BSF final exam
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Questions and Answers

What is the primary stimulus for initiating breathing?

  • Low oxygen levels
  • Low blood pH
  • High atmospheric pressure
  • High CO2 levels (correct)
  • Which muscle is primarily responsible for inhalation?

  • Diaphragm (correct)
  • Abdominal muscles
  • Internal intercostal muscles
  • Pectoral muscles
  • What happens to intrapleural pressure during inhalation?

  • It becomes less negative
  • It becomes more negative (correct)
  • It remains constant
  • It increases
  • How does exhalation occur?

    <p>By relaxing the diaphragm and external intercostal muscles</p> Signup and view all the answers

    What is the primary mechanism for gas exchange in the alveoli?

    <p>Diffusion across the alveolar wall</p> Signup and view all the answers

    What is the function of hemoglobin in red blood cells?

    <p>To transport oxygen throughout the body</p> Signup and view all the answers

    Which respiratory muscle helps expand the chest cavity from side to side?

    <p>External intercostal muscles</p> Signup and view all the answers

    What role does the serous fluid play in the respiratory system?

    <p>It creates adhesion between pleural membranes</p> Signup and view all the answers

    What is the primary function of the alveoli in the lungs?

    <p>Exchange of oxygen and carbon dioxide</p> Signup and view all the answers

    Which structure primarily separates the nasopharynx from the oral cavity during swallowing?

    <p>Soft palate</p> Signup and view all the answers

    What drives the mechanism of ventilation in the lungs?

    <p>Contraction of the diaphragm and intercostal muscles</p> Signup and view all the answers

    Which part of the respiratory system is responsible for conducting air but not involved in gas exchange?

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

    What is the primary role of the respiratory muscles?

    <p>Change the volume of the thoracic cavity</p> Signup and view all the answers

    During gas exchange, where does oxygen move from and to?

    <p>From alveoli to blood</p> Signup and view all the answers

    Which statement is true regarding the bronchioles in the respiratory system?

    <p>They primarily function as air passages.</p> Signup and view all the answers

    How does the pulmonary blood circulation differ from systemic circulation?

    <p>It transports deoxygenated blood to the lungs.</p> Signup and view all the answers

    What is the primary function of the larynx?

    <p>Speaking and air passage</p> Signup and view all the answers

    What is the purpose of the C-shaped cartilage in the trachea?

    <p>To prevent collapse and maintain openness</p> Signup and view all the answers

    Where does gas exchange primarily occur in the lungs?

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

    What component is important for effective gas diffusion in the alveoli?

    <p>Capillary network</p> Signup and view all the answers

    What is ventilation in the context of respiratory processes?

    <p>The movement of air to and from the alveoli</p> Signup and view all the answers

    Which part of the brain is primarily responsible for generating impulses for breathing?

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

    What structure ensures that the esophagus can expand during swallowing?

    <p>Posterior gaps in the trachea</p> Signup and view all the answers

    What is the role of pulmonary surfactant in the alveoli?

    <p>Mix with tissue fluid to reduce surface tension</p> Signup and view all the answers

    What is the primary function of dendrites in a neuron?

    <p>Transmit impulses toward the cell body</p> Signup and view all the answers

    What role do Schwann cells play in nerve tissue?

    <p>They form the myelin sheath around axons</p> Signup and view all the answers

    Which type of neuron is responsible for transmitting impulses from receptors to the central nervous system?

    <p>Sensory neuron</p> Signup and view all the answers

    What is the function of cholinesterase in relation to neurotransmitters?

    <p>It inactivates neurotransmitters to prevent continuous impulses</p> Signup and view all the answers

    Which of the following describes the nature of spinal cord reflexes?

    <p>They function independently of the brain's direct involvement</p> Signup and view all the answers

    What is the primary role of the axon in a neuron?

    <p>To transmit impulses away from the cell body</p> Signup and view all the answers

    What is contained within the central canal of the spinal cord?

    <p>Cerebrospinal fluid</p> Signup and view all the answers

    What is the primary function of the lower esophageal sphincter?

    <p>To regulate the entry and backup of stomach contents</p> Signup and view all the answers

    Which layer of the alimentary tube is primarily responsible for lubricating the passage of food?

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

    What role does Auerbach's plexus serve in the digestive system?

    <p>Increases peristalsis</p> Signup and view all the answers

    Which structure is responsible for digesting food gradually in the stomach?

    <p>External Muscle Layer</p> Signup and view all the answers

    Which section of the small intestine is approximately 10 inches long?

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

    What is the role of the muscular wall of the oropharynx and laryngopharynx during swallowing?

    <p>To contract and facilitate the swallowing reflex</p> Signup and view all the answers

    Which characteristic distinguishes the trachea from other respiratory structures?

