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Anatomy of Blood Capillaries
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Anatomy of Blood Capillaries

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Questions and Answers

What is the peak of the aortic pressure pulse termed as?

  • Mean aortic pressure
  • Pulse pressure
  • Systolic pressure (correct)
  • Diastolic pressure
  • What happens to systolic pressure as the pressure pulse travels down the blood vessels?

  • It remains the same
  • It fluctuates
  • It decreases
  • It increases (correct)
  • What is the average blood pressure in adults?

  • 100/60 mmHg
  • 140/90 mmHg
  • 110/70 mmHg
  • 120/80 mmHg (correct)
  • What is the method of measuring blood pressure using a catheter called?

    <p>Direct method</p> Signup and view all the answers

    What is the usual method of measuring blood pressure?

    <p>Sphygmomanometry</p> Signup and view all the answers

    What is the pulse rate usually equal to?

    <p>Heart rate</p> Signup and view all the answers

    What happens to systolic and diastolic pressures with aging?

    <p>They gradually increase</p> Signup and view all the answers

    What is the blood pressure in a newborn?

    <p>80/40 mmHg</p> Signup and view all the answers

    Which of the following factors does not affect blood pressure?

    <p>Body temperature</p> Signup and view all the answers

    In adults before 45 years, which of the following is true about blood pressure?

    <p>Males have higher blood pressure than females</p> Signup and view all the answers

    What happens to blood pressure during deep quiet sleep?

    <p>It decreases</p> Signup and view all the answers

    What is cardiac output?

    <p>The volume of blood ejected by each ventricle per minute</p> Signup and view all the answers

    What is the formula to calculate cardiac output?

    <p>Heart Rate X Stroke Volume</p> Signup and view all the answers

    What happens to blood pressure when cardiac output increases?

    <p>It increases</p> Signup and view all the answers

    What is stroke volume?

    <p>The difference in volume before and after ventricular contraction</p> Signup and view all the answers

    What is the formula to calculate ejection fraction?

    <p>EF = SV / EDV</p> Signup and view all the answers

    What is the normal heart rate in well-trained athletes at rest?

    <p>50 beats/min</p> Signup and view all the answers

    What is the effect of enhanced vagal activity on heart rate?

    <p>It decreases heart rate</p> Signup and view all the answers

    What is the intrinsic heart rate in adults?

    <p>100 beats/min</p> Signup and view all the answers

    What is the effect of blockade of both parasympathetic and sympathetic nerves on heart rate?

    <p>It increases the heart rate</p> Signup and view all the answers

    What is the effect of increased blood pressure on heart rate through the baroreceptor reflex?

    <p>It decreases heart rate</p> Signup and view all the answers

    What is the normal stroke volume?

    <p>70 ml</p> Signup and view all the answers

    What is the function of the precapillary sphincter in blood capillaries?

    <p>To regulate blood flow to the capillaries</p> Signup and view all the answers

    Which type of capillary is found in the kidneys?

    <p>Fenestrated capillaries</p> Signup and view all the answers

    What is the function of the skeletal muscle pump in veins?

    <p>To aid in the return of blood to the heart</p> Signup and view all the answers

    What is the equation for calculating blood flow?

    <p>Q = ΔP / R</p> Signup and view all the answers

    What is the purpose of the thoracic pump?

    <p>To aid in the return of blood to the heart</p> Signup and view all the answers

    What is the site of highest resistance to blood flow?

    <p>Arterioles</p> Signup and view all the answers

    What is the function of the endothelial cells lining the capillaries?

    <p>To aid in the exchange of substances</p> Signup and view all the answers

    What is the term for the volume of blood contained in the arteries?

    <p>Stressed volume</p> Signup and view all the answers

    What is the purpose of the venous valves?

    <p>To prevent backflow of blood</p> Signup and view all the answers

    What happens to velocity of blood flow as vessel diameter increases?

    <p>It decreases</p> Signup and view all the answers

    Which nerve is involved in the Bainbridge reflex?

    <p>X nerve</p> Signup and view all the answers

    What is the name of the phenomenon where the strength of cardiac contraction increases with increasing frequency of stimulation of the myocardium?

    <p>Treppe phenomenon</p> Signup and view all the answers

    What is the primary stimulus for the chemoreceptor reflex?

    <p>Increase in pCO2</p> Signup and view all the answers

    What is the term for the regulation of stroke volume by changes in the end-diastolic length of cardiac fibres?

    <p>Starling's law of the heart</p> Signup and view all the answers

    Which of the following is NOT a factor that affects peripheral resistance?

    <p>Blood pressure</p> Signup and view all the answers

    What is the term for the measurement of cardiac output?

    <p>Fick-method</p> Signup and view all the answers

    What is the main source of intrinsic regulation of cardiac output?

    <p>Changes in end-diastolic length of myocardial fibres</p> Signup and view all the answers

    Which of the following is an extrinsic factor that regulates cardiac output?

