Case 1 Physiology Flashcards

1
Q

What is the function of the tunica intima in capillaries?

A

Provides a semi permeable barrier

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2
Q

What is the function of the tunica media?

A

Provides elastic tension and can change vessel diameter to withstand and maintain the pressure

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3
Q

What is the function of the tunica adventitia?

A

Prevents over expansion of the vessel

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4
Q

What is the compensatory mechanism of hypertension?

A

the baroreceptors ‘reset’ at a higher pressure so no longer try to lower the blood pressure leading to chronic hypertension

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5
Q

How does standing up affect blood pressure?

A

standing up causes blood to pool in the lower limbs due to gravity, so less blood returns to the heart, so there is a decrease in blood pressure of the aorta

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6
Q

How does the body correct the blood pressure changes from standing up?

A

the decrease in blood pressure causes baroreceptors to increase the firing rate when stretched increasing sympathetic firing and decreases parasympathetic firing , increasing vasoconstriction and increasing heart contraction, returning blood pressure back to normal

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7
Q

How do local factors affect arterioles?

A

increased metabolism -> increased CO2 -> vasodilation

increased stretch of myocytes -> vasoconstriction

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8
Q

How do external factors affect arterioles?

A

increased sympathetic activity -> vasoconstriction

adrenaline -> vasoconstriction of vessels to gut etc, vasodilation of vessels to skeletal muscles
angiotensin II -> vasoconstriction
ADH -> vasoconstriction

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9
Q

Why is the heart important as a pump?

A

To deliver a continuous supply of oxygen and other nutrients to the brain an vital organs via the circulation and removal of waste products

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10
Q

Which factors determine resistance?

A

viscosity of blood, length of vessel and vessel radius

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11
Q

What is the equation for resistance?

A

R∝(ηL)/r⁴

η is blood viscosity; L is vessel length and r is vessel radius

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12
Q

What is the equation for blood flow?

A

Q=ΔP/R

Q is blood flow; ΔP is change in pressure and R is resistance

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13
Q

Describe the pressure in the aorta

A

High and fluctuating

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14
Q

Describe the pressure in the capillaries

A

Decreasing as you get further from the heart

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15
Q

Describe the pressure in the veins

A

Low and stable

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16
Q

Describe the velocity in the aorta

A

High and fluctuating

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17
Q

Describe the velocity in the capillaries

A

Low

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18
Q

Describe the velocity in the veins

A

Higher than the capillaries and stable

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19
Q

Why does the capillaries cause a change in pressure?

A

Because they have a large total cross-sectional area

20
Q

Where are high pressure baroreceptors found?

A

In aortic arch and carotid sinus

21
Q

What change in pressure does high pressure baroreceptors detect?

A

60 to 180mmHg

22
Q

How do high pressure baroreceptors respond to a change in pressure?

A

When the vessel wall is stretched more, they fire more action potentials.

23
Q

Where are low pressure baroreceptors found?

A

Atria and venoatrial junctions of the heart

24
Q

What is another name for low pressure bars receptors?

A

Cardiopulmonary receptors

25
What is compliance?
The ease of stretching a vessel wall
26
What causes a decrease in compliance?
Aging and sympathetic stimulation/adrenaline (vasoconstriction)
27
What is systolic blood pressure?
Pressure exerted by the blood on the inner wall of the blood vessel when the heart contracts
28
What is diastolic blood pressure?
Pressure exerted by the blood on the inner wall of the blood vessel when the heart relaxes
29
How do you calculate pulse pressure?
Systolic BP - Diastolic BP
30
How do you calculate mean arterial pressure using blood pressure measurements?
Diastolic + 1/3(Systolic-Diastolic)
31
What is mean arterial pressure?
Cardiac output x total peripheral resistance
32
What is the function of the dorsal motor nucleus of vagus?
parasympathetic (uses vagus nerve) - inhibits SA node
33
Where is the dorsal motor nucleus of vagus found?
Medulla oblongata
34
What is the function of the rostral ventrolateral medulla?
sympathetic (uses sympathetic nerve) - stimulate SA node and vasoconstriction
35
Where is the rostral ventrolateral medulla found?
Medulla oblongata
36
How would an increase in blood pressure affective DMNV and the RVLM?
Stimulate DMNV | Inhibit RVLM
37
What is the first response to an injury causing bleed?
Vasoconstriction
38
What do platelets do when a blood vessel is injured?
Bind to the exposed collaged wall and become activated
39
What do activated platelets secrete when a blood vessel is injured, and what does this cause?
Serotonin, thromoboxone A2 and ADP More platelets are attracted and more vasoconstriction, leading to a platelet plug
40
What is the effect of the platelet plug in a blood vessel injury?
Platelet plug closes the damaged vessel preventing further blood loss
41
How long does acute inflammation last?
Days or hours
42
How does tissue damage cause inflammation?
Damaged cells release distress signal chemicals eg histamine
43
What is the immune response to inflammation?
Distress signals lead to increased blood flow and blood vessels become leaky allowing white blood cells to reach site of inflammation and 'eat' pathogens and dead cells
44
What is chronic inflammation?
Inflammation with no recovery - constant state of alert
45
What are some risk factors for chronic inflammation?
Obesity Smoking Hypertension