    <p>The presence of 16-20 C shaped cartilage pieces</p> Signup and view all the answers

    Which of the following features is correctly associated with the lungs?

    <p>Elastic connective tissue aids in exhalation</p> Signup and view all the answers

    How is the structure of the larynx significant in its function?

    <p>It houses the vocal cords that are essential for sound production</p> Signup and view all the answers

    What is the significance of the capillary network surrounding the alveoli?

    <p>It allows for efficient diffusion of gases, enhancing gas exchange</p> Signup and view all the answers

    What is the primary function of the choroid plexus in the central nervous system?

    <p>Producing cerebrospinal fluid</p> Signup and view all the answers

    Which of the following statements about blood types is true regarding type O blood?

    <p>It is considered the universal donor due to the absence of A and B antigens</p> Signup and view all the answers

    Why is the epiglottis an important structure in the respiratory system?

    <p>It prevents food from entering the trachea during swallowing</p> Signup and view all the answers

    What occurs when an Rh-negative individual receives Rh-positive blood?

    <p>Antibody production may occur gradually</p> Signup and view all the answers

    What differentiates the primary bronchi from smaller bronchi?

    <p>Their length and diameter are significantly larger</p> Signup and view all the answers

    Which layer of epithelial tissue primarily lines the trachea?

    <p>Ciliated epithelium with goblet cells</p> Signup and view all the answers

    Which layer of the meninges is characterized as the outermost and the thickest?

    <p>Dura mater</p> Signup and view all the answers

    What is the role of atrial natriuretic hormone (ANH) in the cardiovascular system?

    <p>Reduces blood volume by promoting sodium and water excretion</p> Signup and view all the answers

    What is the relationship between pleural membranes and serous fluid?

    <p>Serous fluid prevents friction and keeps membranes together</p> Signup and view all the answers

    What is the main function of the respiratory centers located in the medulla and pons?

    <p>To generate impulses for the respiratory muscles during breathing</p> Signup and view all the answers

    What is contained within the subarachnoid space?

    <p>Cerebrospinal fluid</p> Signup and view all the answers

    Which of the following best describes the cardiac muscle layer of the heart?

    <p>It is called the myocardium and provides the contractile force</p> Signup and view all the answers

    Which component is involved in the reabsorption of cerebrospinal fluid into the bloodstream?

    <p>Arachnoid villi</p> Signup and view all the answers

    What is the role of the pulmonary veins in the circulatory system?

    <p>Carries oxygenated blood from the lungs to the left atrium</p> Signup and view all the answers

    Which mechanism aids in maintaining systemic blood pressure through venous return?

    <p>Constriction of veins</p> Signup and view all the answers

    What is a primary function of the liver in relation to detoxification?

    <p>Transforming glucose to glycogen for storage</p> Signup and view all the answers

    What is the function of capillaries within the pulmonary circulation?

    <p>Facilitating gas exchange between blood and alveoli</p> Signup and view all the answers

    Which structure is responsible for the pressure changes necessary for inhalation?

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

    What primarily initiates the exchange of gases in the alveoli?

    <p>Partial pressure differences of oxygen and carbon dioxide</p> Signup and view all the answers

    Which of the following correctly describes a characteristic of the systemic circulation?

    <p>Involves the aorta and its branches delivering oxygen-rich blood</p> Signup and view all the answers

    Which aspect of blood flow regulation is influenced by the kidneys?

    <p>Renin-angiotensin mechanism</p> Signup and view all the answers

    What occurs in the capillary networks throughout the body during systemic circulation?

    <p>Oxygen delivery to tissues</p> Signup and view all the answers

    What is the role of the left ventricle's thicker walls compared to the right ventricle?

    <p>To provide a stronger contraction for systemic circulation</p> Signup and view all the answers

    What are the consequences of a significant obstruction in the coronary vessels?

    <p>Ischemia leading to tissue infarct if unresolved</p> Signup and view all the answers

    What is the function of heart valves, especially in veins?

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

    How is cardiac output calculated?

    <p>Stroke volume x heart rate</p> Signup and view all the answers

    What is NOT one of the five essential parts of a reflex arc?

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

    Which function is primarily associated with the hypothalamus?

    <p>Regulating body temperature</p> Signup and view all the answers

    Which part of the brain is responsible for integrating impulses before they reach the cerebrum?

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

    Which structure is considered part of the central nervous system that extends from the spinal cord to the pons?

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

    What is a primary function of the cerebellum?

    <p>Coordinating movement and balance</p> Signup and view all the answers

    What function does the lower esophageal sphincter serve in the digestive system?

