A&P Exam 2 Flashcards

1
Q

what are large arteries called?

A

elastic conducting arteries

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2
Q

what are medium arteries called?

A

muscular distributing arteries

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3
Q

what are small arteries called?

A

resistance arteries or arterioles

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4
Q

what are small veins called? medium veins?

A

post capillary venues, and muscular venues

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5
Q

what makes up the tunica intima

A

simple squamous epithelium cells, the basement membrane, and in arteries an internal elastic membrane

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6
Q

what makes up the tunica media?

A

smooth muscle, collagen, elastic fibers, and external elastic membrane in arteries

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7
Q

what is the tunica externa or adventita made of?

A

lost connective tissue and the vasa vasorum

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8
Q

describe the elastic (conducting arteries, where are they located?

A

in the pulmonary trunk, aorta, carotids, subclavian arteries, common iliac arteries. they are pressure reservoirs

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9
Q

describe muscular (distributing) arteries

A

they distribute blood to specific organs, have a thicker tunica media in proportion to their lumen

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10
Q

describe arterioles

A

no elastic laminae, has little tunica externa, has a thicker tunica media compared to elastic arteries (proportionally), and have the greatest point of control over where the blood is distributed

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11
Q

where is the pressure largest in the veins and arteries?

A

the largest veins and arteries

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12
Q

which veins/arteries have the most elastic fibers?

A

the larger ones

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13
Q

which veins/arteries have more smooth muscle?

A

venules and arterioles

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14
Q

atherosclerosis

A

hardening of large conducting arteries due to a buildup of plaque in the vessels

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15
Q

what allows for diffusion within capillaries?

A

simple squamous epithelium

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16
Q

describe precapillary sphincters

A

they regulate flow into “true” capillaries, are made up of single smooth muscle cells, allow for the micromanagement of volume in capillary beds, and controls routing of blood through organs.

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17
Q

what occurs when pre capillary sphincters relax? contract?

A

when they relax, they allow perfusion through the capillaries, when they contract, they block the blood from going through the capillary bed and bypass it.

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18
Q

describe continuous capillaries

A

they’re the least permeable, most common, have tight junctions which hold endothelial cells together, and have intercellular clefts

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19
Q

describe fenestrated capillaries

A

hold large amount of materials that need to be rapidly filtered, are in the kidneys and small intestines

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20
Q

describe sinusoid capillaries

A

the most permeable capillary, don’t have a basement membrane, large molecules/entire cells move in an out of circulation, are in spleen, bone marrow, and liver

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21
Q

what are some characteristics of veins and venules?

A

large lumen, low pressure, slow (steady) flow, blood reservoirs

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22
Q

describe muscular venules

A

1-2 layers of smooth muscle in tunica media, have a thin tunica externa

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23
Q

describe medium veins

A

have a thin tunica media, and thick tunica externa, tunica interns forms the venous valves (varicose veins form as a result of not forming these valves)

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24
Q

what propels venous blood back to the heart?

A

skeletal muscle pump

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25
Q

large veins contain

A

smooth muscle in all 3 tunics, relatively thin tunica media with a moderate amount of smooth muscle, have tunica externa as the thickest later

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26
Q

what is the portal system?

A

there are 2 capillary beds before blood returns to the heart. can be found as the intestines go to the liver, in the kidneys, and between the hypothalamus to the anterior pituitary

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27
Q

describe anastomosis

A

there are no capillary beds but rather 2 vessels converging, acting as a bypass route around a capillary bed, common around joints

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28
Q

describe atriovenous anastomosis (shunt)

A

artery flows directly into a vein, bypassing capillaries

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29
Q

describe venous anastomosis

A

most common, has a vein empty directly into another, and is the reason vein blockage is less serious than arterial

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30
Q

arterial anastomosis

A

2 arteries merge, is an alternate route of blood supply, coronary circulation and common around joints

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31
Q

aorta receives full force of blood exiting the heart during ventricular systole, what allows aorta to do this?

