Blood Functions and Composition
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Questions and Answers

Which of the following is NOT a primary function of blood?

  • Transporting hormones to target organs.
  • Regulating blood glucose levels through insulin secretion. (correct)
  • Maintaining body temperature by redistributing heat.
  • Protecting against infection via leukocytes and immune response.

Edema, an abnormal accumulation of fluid in body tissues, can result from a deficiency in which plasma protein?

  • Nitrogenous substances
  • Albumin (correct)
  • Fibrinogen
  • Globulins

Why is arterial blood typically a lighter, scarlet red compared to venous blood?

  • Arterial blood has a higher pH than venous blood.
  • Arterial blood is more viscous due to a higher concentration of erythrocytes.
  • Arterial blood contains a lower concentration of solutes.
  • Arterial blood is saturated with more oxygen. (correct)

Which of the following components of blood is primarily responsible for initiating the process of blood clot formation when a blood vessel is damaged?

<p>Thrombocytes (B)</p> Signup and view all the answers

A patient's blood test reveals a hematocrit value of 52%. Based on the typical hematocrit ranges, this value is most likely indicative of:

<p>Normal hematocrit for a male. (B)</p> Signup and view all the answers

Which characteristic of erythrocytes is most directly related to their primary function of oxygen transport?

<p>Biconcave disc shape. (C)</p> Signup and view all the answers

How do the lungs and urinary system work together to maintain blood pH?

<p>Lungs remove carbon dioxide, while the urinary system excretes excess acids and bases. (A)</p> Signup and view all the answers

Why are blood cells short-lived and non-mitotic?

<p>To ensure a constant supply of new blood cells. (A)</p> Signup and view all the answers

Which event directly follows the conversion of prothrombin into thrombin during coagulation?

<p>Conversion of fibrinogen to fibrin. (A)</p> Signup and view all the answers

What is the primary role of thrombopoietin in hemostasis?

<p>Regulating the production of platelets. (B)</p> Signup and view all the answers

What is the most immediate effect of vascular spasm in response to blood vessel injury?

<p>Minimizing blood flow to the injured area. (C)</p> Signup and view all the answers

How is the activity of platelets prevented in an undamaged blood vessel?

<p>Presence of prostacyclin and nitric oxide. (C)</p> Signup and view all the answers

What is the fundamental difference between a thrombus and an embolus?

<p>A thrombus is a stationary clot, while an embolus is a moving clot. (B)</p> Signup and view all the answers

What is the primary function of Factor XIII in the coagulation process?

<p>Cross-linking fibrin strands to stabilize the clot. (B)</p> Signup and view all the answers

Which of the following best describes the role of platelet-derived growth factor (PDGF) in blood clot repair?

<p>Attracting fibroblasts and smooth muscle cells to repair the vessel wall. (B)</p> Signup and view all the answers

How does plasmin contribute to the resolution of blood clots?

<p>By degrading fibrin, leading to clot dissolution. (C)</p> Signup and view all the answers

Why would a patient with thrombocytopenia be at risk of severe hemorrhage from a minor injury?

<p>They have a reduced number of platelets for plug formation. (D)</p> Signup and view all the answers

How do hemophilia A and hemophilia B differ in terms of clotting factor deficiency?

<p>Hemophilia A involves a deficiency in factor VIII, while hemophilia B involves a deficiency in factor IX. (B)</p> Signup and view all the answers

How does chronic leukemia differ from acute leukemia in terms of disease progression?

<p>Chronic leukemia progresses slowly, while acute leukemia progresses rapidly. (A)</p> Signup and view all the answers

Which of the following describes the role of megakaryocytes in hemostasis?

<p>They fragment to produce platelets, essential for clot formation. (C)</p> Signup and view all the answers

What is the primary functional difference between pulmonary arteries and pulmonary veins?

<p>Pulmonary arteries carry deoxygenated blood to the lungs, while pulmonary veins carry oxygenated blood back to the heart. (A)</p> Signup and view all the answers

In the context of leukemia classification, what distinguishes myeloid leukemia from lymphocyte leukemia?

<p>Myeloid leukemia involves abnormal myeloid cells, while lymphocyte leukemia involves abnormal lymphocytes. (A)</p> Signup and view all the answers

What is the most likely consequence of a large embolus obstructing a blood vessel in the brain?

<p>Ischemic stroke. (A)</p> Signup and view all the answers

A patient with type B blood requires a transfusion. Which blood type would trigger an immune response due to the presence of anti-A antibodies in the patient's blood?

<p>Type AB (A)</p> Signup and view all the answers

An individual with type O blood is considered a universal donor. Why can this blood type be transfused into individuals with other ABO blood types without causing a transfusion reaction?

<p>It lacks both A and B antigens. (C)</p> Signup and view all the answers

Why is it critical to match Rh blood groups during transfusions, especially for Rh-negative individuals?

<p>Rh-negative individuals will develop antibodies against the Rh antigen if exposed to Rh-positive blood. (B)</p> Signup and view all the answers

A patient with type AB+ blood requires a transfusion. Considering both ABO and Rh factors, which blood type(s) can this patient safely receive?

<p>All ABO and Rh blood types (B)</p> Signup and view all the answers

How does the ability of leukocytes to leave blood vessels via capillary walls contribute to their function in the immune system?

<p>It enables leukocytes to migrate to sites of infection or damage outside the bloodstream. (D)</p> Signup and view all the answers

What is the primary function of histamine released by basophils during an immune response?

<p>Causing vasodilation and attracting other leukocytes to the area (C)</p> Signup and view all the answers

In what way do T-lymphocytes (T-cells) and Natural Killer (NK) cells collaborate to defend the body?

<p>Acting against virus-infected cells and tumor cells (D)</p> Signup and view all the answers

How do monocytes contribute to the immune response after they leave the bloodstream and differentiate into macrophages?

<p>Actively phagocytizing and destroying bacteria, viruses, and sources of chronic infection (A)</p> Signup and view all the answers

What is the role of interleukins and colony-stimulating factors in leukopoiesis?

<p>Stimulating the production and differentiation of leukocytes (D)</p> Signup and view all the answers

How is positive chemotaxis beneficial in the function of neutrophils?

<p>It enables neutrophils to be chemically attracted to sites of inflammation (D)</p> Signup and view all the answers

If a patient is diagnosed with leukemia and it's impacting the red marrow, how does this affect the other components of the blood?

<p>Decreases the amount of erythrocytes and platelets (C)</p> Signup and view all the answers

What is the role of B-lymphocytes (B-cells) in humoral immunity?

<p>They produce antibodies that are released into the blood to circulate freely and identify foreign invaders. (C)</p> Signup and view all the answers

Why are individuals with allergies more likely to involve an overreaction of basophils?

<p>Basophils release histamine, leading to inflammation. (A)</p> Signup and view all the answers

What is the difference between myeloid stem cells and lymphoid stem cells in leukocyte differentiation?

<p>Myeloid stem cells commit to becoming myeloblasts or monoblasts; lymphoid stem cells commit to becoming B-lymphocyte or T-lymphocyte precursor cells. (D)</p> Signup and view all the answers

Unlike other leukocytes, eosinophils have digestive enzymes. With their digestive enzymes, how do they kill parasites?

<p>Digestive enzymes are released to digest the body wall of parasitic worms. (C)</p> Signup and view all the answers

If a patient has a dysfunctional mitral valve, where would regurgitation of blood most likely occur?

<p>From the left ventricle to the left atrium (B)</p> Signup and view all the answers

Why is the left ventricle more muscular than the right ventricle?

<p>The left ventricle distributes blood throughout the entire body. (C)</p> Signup and view all the answers

What is the primary function of the chordae tendineae?

<p>To anchor the AV valves and prevent them from inverting into the atria during ventricular contraction (C)</p> Signup and view all the answers

Which layer of the heart wall is in direct contact with the blood within the cardiac chambers?

<p>Endocardium (D)</p> Signup and view all the answers

What is the role of intercalated discs in cardiac muscle?

<p>Facilitating rapid and coordinated contraction of cardiac muscle cells (B)</p> Signup and view all the answers

What is the functional significance of the heart being enclosed within the pericardium?

<p>To anchor the heart within the mediastinum and prevent excessive movement (B)</p> Signup and view all the answers

If the pacemaker cells in the heart were damaged, what would be the most likely consequence?

<p>The heart would continue to beat, but at a slower and irregular rate. (C)</p> Signup and view all the answers

A doctor auscultates a patient's heart and detects a 'lub-whoosh-dup' sound. What is the most likely cause of this sound?

<p>Regurgitation of blood due to a faulty heart valve (D)</p> Signup and view all the answers

Which of the following correctly traces a drop of oxygenated blood through the systemic circuit?