    <p>It relaxes to allow food to enter the stomach and contracts to prevent backup.</p> Signup and view all the answers

    Which of the following statements accurately describes the structure and function of the mucosa in the alimentary tube?

    <p>It secretes mucus for lubrication and digestive enzymes for food breakdown.</p> Signup and view all the answers

    Which characteristic of the small intestine is primarily responsible for increasing its absorptive surface area?

    <p>The microvilli on the mucosal cells.</p> Signup and view all the answers

    What is the role of the submucosa in the alimentary tube?

    <p>It contains nervous tissue that regulates the muscular layers.</p> Signup and view all the answers

    What is the primary function of the serosa in the alimentary canal?

    <p>To prevent friction between abdominal organs.</p> Signup and view all the answers

    Which statement best describes the role of iron in hemoglobin?

    <p>It enables hemoglobin to bond with oxygen for transport.</p> Signup and view all the answers

    What physiological change occurs during inhalation involving intrapulmonic pressure?

    <p>Intrapulmonic pressure falls below atmospheric pressure.</p> Signup and view all the answers

    During gas exchange in the alveoli, what drives the process of diffusion?

    <p>The pressure gradients of oxygen and carbon dioxide.</p> Signup and view all the answers

    Which type of digestion is primarily facilitated by enzymes in the digestive system?

    <p>Chemical digestion</p> Signup and view all the answers

    What is the function of the residual air in the lungs?

    <p>It prevents lung collapse by maintaining a constant volume.</p> Signup and view all the answers

    Which component of the reflex arc is primarily responsible for generating impulses in response to a detected change?

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

    What is the main function of the thalamus within the central nervous system?

    <p>Integration of sensory information</p> Signup and view all the answers

    Which brain structure is responsible for regulating autonomic functions such as cardiac activity and blood vessel regulation?

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

    Which brain part contributes to muscle tone regulation and maintaining posture, functioning below the level of consciousness?

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

    In what way does the medulla oblongata function to support respiratory processes?

    <p>Controlling the rhythm of breathing</p> Signup and view all the answers

    What is the primary function of the basal ganglia within the cerebral hemispheres?

    <p>Regulation of voluntary muscle movement and coordination</p> Signup and view all the answers

    Which area of the brain is specifically responsible for controlling movements involved in speech?

    <p>Broca’s motor speech area</p> Signup and view all the answers

    What is the significance of the corpus callosum in brain function?

    <p>It connects the left and right cerebral hemispheres for communication</p> Signup and view all the answers

    Which area of the brain is primarily responsible for processing general sensory information from the skin?

    <p>General sensory areas in the parietal lobes</p> Signup and view all the answers

    Which function is most closely associated with the hippocampus?

    <p>Managing memory and learning</p> Signup and view all the answers

    What is the main function of interneurons in the central nervous system?

    <p>Facilitate communication between sensory and motor neurons</p> Signup and view all the answers

    Which structure is primarily responsible for regulating breathing rhythms in conjunction with the medulla?

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

    What role does cholinesterase play in neurotransmission?

    <p>Inactivates neurotransmitters to prevent continuous impulses</p> Signup and view all the answers

    Which type of neuron is responsible for carrying impulses from the central nervous system to effectors?

    <p>Motor neurons</p> Signup and view all the answers

    Which part of the spinal cord is responsible for carrying sensory impulses to the brain?

    <p>Ascending tracts</p> Signup and view all the answers

    Which structure is primarily responsible for regulating muscle tone and coordinating accessory movements?

    <p>Basal Ganglia</p> Signup and view all the answers

    What is the primary role of the choroid plexus within the central nervous system?

    <p>To produce cerebrospinal fluid from blood plasma</p> Signup and view all the answers

    Which blood type can be considered the universal recipient, allowing for safe transfusion from any blood type?

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

    What happens to red blood cells when an Rh-negative individual receives Rh-positive blood for the second time?

    <p>They produce antibodies leading to hemolysis</p> Signup and view all the answers

    Which layer of the meninges is characterized as the innermost and directly covers the brain and spinal cord?

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

    Study Notes

    Nerve Tissue

    • Nerve cells are neurons, or nerve fibers
    • Neurons are made of cell bodies, dendrites, and axons
    • Cell bodies contain the nucleus
    • Neurons are found in the central nervous system (CNS) or near it in the body's trunk
    • Dendrites transmit impulses towards the cell body
    • Axons transmit impulses away from the cell body

    Types of Neurons

    • Sensory neurons (afferent neurons) carry impulses from receptors to the CNS
    • Motor neurons (efferent neurons) carry impulses from the CNS to effectors
    • Interneurons are nerve cells entirely within the CNS; they are involved in thinking, learning, and memory

    Nerve Tissue (continued)