A

elastic fibers are extensive in the aorta which helps dampen the pressure generated by the heart

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32
Q

fluid that filters out of the capillaries is tightly regulated to prevent pathogens and toxic materials from damaging nervous tissue. what class of capillaries is found in the brain?

A

continuous capillaries

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33
Q

red bone marrow allows new blood cells to enter circulation, what type of capillaries are found?

A

sinusoid capillaries

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34
Q

define perfusion

A

the flow/given volume or mass of tissue in a given time

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35
Q

hemodynamics

A

principles of blood flow based on pressure and resistance. flow is proportional to the change in pressure(gradient) over resistance

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36
Q

what allows blood to be propelled through vessels?

A

the pressure gradient

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37
Q

pulse pressure

A

systolic- diastolic, pressure in arteries + heart contraction, reflects elasticity and recoil of arteries

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38
Q

mean arterial pressure

A

1/3PP +DP, average BP across entire cardiac cycle

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39
Q

what is it called when MAP is less than 60? greater than 160?

A

insufficient blood flow, and cerebral edema

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40
Q

capillary blood pressure is high enough for _____ but low enough to ____

A

efficient exchanges of substances, not damage blood vessels

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41
Q

is venous pressure high or low?

A

low

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42
Q

does venous pressure have a pressure gradient?

A

yes but it’s small

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43
Q

what does the venous return of blood to the heart depend on

A

it’s small pressure gradient, gravity from head to neck, skeletal muscle pump, and respiratory pump

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44
Q

describe the skeletal muscle pump

A

as the muscle contracts, the veins are squeezed which pushes the blood upward and the valves prevent back flow. the blood moves more quickly during exercise and blood pooling occurs when there is prolonged inactivity

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45
Q

describe the respiratory pump

A

when you inhale, the intrathoracic pressure (chest) decreases as the volume in the chest increases, the diaphragm contracts, abdomen pressure increases, and the blood moves up to the heart, the opposite happens during expiration

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46
Q

during exercise, what happens to the skeletal muscles, lungs, and heart

A

they dilate their vessels and increase flow

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47
Q

why does venous pooling occur?

A

the pressure isn’t enough to force blood upwards, with prolonged standing, cardiac output can be low enough to cause dizziness

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48
Q

how can venous pooling be prevented?

A

tensing leg muscles, activating the skeletal muscle pump

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49
Q

where is the arterial BP measured?

A

the brachial artery

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50
Q

at what BP is hypertension at? what are the effects of it?

A

resting BP is greater than 140/90, can weaken arteries, cause aneurysms, promote atherosclerosis

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51
Q

what if there is no blood flow or resistance?

A

there is no pressure

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52
Q

the equation for blood pressure

A

CO (HR*SV) * TPR

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53
Q

what is TPR

A

resistance of blood in blood vessels

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54
Q

smaller radius equals

A

more resistance

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55
Q

longer vessels equal

A

more resistance

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56
Q

flow is fast in ___ and slower near ___

A

center, vessel wall

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57
Q

vessel length changes with ____ and ____

A

weight gain (angiogenesis- forming new BV) and weight loss (vessel regression)

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58
Q

viscosity is measured by

A

an increase in hematocrit

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59
Q

what are the steps of regulating blood pressure?

A

stimulus, receptors, sensory (impulses), integrating center, effent pathway, and effectors

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60
Q

when BP is high what sensory impulses are stimulated? inhibited? what about when BP is low?

A

when BP is high, cardioinhibitory center is stimulated and cardioaccelerator center and vasomotor center is inhibited. When it’s low, they’re flipped

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61
Q

what does the cardiac center do?

A

regulate heart rate, contractility, and cardiac output

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62
Q

what does vasomotor center regulate?

A

vasodilation and vasoconstriction which is stimulated when BP is high and low, respectively

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63
Q

what does the sympathetic pathway do?

check the accuracy

A

decrease heart rate, contractility, cardiac output, returning BP to normal range

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64
Q

what is the pathway that increases heart rate, contraction, and stroke volume?

A

cardioaccelatory > sympathetic > cardiac nerve

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65
Q

what is the pathway that decreases heart rate?

