7 Special Circulations & Hemostasis Flashcards

1
Q

What is it called when smooth muscle adjusts diameter of vessels to maintain blood flow?

A

Myogenic mechanism

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2
Q

What are the four main things that a myogenic mechanism accounts for?

A

Autoregulation

Flow decreases, vessels dilate

Flow increases, vessels constrict

Based on maintaining wall tension of vessel

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3
Q

What mechanism is created by metabolic by-products that act as local signals to alter flow?

A

Metabolic mechanism

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4
Q

Co2, H+, adenosine, lactate _____ blood flow by causing vasodilation

A

INCREase

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5
Q

______ hyperemia is when exercise increases metabolic activity and metabolites. Causes dilation and more flow. Opposite is true!

A

ACTIVE

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6
Q

_____hyperemia-during transient ischemia metabolites build up, excess blood flow is required to wash them out

A

REACTIVE

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7
Q

What flow is the blood flow in the coronary vessels to feed heart?

A

Coronary flow

Most important is METABOLIC CONTROL

Little neural control-brain wont kill Heart or brain wont get blood (savage brain)

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8
Q

Skeletal blood flow is most important during times of ____. K+, lactate and adenosine required.

Reactive _____ after contraction

Neural most important during rest by use of Alpha_ and Beta_

A

Exercise

Hyperemia

ALpha 1. Beta 2

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9
Q

Skin has ____ metabolic control.

____ most important for body heat regulation

Hormonal regulation by ______

A

Little

Neural

Histamine

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10
Q

(TP) Q: Increasing skeletal muscle CO2 production would ________ blood flow?

A. Increase
B. Decrease

A

A. Increase

Means you’re running from a saber tooth tiger.. or this class

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11
Q

(TP) Q: Increasing skeletal muscle CO2 production would increase blood flow. This is an example of ________ regulation.

A. Active hyperemia
B. Reactive hyperemia

A

A. Active hyperemia

Increases vaso metabolism

Reactive is just a loss of blood flow

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12
Q

Immediately after damage, vessel will _____

A

Constricts

Slows flow to damaged area

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13
Q

damage to endothelium exposes ____.

This _____ binds to Von Wikkebrand factor which binds to circulating platelets.

Bound platelets release platelet ____ molecules ADP and TXA2

______ feedback mechanism.

Platelet ___ forms over damaged area

A

Collagen

Collagen

Activating

POSTIVE (causes and event, blood clotting)

plug (I’m the plug, really I’m the plug)

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14
Q

(TP) Q: What protein is responsible for platelet plug formation?

A. Fibrin
B. TXA2
C. Von Willebrand factor
D. hemoglobin

A

C. Von Willebrand factor

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15
Q

A _____ emboli usually originates in legs (deep vein thrombosis). Get stuck in lungs, cause pulmonary embolism (pulmonary ______ and ___ sided heart failure)

A

Venous

Hypertension

RIGHT

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16
Q

_____ emboli usually originate in atria or carotids. Get stuck in cerebral or ocular vessels, cause stroke, and retinal ischemia

A

Arterial

17
Q

What pathway of coagulation is initiated by exposed collagen?

A

Intrinsic

18
Q

What pathway of coagulation is initiated by release of tissue factor?

A

Extrinsic

19
Q

Vitamin K-dependent factors, factor ___ is by far the most sensitive

A

VII!!!!!!

7

Siete

Seven

20
Q

Aspirin blocks _____ production.

Stops platelets from clumping up

A

TXA2

21
Q

What inhibits IIa and Xa?

A

Heaprin-fast acting

22
Q

What anti-platelet drug slows activating vitamin K and VII?

Is slow acting though.

A

Warfarin (coumadin)

23
Q

Alpha receptors ____ while beta 2 receptors _____

A

Constrict

Dilate

24
Q

Which control usually wins, retinal or neural?

A

Neural.

Needs blood, is greedy

25
Q

What pulls damaged walls together after an hour for clots?

A

Clot retraction

26
Q

Clot dissolution…

A

Re establish blood flow

Important for healing