CV Physio Flashcards

1
Q

What percent of blood flow is directed to the liver and GI tract?

A

24%

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2
Q

What percent of blood flow is directed to the skeletal muscle?

A

21%

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3
Q

What percent of blood flow is directed to the skin and other organs?

A

18%

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4
Q

What percent of blood flow is directed to the kidney?

A

20%

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5
Q

What percent of oxygen consumption is directed to the liver and GI tract?

A

23%

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6
Q

What percent of oxygen consumption is directed to the skeletal muscle?

A

27%

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7
Q

What percent of oxygen consumption is directed to the skin and other organs?

A

11%

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8
Q

What percent of oxygen consumption is directed to the kidney?

A

7%

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9
Q

Describe the flow of blood through the heart including valves and vessel names.

A

Vena cava - right atrium - tricuspid valve - right ventricle - pulmonary valve - pulmonary artery - lungs - pulmonary vein - left atrium - mitral valve - left ventricle - aortic valve - aorta

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10
Q

What does T on ECG represent?

A

Ventricular repolarization

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11
Q

What does P on ECG represent?

A

Atrial repolarization

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12
Q

What does QRS represent on ECG?

A

Electrical signaling prior to muscle contraction

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13
Q

What is the c wave on cardiac cycle?

A

As LV ejects, there is a slight bulge due to pressure back on the mitral valve

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14
Q

What is the v wave on cardiac cycle?

A

Venus return to atrium during ejection from ventricle

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15
Q

What is the a wave on cardiac cycle?

A

LA contraction at the end of ventricular filling

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16
Q

What is the z-point on cardiac cycle?

A

Atrial and ventricular pressure curves cross (V higher) causing the mitral valve to close

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17
Q

What is the dichrotic notch on cardiac cycle? How does this change as you move away from aorta in systemic circulation?

A

Transient increase in aortic pressure during isometric relaxation due to aortic valve closure - this goes away as you move further away from the aorta

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18
Q

What part of the cardiac cycle first changes during exercise and why?

A

Cut into LV filling during diastasis due to increased HR and subsequent reach into filling time

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19
Q

When is the hangout period during the cardiac cycle and when does it occur? What is another name for it?

A

At the end of ejection period, aortic pressure is higher than ventricular pressure, which precedes aortic valve closure
Proto-diastole

20
Q

What is happening during the S1 heart sound?

A

Mitral and tricuspid valves are closing

21
Q

What is happening during the S2 heart sound?

A

Pulmonic and aortic valve are closing

22
Q

Do the right or left sided valves close first?

23
Q

What endothelial-derived factor(s) cause vasodilation?

A

NO
PGI2
EDHF

24
Q

What endothelial-derived factor(s) cause vasoconstriction?

A

Endothelin

25
What endothelial-independent factor(s) cause vasodilation?
ANP
26
What endothelial-independent factor(s) cause vasoconstriction?
ADH/vasopressin
27
What endothelial-derived factor(s) prevent plt aggregation?
NO | PGI2
28
What plt-derived factors initiate endothelial production of NO?
ADP, serotonin, thromboxane
29
What are two functions of ACE?
Angiotensin II production | Breakdown of bradykinin
30
How many layers of smooth muscle are found in the tunica media of elastic arterial vessels?
40-60
31
How many layers of smooth muscle are found in the tunica media of muscular arterial vessels?
~40
32
How many layers of smooth muscle are found in the tunica media of arterioles?
1-5
33
Is the tunica adventitia thicker in arteries or veins?
Veins
34
Is the lumen bigger in arteries or veins?
Veins
35
Where is the most likely location for a berry aneurism?
Circle of Willis - cerebral
36
What elastic layer is found in the tunica intima of arteries?
Internal elastic lamina
37
What elastic layer is found in the tunica media of arteries?
External elastic lamina
38
Are velocity and area proportionally or inversely related?
Inversely
39
What type of capillary is found in the liver?
Sinusoidal
40
What type of capillary is found in the spleen?
Sinusoidal
41
What type of capillary is found in the bone marrow?
Sinusoidal
42
What type of capillary is found in the intestines?
Fenestrated
43
What type of capillary is found in the kidney?
Fenestrated
44
What type of capillary is found in the muscle?
Continuous
45
What type of capillary is found in the skin?
Continuous
46
What type of capillary is found in the brain?
Continuous