A

cardioinhibitory > parasympathetic > via vagus nerve

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66
Q

vasomotor center contracts what?

A

the smooth muscle in tunica media when determining whether to dilate or constrict the vessels

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67
Q

explain the complete process of an elevated BP to a reduced one

A

the arteries get stretched which alarm the baroreceptors to increase firing rate which stimulates the cardioinhibitory neurons and inhibits the vasomotor center. the cardioinhibitory neurons increase the vagal tone and reduce heart rate while the vasomotor center reduces sympathetic tone, the vasomotor tone (dilating vessels) and leading to a reduced BP

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68
Q

why does vasoconstriction lead to an increase in BP?

A

there’s more resistance, which increases the blood volume, and increases the pressure

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69
Q

more blood flow means a ___ cardiac output which means ___, and a ____ in resistance, which means _____

A

increase, steeper pressure gradient, decrease, vasodilation, reducing the vessel length, and less blood viscosity

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70
Q

less blood flow means a ___ cardiac output which means ___, and a ____ in resistance, which means _____

A

decrease, smaller pressure gradients, increase, vasoconstriction, increasing vessel length, and more blood viscosity

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71
Q

blood flow is directly related to ___ but inversely related to ____

A

pressure gradient, resistance

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72
Q

atherosclerosis involves a ___ in resistance leading to a ____ in arterial pressure to _____

A

increase, increase, maintain adequate blood flow

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73
Q

why does BP increase as we age?

A

arteries get “hard” and absorb less systolic force

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74
Q

what are the 2 mechanisms of capillary exchange?

A

diffusion and transcytosis

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75
Q

describe diffusion

A

is the most common form of capillary exchange as molecules go through the plasma membrane or through passages like intercellular clefts and fenestrations

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76
Q

describe transcytosis

A

vesicle-mediated transport. moves materials across the membrane through pinocytosis or receptor-mediated and released by exocytosis

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77
Q

what are the 2 driving forces of capillary exchange?

A

hydrostatic pressure and colloid osmotic pressure

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78
Q

what is hydrostatic pressure?

A

force by fluid against the surface

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79
Q

describe blood HP

A

force by blood on vessel wall, promotes filtration, and the pressure decreases as it moves from arterial to venous

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80
Q

interstitial fluid

A

force by ISF on the outside of vessel, is typically 0 mmHg

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81
Q

describe colloid pressure

A

the “pull” on water due to proteins

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82
Q

blood COP

A

draws fluid into blood due to proteins, promotes reabsorption and has constant pressure from arterial to venous

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83
Q

interstitial COP

A

draws fluid from ISF (few proteins), about 0-5mmHg

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84
Q

absorption is on the ___ end and filtration is on the ___ end

A

venous, arterial

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85
Q

what is the equation for net filtration pressure (NFP)

A

HP-COP

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86
Q

what are some variations to the typical capillary exchange system?

A

there’s location variations like the alveoli of lungs deal with mostly reabsorption and situational variations like high activity increasing filtration

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87
Q

what happens to the fluid that isn’t absorbed by capillaries?

A

it gets absorbed by the lymphatic system, filtered, and returned to the blood (venous circulation)

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88
Q

what is edema?

A

accumulation of excess fluid in a tissue, when filtration > reabsorption

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89
Q

what are the 3 primary causes of edema?

A

increase capillary filtration, decreased capillary reabsorption, obstructed lymphatic drainage

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90
Q

describe increased capillary filtration in relation to edema

A

kidney failure, high histamine, and poor venous return which results in heart failure and old age

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91
Q

what results from decreased capillary reabsorption

A

hypoproteinemia, dietary protein deficiency, and liver disease

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92
Q

how does edema affect the body?

