow)
Term
Between what two points is pressure difference measured in systemic circulation?
Definition
The difference between MAP in the aorta and blood pressure at the entrance of the right atrium
Term
What is the relationship between cross-sectional area and velocity of flow?
Definition
V = Q/A
Term
What are the suspended cellular elements of blood?
What is the function of each?
Which is present in greatest quantity?
Definition
RBC -> O2/CO2 transport
WBC -> defense
platelets - hemostasis

RBC
Term
If whole blood is centrifuged, what is present in the "buffy coat" between the plasma and hematocrit?
Definition
WBC and platelets
Term
What is plasma?

What does it contain?
Definition
The protein-rich fluid component of blood

Albumin, fibrinogen and other clotting proteins, binding proteins, etc.
Term
What is the fluid component of blood after whole blood clots and the clot is removed?
Definition
serum
Term
Which types of vessels have no smooth muscle?
Definition
venules and capillaries
Term
Which type of vessel has no fibrous tissue?
Definition
capillary
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