    • Axons and dendrites are wrapped in Schwann cells to form the myelin sheath
    • The myelin sheath electrically insulates neurons from each other

    Synapses

    • Neurotransmitters diffuse across the synapse and bind to receptor sites on the postsynaptic neuron's membrane
    • This process is carried by the next neuron's axon to the next synapse, and so on
    • A chemical inactivator quickly deactivates the neurotransmitter in the postsynaptic neuron's cell body or dendrites, preventing unwanted continuous impulses
    • Neurotransmitter is acetylcholine (in the CNS and many parts of the PNS)
    • Cholinesterase inactivates acetylcholine

    Spinal Cord

    • Transmission of impulses to and from the brain
    • Integrating center for spinal cord reflexes
    • Enclosed within the vertebral canal for protection from injury
    • The meninges offer further protection
    • Extends from the foramen magnum of the occipital bone to the disc between the first and second lumbar vertebrae
    • Ascending tracts carry sensory impulses to the brain
    • Descending tracts carry motor impulses away from the brain
    • Central canal contains cerebrospinal fluid (CSF) which is continuous with the ventricles (brain cavities)

    Spinal Cord Reflexes

    • Involuntary responses to stimuli
    • Automatic actions triggered by specific changes
    • Reflexes are typically independent of the brain, although the brain can influence them either by inhibiting or enhancing the reflex

    Reflex Arc

    • Pathway of nerve impulses in response to a reflex:
    • Receptors detect a change and generate impulses
    • Sensory neurons transmit impulses from receptors to the CNS
    • CNS contains one or more synapses
    • Motor neurons transmit impulses from the CNS to the effector
    • Effector carries out a characteristic action

    The Brain - Medulla

    • Connects to the spinal cord
    • Anterior to the cerebellum
    • Contains centers for cardiac activity, blood pressure, respiration, coughing, sneezing, swallowing, and vomiting

    The Brain - Pons

    • Bulges from the upper part of the medulla
    • Contains two respiratory centers working with those in the medulla to regulate breathing rhythms
    • Acts as a bridge to connect medulla to other parts of the brain

    The Brain - Thalamus

    • Located superior to the hypothalamus and inferior to the cerebrum
    • Integrates sensory impulses, making them readily interpretable to the cerebrum

    The Brain - Cerebellum

    • Separated from the medulla and pons by the fourth ventricle
    • Located inferior to the occipital lobes of the cerebrum
    • Concerned with movement, posture, and balance; also involved in coordination and muscle tone

    The Brain - Hypothalamus

    • Located superior to the pituitary gland and inferior to the thalamus
    • Function: regulation of body temperature, food intake, autonomic nervous system activity like heart rate, blood pressure, and bowel function; emotional expression, body rhythms (e.g., sleep cycles, hormone secretion).
    • Production of antidiuretic hormone (ADH) and oxytocin
    • Production of hormones that control the secretion of other hormones (releasing hormones) by the anterior pituitary gland

    The Brain - Cerebrum

    • Largest part of the brain
    • Two hemispheres separated by the longitudinal fissure
    • Connected by the corpus callosum (200 million neurons)
    • Lateral ventricle within each hemisphere

    Frontal Lobes

    • Motor areas generate impulses for voluntary movements, with a larger portion for precise hand and face movements
    • Left motor area controls the right side of the body, right motor area the left side of the body
    • Premotor areas control learned motor skills (e.g., shoe tying)
    • Broca's motor speech area controls mouth movements needed for speech

    Parietal Lobes

    • General sensory areas receive and interpret impulses from skin receptors for cutaneous sensations
    • Left area controls the right side of the body and vice versa
    • Contains the areas that receive sensory impulses and interpret conscious muscle sense from stretch receptors

    Temporal Lobes

    • Olfactory area receives impulses from nasal cavities for the sense of smell
    • Auditory areas receive impulses from receptors in the inner ears for hearing
    • Includes speech areas involved in thought preceding speech

    Occipital Lobes

    • Impulses from the retina (in the eye) travel to the visual areas in the occipital lobes
    • Involved in spatial relationships, judging distance, and seeing in 3D

    Association Areas

    • Responsible for personality, sense of humor, reasoning, and logic
    • Include areas responsible for learning and memory; the hippocampus is responsible for memory

    Basal Ganglia

    • Paired masses of gray matter in the white matter of the cerebral hemispheres
    • Involved in subconscious aspects of movement, working with the cerebellum
    • Regulate muscle tone and coordinate accessory movements (e.g., swinging arms while walking)

    Corpus Callosum

    • Band of nerve fibers connecting the left and right cerebral hemispheres
    • Allows communication between the hemispheres

