Blood Vessels Flashcards

1
Q

The tunica media is a continuation of what layer of the heart?

A

Myocardium

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2
Q

The tunica adventitia is a continuation of what layer of the heart?

A

Epicardium (visceral pericardium)

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3
Q

What are three categories of arteries?

A

Elastic, muscular, and arterioles

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4
Q

What is another name for elastic arteries?

A

Conducting arteries

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5
Q

What is the tunica intima structure of elastic arteries?

A

Attenuated endothelium
Thin/incomplete internal elastic lamina
Thicker connective tissue with elastic fibers, collagen type I, fibroblasts, and smooth muscle

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6
Q

What is the tunica media structure of elastic arteries?

A

Fenestrated sheets of elastic fibers with some collagen type I and smooth muscle
Thin external elastic lamina is possible
Outer portion typically contains vasa vasorum

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7
Q

What is vasa vasorum?

A

Small blood vessels supplying the large blood vessel

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8
Q

What is the tunica adventitia structure of elastic arteries?

A

Loose fibroelastic connective tissue

Numerous vasa vasorum

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9
Q

What is the thickest/most dominant layer of an elastic artery?

A

Tunica media

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10
Q

What is another term for muscular arteries?

A

Distributing arteries

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11
Q

What is the tunica intima structure in muscular arteries?

A

Endothelium
Very thin
Some connective tissue (few smooth muscle cells possible)
Internal elastic lamina

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12
Q

What type of artery has a uniquely thin tunica intima?

A

Muscular arteries

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13
Q

What is the tunica media structure of muscular arteries?

A

Circular smooth muscle
Gap junctions between smooth muscle cells
Elastic and reticular fibers, chondroitin sulfate
External elastic lamina possible
Richly innervated with sympathetics (strong contraction over a small area)

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14
Q

What is the thickest and most dominant layer of the muscular artery?

A

Tunica media

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15
Q

What is the tunica adventitia structure of muscular arteries?

A

Fibroelastic connective tissue with sulfated GAGs
Fibroblasts
Vasa vasorum present

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16
Q

What is the tunica media of muscular arteries primarily made of?

A

Smooth muscle

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17
Q

What are the smallest arteries?

A

Arterioles

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18
Q

Overall, arterioles are very structurally similar to what kind of artery?

A

Muscular

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19
Q

What is the tunica adventitia of arterioles primarily made of?

A

Connective tissue

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20
Q

What is the tunica media of arterioles primarily made of?

A

Smooth muscle

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21
Q

What is significant about the lumen size of arterioles?

A

Usually about the same width as the vessel wall

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22
Q

Is the tunica media the thickest and most dominant layer of all types of arteries?

A

Yes

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23
Q

What type of artery has the most developed internal elastic lamina?

A

Muscular artery

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24
Q

Which is the thinnest of the major luminal wall layers in arteries?