A

there’s tissue necrosis as there’s reduced O2 being delivered and waste being removed, pulmonary edema which shortness of breath, cerebral edema with headaches, seizures, and coma, and circulatory shock

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93
Q

describe how blood protects the body

A

they play a role in inflammation, WBC destroy microorganisms and cancer cells, antibodies neutralize toxins, and help destroy pathogens, start blood clotting

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93
Q

blood colloid osmotic pressure is largely due to

A

proteins in the blood, it promotes reabsorption

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94
Q

what are the 3 functions of blood

A

transport, protection, and regulation and homeostasis

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95
Q

describe how blood regulates homeostasis

A

maintains body temp, body pH, and fluid balance

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95
Q

what is blood composed of?

A

55% plasma, 45% formed elements, and 1% Buffy coat

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96
Q

what do formed elements contain?

A

WBC, RBC, and platelets

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97
Q

what is plasma made up of (include percentages)

A

95% water, 7% proteins like albumins, globulins, fibrinogen, and regulatory proteins, and 1% of electrolytes, nutrients, respiratory gases, and waste

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98
Q

describe albumins

A

makes up 60% of the proteins in the plasma, are the smallest in size among the otherproteins, exert greatest COP on vessels, act as transport proteins for some lipids, hormones, and ions, and buffers blood pH

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98
Q

albumin contributes greatly to what

A

blood viscosity

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98
Q

what is the Buffy coat made up of?

A

platelets and leukocytes

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99
Q

globulins make up what percent of the proteins in plasma?

A

37%

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100
Q

what are globulins

A

proteins that transport some water-ion molecules, hormones, metals, and ions, and have smaller alpha-globulins and larger beta-globulins and gamma-globulins which include antibodies which combat pathogens

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100
Q

regulatory proteins include what

A

enzymes and hormones, are less than 1% of total proteins

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101
Q

describe fibrinogen and its function

A

makes up 4% of plasma, contributes to blood clotting

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102
Q

beta-globulin like transferrin transports what

A

iron

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102
Q

what’s serum?

A

plasma that has no clotting proteins so fibrinogen wouldn’t be included in its mixture

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103
Q

alpha-globulins like ceruloplasmin transports what

A

copper

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104
Q

alpha-globulin like heptoglobulin transports what

A

hemoglobin released by erythrocytes

105
Q

what stimulates hematopoiesis

A

colony-stimulating factors (CSFs_

106
Q

what are hemocytoblasts

A

stem cells

107
Q

what does it mean to be pluripotent?

A

able to differentiate into many different types of cells

108
Q

the lymphoid line forms what?

A

lymphocytes

108
Q

what does the myeloid line form?

A

erythrocytes, leukocytes, megakaryocytes (for platelets)

109
Q

what type of respiration do erythrocytes do?

A

anaerobic cellular respiration

109
Q

erythrocytes lack what

A

a mitochondria, nucleus, and DNA

110
Q

what give erythrocytes their identity

A

glycoproteins and glycolipids which determine blood types

111
Q

what cytoskeletal proteins are included in erythrocytes?

A

spectrin and actin, giving it flexibility and resilience, not rigidity

112
Q

what color does hemoglobin become when oxygenated? deoxygenated?

A

bright red, dark red

113
Q

each hemoglobin consists of 4 polypeptide subunits, 2 ___, 2 ____ in adults and 2 ____ and 2____ in babies

A

alpha, beta, alpha, gamma

114
Q

hemoglobin has a ___ ring, a structure that allows for an iron binding site in the middle

A

polyphyrin

115
Q

why do men have more RBCs than women?

A

men have more testosterone but women also go through menstruation, allowing for more blood loss

116
Q

how many RBCs are made per day?

117
Q

how long do RBCs last?

118
Q

why can’t RBCs regenerate?

A

they don’t have a nucleus which prevents proteins and other structures to be repaired and produced

119
Q

what are the stages of erythropoiesis

A

HPPENRE
happy people pretend to entertain normal regular entities
homocytoblast/myeloid stem cell responds to multi-CSF -> progenitor cell -> proerythroblast (committed cell) -> erythroblast (ribosome and Hb synthesis) -> normoblast (Hb accumulation, no nucleus) -> reticulocyte (nucleus ejected, no more organelles) -> erythrocyte (ribosomes have degenerated)

120
Q

how long does the entire process of making a RBC take?