    Meninges and Cerebrospinal Fluid

    • Connective tissue membranes covering the brain and spinal cord
    • Dura mater is the thick outermost layer lining the skull and vertebral canal
    • Arachnoid membrane is the middle layer made of web-like connective tissue fibers
    • Pia mater is the thin innermost layer covering the surface of the spinal cord and brain
    • Subarachnoid space between the arachnoid and pia mater contains CSF

    Choroid Plexus

    • Capillary network forming CSF from blood plasma
    • CSF circulates throughout the CNS
    • Arachnoid villi reabsorb CSF into cranial venous sinuses, returning it to blood plasma

    Blood Types

    • ABO grouping: people with type A blood have the A antigen on their blood cells. They also have antibodies to B antigens.
    • People with type B blood have the B antigen on their blood cells and antibodies to A antigens.
    • People with type AB blood have both the A and B antigens and no blood type antibodies.
    • People with type O blood have neither A nor B antigens and have antibodies for both A and B antigens
    • Wrong blood type transfusion causes clumping and rupture of the blood cells, creating kidney damage and renal failure
    • The universal donor is type O. The universal recipient is type AB

    RH Factor

    • Rh positive have the Rh antigen present. Rh negative do not have the Rh antigen.
    • If Rh-negative blood receives Rh-positive blood, antibodies are produced.
    • A first transfusion often doesn't cause problems, but a second transfusion will produce a serious transfusion reaction, with hemolysis (red blood cell destruction) and potential kidney damage.

    Mediastinum and Pericardial Membranes

    • Mediastinum is the central part of the thoracic cavity containing the heart, great vessels, and esophagus
    • Pericardium, surrounding the heart, is composed of two layers: fibrous pericardium and the serous pericardium (parietal & visceral)

    Chambers-Vessels and Valves

    • The heart is a four-chambered pump made of cardiac muscle (myocardium), lined with the endocardium (smooth for clotting prevention)
    • Atria (upper chambers) and ventricles (lower chambers) are separated by interatrial and interventricular septa

    Heart Pathway

    • Blood pathway through the heart: Inferior/Superior vena cava -> Right atrium ->Tricuspid Valve Right ventricle ->Pulmonary Semilunar valve ->Pulmonary artery -> Lungs -> Pulmonary veins -> Left atrium ->Bicuspid valve ->Left ventricle ->Aortic semilunar valve ->Aorta -> Body

    Atrial Natriuretic Hormone (ANH)

    • Atria release ANH when stretched by increased blood volume or pressure
    • ANH decreases sodium reabsorption in the kidneys
    • Water follows sodium, thereby decreasing blood volume and blood pressure

    Left Ventricle

    • Thicker walls providing more forceful contraction
    • Blood flows through the aortic semilunar valve to the body (aorta). The valve also possesses chordae tendineae and papillary muscles

    Coronary Vessels-Vessels around the heart that supply the heart with nutrient

    • Branch from the ascending aorta
    • Branch to smaller arteries, arterioles, and capillaries feeding the myocardium
    • Coronary veins collect blood from capillaries and deliver to the coronary sinus
    • Coronary sinus returns blood to the right atrium
    • If obstruction occurs, ischemia is the result (decreased oxygen supply).
    • If blood flow is not restored, it will become infarct (dead tissue)

    Cardiac Cycle

    • Sequence of events during one heartbeat
    • Simultaneous contraction of the two atria, followed by simultaneous contraction of the two ventricles
    • Systole is contraction
    • Diastole is relaxation

    Cardiac Conduction

    • Mechanical events regulated by the electrical activity of the myocardium
    • Heart cells have the ability to contract spontaneously
    • Sinoatrial (SA) node->atrioventricular (AV) node->Atrial myocardium->bundle of His->bundle branches->Purkinje fibers initiate and deliver electrical impulses, generating the heartbeat

    Arrhythmias

    • Irregular heartbeats, ranging from harmless to life-threatening
    • Palpitations are irregular heartbeats that occur from time to time
    • Fibrillation is rapid and uncoordinated ventricular beat which is ineffective at pumping blood
    • Quivering ventricles=No pulse

    Heart Rate

    • Normal resting pulse rate (SA node) is 60-80 beats per minute

    • <60 beats per minute is bradycardia

    • 100 beats per minute is tachycardia

    • Well-conditioned people typically have slower heart rates

    Cardiac Output

    • The amount of blood pumped by a ventricle in one minute
    • Stroke volume is the amount of blood pumped per contraction (60-80 ml)
    • Cardiac output = Stroke volume x Pulse rate
    • Starling's Law of the Heart relates cardiac output to venous return
    • Starling Law-The more the cardiac muscle fibers are stretched, the more forcefully they contract
    • Venous Return-The amount of blood returned to the heart
    • Ejection Fraction: Percentage of blood pumped from the left ventricle per heartbeat

