CardiovasLec 07
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Questions and Answers

Which of the following substances would have the highest permeability through capillary pores?

  • Hemoglobin
  • Albumin
  • Insulin
  • Water (correct)
  • What is the approximate width of capillary intercellular silt pores?

  • 10 nanometers
  • 1 nanometer
  • 6-7 nanometers (correct)
  • 2-3 nanometers
  • Which of the following is NOT a factor determining net fluid movement across capillaries?

  • Blood glucose level (correct)
  • Capillary hydrostatic pressure
  • Interstitial fluid pressure
  • Plasma colloid osmotic pressure
  • Which of the following is a force that opposes filtration in capillaries?

    <p>Plasma colloid osmotic pressure (A)</p> Signup and view all the answers

    What is the primary process responsible for the mass movement of fluid across capillary membranes?

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

    What is the approximate daily net filtration rate in a typical individual?

    <p>3 L/day (A)</p> Signup and view all the answers

    In a patient with left-side heart failure, what is the likely effect on the pulmonary capillary hydrostatic pressure?

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

    Based on the information provided, what is the likely net filtration pressure in the patient with left-side heart failure?

    <p>8 mmHg (C)</p> Signup and view all the answers

    Which of the following correctly describes the movement of lipid-soluble substances across capillary walls?

    <p>They diffuse directly through the cell membrane. (C)</p> Signup and view all the answers

    What is the primary mechanism responsible for the exchange of substances between plasma and interstitial fluid in most capillaries?

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

    How do large proteins move across capillary walls?

    <p>By transcytosis. (B)</p> Signup and view all the answers

    What type of capillaries are found in tissues with high metabolic activity?

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

    What is the primary difference between continuous and fenestrated capillaries?

    <p>Continuous capillaries have tight junctions, while fenestrated capillaries have leaky junctions. (C)</p> Signup and view all the answers

    Which of the following is NOT a factor that influences the rate of diffusion across capillary walls?

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

    Capillaries are the primary site of exchange between blood and tissues. Which of the following is NOT a substance typically exchanged across capillary walls?

    <p>Red blood cells (B)</p> Signup and view all the answers

    What is the importance of the large surface area of capillaries?

    <p>It allows for efficient exchange of substances between blood and tissues. (B)</p> Signup and view all the answers

    What is the primary function of lymph fluid?

    <p>Carry waste products away from cells and tissues (B)</p> Signup and view all the answers

    What can cause edema, or fluid buildup in the tissues?

    <p>Insufficient drainage of lymph fluid from the tissues (D)</p> Signup and view all the answers

    What is the net driving pressure for fluid movement across a capillary?

    <p>9 mmHg (A)</p> Signup and view all the answers

    What is the primary cause of elephantiasis?

    <p>A parasitic worm that blocks lymphatic vessels (A)</p> Signup and view all the answers

    Ascites, the accumulation of fluid in the abdominal cavity, is often associated with which condition?

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

    What is the primary force driving fluid out of the capillary ?

    <p>Hydrostatic pressure of plasma (B)</p> Signup and view all the answers

    What is the main function of capillaries in relation to fluid movement?

    <p>Exchanging fluids and nutrients between blood and tissues (C)</p> Signup and view all the answers

    What is the direction of net fluid movement at the arterial end of a capillary?

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

    What is the direction of net fluid movement at the venous end of a capillary?

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

    What is the role of lymphatic vessels in fluid exchange?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding the lymphatic system?

    <p>Both B and C are true (A)</p> Signup and view all the answers

    What is the primary function of the lymph nodes?

    <p>To filter lymph fluid (A)</p> Signup and view all the answers

    What is the primary reason for the slow blood velocity in capillaries?

    <p>Capillaries are the smallest blood vessels, leading to a larger total cross-sectional area. (A)</p> Signup and view all the answers

    During exercise, which factor contributes to an increase in venous return?

    <p>Increased respiratory pump action. (F)</p> Signup and view all the answers

    What is the primary physiological mechanism responsible for vasodilation in skeletal muscle during exercise?

    <p>Release of local metabolites. (B)</p> Signup and view all the answers

    What is the relationship between blood flow and cross-sectional area?

    <p>Inversely proportional. (C), Inversely proportional. (D)</p> Signup and view all the answers

    How does an increase in sympathetic activity influence cardiovascular responses during exercise?

    <p>Constricts blood vessels in metabolically inactive tissues. (A), Constricts blood vessels in metabolically inactive tissues. (C)</p> Signup and view all the answers

    What is the role of the neuromuscular junctions in skeletal muscle during exercise?

    <p>They communicate with the central nervous system. (F)</p> Signup and view all the answers

    How does the cardiovascular system respond to an increase in venous return?

    <p>Increases stroke volume. (C), Increases stroke volume. (E)</p> Signup and view all the answers

    Which of the following is a direct consequence of increased metabolic activity in skeletal muscle during exercise?

