Chapter 6 Anatomy and Physiology (Full Length)
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Questions and Answers

What is the formula for calculating cardiac output?

  • Heart rate times stroke volume (correct)
  • Blood pressure times peripheral vascular resistance
  • Pulse rate plus stroke volume
  • Stroke volume divided by heart rate
  • Which part of the brain is primarily responsible for maintaining vital functions such as heart rate and respiratory rate?

  • Brain stem (correct)
  • Cerebrum
  • Cerebellum
  • Frontal lobe
  • What role do baroreceptors play in the body?

  • They regulate blood flow by changing vessel diameter.
  • They sense pressure changes within the arteries. (correct)
  • They control the movement of the limbs.
  • They produce cerebrospinal fluid.
  • What is the primary function of the vagus nerve?

    <p>To decrease heart rate (B)</p> Signup and view all the answers

    What happens to the body's heart rate when stroke volume decreases?

    <p>Heart rate increases. (C)</p> Signup and view all the answers

    Which layer of the meninges is the thinnest and most fragile?

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

    What is hypoperfusion also known as?

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

    Which part of the brain primarily assists with balance and coordination?

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

    The average heart rate considered normal ranges between what values?

    <p>60 to 100 beats per minute (C)</p> Signup and view all the answers

    What is the role of peripheral vascular resistance (PVR)?

    <p>It affects the flow of blood by changing vessel size. (B)</p> Signup and view all the answers

    What are the main functions of the musculoskeletal system?

    <p>Gives body shape, protects vital organs, and facilitates movement. (C)</p> Signup and view all the answers

    Which bones are included in the axial skeleton?

    <p>Skull, spine, ribs, and sternum. (B)</p> Signup and view all the answers

    What role do tendons and ligaments play in the skeletal system?

    <p>Tendons connect muscles to bones, while ligaments connect bones to bones. (D)</p> Signup and view all the answers

    What is the primary purpose of the respiratory system?

    <p>To perform gas exchange between oxygen and carbon dioxide. (A)</p> Signup and view all the answers

    Which part of the respiratory system is responsible for warming, filtering, and humidifying the air?

    <p>Upper airway (C)</p> Signup and view all the answers

    In the context of breathing, what does inhalation involve?

    <p>Contraction of diaphragm and intercostal muscles. (D)</p> Signup and view all the answers

    What is the function of the epiglottis in the respiratory system?

    <p>To prevent food and liquid from entering the trachea. (A)</p> Signup and view all the answers

    How many vertebrae are present in the cervical spine?

    <p>7 (B)</p> Signup and view all the answers

    Which of the following statements about the ribs is accurate?

    <p>Ribs number 11 and 12 are called floating ribs. (C)</p> Signup and view all the answers

    What are the three main types of muscle tissue?

    <p>Cardiac, smooth, and skeletal muscle. (C)</p> Signup and view all the answers

    The axial skeleton is made up of bones such as the skull, spine, and pelvis.

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

    The mandible is known as the only movable bone in the face.

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

    The respiratory system's primary role is to supply carbon dioxide to the body.

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

    The rib cage consists of 12 pairs of ribs, all of which connect directly to the sternum.

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

    The functions of the skeletal system include providing shape, movement, and mineral storage.

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

    During inhalation, both the diaphragm and intercostal muscles relax.

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

    The parietal pleura is the innermost lining surrounding the lungs.

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

    Smooth muscle is under voluntary control and can be consciously controlled.

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

    The femur is the longest and strongest bone in the human body.

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

    The trachea is part of the upper airway in the respiratory system.

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

    Cardiac output is defined as the amount of blood pumped by the heart each minute.

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

    The average heart rate is typically over 100 beats per minute.

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

    Stroke volume is the amount of blood pumped by the heart in one contraction.

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

    The vagus nerve is the first cranial nerve.

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

    Hypoperfusion is synonymous with adequate perfusion.

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

    The brain has no regenerative capacity like other tissues in the body.

