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12. Physiology - Microcirculation & Veins
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12. Physiology - Microcirculation & Veins

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Questions and Answers

What is the primary factor impacting the change in capillary pressure (Pc) along the length of the capillary?

  • The diameter of the capillary
  • The resistance to blood flow provided by the capillary (correct)
  • The presence of lymphatic capillaries
  • The volume of blood in the capillary
  • At which end of the capillary does the net filtration favor reabsorption of fluid?

  • The venous end (correct)
  • The mid-section
  • Both ends favor reabsorption
  • The arterial end
  • What effect does an increase in precapillary resistance have on Pc?

  • It has no effect on Pc
  • It causes Pc to decrease (correct)
  • It causes Pc to remain constant
  • It causes Pc to increase
  • Which of the following factors does NOT contribute to edema?

    <p>Decrease in venous pressure (Pv)</p> Signup and view all the answers

    Which statement is true regarding the filtration and reabsorption processes in capillaries?

    <p>Filtration occurs at the arterial end while reabsorption occurs at the venous end</p> Signup and view all the answers

    How does blockage of lymphatic flow contribute to fluid accumulation in the interstitium?

    <p>It prevents excess fluid from being removed from the interstitium</p> Signup and view all the answers

    What role do arterio-venous anastomoses play in the circulatory system?

    <p>They facilitate direct connections between arterioles and venules without nutrient exchange</p> Signup and view all the answers

    What happens to the filtration coefficient (Kf) if the forces favor filtration in the capillaries?

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

    Which condition would lead to a decrease in capillary reabsorption?

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

    What is the effect of an increase in capillary hydrostatic pressure (Pc) on net filtration?

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

    What is the main effect of posture on venous transmural pressure?

    <p>It increases blood volume below heart level.</p> Signup and view all the answers

    What primarily causes active changes in venous compliance?

    <p>Changes in vascular smooth muscle activity.</p> Signup and view all the answers

    How much of the total blood volume is located below heart level in an upright man?

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

    What is a characteristic of veins based on their compliance and resistance?

    <p>Low resistance and high compliance.</p> Signup and view all the answers

    Which factor is NOT part of the active changes in venous compliance?

    <p>Hydrostatic pressure adjustments.</p> Signup and view all the answers

    In which condition would passive changes in venous compliance most likely occur?

    <p>With a change in body position.</p> Signup and view all the answers

    What role does local temperature play in venous compliance?

    <p>Is an active factor affecting compliance in the skin.</p> Signup and view all the answers

    What happens to blood volume distribution during hyperthermia?

    <p>Veins open to accommodate blood volume changes.</p> Signup and view all the answers

    What pressure level corresponds to normal venous conditions in terms of blood volume?

    <p>40 Torr.</p> Signup and view all the answers

    What is the primary characteristic of the schematic illustration mentioned?

    <p>It compares blood volume distribution in humans to dogs.</p> Signup and view all the answers

    What is the primary characteristic of continuous capillaries?

    <p>They possess a continuous layer of endothelial cells with small pores.</p> Signup and view all the answers

    Which type of capillary would be most effective for filtration in the kidneys?

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

    What does the term 'precapillary resistance' refer to?

    <p>The resistance occurring before blood enters the capillary bed.</p> Signup and view all the answers

    In the context of fluid movement across capillaries, what is the primary role of oncotic pressure in the tissue interstitium ($ ext{ } ewline oldsymbol{ ho_t}$)?

    <p>It encourages fluid outflow from the capillary.</p> Signup and view all the answers

    Which of the following formulas accurately represents the net force for fluid filtration from the capillary?

    <p>$(P_c + ho_c) - (P_t + ho_t)$</p> Signup and view all the answers

    Which type of blood vessel has the smallest diameter and is primarily responsible for nutrient and gas exchange?

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

    What is the likely effect of increased precapillary resistance on hydrostatic pressure in the capillary?

    <p>Hydrostatic pressure within the capillary will decrease.</p> Signup and view all the answers

    Which factor has the most significant role in determining compliance within the venous system?

    <p>The volume and pressure of blood contained within veins.</p> Signup and view all the answers

    How do sinusoid capillaries differ from fenestrated capillaries?

    <p>Sinusoid capillaries have significant openings for large molecules, unlike fenestrated capillaries.</p> Signup and view all the answers

    Which of the following statements best describes the role of active changes in venous volume?

    <p>They are the result of voluntary muscular contractions.</p> Signup and view all the answers

    How does a decrease in precapillary resistance affect capillary hydrostatic pressure (Pc) and subsequent fluid dynamics?

    <p>It increases Pc and enhances filtration.</p> Signup and view all the answers

    What occurs in the capillaries when the net forces favor reabsorption of fluid?

    <p>Fluid is returned from the interstitium back into the capillaries.</p> Signup and view all the answers

    Which type of capillary is characterized by a continuous layer of endothelial cells with small pores allowing diffusion?

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

    Which condition can lead to an increase in net filtration from the capillaries?

    <p>A decrease in precapillary resistance.</p> Signup and view all the answers

    What role does hydrostatic pressure ($P_c$) play in the fluid exchange process in capillaries?

    <p>It pulls fluid out of the capillary</p> Signup and view all the answers

    Which statement correctly describes the impact of an increase in the filtration coefficient (Kf)?