    Arteries

    • Carry blood from the heart to capillaries
    • Small arteries are arterioles
    • Composed of three layers: Tunica intima, Tunica media (thick), Tunica externa
    • Tunica intima-Innermost layer; smooth to prevent abnormal clotting
    • Tunica media- Middle layer;strong but elastic to allow arteries to constrict/dilate; maintenance of bp
    • Tunica external-Strong layer to prevent bursting; maintenance of bp
    • Volume is greater in the arteries

    Veins

    • Carry blood from capillaries to the heart
    • Small veins are venules
    • Composed of three layers: Tunica intima, Tunica media (thin), Tunica externa
    • Inner layer Contains valves to prevent backflow; more in legs due to flow against gravity to get back to heart
    • Middle and out layer is thin because blood pressure is low in veins

    Anastomoses

    • Connections between vessels (arteries to arteries or veins to veins)
    • Provide alternate pathways for blood flow if a vessel is obstructed
    • Arterial anastomoses, Venous anastomoses
    • Arterial-blood gets to capillaries of organ and removal of waste products
    • Venous-blood gets back to the heart;more numerous in legs

    Capillaries

    • Connect arterioles to venules
    • Walls are one cell thick for efficient exchange
    • Regulated by precapillary sphincters, adjusting blood flow based on tissue needs
    • Sinusoids are larger, more permeable capillaries allowing large substances in or out of the blood (in tissues such as red bone marrow, liver, spleen, and pituitary gland)

    Exchanges in Capillaries

    • Sites where materials exchange between blood and surrounding tissue fluid
    • Movement of gases (and other materials) is by diffusion from a higher to lower concentration
    • Blood pressure (arterioles) of 30-35 mmHg is higher than the pressure of surrounding tissue fluid, about 2 mmHg.

    Filtration of Capillaries

    • Blood pressure forces plasma and dissolved nutrients from capillaries to the tissue fluid due to higher blood pressure
    • Pressure decreases in venous capillaries, thereby reducing force

    Colloid Osmotic Pressure

    • Albumin contributes to the colloid osmotic pressure, a pulling pressure
    • Fluid is pulled into the capillaries at the venous end, collecting waste products from the cells

    Tissue Fluid and Lymphatic System

    • Tissue fluid that returns to circulation helps maintain normal blood volume and pressure
    • Excess fluid enters lymphatic capillaries where it's recycled as plasma

    Hepatic Portal Circulation

    • Blood from abdominal digestive organs and spleen travels through the liver before returning to the heart
    • Blood from the stomach, intestines, colon, pancreas and spleen flows through the superior mesenteric and splenic vein, which merge into the hepatic portal vein
    • The portal vein empties into sinusoids (liver capillaries) where blood is processed before returning to circulation

    Liver Functions

    • Processes nutrients, detoxifies chemicals, synthesizes proteins and bile. Some nutrients may be stored or changed, bilirubin is excreted into bile, and potential poisons are detoxified before returning to the rest of the body
    • Detoxifies alcohol, and transforms glucose to glycogen when high

    Pulmonary Circulation

    • Blood from the right ventricle is pumped to the lungs via the pulmonary artery
    • The arteries branch extensively in the lungs into smaller arterioles, then capillaries, surrounding the alveoli where gas exchange occurs
    • Blood returns to the left atrium via the pulmonary veins

    Systemic Circulation

    • Blood is pumped into the aorta from the left ventricle
    • The aorta branches extensively throughout the body, into arterioles and capillary networks
    • Veins collect blood from the tissues and return it to the superior and inferior vena cava, eventually returning to the right atrium

    Maintenance of Systemic Blood Pressure

    • Venous return involves skeletal muscle pump, constriction of veins, and respiratory pump
    • Heart rate and force contribute
    • Peripheral resistance, elasticity of arteries, and viscosity of blood influence systemic blood pressure
    • Loss of blood reduces blood pressure
    • Hormones also affect blood pressure

    Intrinsic Mechanisms of Blood Pressure Regulation

    • Regulation of blood pressure by the heart itself (Starling's Law)
    • Regulation of blood pressure by the kidneys (influence blood flow and Renin-angiotensin Mechanism)

    Respiratory Pathways

    • Includes the nasal cavity, pharynx, larynx, trachea, bronchi, lungs, alveoli. Understanding air movement is important in assessing pulmonary function

    Pharynx

    • The soft palate elevates during swallowing to prevent food or saliva from entering the nasopharynx

    Nasopharynx

    • Passageway for air only
    • Includes the Eustachian tubes, which connect to the middle ear cavities