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

    The cerebral spinal fluid is produced in the second ventricle of the brain.

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

    The skull is the only bone in the body that moves.

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

    The central nervous system consists of the brain and peripheral nerves.

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

    Increased resistance in blood vessels occurs when they dilate.

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

    Flashcards

    Stroke Volume

    The amount of blood pumped by the heart in one beat.

    Cardiac Output

    The measurement of blood pumped by the heart each minute.

    Cardiac Output Compensation

    When the body is working to compensate for a change to the heart rate, it will change the stroke volume to maintain perfusion.

    Blood Pressure

    The force of blood pushing against the arteries.

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    Peripheral Vascular Resistance

    The resistance of blood flow in the blood vessels. It can be affected by the size of the blood vessels.

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    Baroreceptors

    Specialized cells located in the carotid arteries and aortic arch that sense changes in blood pressure.

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    Perfusion

    The delivery of oxygen and nutrients to tissues and removal of waste products.

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    Hypoperfusion

    Inadequate perfusion or insufficient blood flow to tissues. Also known as shock.

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    Central Nervous System

    The brain and spinal cord.

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    Peripheral Nervous System

    All nerves outside of the brain and spinal cord.

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    What are the two main parts of the skeleton?

    The axial skeleton includes the skull, spine, ribs, and sternum. The appendicular skeleton includes the shoulders, upper extremities, pelvis, and lower extremities. The axial skeleton provides support and protection. The appendicular skeleton is responsible for movement.

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    Name the key bones of the cranium.

    The frontal is the forehead bone. The temporal bone is on the side of the head, beneath the ear. The occipital bone is the base of the skull. The parietal bones are the major sides of the head.

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    What are the vertebrae and their regions?

    The vertebrae are the bones of the spinal column, which protects the spinal cord. The spinal column can be divided into five major regions: Cervical, thoracic, lumbar, sacral, and coccyx.

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    What are the three main parts of the sternum?

    The sternum is the breastbone, which connects to the ribs. The manubrium is the upper portion of the sternum. The body of the sternum is the middle portion. The xiphoid process is the lower, fragile portion.

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    What are the three types of muscle and their functions?

    Muscles are responsible for movement. There are three types: voluntary/skeletal, involuntary/smooth, and cardiac. Voluntary muscles are controlled by the brain. Involuntary muscles are controlled by the autonomic nervous system. Cardiac muscle is the muscle of the heart.

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    What are the two main parts of the respiratory system?

    The upper airway warms, filters, and humidifies air. The lower airway filters air and is responsible for gas exchange. The upper airway includes the pharynx, which has three regions: nasopharynx, oropharynx, and laryngopharynx.

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    What are the differences between ventilation and respiration?

    Ventilation is the movement of air into and out of the lungs. Respiration is the exchange of gases (oxygen and carbon dioxide) between the lungs and blood (external respiration) or between blood and cells (internal respiration).

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    What are the characteristics of normal and abnormal breathing patterns?

    Normal breathing patterns are characterized by a rate of 12-20 breaths per minute, a consistent rhythm, good chest expansion, and quiet sounds. Abnormal breathing patterns include Shane Stokes, Kussmaul's respirations, central neurogenic hyperventilation, ataxic rhythm, apnea, agonal breathing, and apneustic pattern.

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    Describe the flow of blood through the heart and body.

    The cardiovascular system is a closed loop that circulates blood throughout the body. The heart is the pump. The blood vessels are the pipes. The blood is the fluid. The heart has four chambers: two atria and two ventricles. Blood flows from the right atrium to the right ventricle to the pulmonary artery to the lungs to the pulmonary vein to the left atrium to the left ventricle to the aorta to the body.

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    What is the cardiac conduction system and its key components?

    The heart has its own electrical conduction system, which controls the rhythmic contraction of the heart muscle. The SA node (sinoatrial node) is the primary pacemaker. The AV node (atrioventricular node) is a relay station. The purkinje fibers are the final pathway for electrical conduction.

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    What is cardiac output?