121
Q

where are RBCs made regularly? before a baby is born?

A

before the 5th month, they’re made in the liver, after it’s in the bone marrow

122
Q

when is erythropoietin (EPO) made?

A

when there’s a decrease in blood oxygen

123
Q

what stimulates production of RBC

A

testosterone until levels are high

124
Q

when is EPO produced more?

A

at high altitudes since there’s less O2 and and you’ll be inhaling more and more RBCs would compensate for this

125
Q

where is most of the body’s iron found?

A

in the RBCs

126
Q

where else is iron mostly found?

A

in plasma, bound to transferrin, and in cells bound to ferritin and hemosiderin

127
Q

what is vitamin B12 and folic acid used in the cell for?

A

DNA synthesis and cell division

128
Q

why are vitamin C and copper needed?

A

they’re cofactors for enzymes making Hb

128
Q

what happens when RBCs are in the process of dying

A

they become fragile, degenerate their Hb, and disintegrate their spectrin

129
Q

where do RBCs get stuck in? what digests them?

A

the sinusoids of spleen and liver macrophages

130
Q

polycythemia

A

excessive RBCs

130
Q

what does hemoglobin break down into

A

heme and globin groups

131
Q

what does the heme group become

A

iron which gets stored or reused OR becomes biliverdin -> bilirubin -> blood -> liver -> bile -> gallbladder (and released during digestion) -> small intestine -> uribilinogen -> EITHER stereobilin -> feces OR urobilin -> urine

132
Q

what does globin get broken down into?

A

amino acids

133
Q

primary polycythemia

A

marrow cancer

134
Q

secondary polycythemia

A

includes dehydration, emphysema (destruction of alveoli), high altitudes, and physical conditioning

135
Q

dangers of polycythemia

A

increased blood volume, pressure, and viscosity

136
Q

anemia

A

decreased oxygen-capacity of blood

137
Q

what is considered anemia

A

insufficient RBC count and low Hb content of RBCs, and abnormal Hb

138
Q

pernicious anemia

A

from iron deficiency, and an autoimmune intrinsic factor deficiency, deficient in B12

139
Q

aplastic

A

defective red bone marrow leading to an insufficient RBC count

140
Q

what does sickle-cell anemia fall into?

A

abnormal Hb

141
Q

hemolytic

A

congenital, at birth has ani insufficient RBC count

142
Q

hemorrhagic

A

acute or chronic insufficient RBC count

143
Q

antigen

A

identity marker that allows differentiation between cells and non-cells

144
Q

antibodies

A

bind to antigens, marking them for destruction

145
Q

how long do platelets circulate the blood

A

8-10 days, then get broken down and recycled

146
Q

what do the granular platelets contain?

A

thromboxane A2, serotonin, CA2+, platelet-derived growth factor (POGF)

147
Q

what is the process of forming platelets

A

myeloid stem cell is activated by multi-CSF -> progenitor cell -> megakaryoblast -> megakaryocytic -> pro-platelets -> platelets

148
Q

hemostasis

A

stoppage of bleeding

149
Q

describe vascular spasm

A

the SQUEEZE part of hemostasis, blood vessel constricts to limit blood loss, reducing blood flow to reduce amount of blood loss, platelets and endothelial cells release thromboxane A2 to constrict further

150
Q

platelet plug formation

A

the PLUG, collagen fibers attract platelets to adhere to it

151
Q

coagulation phase/blood clotting

A

the CLOT, coagulation cascade converts inactive proteins to active, fibrin strand of blood clot

152
Q

which is the volume reservoirs?

A

large veins, greater amount of blood than arteries

153
Q

powerful vasoconstrictors are

A

angiotensin II and norepinephrine

153
Q

which is the pressure reservoirs?

A

conducting arteries since they can expand

154
Q

as you go away from the heart, what is seen less and more?

A

less elastic tissue and more smooth muscle

155
Q

vascular spasms limits what

A

blood leakage

156
Q

greater injury means

A

greater constriction

157
Q

is platelet plug formation activated when there’s no injury?