<p>Left ventricle → aorta → body tissues → right atrium (A)</p> Signup and view all the answers

How do the coronary arteries support the function of the heart?

<p>They provide the heart muscle with its own supply of oxygenated blood. (A)</p> Signup and view all the answers

What would be the immediate effect of a blood clot blocking the left coronary artery?

<p>Damage to the heart tissue due to lack of oxygen (D)</p> Signup and view all the answers

What is the function of the trabeculae carneae in the ventricles?

<p>To assist with the proper functioning of the heart valves (C)</p> Signup and view all the answers

Why are a large number of mitochrondria important for cardiac muscle cells?

<p>They produce a large amount of ATP to prevent muscle fatigue. (A)</p> Signup and view all the answers

If the fibrous pericardium was abnormally tight, restricting the heart's movement, what would be the most likely consequence?

<p>Reduced ability of the heart to fill with blood (B)</p> Signup and view all the answers

Which heart chamber receives oxygenated blood from the lungs?

<p>Left Atrium (D)</p> Signup and view all the answers

What is the primary role of calcium ions ($Ca^{2+}$) during the plateau phase of action potentials in contractile cardiac cells?

<p>To balance the efflux of potassium ions ($K^+$), maintaining a stable membrane potential. (A)</p> Signup and view all the answers

What is the functional significance of the delay in impulse transmission at the atrioventricular (AV) node?

<p>It allows complete atrial contraction and effective blood transfer to the ventricles. (C)</p> Signup and view all the answers

Which component of the electrocardiogram (ECG) corresponds to the repolarization of the ventricles?

<p>T wave (A)</p> Signup and view all the answers

How does the autonomic nervous system modulate the intrinsic conduction system of the heart?

<p>It slightly modifies the rate and force generated by the pacemaker cells. (A)</p> Signup and view all the answers

What would be the most likely heart rate if the atrioventricular (AV) node becomes the primary pacemaker of the heart?

<p>Approximately 50 beats per minute. (C)</p> Signup and view all the answers

In cardiac contractile cells, what is the direct effect of the opening of fast voltage-gated sodium channels?

<p>A rapid reversal of the membrane potential from -90mV to +30mV. (C)</p> Signup and view all the answers

Why is the T wave wider than the QRS complex?

<p>The ventricles take longer to repolarize than depolarize. (D)</p> Signup and view all the answers

What is the role of the subendocardial conducting network (Purkinje fibers) in the heart?

<p>To depolarize the contractile cells of both ventricles. (D)</p> Signup and view all the answers

Which characteristic distinguishes pacemaker cells from contractile cardiac cells?

<p>Pacemaker cells have a less negative resting membrane potential and undergo slow depolarization. (B)</p> Signup and view all the answers

Where are postganglionic motor neurons of the cardioinhibitory center located?

<p>In the heart wall, innervating the SA and AV nodes. (D)</p> Signup and view all the answers

Which event is directly associated with the P wave on an electrocardiogram (ECG)?

<p>Depolarization of the atria. (A)</p> Signup and view all the answers

What is the significance of the atrioventricular (AV) bundle in the heart's electrical conduction system?

<p>It is the only site where the atria and ventricles are electrically connected. (D)</p> Signup and view all the answers

How does the opening of potassium channels contribute to the repolarization phase in both pacemaker and contractile cardiac cells?

<p>It allows efflux of $K^+$ from the cell, making the cell more negative. (C)</p> Signup and view all the answers

What is the inherent firing rate of the sinoatrial (SA) node, and why is it considered the primary pacemaker of the heart?

<p>~75 impulses/min; it reaches threshold potential faster than other nodes. (B)</p> Signup and view all the answers

In an ECG, what does an abnormally long RR interval indicate?

<p>Slow heart rate (bradycardia). (A)</p> Signup and view all the answers

Which of the following best describes the Frank-Starling relationship?

<p>Increasing the volume of blood at the end of diastole increases the force of contraction during systole, up to a point. (C)</p> Signup and view all the answers

A patient's ECG shows no discernible P waves, QRS complexes, or T waves. The patient is most likely experiencing:

<p>Ventricular fibrillation. (D)</p> Signup and view all the answers

What is the primary immediate treatment for ventricular fibrillation?

<p>Performing defibrillation. (D)</p> Signup and view all the answers

During which phase of the cardiac cycle is the pressure in the heart at its lowest?

<p>Ventricular filling. (C)</p> Signup and view all the answers

Which of the following occurs during the isovolumetric contraction phase of the cardiac cycle?

<p>The ventricles contract, but blood volume remains constant. (B)</p> Signup and view all the answers

What does the end-systolic volume (ESV) represent?

<p>The volume of blood remaining in the ventricle after contraction. (C)</p> Signup and view all the answers

If a person's end diastolic volume (EDV) is 130 mL and their end systolic volume (ESV) is 60 mL, what is their stroke volume (SV)?

<p>70 mL (B)</p> Signup and view all the answers

What effect would an increased afterload have on stroke volume, assuming other factors remain constant?

<p>Stroke volume would decrease. (A)</p> Signup and view all the answers

Which of the following changes would lead to an increase in cardiac output?

<p>An increase in stroke volume and an increase in heart rate (C)</p> Signup and view all the answers

How does the parasympathetic nervous system influence heart rate?

<p>By releasing acetylcholine to decrease the firing rate of the SA node. (B)</p> Signup and view all the answers

What is 'vagal tone' and how does it affect heart rate?

<p>Constant parasympathetic activity; decreases heart rate. (C)</p> Signup and view all the answers

Compared to a sedentary individual, a highly trained athlete would likely have:

<p>A higher maximal cardiac output. (B)</p> Signup and view all the answers

Which hormone primarily increases heart rate and contractility?

<p>Thyroxine (D)</p> Signup and view all the answers

How would severe hypocalcemia (low blood calcium) likely affect heart rate?

<p>Significantly decrease heart rate. (A)</p> Signup and view all the answers

What is the effect of norepinephrine on the heart?

<p>Increases heart rate and contractility (A)</p> Signup and view all the answers

How does vasodilation primarily affect resistance in blood vessels?

<p>It decreases resistance by increasing vessel diameter. (B)</p> Signup and view all the answers

Which type of blood vessel is characterized by large intercellular clefts and a large lumen, making it more permeable than other capillary types?

<p>Sinusoid capillaries (B)</p> Signup and view all the answers

Why is low blood pressure in capillary beds crucial for their function?

<p>It facilitates efficient exchange of nutrients, gases, and waste products. (C)</p> Signup and view all the answers

Which of the following mechanisms is the primary reason why blood continues to flow in veins despite low pressure?

<p>Contraction of skeletal muscles (A)</p> Signup and view all the answers

Increased blood viscosity directly leads to which of the following?

<p>Increased resistance to blood flow (B)</p> Signup and view all the answers

If a person's systolic blood pressure is 130 mm Hg and their diastolic blood pressure is 85 mm Hg, what is their pulse pressure?

<p>45 mm Hg (D)</p> Signup and view all the answers

What is the primary role of the cardioinhibitory center of the medulla oblongata in regulating blood pressure?

<p>Decrease heart rate (A)</p> Signup and view all the answers

Which of the following best explains why systemic veins can act as blood reservoirs?

<p>They have a larger lumen compared to arteries. (C)</p> Signup and view all the answers

An increase in which factor would lead to a decrease in blood pressure?

<p>Vessel diameter (B)</p> Signup and view all the answers

How do venous valves counteract the effects of low venous pressure?

<p>By preventing the backflow of blood. (A)</p> Signup and view all the answers

What is the most immediate effect of increased activity in the cardioacceleratory center?

<p>Increased heart rate and increased contractility (A)</p> Signup and view all the answers

Which statement accurately describes the relationship between blood pressure, blood flow and resistance?

<p>Increased resistance causes decreased blood flow, assuming constant blood pressure. (A)</p> Signup and view all the answers

Which of the following statements is correct regarding blood pressure changes as blood circulates throughout the body?

<p>Blood pressure decreases from arteries to capillaries to veins. (C)</p> Signup and view all the answers

Which situation will result in an increased hydrostatic pressure difference and, therefore, greater blood flow?

<p>Decreased venous pressure and increased arterial pressure (D)</p> Signup and view all the answers

What is an effect of decreased distensibility of arterial walls on arterial blood pressure?

<p>Increased pulse pressure (A)</p> Signup and view all the answers

Which of the following best describes the primary structural difference between elastic arteries and muscular arteries?

<p>Elastic arteries contain a higher proportion of elastin in their tunica media, allowing them to expand and recoil more effectively. (D)</p> Signup and view all the answers

How does vasodilation in arterioles affect blood flow to capillary beds?