    The measurement of the amount of blood pumped by the heart each minute.

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    What is stroke volume?

    The amount of blood pumped by the heart in one contraction.

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    Define blood pressure.

    The force of blood pushing against the walls of the arteries.

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    Explain peripheral vascular resistance.

    The resistance of blood flow in the blood vessels. It's influenced by their size, with smaller vessels leading to higher resistance and larger vessels leading to lower resistance.

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    What are baroreceptors?

    Specialized cells located in the carotid arteries and aortic arch that sense changes in blood pressure.

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    Define perfusion.

    The delivery of oxygen and nutrients to tissues and the removal of waste products.

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    What is hypoperfusion?

    Inadequate perfusion or insufficient blood flow to tissues. Also known as shock.

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    What is the central nervous system?

    The brain and spinal cord. It's the control center of the nervous system.

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    What is the peripheral nervous system?

    All nerves outside of the brain and spinal cord.

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    What is the autonomic nervous system?

    A division of the peripheral nervous system that controls involuntary functions like heart rate, breathing, and digestion.

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    What is the function of the skeletal system?

    The skeletal system provides support and protection, stores minerals, and allows for movement.

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    What is the difference between ventilation and respiration?

    Ventilation is the movement of air in and out of the lungs. Respiration is the exchange of gases (oxygen and carbon dioxide) between the lungs and blood (external) or between blood and cells (internal).

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    What are the main components of the cardiovascular system?

    The cardiovascular system is composed of the heart, blood vessels, and blood. The heart is the pump, the blood vessels are the pipes, and the blood is the fluid.

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    What are the chambers of the heart?

    The heart has four chambers: two atria (upper) and two ventricles (lower).

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    What is the path of blood flow through the heart?

    The flow of blood through the heart: right atrium, right ventricle, pulmonary artery, lungs, pulmonary vein, left atrium, left ventricle, aorta, body.

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    What is the cardiac conduction system?

    The electrical conduction system of the heart controls the rhythmic contraction of the heart muscle. The system starts at the SA node (primary pacemaker), then the AV node, and finally the purkinje fibers.

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    What is the difference between arteries and veins?

    Arteries carry blood away from the heart, veins carry blood back to the heart.

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    What is a pulse?

    The pulse is a pressure wave of blood flowing through an artery during each heartbeat.

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    Study Notes

    Body Systems Overview

    • Human anatomy and physiology topics include locating body organs, musculoskeletal system, respiratory system, cardiovascular system, nervous system, digestive system, integumentary system, endocrine system, renal system, and reproductive systems (male and female).
    • Visualization is essential; use illustrations as overlays on patients to understand internal structures and potential issues.
    • Topography/landmarks (e.g., elbows, wrists, clavicles, mid-clavicular lines) are used to locate features on the body.
    • Physical assessment involves touching patients for tissue/bone irregularities.
    • Auscultation (listening with a stethoscope) is used to assess breathing, heartbeats, and other sounds (e.g., bowel, lung sounds).

    Musculoskeletal System

    • Main functions: shape, protection of vital organs, body movement.
    • Skeletal system: Provides support, protection, mineral storage, and movement.
    • Tendons connect muscles to bones; ligaments connect bones to bones.
    • Axial skeleton (skull, spine, ribs, sternum) and appendicular skeleton (shoulders, upper/lower extremities, pelvis).
    • Skull: Cranium (frontal, temporal, occipital, parietal bones) and face (mandible, maxilla/maxillae, nasal, zygomatic bones, orbits).
    • Spinal column: 33 vertebrae (cervical [7], thoracic [12], lumbar [5], sacral [5 fused], coccyx [4 fused]).
    • Thorax: Sternum (manubrium, body, xiphoid process), ribs (1-12, floating ribs 11 & 12); rib cage protects heart, lungs, major blood vessels.
    • Pelvis: Ilium, ischium, pubis.
    • Lower extremities: Femur (largest/strongest bone), patella (kneecap), tibia, fibula, tarsals, metatarsals, phalanges (toe bones).
    • Upper extremities: Clavicle (collarbone), scapula (shoulder blade), acromion process, humerus, radius, ulna, carpals, metacarpals, phalanges (finger bones).
    • Joints: Ball-and-socket, hinge, saddle, condyloid, plane joints.
    • Muscles: Voluntary (skeletal), involuntary (smooth), cardiac.