158
Q

how do endothelial cells prevent platelets from adhering to each other?

A

they secrete Nitric Oxide and prostacyclin (prostaglandin I2) (PGI2) (an eicosanoid)

159
Q

where are there more proteins? ISF or inside capillaries?

A

inside capillaries

160
Q

if BP is elevated, is net filtration pressure above or below normal?

A

above, high BP, high blood volume or water exerting more force on walls, forced to filter out more

161
Q

less proteins in blood to pull water back into capillaries… (less pulling on water)

A

more fluid than usual flowing out

162
Q

what is released from prolonged muscle spasms?

A

serotonin and thromboxane A2

163
Q

what is released from stimulation of coagulation?

A

procoagulants

164
Q

what is released to attract other platelets?

A

ADP and thromboxane A2

165
Q

helper T cells do not

A

secrete fever-producing chemicals

165
Q

what is most likely going to cause anemia

A

renal disease as EPO is the main stimulant to produce RBCs and is made in the kidneys, without EPO, there are no RBCs

166
Q

helper T cells do

A

secrete cytokines that stimulate clonal selection of B cells
secrete cytokines that stimulate clonal selection of cytotoxic T cells
secrete cytokines that stimulate macrophage activity
secrete inflammatory chemicals

167
Q

fibrin

A

structural basis of a clot, causes the plasma to be gel0-like to trap formed elements

168
Q

what is clot retraction when eliminating a clot?

A

platelets, actin, and myosin pull on the fibrin, tightening strands and squeezing serum from the clot

169
Q

plasmin

A

(fibrinolysin) is a clot dissolver, an enzyme that slowly degrades fibrin

170
Q

bradykinin

A

vasodilator, reverses activity of thromboxane A2 and serotonin

171
Q

what’s the intrinsic (contact activation) pathway?

A

factors XII (platelets) -> XI -> IX -> VIII

172
Q

what’s the extrinsic (tissue factor) pathway initiated by?

A

damage to tissue, and outside the vessel

173
Q

what’s the extrinsic (tissue factor) pathway?

A

damaged tissues -> factor III + Factor VII + Ca2+

174
Q

What is the common pathway

A

factor X -> Factor II + Ca2+, V, PF3 -> prothrombin activator + prothrombin (II) -> thrombin -> factor V back to prothrombin activator OR fibrinogen (I) -> fibrin + Factor XIII, Ca2+ -> fibrin polymer

175
Q

what is the process of going from fibrinogen to fibrin

A

thrombin (and fibrinogen) make fibrin polymer but also contributes plasmin as well as plasminogen and tPA which combines with fibrin polymer to make fibrin fragments

176
Q

what is a thromboemolytic disorder describing

A

a hyper coagulation problem that has undesirable clot formation leading to embolus, stroke and heart attack

177
Q

how are thromboemolytic disorders inhibited?

A

Coumadin, heparin, aspirin

178
Q

coumadin

A

warfarin, vitamin K inhibitor (one of the requirements for clotting)

179
Q

heparin

A

natural anticoagulant released by mast cells of immune system

180
Q

hemophilia (a and b)

A

inherited disorder where enzymes form procoagulants leading to uncontrolled bleeding

180
Q

aspirin

A

inhibits thromboxane A2 formation

181
Q

uncontrolled bleeding has a reduced synthesis of what

A

procoagulants

182
Q

thrombocytopenia

A

platelet deficiency, secondary to chemotherapy and radiation

183
Q

margination

A

adheres to capillary walls

183
Q

neutrophil function

A

phagocytosis

183
Q

diapedesis

A

squeezes through blood vessel wall

184
Q

what enzyme destroys fibrin in a degrading blood clot?

184
Q

do leukocytes carry hemoglobin?

185
Q

chemotaxis

A

attraction to chemicals at an infection site

185
Q

eosinophil function

A

phagocytosis, defense against parasites

186
Q

basophils

A

release histamine and heparin

187
Q

which of the leukocytes are granulocytes? agranulocytes?