<p>Vasodilation increases blood flow to capillary beds by reducing resistance. (C)</p> Signup and view all the answers

What is the primary functional significance of the vasa vasorum found in larger blood vessels?

<p>They provide nutrients and oxygen to the outer layers of the blood vessel walls. (C)</p> Signup and view all the answers

Which type of capillary is best suited for filtration and absorption in organs like the small intestine and kidneys?

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

Why is hypertension a common cause of congestive heart failure?

<p>The increased afterload forces the heart to work harder, leading to eventual weakening of the myocardium. (B)</p> Signup and view all the answers

Which of the following is a consequence of prolonged inefficiency in the right side of the heart due to congestive heart failure?

<p>Peripheral congestion (C)</p> Signup and view all the answers

How does coronary atherosclerosis contribute to congestive heart failure?

<p>It obstructs blood flow to the heart muscle, weakening it over time. (C)</p> Signup and view all the answers

How would a significant, but non-lethal, increase in extracellular potassium (hyperkalemia) most directly affect the resting membrane potential of cardiac cells?

<p>It would depolarize the membrane potential, making the cells more excitable initially but potentially leading to arrhythmia. (B)</p> Signup and view all the answers

Which layer of a blood vessel wall is primarily responsible for regulating blood pressure through vasoconstriction and vasodilation?

<p>Tunica media (C)</p> Signup and view all the answers

How do tight junctions and intercellular clefts in capillary walls affect capillary permeability?

<p>Tight junctions decrease permeability, while intercellular clefts increase permeability. (B)</p> Signup and view all the answers

How does age typically affect heart rate, assuming a healthy heart?

<p>Heart rate generally decreases with age. (A)</p> Signup and view all the answers

Why are continuous capillaries the least permeable type of capillary?

<p>They have very tight junctions with only small intercellular clefts. (C)</p> Signup and view all the answers

A patient is diagnosed with hypokalemia. How might this condition manifest in terms of cardiac function?

<p>Weakened heartbeat and potential arrhythmias. (B)</p> Signup and view all the answers

What is the role of the tunica externa in blood vessel structure and function?

<p>It protects and anchors the blood vessel to surrounding structures. (A)</p> Signup and view all the answers

How does dilated cardiomyopathy lead to congestive heart failure?

<p>By stretching the ventricles, leading to reduced contractility. (C)</p> Signup and view all the answers

Which of the following scenarios would most likely trigger the baroreceptor reflex, leading to a decrease in blood pressure?

<p>An abrupt increase in blood volume due to a rapid IV fluid infusion (C)</p> Signup and view all the answers

A patient is experiencing a significant drop in blood pH due to metabolic acidosis. Which of the following compensatory mechanisms is most likely to occur in the short term?

<p>Stimulation of the cardioacceleratory center (D)</p> Signup and view all the answers

During a stressful situation, the higher brain centers can influence blood pressure by:

<p>Activating the sympathetic division, leading to increased heart rate and vasoconstriction. (C)</p> Signup and view all the answers

How does Atrial Natriuretic Peptide (ANP) work to decrease blood pressure?

<p>Causing vasodilation and increasing excretion of sodium and water by the kidneys. (B)</p> Signup and view all the answers

Which of the following best describes the relationship between ADH and blood pressure?

<p>ADH increases water reabsorption, leading to increased blood volume and blood pressure. (B)</p> Signup and view all the answers

What is the initial effect of increased blood volume on kidney function as part of the direct renal mechanism?

<p>Increased filtration rate and increased urine formation. (C)</p> Signup and view all the answers

In the renin-angiotensin-aldosterone system, what is the direct effect of angiotensin II?

<p>Stimulation of aldosterone release, ADH release and intense vasoconstriction. (D)</p> Signup and view all the answers

What is the primary mechanism by which the kidneys regulate blood pressure in the long term?

<p>By adjusting blood volume through urine formation. (B)</p> Signup and view all the answers

Which of the following is a potential consequence of chronic hypertension?

<p>Damage to blood vessel endothelium and increased risk of vascular disease. (D)</p> Signup and view all the answers

A patient with primary hypertension is prescribed an ACE inhibitor. How does this medication help lower blood pressure?

<p>By preventing the conversion of angiotensin I to angiotensin II. (B)</p> Signup and view all the answers

Which of the following conditions would most likely lead to secondary hypertension?

<p>Kidney disease or hyperthyroidism. (B)</p> Signup and view all the answers

What is the underlying cause of orthostatic hypotension?

<p>A sudden drop in blood pressure due to positional changes. (A)</p> Signup and view all the answers

Which type of shock is characterized by severe vasodilation despite normal blood volume?

<p>Vascular shock (D)</p> Signup and view all the answers

Anaphylactic shock, a type of vascular shock, is characterized by:

<p>Extreme vasodilation due to histamine release during an allergic reaction. (C)</p> Signup and view all the answers

In septic shock, what is the role of bacterial endotoxins in causing a decrease in blood pressure?

<p>They trigger extreme vasodilation, causing a drop in blood pressure. (D)</p> Signup and view all the answers

Which of the following is a unique feature of lymph nodes compared to other lymphoid organs?

<p>They filter lymph before it re-enters circulation and house macrophages for cleansing. (B)</p> Signup and view all the answers

What is the functional significance of lymph entering a lymph node through multiple afferent vessels but exiting through only two efferent vessels?

<p>It slows down lymph flow, allowing more time for cleansing and immune surveillance. (C)</p> Signup and view all the answers

How does the absence of pain in enlarged lymph nodes differ in the context of lymphadenopathy and secondary cancer sites?

<p>Painful nodes are typically associated with infection or inflammation, whereas painless nodes may indicate cancer metastasis. (C)</p> Signup and view all the answers

In what way does the spleen's function of recycling components of old red blood cells support overall body homeostasis?

<p>By storing iron and shipping other recyclables to the liver for processing. (C)</p> Signup and view all the answers

What is the functional advantage of having mucosa-associated lymphoid tissue (MALT) in the mucous membranes that line the digestive and respiratory tracts?

<p>MALT prevents pathogen entry at locations where the body is exposed to the external environment. (B)</p> Signup and view all the answers

In what way does the structural arrangement of the thymus, with its cortex tightly packed with lymphocytes and its medulla containing Hassall's corpuscles, support its primary function?

<p>The cortex provides an environment for T cell maturation, while Hassall's corpuscles are involved in regulatory T cell production to prevent autoimmune responses. (D)</p> Signup and view all the answers

Why is the blood-thymus barrier essential for proper T cell development?

<p>It prevents immature T cells from being prematurely exposed to antigens. (C)</p> Signup and view all the answers

How do the anatomical differences between the red pulp and white pulp of the spleen reflect their distinct functions?

<p>Red pulp is the site of erythrocyte destruction and recycling, while white pulp is involved in immune functions with lymphocytes on reticular fibers. (D)</p> Signup and view all the answers

How does the function of Peyer's patches in the ileum differ from that of the appendix in the cecum?

<p>Peyer's patches prevent pathogen entry in the small intestine, while the appendix generates memory lymphocytes. (B)</p> Signup and view all the answers

In what way does the unique cellular composition of the thymus—containing epithelial cells instead of reticular fibers—specifically benefit T cell maturation?

<p>Epithelial cells create an ideal microenvironment for T cell education and selection. (C)</p> Signup and view all the answers

Which of the following best describes the primary mechanism by which nitric oxide (NO) contributes to intrinsic regulation of blood flow?

<p>It dilates arterioles in response to tissue hypoxia, increasing blood supply to capillary beds. (A)</p> Signup and view all the answers

In myogenic control of blood flow, what is the immediate response of a blood vessel to increased pressure within the vessel?

<p>Smooth muscle in the vessel wall constricts, decreasing blood supply to the capillary bed. (C)</p> Signup and view all the answers

Why does blood flow velocity decrease significantly as blood enters the capillaries, despite the smaller diameter of individual capillaries compared to the aorta?

<p>The total cross-sectional area of capillaries is much greater than that of the aorta, leading to slower flow. (A)</p> Signup and view all the answers

Which process primarily drives the movement of oxygen from the blood into tissue cells and carbon dioxide from tissue cells into the blood within capillaries?

<p>Diffusion (A)</p> Signup and view all the answers

What is the role of colloid osmotic pressure (oncotic pressure) in capillary exchange?

<p>It draws water into the capillary, primarily due to the presence of plasma proteins. (D)</p> Signup and view all the answers

What is the net filtration pressure (NFP) if capillary hydrostatic pressure is 40 mm Hg, interstitial fluid hydrostatic pressure is 2 mm Hg, capillary osmotic pressure is 25 mm Hg, and interstitial fluid osmotic pressure is 3 mm Hg?