    <p>Release of local metabolites. (E)</p> Signup and view all the answers

    Study Notes

    Exercise, Capillary Exchange, and the Lymphatic System

    • Exercise significantly impacts cardiovascular responses, increasing venous return and respiratory pump action.
    • Sympathetic activity increases, and parasympathetic activity decreases.
    • Neuromuscular junctions in skeletal muscles signal the cardiovascular control center (CCC), affecting heart rate and contractility, impacting resistance arterioles in metabolically inactive areas.
    • Local metabolites lead to profound vasodilation in active skeletal muscles (reducing tissue pressure).
    • Blood flow distribution differs at rest and during exercise, with vasoconstriction in inactive tissues and vasodilation of exercising muscles.

    Cardiovascular Responses to Exercise

    • Venous return and respiratory pump actions increase.
    • Sympathetic activity increases, parasympathetic activity decreases.
    • Neuromuscular junctions send signals to the cardiovascular control center (CCC).
    • This affects heart rate, contractility, and resistance in arterioles of non-exercising tissues.
    • Local metabolites facilitate profound vasodilation in skeletal muscle, reducing tissue pressure.

    Cardiovascular Responses to Exercise Charts

    • Cardiac output at rest is 5.8 liters/min, with 21% (1.2L/min) directed to skeletal muscle.
    • During vigorous exercise, the cardiac output increases to 25.6 liters/min, with 88% (22.5 L/min) directed to skeletal muscle.
    • Other tissues receive significantly less blood flow during exercise (brain, kidneys, GI tract).
    • Blood is shunted to the exercising muscles.

    Capillaries and Blood Flow

    • Capillary velocity is intimately linked to cross-sectional area.
    • Total cross-sectional area of all the vessels at the same level in the vascular system controls the blood flow rate.
    • Wider vessels mean slower blood flow, and vice versa.
    • This principle is crucial for efficient nutrient and waste exchange in tissues.

    Capillary Exchange

    • Exchange between plasma and interstitial fluid occurs through paracellular pathways (between cells) or through cell-cell junctions.
    • Larger substances move through transcellular transport (vesicular transport) through apical and basolateral membranes.
    • Large proteins are transported by transcytosis in most capillaries.
    • Small dissolved substances, water, and gases move through diffusion in capillaries.

    Capillary Structure and Function

    • Capillary walls offer a thin pathway for the most efficient and fastest exchange of water-soluble substances.
    • Capillary density correlates with tissue metabolic needs.
    • Over 10 billion capillaries provide a huge exchange surface area (500-700 m²).

    Two Types of Capillaries

    • Continuous capillaries are found in muscle and brain tissues.
    • Fenestrated capillaries, more permeable, are found in areas like the kidneys and intestine requiring high volume exchange.

    Capillary Exchange: Different Movement Methods

    • Permeability of capillary pores varies by molecular size.
    • Larger molecules have lower permeability across capillary pores compared to smaller molecules.
    • Blood transports a variety of molecules, ranging greatly in molecular size.

    Capillary Exchange: Determining Forces

    • Bulk flow involves mass movement of fluid due to hydrostatic or osmotic pressure gradients.
    • Absorption involves fluid movement into capillaries.
    • Filtration involves fluid movement out of capillaries.
    • Hydrostatic pressure is a significant force driving pressure out of capillaries.
    • Osmotic considerations include both plasma and interstitial fluid colloid pressures.

    Fluid Exchange at a Capillary

    • Hydrostatic and osmotic pressures control bulk flow.
    • Hydrostatic pressure pushes fluid out of the capillary.
    • Osmotic pressure pulls fluid back into the capillary.
    • Net filtration pressure is calculated (hydrostatic – osmotic).

    Typical Capillary Net Forces

    • Net filtration pressure is typically 0.3 mmHg.
    • Filtration coefficient is 10 ml/min/mmHg.
    • Net filtration rate ~ 3 mL/min.

    Lymphatic System

    • Returns fluid and proteins to the circulatory system.
    • Absorbs and transfers absorbed fats to the circular system.
    • Acts as a filter for pathogens (microbes).
    • Lymph vessels collect interstitial fluid and return it to the bloodstream.
    • Lymphatic vessels have a vital role in maintaining fluid balance and supporting the immune system.

    Edema

    • Accumulation of fluid in tissues can have varied causes, including lymphatic blockage or increased pressure in peripheral veins (heart failure).
    • Elephantiasis is a specific edema pathology caused by parasitic roundworms blocking lymphatic channels.
    • Ascites, fluid buildup in the abdomen, can relate to liver cirrhosis or other diseases impacting fluid balance.

    Terminology Summary

    • Kwashiorkor: inadequate protein intake, causing edema as a prominent symptom, often with visible abdominal bloating.
    • Ascites: Fluid accumulation leading to noticeable abdominal swelling.

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    PSL301 Lecture 7 2022 PDF

    Description

    This quiz covers the effects of exercise on cardiovascular responses, including how sympathetic and parasympathetic activities change. It delves into the mechanisms of venous return, respiratory pump actions, and the role of neuromuscular junctions in regulating heart rate and blood flow distribution during physical activity.

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