    Respiratory System

    • Primary function: gas exchange (inhaling O2, exhaling CO2).
    • Upper airway: Warms, filters, and humidifies air.
    • Lower airway: Filters air and facilitates gas exchange.
    • Pharynx: Nasopharynx, oropharynx, laryngopharynx (epiglottis, vocal cords).
    • Larynx: Voice box, contains vocal cords; thyroid and cricoid cartilages protect airway.
    • Trachea: Main passageway for air.
    • Bronchi: Branches of trachea.
    • Bronchioles: Smaller airway passages.
    • Alveoli: Tiny sacs in lungs where gas exchange occurs.
    • Lungs: Divided into lobes (3 right, 2 left).
    • Pleura: Lining of chest cavity (parietal and visceral pleura); fluid between layers allows for smooth movement.
    • Inspiration (inhalation): Diaphragm and intercostal muscles contract, creating negative pressure; active process.
    • Expiration (exhalation): Diaphragm and intercostal muscles relax, creating positive pressure; passive process.
    • Accessory muscles: Used during labored breathing (e.g., neck, shoulder, and abdominal muscles).
    • Abnormal breathing patterns: Cheyne-Stokes, Kussmaul, central neurogenic hyperventilation, ataxic, apnea, agonal, apneustic.
    • Breathing sounds: Wheezing (bronchoconstriction), stridor (upper airway obstruction), snoring (partial airway blockage), gurgling (fluid in airway), rales (fluid in lungs), rhonchi (mucus buildup), diminished/absent sounds.
    • Children's airways are narrower and more easily obstructed than adults'.
    • Ventilation vs. Respiration: Ventilation is the movement of air, respiration is gas exchange.
    • External respiration: Occurs in the lungs; oxygen into alveoli, CO2 out of blood.
    • Internal respiration: Occurs in the cells; oxygen into cells, CO2 into blood.
    • Gas content in inhaled/exhaled air: 78% nitrogen, 21% oxygen, 0.04% CO2, small % water, variable amounts.
    • Chemoreceptors: Central (detect CO2) and peripheral (detect O2) in carotid arteries and aorta.
    • Normal breathing rates differ across age groups (adult: 12-20 breaths/minute, child: 15-30 breaths/minute, infant: 25-60 breaths/minute).

    Cardiovascular System

    • Components: Heart (pump), blood vessels (pipes), blood (fluid).
    • Heart chambers: 2 atria (upper), 2 ventricles (lower).
    • Right side of heart: Low-pressure pump to lungs.
    • Left side of heart: High-pressure pump to body.
    • Blood flow path: Right atrium to right ventricle to lungs to left atrium to left ventricle to body.
    • Coronary arteries/veins: Nourish heart muscle.
    • Blood flow: Oxygen-rich (red) blood delivered to body; CO2-rich (blue) blood returned to the heart.
    • Valves: Tricuspid, pulmonary, mitral, aortic.
    • Blood vessels: Arteries (aorta, pulmonary artery), arterioles, capillaries, venules, veins (vena cava); superior and inferior vena cava.
    • External/internal respiration: Same process; external is in the lungs, internal in the cells.
    • Blood composition: Plasma (55%), white blood cells (leukocytes, 4%), platelets (thrombocytes, 4%), red blood cells (erythrocytes, 41%).
    • Hemoglobin: Carries oxygen and CO2.
    • Blood volume varies across age groups (newborn: 300 mL, child: 2-3 liters, adult: 4-6 liters).
    • Pulse: Pressure wave of blood flowing through arteries, felt at peripheral pulse points.
    • Peripheral pulse points: Radial, brachial, posterior tibial, dorsalis pedis.
    • Central pulse points: Carotid, femoral.
    • Normal pulse rates vary across age groups (adult: 60-100 bpm, child: 70-130 bpm, infant: 80-140 bpm).
    • Cardiac output: Amount of blood pumped by the heart per minute (heart rate x stroke volume); maintain homeostasis.
    • Blood pressure: Force of blood against vessel walls (systolic/diastolic).
    • Peripheral vascular resistance (PVR); size of vessels and tone controls resistance, affecting blood pressure.
    • Baroreceptors: Detect blood pressure changes; adjust heart rate/stroke volume, to maintain perfusion.
    • Hypoperfusion/shock: Inadequate perfusion; body struggling to maintain blood flow, resulting in potential organ or bodily issues.