<p>16 mm Hg (D)</p> Signup and view all the answers

What happens to the fluid that filters out of the capillary bed at the arteriolar end and is not reabsorbed at the venous end?

<p>It is drained into the lymphatic system and eventually returned to circulation. (C)</p> Signup and view all the answers

Which of the following is a primary function of the lymphatic system in relation to fluid balance?

<p>Returning leaked fluid and proteins from the interstitial space back to the bloodstream. (C)</p> Signup and view all the answers

Why are lymphatic capillaries highly permeable?

<p>The endothelial cells in their walls form loose-aggregated flaps that open. (C)</p> Signup and view all the answers

How does the lymphatic system contribute to the body's immune function?

<p>By housing phagocytic cells and lymphocytes that monitor the body for infection. (C)</p> Signup and view all the answers

A blockage in the lymphatic vessels would most likely lead to:

<p>Edema due to fluid accumulation in the interstitial space. (B)</p> Signup and view all the answers

What is the primary driving force behind the movement of lymph through lymphatic vessels?

<p>Skeletal muscle contractions and pressure changes during breathing. (A)</p> Signup and view all the answers

Why is maintaining adequate blood pressure crucial for proper tissue perfusion?

<p>It forces blood through capillaries, allowing for efficient delivery of oxygen and nutrients. (D)</p> Signup and view all the answers

How does cardiogenic shock primarily impair blood flow to tissues?

<p>By reducing the heart's ability to pump sufficient blood to meet tissue demands. (C)</p> Signup and view all the answers

Which of the following is NOT a primary function of blood flow through tissues?

<p>Hormone production (C)</p> Signup and view all the answers

How do anchoring filaments contribute to the function of lymph capillaries?

<p>By holding the capillary open, increasing interstitial fluid intake. (B)</p> Signup and view all the answers

What structural feature of lymph capillaries allows them to take up larger molecules (like proteins) compared to blood capillaries?

<p>Overlapping endothelial cell flaps that act as one-way valves. (C)</p> Signup and view all the answers

Why is the transport of fats via lacteals important for nutrient absorption?

<p>Fats are too large and insoluble to be directly absorbed into blood capillaries. (C)</p> Signup and view all the answers

The right lymphatic duct drains lymph from which of the following body regions?

<p>The right upper limb, right side of the head, and right thorax. (D)</p> Signup and view all the answers

What is the primary mechanism by which lymph is propelled through lymphatic vessels, given that they lack an intrinsic pump like the heart?

<p>Skeletal muscle contractions and respiratory movements. (A)</p> Signup and view all the answers

Why does blockage or removal of lymph vessels/nodes typically result in localized edema?

<p>It impairs the drainage of interstitial fluid from the tissues. (C)</p> Signup and view all the answers

What is the role of helper T cells in the immune response?

<p>Managing and mediating the overall immune response. (A)</p> Signup and view all the answers

How do dendritic cells contribute to the activation of the immune system within lymph nodes?

<p>By presenting antigens to lymphocytes for immune cell activation. (C)</p> Signup and view all the answers

What is the function of reticular cells in lymphoid tissue?

<p>To provide structural support for lymphoid cells. (A)</p> Signup and view all the answers

What is the significance of lymphocytes circulating through blood vessels, lymphoid tissue, and loose connective tissue?

<p>Ensures continuous surveillance for foreign antigens throughout the body. (B)</p> Signup and view all the answers

Which of the following best describes the function of lymphoid nodules?

<p>Housing and providing a proliferation site for lymphocytes. (B)</p> Signup and view all the answers

What is the key difference in the roles of primary and secondary lymphoid organs in the immune system?

<p>Primary organs are responsible for lymphocyte development, while secondary organs are where lymphocytes are activated. (C)</p> Signup and view all the answers

How does passing through multiple lymph nodes aid in the removal of debris and pathogens from the body?

<p>It increases the likelihood of lymphocytes encountering and responding to antigens. (A)</p> Signup and view all the answers

A patient has a localized infection in their lower leg. Why might a doctor recommend mobilizing (moving) the affected body part?

<p>To increase lymph flow and removal of inflammatory material. (A)</p> Signup and view all the answers

How do killer T cells contribute to the body's defense?

<p>By destroying virus-infected and cancerous cells (D)</p> Signup and view all the answers

What is the primary advantage of erythrocytes lacking a nucleus and most organelles?

<p>Greater capacity for hemoglobin, leading to increased oxygen-carrying ability. (D)</p> Signup and view all the answers

How does the flattened, disc-shape of erythrocytes contribute to their function in gas exchange?

<p>It maximizes the surface area to volume ratio, facilitating efficient gas diffusion. (A)</p> Signup and view all the answers

Why is it crucial that erythrocytes primarily rely on anaerobic mechanisms for energy production?

<p>To conserve the oxygen they carry for delivery to the body's tissues. (C)</p> Signup and view all the answers

What is the direct effect of erythropoietin (EPO) on erythrocyte production?

<p>It accelerates the division and maturation of cells already committed to becoming erythrocytes. (C)</p> Signup and view all the answers

Why might individuals living at high altitudes develop secondary polycythemia?

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How does the body typically handle the iron (Fe2+) released during erythrocyte destruction?

<p>It is bound to transferrin and stored for future erythrocyte production. (B)</p> Signup and view all the answers

What is the most likely cause of renal anemia?

<p>Inadequate production of erythropoietin (EPO). (C)</p> Signup and view all the answers

Which of the following is a potential consequence of polycythemia vera?

<p>Engorgement of the vascular system and impaired circulation. (C)</p> Signup and view all the answers

Losing between 15-30% of total blood volume typically leads to which of the following symptoms?

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Why are blood transfusions between individuals with incompatible blood antigens typically avoided?

<p>The recipient's immune system may attack and destroy the transfused blood cells. (A)</p> Signup and view all the answers

What is the role of globin proteins in hemoglobin?

<p>To form a structure that binds and stabilizes heme groups, each holding an iron (Fe+) ion. (C)</p> Signup and view all the answers

Which dietary component is most critical for the synthesis of DNA during erythropoiesis?

<p>B12 and Folic Acid. (C)</p> Signup and view all the answers

After an erythrocyte is broken down, what happens to the bilirubin that results from heme processing?

<p>It’s excreted in feces after processing in the liver. (B)</p> Signup and view all the answers

A patient is diagnosed with chronic hemorrhagic anemia. Which of the following is the most likely cause?

<p>A long-term, slow blood loss, such as from an ulcer. (C)</p> Signup and view all the answers

What is the primary mechanism by which blood compensates for acute blood loss?

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Flashcards

Blood's primary function

Transports oxygen and nutrients, removes wastes, transports hormones.

Blood's maintenance function

Maintaining body temperature, pH, and fluid volume.

Blood's protective function

Blood clotting and fighting infection.

Blood Characteristics

Scarlet or dark red (depending on oxygen level), 5.25 L total volume, pH 7.35-7.45.

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Blood Plasma Composition

90% water, solutes, plasma proteins (albumin, fibrinogen, globulins).

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Albumin

Major transport protein, contributes to water balance in blood.

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Fibrinogen

Functions in blood clotting.

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Globulins

Transport proteins, antibodies for immune defense.

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Hematopoiesis

Production of all 3 types of blood cells in red bone marrow.

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Erythrocytes (RBCs)

Blood cell type responsible for transporting oxygen (O2).

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Hemoglobin (Hb)

Protein in RBCs that binds and transports oxygen.

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O2 binding by Hb

Each hemoglobin molecule can bind four oxygen molecules.

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Erythropoiesis

Production of red blood cells.

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Erythropoietin (EPO)

Hormone produced by kidneys that stimulates erythrocyte production.

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Anemia

Insufficient oxygen supply to meet body needs, usually due to low RBC count or Hb.

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Polycythemia

Increased number of erythrocytes, resulting in thicker blood.

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Acute hemorrhagic anemia

Severe, swift blood loss.

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Chronic hemorrhagic anemia

Slow, persistent blood loss.

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Renal anemia

Anemia due to little or no EPO release.

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Secondary polycythemia

Increased EPO release due to low oxygen availability.

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Blood's response after loss

Decrease blood volume to injured blood vessels.

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Antigens

Markers on Erythrocytes that determine blood type.

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Hypovolemic shock

Condition resulting from abnormally low blood volume.

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Agglutinins

Immune system antibodies that attack mismatched blood cells.

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Type O Blood

Blood type with no A or B antigens.