A

gran is neutrophil, eosinophils, and basophils, agran is lymphocytes and monocytes

188
Q

lymphocytes function

A

antibody production, attack infected cells

189
Q

monocyte function

A

phagocytosis

190
Q

leukemia

A

abnormal development and proliferation of leukocytes, high WBC but cells are immature and non-functional, there’s a decrease in erythrocyte and megakaryotic lines

191
Q

leukocytosis

A

increase amount of leukocytes due a normal response to bacterial infection

191
Q

what are the results of leukemia

A

anemia and bleeding

191
Q

myeloid line develops what cells

A

granulocytes and monocytes

192
Q

leukopenia

A

decrease in leukocytes due to radiation therapy, chemo, meds, etc.

193
Q

lymphocytosis

A

increase in lymphocytes due to viral infections, chronic bacterial infections, and leukemias

194
Q

eosinophilia

A

increase in eosinophils due to allergy or parasitic infection

194
Q

neutrophilia

A

increase in neutrophils due to association with bacterial infection, stress, and tissue necrosis

195
Q

neutropenia

A

decrease in neutrophils due to anemia symptoms, drug/radiation therapy

196
Q

leukemia

A

increase in abnormal leukocytes due to cancer of hematopoeitic tissue

197
Q

what is the fluid recovery function of the lymphatic system?

A

the excess fluid from capillary exchange goes to the blood to maintain blood volume

198
Q

how much water and plasma protein enter the lymphatic system and are returned to the blood?

A

15% and half of plasma proteins

199
Q

primary lymphoid structure includes

A

bone marrow and thymus

200
Q

secondary lymphoid structure

A

spleen, lymph nodes, tonsils

201
Q

lymph is similar to what

A

plasma but with less proteins and can contain cell debris, pathogens, or cancer cells

202
Q

are lymphatic capillaries larger or smaller than blood capillaries

A

slightly larger

203
Q

what are lymphatic capillaries called in the GI tract

204
Q

the primary lymphoid structure is involved in

A

forming and maturing lymphocytes with bone marrow have B and T lymphocyte production and B maturation while thymus has T lympho maturation

205
Q

the secondary lymphoid structure

A

houses lymphocytes and other immune cells and is the site of immune response initiation

206
Q

MALT

A

mucosa-associated lymphoid tissue

207
Q

spleen stores what, also does what?

A

RBCs and platelets, filters and monitors blood, not lymph

208
Q

tonsil function

A

immune surveillance of inhaled and ingested substances

209
Q

when an enemy cell is present, ___ secretes perforins

A

Natural killer cell

210
Q

basophils of blood help get defensive leukocytes to site quickly by releasing an anti-coagulant called ____ and a vasodilator _____

A

heparin, histamine

211
Q

cytokines

A

small protein messengers that regulate immune activity, even signaling non-immune cells, such as inflammation, and destroys cells

212
Q

cytokines control of the development and behavior of what

A

immune cells

213
Q

first line of defense includes what

A

mechanical and chemical barriers

214
Q

second line of defense

A

selected immune cells, antimicrobial proteins, inflammation, and fever

215
Q

third line of defense

A

b and t lymphocytes

216
Q

what role does the skin play in protecting the body?

A

the epidermis can exfoliate and remove potential pathogens, the dermis has hyaluronic acid and limits the spread of microbes, the oil glands is low in pH which interferes with microbial growth and sweat glands wash away microbes

216
Q

adapted (acquired) immunity includes

A

t and b lymphocytes

216
Q

innate immunity includes

A

skin and mucosal membranes and internal defenses like immune cells, chemicals, and physiological responses

217
Q

how does the mucosal membrane help protect the body?