A

Tunica intima

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25
What effect does aging have on elastic arteries?
Width increases into your 20s | Number of elastic laminae increase in the tunica media
26
What effect does aging have on muscular arteries?
Collagen and proteoglycans increase after middle age so there is a decrease in flexibility
27
Which specific muscular arteries are largely affected by aging leading to decreased flexibility?
Coronary arteries
28
What is the artery-based reason for increased systolic blood pressure around the age of 50?
Decreased elastic fibers and increased collagen type I
29
What arteries are usually affected by arteriosclerosis?
The largest ones
30
What happens to the tunica intima during arteriosclerosis?
Becomes infiltrated with soft lipid causing lumen diameter to decrease
31
What happens to the tunica media during arteriosclerosis?
Accumulation of collagen type I and sulfated GAGs
32
The tunica intima is a continuation of what layer of the heart?
Endocardium
33
What part of the artery increases in width and results in a decreased lumen size during atherosclerosis?
Tunica intima
34
What is a short terminal arteriole branch that lacks a true tunica media?
Metarteriole
35
Metarterioles lead to what other vessels?
Capillaries and a thoroughfare channel that leads to venules
36
What structures control blood flow into the capillaries?
Pre-capillary sphincters
37
What is the purpose of pre-capillary sphincters?
Allow blood to pulse through true capillaries
38
Where are metarterioles found?
In all capillary beds
39
How are the vessel walls different in the arteriovenous anastomoses?
Thicker tunica media and tunica adventitia
40
What innervates the AVA?
Many ANS nerves (sympathetic and parasympathetic)
41
What is the function of the arteriovenous anastomoses?
To control the lumen size and therefore the amount of blood in the capillaries
42
What are the major locations of AVAs?
Skin and stomach (also erectile tissues)
43
What is the activity of the AVA when blood flow into the capillary bed is normal?
AVA is "closed"
44
What is the activity of the AVA when most of the blood bypasses the capillary bed?
AVA is opened
45
What is the activity of AVAs when less blood is being sent to erectile tissue capillaries?
AVA is "open"
46
What is the activity of the AVAs when blood is sent into erectile tissue capillaries?
AVAs are closed
47
What things control/influence blood flow into capillaries?
Metarterioles, AVAs, lumen size of terminal arteriole, pre capillary sphincters
48
What cells make up the general capillary structure?
Single layer of flattened endothelial cells
49
What is the function of capillaries?
Movement of large molecules
50
What is the function of pinocytotic vesicles seen with capillaries?
Form transient channels through cytoplasm to allow transfer of large molecules
51
What cell junctions are located between the endothelial cells of capillaries?
Fasciae occludens (discontinuous attachment)
52
What are the functions of the cell junctions of capillaries?
Exchange of macromolecules, allow cell movement
53
What is the most common capillary type?
Continuous capillaries
54
Where can continuous capillaries be found?
Muscle, connective tissue, many organs
55
Pericytes are considered to be what kind of cell?
Residual mesenchyme cells
56
Pericytes are numerous on what kinds of vessels?
Capillaries and venules
57
What can pericytes secrete?
Basement membrane and matrix (ECM) components
58
What cell types can pericytes change into?
Smooth muscle, endothelial cells, and fibroblasts
59
Do pericytes have the ability to divide?
Yes
60
What are the two functions of pericytes?
Healing and possibly regulating blood flow too
61
Where are fenestrated capillaries located?
Pancreas, intestines, endocrine organs, kidneys
62
What is the structure of fenestrated capillaries?
Pores with thin protein diaphragm containing 8 fibrils
63
What is the function of fenestrated capillaries?
To allow greater movement of molecules and cells
64
What are the locations of sinusoidal capillaries?
Bone marrow, liver, spleen, lymphatic organs, and certain endocrine organs
65
What is the structure of sinusoidal capillaries?
Enlarged diameter, many large fenestrae with no protein diaphragm
66
Which has no protein diaphragm: fenestrated or sinusoidal capillaries?
Sinusoidal capillaries
67
Which lacks a true tunica media: metarterioles or AVAs?
Metarterioles
68
Which has a thicker tunica media and tunica adventitia: metarticles or AVAs?
AVAs
69
Which cell type, with reparative potential, is found exterior to the capillaries?
Pericytes
70
How are veins similar to arteries?
Also have three tunics
71
How are veins different than arteries?
Not as uniform in structure, often larger in diameter, higher number
72
What is the structure of the valves of veins?
Two flaps of tunica intima and fibroelastic connective tissue
73
What are the functions of the valves of veins?
Protection by preventing back-flow, works with skeletal muscle to keep blood moving
74
What type of venules is the smallest and has the thinnest walls?
Postcapillary venules
75
Which type of venule has the most pericytes?
Postcapillary venules
76
What is unique about the layers of the postcapillary venules?
No tunica media nor tunica adventitia
77
What makes up the tunica intima of postcapillary venules?
Endothelium, small amount of connective tissue, numerous pericytes
78
What makes up the tunica intima of collecting venules?
Endothelium and small amounts of connective tissue
79
What makes up the tunica adventitia of collecting venules?
Connective tissues, fibroblasts, some pericytes
80
Is there a tunica media present in collecting venules?
No
81
What is unique about the tunica media of muscular venules?
Incomplete smooth muscle layer
82
What type of venules have the fewest pericytes in their tunica adventitia?
Muscular venules
83
What is the effect of an incomplete tunica media in muscular venules?
Leaky venules due to inflammatory products leaking through endothelial cell junctions
84
What is the difference between small veins and venules?
Small veins have a complete tunica media
85
What is usually the thickest/most dominant layer in a vein?
Tunica adventitia
86
Vasa vasorum is possible to be seen in what layer of medium veins?
Tunica adventitia
87
What is different between the tunica intima of veins and muscular arteries?
Veins would not have an internal elastic lamina
88
What is the structural exception involved with the superficial veins of the legs?
Tunica media is actually well-developed
89
What are some examples of veins in the legs with well-developed tunica medias?
Great and lesser saphenous veins
90
What is the structural exception involving pulmonary veins?
Well-developed tunica media, some cardiac muscle seen in the tunica adventitia near the heart
91
What large and important veins also exhibit structural exceptions by having some cardiac muscle in the tunica adventitia near the heart?
Superior and inferior cavae
92
What are the causes of varicose veins?
1. Loss of skeletal muscle tone around the veins 2. Degeneration of vessel wall 3. Valve incompetence
93
What are varicose veins?
Enlarged and winding superficial veins of the legs
94
What are esophageal varices?
Varicose veins in the lower esophagus
95
Esophageal varices are commonly seen among what group of people?
Alcoholics
96
What is the cause of esophageal varices?
Portal hypertension
97
What are hemorrhoids?
Varicose veins at the end of the anal canal
98
What are the functions of the lymphatic system?
Drain excess interstitial fluid Transport lymph to lymph nodes Transport lymph to blood stream
99
What vascular structures do the lymphatic capillaries resemble?
Blood capillaries
100
Which has no pericytes: blood or lymphatic capillaries?
Lymphatic capillaries
101
What in the lymphatic capillaries allows for easy movement of materials into and out of the vessels that is different than blood capillaries?
Endothelial cells can overlap but create clefts between cells
102
What structure is in the lymphatic capillaries that supports endothelial walls so they capillaries stay open?
Lymphatic anchoring filaments
103
What kind of fibers make up the anchoring filaments of lymphatic capillaries?
Elastic
104
What vascular structures do small lymphatic vessels resemble?
Venules
105
The lymphatic ducts empty into the venous system at the junction of which veins?
Right internal jugular and subclavian veins
106
What specific ducts are included in the lymphatic duct system?
Short right lymphatic duct and the thoracic duct
107
What is the pattern of the tunica media of the lymphatic ducts?
Regular: made of longitudinal and circular layers of smooth muscle