    Nervous System

    • Divisions: Central (brain, spinal cord), peripheral (other nerves).
    • Peripheral subdivisions: Autonomic (sympathetic, parasympathetic), voluntary.
    • Brain components: Cerebrum (frontal, parietal, temporal, occipital lobes), cerebellum (balance/coordination, fine motor skills), brainstem (medulla oblongata, cardiac/respiratory/vasomotor centers, reticular activating system).
    • Brain stem structures: Medulla oblongata, midbrain, pons, cerebellum.
    • Meninges: Dura mater, arachnoid mater, pia mater; protect brain and spinal cord.
    • Spinal cord: 17-18 inches, ends at L2, all sensory/motor nerves connect here.
    • Cranial nerves: Oculomotor (controls pupil constriction, used to assess brain function during the emergency). Vagus nerve (affects heart rate), phrenic nerve (controls diaphragm; critical for breathing).
    • Cranial nerve assessment: Pupil response to light (oculomotor); evaluate pupils' constriction and dilation.
    • Altered level of consciousness: Early sign of brain dysfunction; brain needs constant O2 and glucose.

    Other Systems

    • Lymphatic system: Fluid balance, infection-fighting.
    • Lymphoid organs: Tonsils, spleen, thymus, lymph nodes.
    • Digestive system: Processes food, extracts nutrients, removes waste. Organs: Mouth, esophagus, stomach, small intestine, large intestine, liver, gallbladder, pancreas, appendix; four abdominal quadrants.
    • Integumentary system (skin): Protection, water balance, temperature regulation, excretion, impact absorption. Layers: Epidermis, dermis, subcutaneous layer.
    • Endocrine system: Secretes hormones. Common glands: Adrenal gland (epinephrine/norepinephrine), pancreas (insulin), ovaries (estrogen), testes (testosterone); hormones influence various physiological processes.
    • Renal/urinary system: Regulates fluid levels, filters toxins, adjusts pH. Organs: Kidneys, ureters, bladder, urethra; Kidneys in the retroperitoneal space.
    • Reproductive systems: Male (testes, penis), Female (ovaries, fallopian tubes, uterus, vagina).

    Additional Notes

    • Body systems work in coordination to maintain homeostasis.
    • EMTs assess for signs of respiratory/cardiac/nervous system distress.
    • Understanding normal/abnormal vital signs is critical (especially amongst different age groups). Assessing vital signs is critical in identifying deviations from normal. Recognizing breathing rate as well as the pattern, quality, and audible noises. Assessing heart rate and the rhythm and the strength for both peripheral pulse points and central pulse points.
    • Recognizing abnormal breathing patterns and sounds (e.g., wheezing, stridor, gurgling, rales, rhonchi, diminished/absent lung sounds).
    • Altered mental status as an indicator that oxygen may not be getting to brain as well. Additional factors including pain, discomfort, and anxiety may indicate distress.
    • Understanding the relationship between respiration, and perfusion; appropriate interventions are crucial.

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    Test your knowledge on various human body systems including the musculoskeletal, respiratory, cardiovascular, and more. This quiz emphasizes the importance of visualization, topography, and physical assessment techniques used in anatomy and physiology. Perfect for students and professionals in healthcare fields.

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