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Universal Donor

Blood that can be received by all blood types, because it has no antigens present

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Type AB Blood

Blood type with both A and B antigens.

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Universal Recipient

Blood that can receive any type of blood.

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Rh Blood Group

A blood group based on the presence or absence of the D antigen.

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Agglutination

Clumping of red blood cells due to antibody-antigen interaction.

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Leukocytes

White blood cells responsible for defending the body.

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Defensins

Antimicrobial proteins found in neutrophils that kill bacteria by creating holes in their membranes.

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Eosinophils

Granulocytes that kill parasites by releasing digestive enzymes.

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Basophils

Granulocytes containing histamine, causing vasodilation and attracting other leukocytes.

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Lymphocytes

Agranulocytes that act against virus-infected and tumor cells.

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B-Lymphocytes (B-Cells)

Lymphocytes that produce antibodies.

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Monocytes

Agranulocytes that differentiate into macrophages and destroy pathogens/debris.

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Leukopoiesis

Production of leukocytes.

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Systemic Circuit

Carries blood to and from all other body tissues.

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Aorta

Largest artery; carries oxygenated blood from the heart to the body.

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Vena Cava

Returns oxygen-poor blood to the heart from the body.

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Right Side of Heart (Pulmonic)

Relatively low pressure pumping action.

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Left Side of Heart (Systemic)

High-pressure pumping action to circulate blood to body tissues.

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Fibrous Pericardium Function

Anchors the heart in the chest cavity and protects it.

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Serous Pericardium Function

Forms a fluid-filled sac around the heart; allows layers to slide past each other.

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Epicardium

Outermost layer of the heart wall; also the visceral layer of the serous pericardium.

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Myocardium

Middle layer of the heart wall; contains cardiac muscle cells.

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Endocardium

Innermost layer of the heart wall; slick layer covering internal surfaces.

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Atria

Superior receiving chambers of the heart.

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Auricles

Two "ears" on the external surface of the heart; allow atria to hold more blood.

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Ventricles

Inferior pumping chambers of the heart.

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Trabeculae Carneae

Ridges of muscle that assist with proper functioning of heart valves.

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Chordae Tendineae

Anchor valve to papillary muscle in the ventricle. Prevents AV valves from flipping into atria.

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Acute Leukemia

Arises from original stem cells; progresses quickly.

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Chronic Leukemia

Arises from later cell stages; progresses slowly, primarily affecting the elderly.

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Myeloid Leukemia

Involves myeloid stem cell descendants.

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Lymphocytic Leukemia

Involves lymphocytes.

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Thrombocytes (Platelets)

Fragments of megakaryocytes that initiate blood clot formation.

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Thrombopoietin

Hormone that regulates platelet formation.

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Hemostasis

Process by which bleeding stops after a blood vessel ruptures.

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Vascular Spasm

Rapid constriction of a damaged blood vessel to minimize blood flow.

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Platelet Plug Formation

Platelets stick together and to fibers in the vessel wall to form a plug.

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Coagulation

Formation of a true blood clot involving clotting factors.

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Factor XIII

Enzyme that binds fibrin strands together to create a strong meshwork.

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Blood Clot Retraction

Process of pulling damaged edges of a blood vessel closer together.

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Fibrinolysis

Removal of the blood clot after healing is complete.

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Thromboembolic Disorders

Formation of undesired blood clots.

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Thrombocytopenia

Low number of platelets in circulation.

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Ventricular Fibrillation

APs occur in rapid, irregular pattern in ventricles, leading to chaotic electrical activity.

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Cardiac Cycle

All mechanical events of blood flow through the heart during one complete heartbeat.

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Systole

Period of ventricular contraction in the cardiac cycle.

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Diastole

Period of ventricular relaxation in the cardiac cycle.

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End Diastolic Volume (EDV)

Maximum blood volume in the ventricles before contraction (~120 ml).

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Isovolumetric Contraction

Ventricles contract, pressure rises, AV valves close, but SL valves are not yet open.

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Ventricular Ejection

Blood flows from ventricles into the aorta and pulmonary trunk.

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End Systolic Volume (ESV)

Volume of blood remaining in the ventricles after contraction (~50 ml).

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Cardiac Output (CO)

Amount of blood pumped by each ventricle in one minute.

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Stroke Volume (SV)

Volume of blood pumped out by a ventricle with each beat (EDV - ESV).

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Preload

Stretch of heart muscle cells prior to contraction.

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Afterload

Forces that oppose blood ejection from the ventricles.

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Contractility

Intrinsic strength of ventricle independent of loading conditions.

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Sympathetic Effect on HR

Norepinephrine release, increasing heart rate and contractility.

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Parasympathetic Effect on HR

Acetylcholine release, opposing sympathetic division and slowing heart rate.

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Pacemaker Potential

Gradual depolarization in pacemaker cells due to Na+ influx and K+ channel closing.

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Pacemaker Cell Depolarization

Ca2+ influx through open channels at -40mV threshold generates action potential.

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Pacemaker Cell Repolarization

Ca2+ channels close and K+ channels open leading to K+ efflux, returning cell to resting potential.

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Heart's Conduction Nodes

SA node, AV node, AV bundle, bundle branches, and Purkinje fibers.

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Sinoatrial (SA) Node

Primary pacemaker; generates ~75 impulses/min; located in the upper right atrium.

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AV Node Delay

Delays impulses from the SA node for 0.1s to allow atria to contract.

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AV Bundle Function

Only electrical connection between atria and ventricles.

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Purkinje Fibers

Depolarizes contractile cells of ventricles (~30 impulses/min). More elaborate on left.

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Autonomic Innervation

Modifies the intrinsic conduction system.

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Cardioacceleratory Center

Increases heart rate and force of contraction.

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Cardioinhibitory Center

Decreases heart rate via vagus nerve.

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Contractile Cell Depolarization

Fast Na+ influx reverses membrane potential from -90mV to +30mV.

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Plateau Phase

Ca2+ influx balances K+ efflux, creating a stable membrane potential.

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Contractile Cell Repolarization

Ca2+ channels close, K+ channels open resulting in repolarization.

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Electrocardiogram (ECG)

Records electrical impulses as waves (P, QRS, T) to assess heart activity.

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Low Calcium Effect on HR

Slows heart rate if deficient due to slower depolarization.

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Hypokalemia effect on heart

Low potassium; can weaken the heartbeat.

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Hyperkalemia effect on heart

High potassium; alters electrical activity, possibly causing cardiac arrest.

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Age and Heart Rate

HR generally declines with age as the heart's efficiency decreases.

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Biological Sex and Heart Rate

Females typically have a slightly higher HR than males.

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Fitness and Heart Rate

Improved fitness usually lowers resting heart rate.

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Body Temperature and Heart Rate

Higher body temperature increases heart rate.

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Congestive Heart Failure

Inefficient pumping leading to imbalanced cardiac output and venous return.

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Coronary Atherosclerosis

Fatty buildup clogging coronary arteries.

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Hypertension Impact on Heart

Sustained high blood pressure, forcing the heart to work harder.

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Myocardial Infarctions Impact

Heart attacks causing cell death and scar tissue buildup.

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Dilated Cardiomyopathy

Ventricles stretch and myocardium deteriorates, compromising contractility.

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Pulmonary Congestion

Left side heart failure causing fluid buildup in the lungs.

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Peripheral Congestion

Right side heart failure leading to edema in body tissues.

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Tunica Intima

Innermost layer of blood vessel walls with endothelium.

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Sinusoid Capillaries

Least common, very permeable capillaries with large clefts and lumens, found in liver, bone marrow, & spleen.

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Capillary Beds

Networks of blood vessels connecting arterioles and venules.

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Microcirculation

Blood flow through capillary beds.

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Venules

Vessels carrying blood from capillary beds to larger veins.

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Vein Function

Systemic veins carry oxygen-poor blood; pulmonary veins carry oxygenated blood.

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Vein Structure

Veins have thinner walls and larger lumens which serve as blood reservoirs.

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Blood Flow

Volume of blood flowing through a vessel, organ, or entire circulation in a given period.

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Blood Pressure

Force exerted on a blood vessel wall by the blood.

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Resistance

Opposition to blood flow due to friction between blood and vessel walls.

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Blood Viscosity

Blood thickness; higher viscosity means higher resistance.

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Vasoconstriction

Narrowing of blood vessels, increases resistance

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Systolic Blood Pressure

Pressure in the aorta when the left ventricle contracts.

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Diastolic Blood Pressure

Pressure in the aorta when the heart is relaxed.

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Pulse Pressure

The difference between systolic and diastolic blood pressure.

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Cardiovascular Center

The medulla oblongata controls heart rate and blood vessel diameter.