A

produce mucus and release antimicrobial substances, the cilia in the respiratory tract, saliva in GI, and acid in the stomach, the mucus traps the microbes, and connective tissue has hyaluronic acid which limits the spread of microbes

218
Q

interleukin cytokine

A

regulates immune cells, comes from t-lymph, macrophages, endothelial cells— IL-3

219
Q

tumor necrosis factor TNF

A

destroys tumor cells, from t-lymphs, macrophages, mast cells, and dendrites (TNF-greek)

220
Q

colony-stimulaitng factor (CSF)

A

stimulates leukopoiesis in bone marrow to increase synthesis of a colony of leukocytes, t=lymph, and monocytes

221
Q

interferons IFN

A

messes with the replication of pathogens that enter the cell, from infected cells, NK, and t-lymph

222
Q

NK cell

A

apoptosis-initiating cell that releases perforin and granzyme to form a transmembrane pore on an unhealthy or unwanted cell, and the granzymes cause the cell to die

223
Q

basophils

A

release histamine (vasodilator which increase capiillary permeability), heparin (anticoagulant), and eicosanoids (increase inflammation)

224
Q

eosinophils

A

parasite-destroying cell that degranulate, release enzymes, and trigger transmembrane pores in the parasite, phagocytize the antigen-antibody complexes

225
Q

phagocytic cells include

A

neutrophils, macrophages, and dendritic cells

226
Q

inferons

A

an infected cell will release IFN-alpha and beta to alert normal cells to start interfering with virus replication so they’re protected while also sending the signal to an NK cell to release IFN-gamma to activate a macrophage and eat the infected cell while also releasing chemicals that call for the infected cell’s own destruction

227
Q

complement proteins increase _____ by activating cells

A

inflammation

228
Q

complement proteins eliminate immune complexes by linking them to ___ and stripped by ____

A

erythrocyte and macrophage

229
Q

complement proteins undergo opsonization–

A

protein becomes an opsin “red flag” by binding to pathogen to enhance its phagocytosis

230
Q

cytolysis

A

forms a pore in the membrane to cause cytolysis by a rapid-inflow of water and ions into foreign cell (osmotic rupture)

231
Q

what are the steps of inflammation

A

releasing inflammatory factors like mast cells and basophils, vasodilation, increasing capillary permeability, and recruit leukocytes to perform chemotaxis, delivery of plasma proteins to the cut

232
Q

steps of a fever

A

infection and pyrogen secretion, hypothalamic thermostat reset, body temp rises, body temp oscillates around a new set point, infection ends and set point is normal, defervescence (body temp is normal)

233
Q

cytotoxic t-lymphocyte

A

releases perforin and granzymes to an abnormal cell to stimulate cell death

234
Q

characteristics of non-specific internal defenses

A

local effect, lacks memory

234
Q

t-lymphocytes

A

cell-mediated immunity, fights antigens inside of cells, antigen-presenting cell is required

235
Q

helper t-lymphocyte

A

releases cytokines

236
Q

b-lymphocytes

A

anti-body mediated immunity, fights antigens outside of cells, no antigen-presenting cell required, proliferates and makes memory cells

237
Q

precipitation

A

antigen-antibody complex binds to soluble antigens

238
Q

agglutination

A

antigen-antibody complex binds to antigens already bound bacteria

239
Q

neutralization

A

antigen-antibody complex binds and antigen loses their toxic properties

240
Q

complement activation leads to

A

cell lysis

241
Q

complement activation enhances

A

phagocytosis and inflammation

242
Q

characteristics of adaptive immunity

A

has systemic effects, has specificity, and has memory

243
Q

what alters antigen membranes making them more susceptible to phagocytosis

A

opsonization

244
Q

what helps prevent the spread of antigens

A

inflammation

245
Q

natural active immunity

A

direct exposure to infectious agent

246
Q

active acquired immunity

A

stimulating one’s own immune cells to produce their own antibodies to fight an antigen, production of memory cells due to initial contact with antigen

247
Q

passive acquired immunity

A

ready-made antibodies to clear out the antigen, no production of memory cells and no stimulation of the immune system

248
Q

artificial active immunity

A

immunizations/vaccines

249
Q

natural passive immunity

A

maternal antibodies from breastmilk or placenta

250
Q

artificial passive immunity

A

antibodies from other sources like serum with AB from another person or animal