Blood Vessels and Arteries Flashcards

1
Q

Describe the composition of the following layers:
tunica intima
tunica media
tunica externa

A

tunica intima - inner lining of blood vessel
- SS ET + loose irregular CT
- serous membrane

tunica media - smooth muscle
- orientation and # different between vein and artery
- can contain sheets of elastic fibers
- innervated by sympathetic NS - autonomic

tunica externa - outer layer made completely of CT
- large vessel - dense irregular
- small vessel - loose irregular

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2
Q

What are the different arteries in order from proximal to distal?

A

elastic arteries - aorta and pulmonary trunk
- conducting arteries
- many sheets of elastic fibers

muscular (distributing) arteries - goes to organs
- corrugated internal elastic lamina - allows for some stretching
- external elastic lamina
- smaller in diameter

arterioles: 1-2 layers of smooth muscle
- most numerous vessel that has smooth muscle
- regulate distribution of flow to the cap beds

capillaries - thinnest wall for diffusion and filtration

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3
Q

What vessel is in charge of regulating temperature and BP? Why?

A

arterioles - smallest blood vessel that contains smooth muscle
- better at changing resistance due to increase surface area and smooth muscle

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4
Q

What are the three types of capillary walls?

A

continuous - epithelial cells do not have pores, continuous basement membrane
- found in fat, muscle, nervous system (brain)
- RBC single file - increased O2 exchange

fenestrated - filtration - pores in epithelium, continuous basement membrane
- does not allow RBC to cross
- AA, proteins, ions and H2O can cross
- kidneys, endocrine glands, small intestine

sinusoid - large fenestra, incomplete basement membrane
- liver, bone marrow, lymph nodes/spleen

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5
Q

Describe metarterioles and their function. What are pre capillary sphincters and their function?

A

contain some smooth muscle
- constrict if O2 is needed somewhere else, will dilate where O2 is needed

pre capillary sphincters: dilate to let more flow through capillary bed

opposite in the lungs - directs blood to region of high O2

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6
Q

What is diapedesis and where will it occur?

A

diapedesis - WBC leaving via gaps between SS epithelium

occurs in the post-capillary venules

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7
Q

What structure do veins have the arteries don’t? How does their pressure compare to arteries?

A

veins have valves
- gravity can cause blood to stagnate into lower limbs
- contracted skeletal muscle + valves help blood move in one direction

under lower pressure than arteries - same volume

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8
Q

Describe how varicose veins form and the available treatments

A

developed due to increased pressure of the veins and failure of the valves

tx: surgery, chemical ablation, laser
- no blood flow = no visible vein
- can help prevent with compression stockings

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9
Q

What is the first vessel to branch off the aorta?

A

R and L coronary arteries

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10
Q

What side is the brachiocephalic trunk on? What does it branch off into?

A

R side of ascending aorta only
gives rise to subclavian and common carotid artery

L side of aortic arch has branches of common carotid and subclavian

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11
Q

What does the external carotid branch into? What do these vessels supply?

A

superficial thyroid - thyroid
lingual - tongue
facial - muscles and skin of face
occipital - scalp of posterior head
superficial temporal - temporal scalp
maxillary - chewing muscles
middle meningeal - dura matter

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12
Q

Describe how you get from the heart to the dura matter

A

ascending aorta - arch or the aorta - brachiocephalic trunk - common carotid - external carotid - maxillary artery - middle meningeal artery

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13
Q

Where does the internal carotid canal go?

A

through carotid canal to get into brain
- join a circuit with the vertebral arteries via posterior communicating arteries

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14
Q

Where do the vertebral arteries pass through and where to they go? What do they supply?

A

pass through vertebral canal
- pass through foramen magnum to form circuit with internal carotid arteries via posterior communicating arteries

supplies the medulla - sudden death if blocked bc medulla is respiration center

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15
Q

What do the anterior cerebral arteries supply and how are they connected?

A

supplies the thalamus, hypothalamus, medial surface
- connected via anterior communicating artery

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16
Q

What do the middle cerebral branches supply and where do they come from?

A

largest blood supply of brain
supply cerebral, temporal and frontal lobes
- lateral aspect of frontal and parietal lobe

derives from the internal carotid artery

17
Q

What does the posterior cerebral artery supply?

A

cerebellum and occipital lobe

18
Q

What does the basilar artery supply and what is it composed of?

A

supplies the pons
composed of the fusion of the vertebral arteries

19
Q

What does PICA stand for and where do they branch off of?

A

posterior inferior cerebellar artery
- branches off of vertebral artery

20
Q

What is the thyrocervical trunk? What does it come off of? What does it branch into?

A

branches off of subclavian

becomes:
suprascapular artery - scapula, lateral neck muscles
inferior thyroid artery - thyroid

21
Q

What are the branches off of the subclavian?

A

vertebral, thyrocervical, and internal thoracic artery

22
Q

What does the brachial artery branch off to? What do those turn into?

A

radial and ulnar artery

radial turns into deep parlor arch

ulnar turns into superficial ulnar arch
- then becomes digital arteries

23
Q

Where do the bronchial arteries branch off of? What do they supply?

A

directly off the thoracic aorta
- supplies the smooth muscle, cartilage, and epithelium of lungs

24
Q

What do the internal thoracic arteries branch off of? and does it become?

A

comes off of subclavian

branches into anterior intercostals

25
Where do the posterior intercostals branch off of?
branches directly off of thoracic aorta - joins the anterior intercostal arteries laterally
26
What are the arteries that supply the adrenal glands and where do they come from?
superior adrenal artery - off of inferior phrenic artery middle adrenal artery - off to the aorta inferior adrenal artery - off of the renal artery
27
Where does the celiac trunk originate from and what does it branch into?
branches off of abdominal aorta becomes the hepatic artery L gastric (stomach) spleenic artery
28
What does the superior mesenteric artery supply? What does it branch off of?
small intestine, ascending and transverse colon, appendix branches off of abdominal aorta
29
What does the inferior mesenteric artery branch off of and what does it become?
branches off of abdominal aorta becomes: superior rectal artery - supplies top of rectum L colic artery - supplies the colon
30
Where does the inferior phrenic, posterior lumbar, and R/L gonadal arteries branch off of?
abdominal aorta
31
What are the bottom branches of the abdominal aorta?
common iliac and median sacral artery
32
What are the branches of the internal iliac?
obturator artery - supplies hip joints middle rectum - middle rectum internal pudental - becomes penile/clitoral artery - inferior rectal branches off of internal pudental Don't need to know structure, just know they come off of internal iliac: superior vesicular artery - bladder uterine/vaginal arteries umbilical artery
33
Where does the external iliac become the femoral artery? Where does the femoral artery become the popliteal artery?
inguinal ligament adductor magnus muscle
34
Where does the subclavian become the axillary? Where does the axillary become the brachial?
inferior lateral border of clavicle inferior border of teres major
35
What does the posterior branch of the internal iliac supply?
goes through greater sciatic notch to supply gluteal muscles
36
What arteries come off of the popliteal artery? When does it end?
genicular arteries branch off of popliteal popliteal artery ends when it branches into the posterior and anterior tibial
37
What branches off of the femoral artery and what does it supply?
deep femoral artery - supplies medial and posterior thigh
38
What is the doralis pedis and what is is a part of?
main artery on top of foot - continuation of the anterior tibial artery contains the arcuate artery - loop of the dorsalis pedis that gives rise to metatarsals