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Lymph Node Function

Filters lymph to remove microorganisms and particles via macrophages.

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Lymph Node Cortex

Outer region of lymph node with follicles containing dividing B cells.

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Lymph Node Medulla

Inner region of lymph node with T and B cells awaiting activation by dendritic cells.

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Afferent Lymphatic Vessels

Vessels that carry lymph into a lymph node.

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Efferent Lymphatic Vessels

Vessels that carry lymph out of a lymph node.

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Lymphadenopathy

Swollen, inflamed, and tender lymph nodes due to infection or blockage.

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Spleen's Primary Function

Cleanses blood by removing old/damaged cells and microorganisms.

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Red Pulp (Spleen)

Area in spleen for erythrocyte and pathogen destruction, packed with RBCs/macrophages.

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White Pulp (Spleen)

Area in spleen with lymphocytes on reticular fibers, serving immune function.

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MALT Function

Found in mucous membranes, prevents pathogen entrance at body openings.

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Vasomotor Center

Controls blood vessel diameter, affecting primarily arterioles.

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Baroreceptors

They detect stretch in large artery walls and inhibit the cardioacceleratory center when stretched.

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Chemoreceptors' Role

Changes in CO2, pH, and O2 levels stimulate the cardioacceleratory center, increasing BP.

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Higher Brain Centers' Impact

Extreme emotions can activate the sympathetic division, increasing blood pressure and heart rate.

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Epinephrine/Norepinephrine Effect

Epinephrine and norepinephrine increase cardiac output, raising blood pressure.

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Angiotensin II

This is produced by the kidneys which causes intense vasoconstriction, increasing blood pressure.

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Atrial Natriuretic Peptide (ANP)

Produced by the heart's atria, it causes vasodilation and increases solute/water excretion, decreasing blood pressure.

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Antidiuretic Hormone (ADH)

It is produced by the hypothalamus, it increases water reabsorption by kidneys, increasing blood volume and pressure.

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Direct Renal Mechanism

Kidneys filter more blood and form more urine when blood volume increases, decreasing blood pressure.

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Renin-Angiotensin-Aldosterone Mechanism

This mechanism increases blood pressure via aldosterone release, ADH release, thirst stimulation and vasoconstriction.

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Hypertension

Consistently high blood pressure (130/80 or higher).

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Primary (Essential) Hypertension

High blood pressure without a single identifiable cause.

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Hypotension Definition

Low blood pressure (90/60 or lower)

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Orthostatic Hypotension

Dizziness from a quick change in head position due to blood 'dropping'.

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Shock Definition

Inadequate blood circulation to body tissues, causing oxygen and nutrient deprivation.

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Lymph Capillaries

Small, dead-end vessels that collect excess interstitial fluid.

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Anchoring Filaments

Filaments that open or close lymphatic capillary flaps based on fluid levels.

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Lacteals

Specialized lymph capillaries in the small intestine for absorbing fats.

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Collecting Lymphatic Vessels

Lymphatic vessels that receive lymph from capillaries.

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Lumbar Trunks

The trunks that drain lymph from the lower extremities.

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Lymphatic Ducts

The two ducts that drain lymph into veins.

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Right Lymphatic Duct

Drains lymph from the right upper limb, head, and thorax.

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Thoracic Duct

Drains lymph from the rest of the body not drained by the right lymphatic duct.

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Cisterna Chyli

Storage area where the thoracic duct usually begins.

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Lymphatic Fluid Movement

How the body moves lymph with no pump.

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Helper T Cells

Cells that manage the immune response and assist B cells.

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Killer T Cells

Cells that destroy virus-infected and cancerous cells.

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Reticular Cells

Supporting cells that produce stroma in lymphoid tissues.

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Primary Lymphoid Organs

Location where lymphocytes mature, including the thymus and bone marrow.

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Cardiogenic Shock

Heart's inability to pump enough blood to tissues.

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Cause of Cardiogenic Shock

Damage to heart muscle, like multiple heart attacks.

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Blood Flow Importance

Exchange of gases, nutrients, and waste between blood and tissues.

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Blood Flow Regulation

Tissues self-regulate blood flow based on their needs. (intrinsic) or another part of the body is controlling it (extrinsic).

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Autoregulation

Automatic adjustment of blood flow proportional to a tissue's needs, independent of hormones or nerves.

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How Organs Change Blood Flow

By changing the resistance in arterioles.

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Methods of Autoregulation

Metabolic (chemical) or myogenic (physical) changes.

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Metabolic Control of Blood Flow

Release of nitric oxide (NO) by tissues, dilating arterioles.

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Myogenic Control

Contraction of smooth muscle in vessel walls due to stretch.

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How Blood Delivers Nutrients

Diffusion and bulk flow.

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Greatest Cross-Sectional Area

Capillaries

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Diffusion Definition

Movement from high to low concentration.

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Capillary Exchange

Gases, nutrients, and wastes move between blood and tissues.

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Pressures and Fluid Movement

Hydrostatic and colloid osmotic pressure.

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Lymphatic System Function

Picks up fluid lost by blood capillaries and monitors body for infection.

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Study Notes

Blood Functions

  • Blood transports oxygen and nutrients to tissues and removes waste products like carbon dioxide and nitrogenous wastes.
  • Blood maintains body temperature, pH balance, and fluid volume.
  • Blood protects the body through clotting mechanisms and immune responses via leukocytes.

Characteristics of Blood

  • Varies in color from scarlet (oxygen-rich) to dark red (oxygen-poor).
  • Total volume averages about 5.25 liters.
  • Has a pH range of 7.35-7.45.
  • Viscous due to the presence of erythrocytes (red blood cells).

Blood Composition

  • Consists of plasma and blood cells.
  • Blood plasma is the fluid portion, primarily water (90%), containing solutes like electrolytes, nitrogenous substances, organic nutrients, respiratory gases, hormones, and plasma proteins.
  • Plasma proteins, mostly produced by the liver, include albumin (transport and water balance), fibrinogen (clotting), and globulins (transport and immunity).

Blood Cells

  • Short-lived and non-mitotic.
  • Three types: erythrocytes (RBCs), leukocytes (WBCs), and thrombocytes (platelets).
  • Hematocrit measures the percentage of blood volume made up by erythrocytes, about 47% in males and 42% in females.

Hematopoiesis

  • Production of all blood cells in red bone marrow.
  • All blood cells originate from hematopoietic stem cells (hemocytoblasts).
  • Stem cells commit to specific blood cell types.
  • Red marrow produces billions of blood cells daily.

Erythrocytes (RBCs)

  • Function: primarily responsible for respiratory gas (oxygen) transport.
  • Lose nuclei and most organelles during development to maximize space for hemoglobin.
  • Hemoglobin (Hb) comprised of heme pigment bound to globin protein carries oxygen.
  • Each hemoglobin molecule can bind to four oxygen molecules.

Features of Erythrocytes for Gas Exchange

  • Large surface area relative to volume.
  • Flattened disc shape.
  • Anaerobic energy production.

Erythropoiesis

  • Red blood cell production.
  • Starts with hematopoietic stem cell committing to proerythroblast.
  • Erythropoietin (EPO), produced by kidneys, stimulates erythrocyte production.
  • Testosterone enhances EPO production, leading to generally higher erythrocyte and Hb levels in males.
  • Requires amino acids, lipids, carbohydrates, B-complex vitamins (B12, folic acid), and iron for normal erythrocyte production.

Destruction of Erythrocytes

  • Average lifespan is approximately 120 days.
  • Macrophages engulf and destroy aged, less flexible erythrocytes.
  • Heme converts to bilirubin in the liver to be excreted, and globin proteins break down into amino acids for reuse.
  • Iron is salvaged for reuse.

Homeostatic Imbalances of Erythrocytes

  • Anemia: insufficient oxygen supply, leading to paleness, coldness, and fatigue.
  • Polycythemia: excess erythrocytes, thickening blood and increasing heart attack risk.

Types of Anemia

  • Acute hemorrhagic anemia: caused by severe, swift blood loss.
  • Chronic hemorrhagic anemia: caused by slow, persistent blood loss.
  • Iron-deficiency anemia: nutritional origins.
  • Renal anemia: little/no EPO release.
  • Sickle-cell anemia: excessive erythrocyte destruction/deformation.

Types of Polycythemia

  • Polycythemia vera: Hematocrit levels around 80%.
  • Secondary polycythemia: increased EPO release to low oxygen availability.
  • Blood doping: temporary polycythemia via synthetic EPO, oxygen carriers, or transfusions.

Blood Loss Compensation

  • Body compensates for blood loss by constricting blood vessels and increasing red blood cell production.
  • Losing 15-30% of total blood volume leads to weakness, and 30%+ loss can lead to severe shock.
  • Whole blood transfusions are rare; red cell transfusions are more common.