    <p>It promotes greater fluid movement out of the capillaries.</p> Signup and view all the answers

    Which variable contributes to the oncotic pressure in the tissue interstitium ($ ext{ } ewline x0_t$), affecting the movement of fluid out of the capillary?

    <p>Proteins in the tissue fluid</p> Signup and view all the answers

    What is the physiological consequence of an elevated capillary hydrostatic pressure (Pc) at the venous end of a capillary?

    <p>It favors net filtration and may lead to edema.</p> Signup and view all the answers

    Which statement best describes the effect of precapillary resistance on hydrostatic pressure within the capillary?

    <p>Increased precapillary resistance raises hydrostatic pressure in the capillary.</p> Signup and view all the answers

    What is true regarding the filtration coefficient ($K_f$) in relation to fluid movement across capillary walls?

    <p>It is influenced by the net forces acting on the capillary.</p> Signup and view all the answers

    Study Notes

    Net Filtration

    • Net Filtration is calculated by subtracting pressure in the tissue from the pressure in the capillary.
    • Net Filtration = Kf [(Pc + t) - (Pt + c)]
    • Pc changes along the length of the capillary, it is higher at the arterial end than at the venous end.
    • Arterial end: Forces favor filtration.
    • Venous end: Forces favor reabsorption.
    • Excess fluid is absorbed into lymphatic capillaries.

    Precapillary Resistance

    • Increased precapillary resistance leads to larger pressure drop across the arteriole, decreasing Pc, thus reducing filtration.
    • Decreased precapillary resistance leads to smaller pressure drop across the arteriole, increasing Pc, thus increasing filtration.
    • Edema is fluid buildup in the interstitium.
    • Edema can be caused by: Blockage of lymphatic flow, increased Pc, decreased c, increases in Kf, and arteriovenous anastomoses.

    Different Types of Capillaries

    • Continuous capillaries: Endothelial cells lining the capillary, broken only by small pores.
    • Fenestrated capillaries: Areas where the cytoplasm of the cells thins, located in tissues that handle a lot of fluid, such as the kidney.
    • Discontinuous or Sinusoid capillaries: Areas between endothelial cells through which larger materials can pass.

    Starling Forces for Fluid Movement

    • t: Oncotic pressure in the tissue interstitium, pulls fluid out of the capillary.
    • c: Oncotic pressure in the capillary, pulls fluid into the capillary.
    • Pt: Hydrostatic pressure within the tissue, pushes fluid into the capillary.
    • Pc: Hydrostatic pressure within the capillary, pushes fluid out of the capillary.
    • Net force for filtration = (Pc + t) - (Pt + c)
    • The amount of filtration is determined by the net force times the filtration coefficient (Kf).

    Veins

    • Low resistance, high compliance vessels.
    • Effect of Posture: In upright position, venous transmural pressure increases towards legs, leading to increased blood volume below heart level.
    • Control of Venous Compliance - changes in venous compliance can occur by active or passive factors:
      • Active Changes: Due to changes in vascular smooth muscle activity, affecting the entire compliance curve, influenced by sympathetic stimulation, circulating vasoconstrictors, or local temperature.
      • Passive Changes: Occur on the same compliance curve due to changes in transmural pressure.

    Net filtration

    • Net filtration is calculated by: Kf [(Pc + t) - (Pt + c)]
    • Pc is not constant. It is greater at the arterial end of the capillary and lower at the venous end.
    • Arterial end: Net forces favor filtration
    • Venous end: Net forces favor reabsorption

    Effect of precapillary resistance on capillary pressure

    • Changes in precapillary resistance inversely affect Pc.
    • Increased resistance leads to larger pressure drop across arteriole, decreasing Pc.
    • Decreased resistance leads to smaller pressure drop across arteriole, increasing Pc.

    Edema

    • Edema is the buildup of fluid in the interstitium.
    • Causes: Blockage of lymphatic flow, increased Pc, decreased c, and increases in Kf (if forces favor filtration).

    Arteriovenous anastomoses

    • Non-nutritional pathways directly connecting an arteriole to a venule.

    Capillary types

    • Continuous capillaries: Continuous layer of endothelial cells with small pores.
    • Fenestrated capillaries: Thinner areas in cytoplasm, allowing for fluid diffusion.
    • Discontinuous or Sinusoid capillaries: Areas between endothelial cells allowing larger materials to pass.

    Starling forces

    • Four forces govern fluid movement across the capillary wall:

      • t - oncotic pressure in the tissue interstitium
      • c - oncotic pressure in the capillary
      • Pt - hydrostatic pressure within the tissue
      • Pc - hydrostatic pressure within the capillary
    • t - pulls fluid out of the capillary

    • c - pulls fluid into the capillary

    • Pt - pushes fluid into the capillary

    • Pc - pushes fluid out of the capillary

    • Net force for filtration = (Pc + t) - (Pt + c)

    Veins

    • Veins are low resistance and high compliance vessels.
    • Effect of Posture: In upright position, venous transmural pressure increases towards the legs, resulting in increased blood volume below heart level.
    • Control of Venous Compliance:
      • Active Changes: occur due to changes in the activity of vascular smooth muscle resulting in changes in the entire venous compliance curve.
      • Passive Changes: occur with changes in transmural pressure.

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    Description

    Explore the concepts of net filtration and precapillary resistance in this quiz. Learn how pressure changes in capillaries affect fluid movement and the conditions leading to edema. Test your understanding of the different types of capillaries and their roles in the circulatory system.

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