    <p>Nervous control</p> Signup and view all the answers

    Study Notes

    Blood Vessels

    • Arteries:
      • Thick-walled, with extensive elastic tissue, smooth muscle, and connective tissue
      • Under highest pressure
      • Stressed volume: volume of blood contained in arteries
    • Arterioles:
      • Smallest branches of arteries
      • Extensive smooth muscle in walls
      • Site of highest resistance to blood flow
      • Innervated by sympathetic adrenergic nerve fibers (α-Adrenergic receptors cause constriction, β2-Adrenergic receptors cause relaxation)
    • Capillaries:
      • Lined by a single layer of endothelial cells
      • Site of exchange of nutrients, gases, water, and solutes between blood and tissues
      • Lipid-soluble substances diffuse across capillary wall
      • Water-soluble substances use pores to cross capillary wall
      • Not all capillaries are perfused with blood at all times (selective perfusion)
    • Venules and Veins:
      • Venules: thin-walled
      • Veins: modest amount of elastic tissue, smooth muscle, and connective tissue
      • Large capacitance (capacity to hold blood)
      • Contain largest percentage of blood in the cardiovascular system
      • Unstressed volume: volume of blood contained in veins

    Velocity of Blood Flow

    • V = Q/A (velocity = flow / cross-sectional area)
    • Changes in diameter alter velocity of flow:
      • Increase in diameter: decrease in velocity
      • Decrease in diameter: increase in velocity
    • Blood flow at each level is the same
    • Velocity of blood flow is highest in the aorta and lowest in capillaries (advantageous for exchange across capillary wall)

    Blood Flow, Pressure, and Resistance

    • Blood flow is determined by:
      • Pressure difference (driving force) between two ends of a vessel
      • Resistance of the vessel to blood flow
    • Q = ΔP/R (blood flow = pressure difference / resistance)
    • Major mechanism for changing blood flow is changing resistance in the arterioles

    Pressure

    • Blood flows from high pressure to low pressure areas
    • Ejection of blood into the aorta by the left ventricle results in a characteristic aortic pressure pulse
    • Peak of the aortic pressure pulse: systolic pressure (SP)
    • Lowest pressure in the aorta: diastolic pressure (DP)
    • PP = SP - DP (pulse pressure)
    • Mean aortic pressure (MAP) is the average pressure during the aortic pulse cycle

    Arterial Blood Pressure

    • Characteristic changes occur in SP, DP, and MAP as the pressure pulse travels down the blood vessels
    • Away from the heart, SP rises, and DP falls
    • MAP slightly declines due to resistance in the arteries
    • Arterial BP measured using a sphygmomanometer (blood pressure cuff) on the upper arm is slightly different from the pressure measured in the aorta or other distributing arteries

    Measurement of Blood Pressure

    • Direct method (invasive): most accurate means of measuring blood pressure directly within an artery using a catheter
    • Indirect method (noninvasive): uses a sphygmomanometer (e.g., mercury-filled sphygmomanometer) to measure blood pressure in the brachial artery
    • Measurement of blood pressure can be done by palpitation or auscultation

    Physiological Factors Affecting Arterial Blood Pressure

    • Age: BP increases with age
    • Sex: differences in BP between males and females
    • Race: differences in BP between different racial groups
    • Gravity: BP in upper parts of the body is higher than in lower parts, especially during standing
    • Meals: digestion increases BP
    • Emotions and exercise: increase BP
    • Sleep: deep quiet sleep decreases BP, while sleep with dreams increases BP

    Factors that Affect Blood Pressure

    • Cardiac output
    • Peripheral resistance
    • Vessel elasticity
    • Blood volume

    Cardiac Output

    • Definition: volume of blood ejected by each ventricle per minute
    • Normal cardiac output: 5L/min in adults
    • Cardiac output is affected by:
      • Heart rate
      • Stroke volume
      • Peripheral resistance
      • Vessel elasticity
      • Blood volume

    Regulation of Heart Rate

    • Autonomic influence: tonic influence of the autonomic nervous system (ANS) on the SA node
    • Influence by higher centers: effects of reflexes on heart rate
    • Baroreceptor reflex: ↑ BP → ↑ BR → ↑ vagal tone → ↓ HR
    • Bainbridge reflex: venous engorgement of atria and great veins → ↑ HR
    • Chemoreceptor reflex: ↓pO2, ↑pCO2, and ↓pH → ↑ CR → ↑ respiratory center → ↑ ventilatory drive

    Regulation of Stroke Volume

    • Nervous stimuli
    • End-diastolic length of cardiac fibers (Starling's law of the heart)

    Regulation of Cardiac Output

    • Intrinsic regulation: changes in the end-diastolic length of myocardial fibers (Starling's law of the heart) and frequency-induced regulation (staircase or Treppe phenomenon)
    • Extrinsic regulation: nervous control, humoral control, and blood gases

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    Related Documents

    CVS Note (2013).pdf

    Description

    This quiz covers the structure and function of blood capillaries, including their composition, types, and blood pressure. It also compares capillaries to arteries and veins.

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