Blood Transfusions

  • Erythrocytes possess surface antigens, including ABO and Rh antigens.
  • Transfusions require matching antigens to avoid immune reactions.
  • ABO Blood Groups:
    • Type A: A antigen present.
    • Type B: B antigen present.
    • Type O: no antigens present.
    • Type AB: both A and B antigens present.

Agglutinins

  • Immune system antibodies will attack mismatched cells. Person with:
    • Type A blood has anti-B antibodies.
    • Type B blood has anti-A antibodies.
    • Type AB blood has neither type of antibody.
    • Type O blood has both anti-A and anti-B antibodies.

Rh Blood Groups

  • Presence of D antigen determines Rh+ status.
  • Incompatibility can lead to transfusion reactions and erythroblastosis fetalis.
  • Mismatching leads to agglutination and lysis of erythrocytes, decreasing oxygen transport and damaging kidneys.
  • Type O is the universal donor, and type AB is the universal recipient.

Leukocytes (WBCs)

  • Defend the body against infection.
  • Can leave blood vessels, produced quickly, average lifespan 13-20 days.

Categories of Leukocytes

  • Granulocytes: neutrophils, eosinophils, and basophils.
  • Agranulocytes: lymphocytes and monocytes.

Granulocytes functions

  • Neutrophils: kill bacteria.
  • Eosinophils: parasites killer with digestive enzymes.
  • Basophils: cause inflammation with histamine that attract the increased blood flow.

Agranulocytes Functions

  • Lymphocytes: includes T-cells (act against virus infected cells and tumor cells), B-cells (produce antibodies), and natural killer cells (act against virus infected and tumor cells).
  • Monocytes: differentiate into macrophages that destroy bacteria, viruses, and chronic infections.

Leukopoiesis

  • Leukocyte production stimulated by interleukins and colony-stimulating factors.
  • Hematopoietic stem cells differentiate into myeloid stem cells (myeloblasts or monoblasts) or lymphoid stem cells (B-lymphocyte or T-lymphocyte precursors).

Homeostatic Imbalances of Leukocytes

  • Leukemia: cancer resulting in over-production of abnormal leukocytes.
    • Acute leukemia: derived from stem cells (primarily affects children).
    • Chronic leukemia: derived from later cell stages (primarily affects the elderly).
  • Myeloid leukemia: Involves myeloid stem cell descendant.
  • Lymphocyte leukemia: Involves lymphocytes

Thrombocytes (Platelets)

  • Fragments of megakaryocytes.
  • Average lifespan: 10 days.
  • Initiate blood clot formation after damage to blood vessel wall.
  • Prostacyclin and nitric oxide prevent sticking together with no damage.
  • Platelet formation by thrombopoietin hormone.

Hemostasis

  • Process to stop bleeding after vessel rupture.
  • Three steps:
    • Vascular spasm: rapid constriction to minimize blood flow.
    • Platelet plug formation: platelets stick and release ADP, serotonin, and thromboxane A2.
    • Coagulation: clotting factors (I-XIII) form prothrombin activator, which converts prothrombin into thrombin, then coverts fibrinogen into fibrin molecules.

Blood Clot Retraction and Fibrinolysis

  • Clot retraction pulls damaged edges together and causes increase fibroblasts and smooth muscle cells.
  • Fibrinolysis removes blood clot after healing through enzyme plasmin.

Homeostatic Imbalances of Blood Clotting

  • Thromboembolic disorders: Thrombus forms in unbroken vessel; embolus breaks free and obstructs smaller blood vessels.
  • Bleeding disorders: Absence of desirable blood clots.
    • Thrombocytopenia: few platelets cause hemorrhage.
    • Hemophilia: hereditary disorders cause extreme bleeding.
    • Hemophilia A(factor VIII) caused factor VIII and Hemophilia A (factor IX).
    • Hemophilia C caused factor XI (least likely)
  • Treatment: Plasma transfusions and Injections of absent/deficiency clotting factor.

Blood Circulation

  • Pulmonary circuit and systemic circuit.
  • Pulmonary circuit vessels travel to and from the lungs (pulmonary arteries and veins), with the right side of heart.
  • Systemic circuit vessels travel to and from all body tissues, with the left side of heart.
  • Left side has high pressure vs right side (pulmonic) is relatively low-pressure.

Gross Anatomy of the Heart

  • Apex (inferior tip of the heart) points to the left hip.
  • Coverings: Enclosed in pericardium.
    • Fibrous pericardium: anchors heart in the chest cavity and protects the heart.
    • Serous pericardium: divided in visceral and parietal layers, forms a fluid filled sac.

Layers of the Heart Wall

  • Epicardium (internal layer): visceral of pericardium.
  • Myocardium (middle layer): contains cardiac muscle cells (thickest).
  • Endocardium (innermost layer): produces and secretes slick.

Chambers of the Heart (4)

  • 2 atria (superior receiving chamber) and 2 ventricles (inferior pumping chambers).
  • Right atrium: receives oxygen-poor blood via the precava, postcava, and coronary veins.
  • Left atrium: receives oxygenated via pulmonary veins.

Heart Valves

  • Prevent backflow of blood
  • Atrioventricular (AV) valves prevent backflow from the ventricles into the atria.
    • Tricuspid valve: right side.
    • Mitral (bicuspid) valve: right side.
  • Semilunar (SL) valves: prevents blood vessels into ventricles
  • Aortic semilunar valve: base of the aorta.
  • Pulmonary semilunar valve: base of the pulmonary trunk.

Homeostatic Imbalance of the Valves

  • Caused by dysfunctional or narrow valve.

Heart Sounds

  • Make a lub-dup sound
  • With murmurs, sounds like “lub-whoosh-dup”.
  • Sound is blood flowing backwards
  • “innocent “ murmurs are congenital

Blood Supply to the Heart

  • Coronary circulation supplies heart tissue with nutrients.
  • Supplies with right and left coronary arteries.
  • Coronary veins drain oxygen-poor blood into right atrium.

Microscopic Anatomy of the Heart

  • Cardiac muscle cells (myocytes) contract to move blood
  • 25-30% of the cell is made up of Mitochondria. Heart always needs ATP and prevents muscle tissue from fatiguing

Cardiac Muscle Cells Types

  • Pacemaker: spontaneously depolarize.
  • Contractile: depolarize in response to the depolarization of pacemaker cells.

Cardiac Muscle Physiology: Pacemaker Cells Action Potential

  • Potential: Na+ channels open, K+ channels close
  • Depolarization : Ca2+ channels open at threshold potential (-40 mV).
  • Repolarization -> Ca2+ channels close with K+ rushing out.
  • Pace maker are only found at Nodes of the heart. Sinoatrial (SA), Atrioventricular (AV), Atrioventricular (AV) bundle, Bundle branches and Subendocardial conducting network (Purkinje fibers)

Autonomic Innervation of the Heart

  • Cardiac centers found in medulla oblongata.
  • Cardioacceleratory center: sympathetic division.
  • Cardioinhibitory center: parasympathetic division (via vagus nerve).

Cardiac Muscle Physiology: Contractile Cardiac Cells

  • Cell resting state mV (-90mV vs -60mV).
  • 3 phases Action potentials:
    • Depolarization, Plateau phase, and Repolarization

Electrocardiography

  • Detection of the electrical impulses generated in and transmitted by the heart
  • Electrocardiogram (ECG) has waves, that have significance:
    • P wave(atrial depolarization), QRS complex (ventricles depolarization), and T wave(ventricles repolarization).

Abnormal ECGs and what they mean

  • Can look at Junction rhythms and Ventricular fibrillation.

