Blood Vessels Flashcards

1
Q

arteries/arterioles

A

conduct blood away from the ventricles of heart to capillaries

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2
Q

venules/veins

A

return blood from capillaries to atria of heart

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3
Q

arteries

A
  • strong, elastic vessels that carry blood away from heart under high pressure
  • subdivide and branch into arterioles
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4
Q

structure of arterial wall

A
  • 3 distinct layers
    1. tunica internal (intima)- layer of simple squamous epithelium, elastic
    2. tunica media- bulk of wall, smooth muscle fibers, tough elasticity
    3. tunica external (adventitia)- thin layer of connective tissue with irregular elastic and collagenous fibers
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5
Q

what changes the diameter of arteries and arterioles and what does it affect

A
  • greatly impacts BP
  • sympathetic brances of autonomic nervous system innervate smooth muscle in artery and arteriole walls which cause vasoconstriction and vasodilation
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6
Q

arterioles details

A
  • microscopic continuations of arteries
  • branch into smaller metarterioles that join with capillaries
  • muscle fibers of wall of arterioles and metarterioles adapted for vasodilation/vasoconstruction to help control blood flow in capillaries
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7
Q

endothelium

A
  • barrier between vessel lumen and surround tissue allows blood cells and platelets to flow through blood vessels
  • helps proper hemostatic balance
  • prevents blood clotting
  • regulates blood flow by secreting substances that can dilate or constrict vessel
  • endothelium damage can play a big role in cardiovascular disease
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8
Q

substance secreted by endothelium that can dilate vessel

A
  • nitric oxide

- prostacyclin

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9
Q

substance secreted by endothelium that can constrict vessel

A
  • endothelin
  • thromboxane A2
  • angiotensin II
  • superoxide
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10
Q

details of capillaries

A
  • smallest diameter

- intercellular channels in walls determine permeability and vary from tissue to tissue

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11
Q

what is the arrangement of capillaries

A
  • high tissues rate of metabolism = denser capillary network

- low metabolism = lack of capillaries

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12
Q

what is the regulation of blood flow of capillaries

A
  • precarpillary sphincters are smooth muscles that surround the entrances of capillary networks and control distribution of blood flow
  • sphincters respond to demands of cells that capillary supplies and if the cell is in low oxygen and nutrients, it relaxes and blood flow increases
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13
Q

exchange in capillaries

A

-occurs through diffusion, filtration, osmosis, reabsorption

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14
Q

diffusion in capillaries

A
  • blood rich oxygen and nutrients within systemic capillaries enters tissue fluid
  • CO2 and other wastes enter capillary blood from tissue
  • substances that diffuse easily are dependent upon solubility in lipids
  • proteins that are too large to diffuse through membrane pores or slitlike openings within endothelial cells remain in blood, which helps maintain osmotic oncotic pressure
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15
Q

filtration in capillaries

A
  • hydrostatic pressure forces molecules through a membrane
  • occurs primarily at arteriolar ends of capillaries
  • blood pressure higher and opposes the action of plasma colloid osmotic pressure
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16
Q

reabsorption in capillaries

A
  • colloid osmotic pressure pulls fluid into capillaries and/or prevents fluid from leaving
  • occurs at venular end
  • colloid osmotic pressure unchanged, blood pressure decreased due to resistance through capillary
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17
Q

venules

A

-microscopic vessels that continue from capillaries and merge to form veins

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18
Q

veins

A
  • carry blood back to the atria
  • there are semilunar valves that project inward from interior lining of vessel that aid in returning blood to heart
  • function as blood reservoirs in times of blood loss
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19
Q

blood pressure

A

-most commonly refers to pressure in arteries

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20
Q

systolic pressure

A

max pressure achieved in arteries during ventricular contraction

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21
Q

diastolic pressure

A

lowest pressure achieved in arteries before next ventricular contraction

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22
Q

what is a pulse

A

expanding and recoiling of arterial wall

-used to determine heart rate

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23
Q

what is the order that blood pressure is greatest in

A

arteries > arterioles > arteriolar end of capillary > venular end of capillary

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24
Q

what are the factors that influence blood pressure

A
  • heart action
  • blood volume
  • resistance to flow
  • blood viscosity: great viscosity, greater resistance to flow
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25
Q

what is the top number when taking blood pressure represent

A

systolic

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26
Q

what is the bottom number when taking blood pressure

A

diastolic

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27
Q

what is the normal blood pressure

A

systolic: less than 120
diastolic: less than 80

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28
Q

what is the prehypertension blood pressure

A

systolic: 120-139
diastolic: 80-89

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29
Q

what is the high blood pressure stage 1 blood pressure

A

systolic: 140-159
diastolic: 90-99

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30
Q

what is the high blood pressure stage 2 blood pressure

A

systolic: 160 or higher
diastolic: 100 or higher

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31
Q

what is hypertensive crisis blood pressure

A

systolic: higher than 180
diastolic: higher than 110

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32
Q

what role does the aortic root play in aortic circulation`

A
  • contains aortic cusps, aortic sinus, coronary ostia
  • aortic bodies that are within lining of aortic sinuses contain chemoreceptors that sense blood concetrations of oxygen and CO2
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33
Q

what role does the ascending aorta play in aortic circulation

A
  • first part of aorta

- emerges from LV posterior to pulmonary trunk and ends at the level of angle where then become the aortic arch