    Oropharynx

    • Passageway for air and food. Posterior to the oral cavity

    Laryngopharynx

    • Passageway for food and air
    • Opens anteriorly to larynx and posteriorly to the esophagus
    • Contractions of the muscular walls of the pharynx and laryngopharynx is part of the swallowing reflex

    Larynx

    • Voice box function: speaking
    • Air passageway from pharynx to trachea
    • Made of cartilage to prevent collapse, including the largest thyroid cartilage and uppermost epiglottis
    • Vocal cords for voice production

    Trachea and Bronchial Tree

    • Trachea is a 4-5" long tube extending from the larynx to the bronchi; it is supported by C-shaped cartilage to allow for esophageal expansion during swallowing
    • Cartilage supports and maintains the airway open
    • Mucosa consists of ciliated epithelium with goblet cells, sweeping mucus (and particles) out of the respiratory tract

    Right and Left Primary Bronchi

    • Divisions of the trachea that enter each lung
    • Further branching forms the bronchial tree
    • Bronchioles are the smaller branches

    Alveoli

    • Functional units of the lungs
    • Simple squamous epithelium
    • Surrounded by elastic connective tissue for exhalation
    • Surrounded by a capillary network, suitable for efficient gas exchange

    Alveoli (Continued)

    • Each alveolus contains a thin layer of tissue fluid
    • Surfactant mixes with the tissue fluid in the alveoli

    Mechanism of Breathing

    • Ventilation involves air movement to and from the alveoli
    • Inhalation and exhalation are controlled by the nervous system and respiratory muscles
    • Respiratory centers in the medulla and pons regulate breathing
    • Stimulation for breathing is high CO2

    Respiratory Muscles

    • Diaphragm
    • External intercostal muscles
    • Internal intercostal muscles

    Inhalation

    • Diaphragm contracts, flattening and increasing thoracic cavity volume
    • External intercostals elevate the ribs widening the thoracic cavity
    • These actions lower intrapulmonary pressure below atmospheric pressure, drawing air into the lungs

    Exhalation

    • Diaphragm and external intercostals relax, decreasing the volume of the thoracic cavity
    • Elastic recoil of the lungs increases intrapulmonary pressure above atmospheric pressure, expelling air from the lungs

    Exchange of Gases

    • External respiration is the exchange of gases between the lungs and blood
    • Internal respiration is the exchange of gases between the blood and the body tissues

    Transport of Gases in Blood

    • Most oxygen is carried bound to hemoglobin in red blood cells (RBCs)
    • Iron in hemoglobin allows for oxygen transport

    Pulmonary Volumes

    • Tidal volume (amount of air inhaled or exhaled in one breath)
    • Minute respiratory volume (amount of air inhaled or exhaled in one minute)
    • Inspiratory reserve volume
    • Expiratory reserve volume
    • Vital capacity
    • Residual air volume

    Acid-Base Balance of the Blood

    • Kidneys regulate pH by adjusting secretion levels of elements like hydrogen and bicarbonate based on acidity/alkalinity of the blood

    Digestive System Divisions

    • Alimentary tube (mouth to anus) where digestion and absorption occur
    • Accessory organs aid the digestive function

    Types of Digestion

    • Mechanical: Physical breakdown of food into smaller pieces
    • Chemical: Complex food molecules are converted into simpler absorbable molecules (using enzymes)

    Structures of Teeth

    • Function for chewing (mechanical digestion)
    • Root is rooted in the mandible/maxillae
    • Pulp cavity contains blood vessels and nerve endings of the trigeminal nerve
    • Enamel is a hard, resistant surface
    • Dentin forms the teeth roots

    Salivary Glands

    • Salivary saliva for continuous secretion
    • Mostly water, small amount of digestive enzymes

    Pharynx (Continued)

    • Oropharynx and laryngopharynx are food passageways connecting the oral cavity to the esophagus
    • Mechanical movement of food only, no chemical digestion

    Esophagus

    • Muscular tube carrying food from the pharynx to the stomach
    • No digestion, only peristalsis for movement
    • Lower esophageal sphincter prevents stomach contents from refluxing

    Structural Layers of the Alimentary Tube - Mucosa

    • Mucosa lining of the digestive tract
    • Epithelium secretes mucus to lubricate food passage and digestive enzymes

    Structural Layers of the Alimentary Tube - Submucosa

    • Submucosa contains blood vessels and lymphatic vessels, and Meissner's plexus (a network of nerves) of the enteric nervous system for secretion regulation. Parasympathetic (PNS) increases secretions; Sympathetic (SNS) decreases them.