The Cardiac Cycle

  • Systole contraction and diastole relaxation, four phases: Ventricular filling (mid to late diastole), Isovolumetric contraction phase (systole), Ventricular ejection (systole), Isovolumetric relaxation (early diastole)

Cardiac Output CO

  • Amount of blood by ventricle in a single minute.
  • CO = stroke volume (SV) x heart rate (HR).
  • To increase SV = increase EDV(blood found in the ventricle before it contracts) and decrease ESV (volume of blood remaining in the ventricles after contraction) Average for an adult is ~70 mL blood per beat

Maximal Cardiac Output

  • Level of physical fitness
  • Normal BP is Systolic over diastolic, is 90-120 / 70-80 mm Hg

Cardiac Output: Regulating Stroke Volume

  • Preload to stretch muscle cells just prior to contraction
  • Frank-starling relationship: Stretch the wall of the heart more, the stronger the contractile cells will contract. Increase Blood brought tot he heart to contract it
  • ESV: intrinsic strength of the ventricle independent of loading conditions, increase contractility will increase amount of blood. Less Load = more blood is moved

Cardiac Output: Regulating Heart Rate

  • Autonomic nervous system input, with sympathetic (fight or flight) parasympathetic (rest and digest.
  • Chemical regulation (Epinephrine and norepinephrine) Can cause Hypocalcemia, hypercalcemia, hypokalemia, hyperkalemia
  • Hormones, age, , Biological sex and exercise/physical fitness.body temps increase, increased fitness reduce

Homeostatic Imbalances of the Heart

  • Congestive heart failure inefficiency of blood-pumping.
  • Can cause Coronary atherosclerosis, cause Hypertension, Cause Multiple myocardial infarctions and Dilated cardiomyopathy.
  • Pulmonary congestion: left side fails.
  • Peripheral congestion: right side fails.
  • Treatments: remove excess fluid, decrease, increase contractility of defective side

Structure of Blood Vessel Walls

  • Contains 3 layers: Tunica intima, Tunica media and Tunica externa
  • Tunica intima: innermost layer. Contains endothelium of simple squamous cells. Provides slick surface for the blood.
  • Tunica media: middle layer. Contains smooth muscle. Vasodilation muscle relaxes and lumen becomes larger if more blood is needed. Vasoconstriction smooth muscle contracts and lumen becomes smaller if less blood is needed.
  • Tunica externa: outermost layer. Contains collagen protects and anchors. And Vasa vasorum blood vessel on blood vessel to ensure outer cells stay alive

Types of Blood Vessels: Arteries

  • Branch several times to form smaller. Systemic arteries carry oxygenated blood, pulmonary arteries oxygen-poor blood.
  • Arteries Carry blood away from the heart to body tissues:
    • Elastic arteries (“conducting arteries”), have large lumen and walls.
    • Muscular arteries(“distributing arteries”), the blood goes.
    • Arterioles (“resistance arteries”), Narrow blood carry less blood, so the capillary blood will receive less blood Vessels.

Types of Blood Vessels: Capillaries

  • Exchange via simple squamous that exchange gases.
  • The structure increases efficiency
  • Blood and Cells joined by tight junctions, but have intercellular clefts that determine permeability
  • These Include Continuous, Fenestrated and Sinusoid capillaries

Circulation In Vessels

  • There is always Flow from high pressure to low pressure Venules.
  • Venules lead from capillary beds to larger veins Blood and large diameter help.
  • Thin Walls and Larger lumen increase surface area. From capillary beds smaller combine to Larger veins:

Physiology of Circulation

  • Three main factors must be present for Circulation
    • Blood Flow from high pressure to low pressure(vessels).
    • Blood Pressure push against the vessel
    • Resistance push back, viscosity increase=more push (thickness of liquid)

Systemic Blood Pressure

  • Arterial blood pressure- is the pressure and stretching of vessels when contracting and expanding.
  • Vessels are affected by two factors, Distensibility of vessel walls(stretch)and Volume of blood moving in arteries.

Systemic Blood Pressure Measurements

Systolic Pressure (top) is the pressure of ventricles contracting and releasing blood, Normal range is 90 to 120mm Hg Diastolic Pressure (bottom) is the pressure while relaxed and filling with vessels maintain pressure, Normal Healthy range is 70–80 mm Hg pulse, (difference -between Systolic and Diastolic)

Regulation of Blood Pressure

  • Increase in CO, R and blood volume increase will increase blood pressure.
  • Cardiovascular Center- in the medulla oblongata alters cardiac output and blood vessel diameter via Cardia centers and Vasomotor center

Other Factors That Change Blood Pressure

  • Baroreceptors or Stretch receptors can Decrease or Increase BP by adjusting cardio output and vessel control
  • Chemoreceptors Change CO2 levels, blood pH, and oxygen content in the body can alter BP
  • Hormones and Blood volume can change your blood pressure

Homeostatic Imbalances of Pressure and Ways to Resolve

  • Hypertension high(130/80 or higher) can cause failure but is reduced with weight loss and drug therapy. Primary (essential) hypertension is not caused by a distinct influencer or issue. Secondary hypertension Caused by other conditions

  • Hypotension is low(Low(90/60 or lower), is resolved with Sympathetic stimulation of nervous system Causes of Shock.

    • Hypovolemic ( blood drop).
    • Vascular(poor circulation)
    • Cardiogenic Heart Issues

Types of Fluid Flow and Fluid Movement Through the Vessel

  • Autoregulation* organs change blood flow through metabolic chemical and myogenic physical means
  • Metabolic Control* release of nitric oxide (NO) in tissues dilates arterioles, increasing blood supply to capillary beds
  • Myogenic Control* Pressure change causes stretch muscle in arteries. Pressure drops in vessels and causes smooth relaxation, blood supply increases .
    • Pressure in veins can be modified by large lumens, vasoconstriction or venous movement.

Regulation: Neural Control

Three main factors for Short term regulation:

  • Baroreceptors that stretch or activate
  • Chemoreceptors with CO2 fluctuations, pH, and O2, in the vessels
  • Higher Brain Center, emotions, and hormones

Factors That Affect Velocity

  • Velocity is controlled by Diffusion: Movement of high to low and diffusion across the tissue of O2, nutrients, capillary, waste, fenestration, and membranes. Not all tissues need large amounts of blood at the same time
  • Fluid movement by force:
    • Hydrostatic pressure (Hp)-Fluid pressure against Vessel.
    • Movement in interstitial fluid via capillary walls

The Lymphatic System and Lymphoid Tissues: Functions and Composition

  • Picks up fluid lost by blood capillaries.
  • Provides structural basis for immune system. The capillaries have lymphocytes and Lymph Tissues. The fluid goes back in circulation

General Lymphatic Functions and Lymphoid Cells

  • Lymphatic vessels move fluid to the heart
  • Lymph capillaries are blind-ended vessels that weave through capillary beds and are permeable Flaps of endothelial wall open easily depending on the fluid in the surrounding tissue

Where and How Lymph Enters Bloodstream

  • Lymph capillaries drain into larger lymph vessels through collecting vessels and then lymphatic trunks.
  • Lymphatic ducts empty junction at internal jugular vein and subclavian vein for Transport.
  • Lymph nodes are cleaned as they filter but there is no pump used as muscles stimulate fluids

Lymphoid Movement Function

  • There is No movement by fluid on its own, rather, by movement through vessels
  • The fluid is moved by pressure from nearby Arteries or moving muscles (physical movements) not a pump.

Lymphoid Organs and Tissues

  • House lymphocyte cells and proliferate
  • Reticular connective tissues, ensures good patrol of body.
  • Lymph are T, B, cells Macrophage
  • Two main functions:
    • House lymphocyte for growth and division
    • Provides surveillance point for cells

Types Of Lymphoid Tissue and Areas

  • Diffuse (in body organs and mucus regions.)
  • Lymphoid (mostly lymph's and organs Germinal: proliferating center of cells in Lymph nodes)
  • Primary red bone marrow: Thymus location where B and T cells mature, recognize, and learn.

Lymph Nodes

  • Primary: red bone marrow B is produced
  • Secondary: Thymus red B are matured.

3 Types of Lymph Secondary Action

  • The Activating Function lymph drains to area for immunity dendritic is there
  • Cleanser Function is cleaned as it goes in
  • Node Action the fluid enters faster then it exits to maximize cleanse
  • Afferent vessels(arrive) Efferent(Enters)
  • Afferent lymphatic vessels bring lymph in than they leave

The Secondary Type Area's

  • Lymph nodes filter B/T and form Clusters in armpits etc.... where large numbers of collecting
  • Spleen Removes blood cells for reuse after pathogens pull them out. Is Well vascularized. High Blood Loss from rupture
  • Red Pulp Recycles damage and stores.
  • White pulp. Serves most immunity with reticular. Fiber

Types of Tissue Where Infection Prevention Occurs

  • This Includes Tonsils which are in the mouth where food and substance can enter and has Palatine and Lingual tonsils found in base area
  • Adenoids pharyngeal: In posterior wall of nose and Tubal tonsils surroundings of tubes in throats.

Types of Homeostasis Factors

  • Thymus is the production of the site T cell
  • If it doesn't work Thymoma can't be destroyed/attacked or work. Which the largest and most used by infants but begins when growing and then will produce a reduce rate over time. Blood Thymus prevents exposure to the Blood-Thymus Barrier to antigens too early.

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Explore blood functions, plasma proteins, and blood clot formation. Understand hematocrit values, oxygen transport, and the roles of the lungs and urinary system in maintaining blood pH. Learn about thrombopoietin's role in hemostasis.

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