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34
Q

details of aortic arch within aortic circulation

A
  • 4-5cm in length
  • emerges from pericardium posterior to sternum
  • ends b/w 4 & 5th thoracic vertebral to then become the thoracic aorta
  • contains baroreceptors that detect changes in blood pressure
35
Q

what are the three main arteries that originate from the aortic arch

A
  • brachiocephalic
  • left common carotid
  • left subclavian
36
Q

brachiocephalic artery

A
  • aka innominate artery
  • supplies blood to tissue of upper limb, head, neck, and thoracic wall
  • first branch from arch and rises through mediastinum
  • branches into right common carotid and right subclavian
37
Q

what does the right common carotid supply

A

-carries blood to the right side of head and neck

38
Q

what is the external carotid artery

A
  • divided from RCC and LCC

- major blood source to all structures of head except brain

39
Q

what is the internal carotid artery

A
  • divided from RCC and LCC

- gives rise to multiple branches inside cranial cavity and terminates as anterior cerebral arteries

40
Q

what is the circle of willis

A
  • also know as cerebral arterial circle
  • arrangement of blood vessels @ base of brain
  • composed of anastomosis of L and R internal carotid arteries
  • equalizes blood pressure in brain
  • provides alternate routes for blood flow to brain
41
Q

what is anastomoses

A

-important bc occur normally in the body in the circulatory system, serving as backup routes for blood flow if one link is blocked or otherwise compromised

42
Q

thoracic aorta

A

-begins b/w 4 and 5th thoracic vertebrae

43
Q

what branches from thoracic aorta

A
  • visceral branches: arteries to internal organs
  • parietal branches: arteriess to body wall structures
  • bronchial arteries
44
Q

what is the abdominal aorta

A
  • continuation of thoracic aorta after passes through diaphragm
  • ends at common iliac arteries
  • gives off visceral and parietal branches
  • unpaired and paired visceral branches
45
Q

what are the unpaired visceral branches of the abd aorta

A
  • celiac trunk
  • superior mesenteric
  • inferior mesenteric
46
Q

what are the paired visceral branches of the abd aorta

A

-suparenal, renal, gonadal arteries

47
Q

vessels in liver

A
  • has double blood supply: systemic circulation & hepatic portal circulation
  • 20% cardiac output
  • portal triad: portal field, portal area, portal trunk
48
Q

where do the hepatic arteries branch from

A

celiac trunk of abd aorta

49
Q

common hepatic artery

A

supplies liver, gallbladeder, stomach, small intestine and pancreas
-branches off into proper hepatic artery and left heaptic artery

50
Q

what is the portal triad

A
  • portal field, portal area, portal trunk

- composed of proper hepatic artery, hepatic portal vein, common bile duct, lymphatic vessels, and branch of vagus nerve

51
Q

venous circulation

A
  • veins return blood to heart

- superficial or deep: superficial veins do not correspond to those of arteries, deep veins do

52
Q

what are SVC, IVC, and coronary sinus

A

-systemic veins that drain deoxygenated blood into heart

53
Q

SVC

A

receives blood from veins superior to diaphragm

54
Q

IVC

A

receives blood from veins that are inferior to diaphragm

55
Q

where do most blood passing through the head drain into

A

-internal jugular, external jugular, and vertebral veins

56
Q

internal jugular

A

drains brain, bones of cranium, muscles, tissues of face and neck

57
Q

external jugular

A

drains scalp of head and neck

58
Q

vertebral veins

A

drains cervical vertebrae, cervical spinal cord, deep muscles in neck

59
Q

veins of the thorax

A
  • most of thoracic structures drain by azygos system (R thoracic wall, thoracic viscera, posterior abdominal wall)
  • all drain into SVC
  • may serve as bypass for IVC bc many small veins link azygos system with IVC
  • provides an alternate route for venous return if the IVC or hepatic portal vein becomes obstructed
60
Q

veins of abd and pelvis

A

-blood returns to heart via IVC

61
Q

where does the IVC not receive blood from

A
  • GI tract
  • spleen
  • pancreas
  • gallbladder
62
Q

what is hepatic portal circulation

A

formed from joining of superior mesenteric and splenic veins

-receives blood from left gastric vein, right gastric vein, splenic vein, and superior mesenteric vein

63
Q

when the deoxygenated blood travels out of the pulmonary artery goes to the lungs, where does the gaseous exchange happen?

A

capillaries

64
Q

what is a right dominant heart

A

PDA come off of RCA

65
Q

what is a left dominant heart

A

PDA comes off of LCA

66
Q

what is a co dominant heart

A

PDA comes off of RCA and LCA

67
Q

systolic blood pressure is measured when….

A

when the ventricles contact

68
Q

which of the blood vessels is most often used to find the arterial systolic pressure?

A

radial artery

69
Q

what is a branch off of the brachiocephalic trunk?

A

right subclavian artery

70
Q

which arteries enter the brain through the foramen magnum?

A

vertebral

71
Q

the basilar artery are formed by the union of which arteries?

A

vertebral

72
Q

from the femoral arteries, blood flows into where

A

the popliteal artery

73
Q

blood reaches the cell that make up blood vessels by way of tiny capillaries called the ___ in the outer layer of the vessel

A

vasa vasorum

74
Q

pressure due to the presence of water in the capillary blood results in

A

blood hydrostatic pressure

75
Q

endothelium makes up the layer of artery called the

A

tunica interna

76
Q

Capillaries in which the basement membrane is incomplete or absent and have large spaces between the endothelial cells are called

A

sinusoids

77
Q

he most important blood reservoirs are the

A

veins the abdominal organs

78
Q

If your total blood volume is 5 liters, the volume in your veins and venules is

A

3 liters

79
Q

Velocity of blood flow is fastest in the

A

aorta

80
Q

Circulation time in an average resting human is about

A

one minute

81
Q

If a tube is decreased to 1/2 its diameter, it will increase its resistance to fluid flow

A

4 times

82
Q

Most of the tissues and organs in the thorax are drained by the

A

azygous system and veins

83
Q

At the back of the knee, the anterior and posterior tibial and small saphenous veins drain blood into the

A

popliteal vein