    Structural Layers of the Alimentary Tube - External Muscle Layer

    • Muscular contractions break down food and mix it with digestive juices
    • Peristalsis moves food towards the anus. Controlled by Auerbach's plexus of the enteric nervous system, where sympathetic (SNS) decreases peristalsis; parasympathetic (PNS) increases it

    Serosa

    • Mesentery, a visceral peritoneum, covers abdominal organs; serous membrane prevents friction during movement
    • Peritoneum is a continuous serous membrane lining the abdominal cavity

    Stomach

    • Extends from the esophagus to the small intestine
    • Reservoir for food; digestion proceeds gradually
    • Mechanical and chemical digestion

    Small Intestine

    • Extends from the stomach to the cecum of the large intestine
    • Duodenum (first 10 inches)
    • Jejunum (8ft)
    • Ileum (11ft)
    • Digestion is completed, absorption of nutrients (microvilli of intestinal cells aid)

    Liver

    • Produces bile, aiding in fat emulsification (mechanical digestion)

    Gallbladder

    • Stores bile and concentrates it through water absorption

    Pancreas

    • Secretes amylase (starch to maltose), lipase (emulsified fats to fatty acids & glycerol), and trypsin (polypeptides to amino acids)
    • Produces bicarbonate juice which neutralizes the acidic gastric juices in the duodenum

    Absorption

    • Most absorption takes place in the small intestine through microvilli

    Large Intestine - Colon

    • Colon, 5ft long
    • Cecum (first portion); Ileocecal valve (no sphincter function) to prevent backflow
    • Appendix (small, dead-end tube with lymphatic tissue) sometimes removed due to impaction from stool

    Large Intestine (Continued)

    • Ascending colon; transverse colon; descending colon
    • Sigmoid colon (turns medially and downward)
    • Rectum (6 inches long)
    • Anal canal (last portion)
    • No digestion; water, minerals, and vitamins absorbed from colon contents

    Defecation Reflex

    • Elimination of fecal matter
    • Involves the coordination of the muscular walls of the large intestine to expel the contents controlled by the spinal cord reflex.

    Kidney Functions

    • Renal blood flow
    • Formation of urine (Glomerular filtration, Tubular reabsorption, Tubular secretion)
    • Regulation of blood pressure (Renin-angiotensin mechanism)
    • Acid-base balance (hydrogen & bicarbonate regulation)
    • Production of hormones such as erythropoietin (stimulates RBC production)

    Renal Corpuscle

    • Glomerulus surrounded by Bowman's capsule
    • Bowman's capsule has an inner permeable layer (podocytes) and outer impermeable layer
    • Glomerular filtrate (formed from the blood in the glomerulus) is in the space between these layers and becomes urine

    Renal Tubules

    • Proximal convoluted tubule (PCT) (in cortex)
    • Loop of Henle (in medulla)
    • Distal convoluted tubule (DCT) (in cortex)
    • Distal convoluted tubules, nephrons, and collecting tubules to form a papillary duct emptying into a calyx of the renal pelvis

    Renal Tubule (Continued)

    • Peritubular capillaries arising from the efferent arterioles surround the renal tubules to absorb reabsorbed materials

    Blood Vessels in Kidney

    • Branches from the abdominal aorta to the renal artery to smaller arteries, arterioles to the afferent and efferent arterioles of the nephron
    • Afferent arteriole delivers blood to the glomerulus; efferent arteriole delivers blood away from the glomerulus to the peritubular capillaries
    • Blood flows into the glomeruli, then to efferent arterioles, to peritubular capillaries, to veins within the kidney, to the renal vein, and into the inferior vena cava

    Formation of Urine

    • Glomerular filtration forces fluid from the blood into the Bowman's capsule to form glomerular filtrate
    • Tubular reabsorption returns necessary materials back into the blood from the filtrate
    • Tubular secretion (active transport) removes additional waste products to filtrate from blood into the tubules

    Other Kidney Functions

    • Secretion of Renin, Erythropoietin, and Activation of Vitamin D

    Urinary Bladder

    • Reservoir for urine accumulating before elimination
    • Transitional epithelium lining that can expand without tearing, appearance wrinkled (rugae) in the empty state
    • Triangular region (trigone) where the openings of the two ureters and the urethra are located
    • Internal urethral sphincter composed of detrusor muscle fibers surrounding the openings of the urethra

    Urethra

    • Carries urine externally
    • External urethral sphincter is made of skeletal muscle, under voluntary control

    Urination Reflex

    • Micturition (voiding); spinal-cord reflex for urination.
    • Stimulus for urination is stretching of the detrusor; bladder can hold up to 800ml of urine

    Urination Reflex (Continued)

    • Stretching (200-400mL) activates sensory nerves; motor impulses to detrusor and cause contraction
    • Voluntary relaxation of the external urethral sphincter during urination; urine flows out of the bladder via the urethra

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