Exam2Lec1CVSystem Flashcards

1
Q

Layers of the heart wall from outside to inside

A
  1. Epicardium
  2. Myocardium
  3. Endocardium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the epicardium contain?

A

Coronary vessel, adipose nerves, and visceral pericardium

fat cells, bv, nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The bulk of the heart is made of what?

A

Myocardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How can you characterize myocardium?

A
  • Centrally nucleated nuclei (1-2 per cell)
  • Cell jxns (intercalated disks)
  • Irregular shpaed cells that branch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the myocardium contain?

A

cardiac muscle (myocytes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does the endocardium include?

A

Endothelium, Subendithelium, subendocardium (this contains purkenje fibers)

purkinje cells, fibers, smooth m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the conducting cells of the heart?

A

Purkenjie (modified myocytes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What lines the inside of the heart?

A

Endothelium with simple sq epithelium

this is the same as saying endocardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What lines the outside of the heart?

A

Mesothelium (simple sq epithelium)

this is the same as saying epicardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are major characteristics of the semilunar valve?

A

Dense irreg connective tissue with most of the valve which is covered by endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How does arterial blood pass?

A

Into a capillary bed then into the venous system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Portal systems occur b/w 2 capillary beds. what 2 systems do we see?

A

Arterial system(in kidneys) has an arteriole b/w the 2 beds
Venous sytem (in liver) has a vein b/w the 2 beds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The largest arteries in the body such as the aorta and pulmonary trunk are characterized by what:?

A

Large amounts of elastic fibers in the tunica media

elastic arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the layers of bv from outer to inner. Be specific as to what they contain

A

Tunica Adventitia=elastic fibers
Tunica Media= elastic fibers + smooth m cells
Tunica intima=smooth muscle cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the bv lined with and what do the cells secrete?

A

lined with Endothelium and cells secrete VWF, endothelin, collagen (2/4/5), glycoprotein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are 2 charactersitcs of elastic arteries? What is an example?

A
  1. Thick tunica media
  2. Lots of elastic fibers-> stains dark purple
    Ex: aorta + pulm trunk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are two characteristics of muscular arteries?

A
  1. Thick tunica media
  2. lots of smooth muscle cells-> many nuclei
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are 3 characteristics of medium veins?

A
  1. Thin tunica media=elastic + reticular (type 3 collagen ) fibers, SMCs
  2. Adventitia blends in w/ surrounding CT
  3. Irregularly shaped
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are 2 charachteristics of Large veins-vena cava?

A
  1. Thin tunica media= elastic + reticular (type 3 collagen) fibers, SMCs
  2. May contains valves (unlike arteries)

reticular fibers only visible w/ silver stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are 2 characteritcs of arterieoles?

A
  1. Characterized by 1-2 layers of SMCs
  2. Meta arterioles control flow from arteriole into capillary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is one key chracterization of capillaries?

A

1 layer of endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 3 types capillaries?

A
  1. Continuous
  2. Fenestrated
  3. Sinusoidal (discontinous)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Where are continous capillaries located and what do they contain?

A

In muscle + nerve tissue
Contains a fully intact membrane (it has NO holes in it), so no diffusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Where are fenestrated capillaries located and what do they contain?

A

In digestive organs + pancreas
contains a perforated membrane (it has some holes in it), so some diffusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Where are sinusoidal (discont/) capillaries located and what do they contain?

A

In liver + spleen + bone marrow
contain an incomplete membrane (it has large gaps in it) so diffusion on large products like RBCs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does the neurovascular bundle contain?

A

Nerve, artery, vein, lymp surrounded by fascial sheath (CT)

27
Q

How can you identify nerves and arteries in a neurovascular bundle?

A

Nerve: no lumen, but many nerve facicles (bundle of fibers)
Artery: thick tunica media (mostly SMCs) + red colored lumen (d/t RBCs)

28
Q

How can you identify vein and lymph in the neurovascular bundle?

A

Vein: thin tunica media + irregular shaped lumen
Lymph: contains only endothelium (simple sq)

dont have to identify lympoh in phto

29
Q

What is myocardial infarct and what is it caused by?

low yield

A

heart attack caused by build up of cholesterol (arthero). The cholesterol damges endothelium and then formation of plaques blocks artery preventing flow. Loss of bf leads to muscle tissue dying and then neutrophils + macrophages come into the areas to clear out the dead (necrotic) cells. Fibroblasts use collagen to form scar tissue.

30
Q

What is CHF?

low yield

A

inability to pump enough blood due to cardiac hypertrophy.

31
Q

What is #1?

A

Epithelium

32
Q

What is #2?

A

Subendothelium

33
Q

What is #3?

A

Subendocardium

34
Q

What is #4?

A

Myocytes

35
Q

What is #5?

A

Intercalated discs

36
Q

What is circled?

A

Purkenjie cells

37
Q

What is #1?

A

Elastic artery

38
Q

What is #2?

A

Semilunar valve leaflets

39
Q

What is #1?

A

Tunica media

40
Q

What is #2

A

Tunica intima

41
Q

What is #3?

A

Endothelium

42
Q

What is #1?

A

Adventitia

43
Q

What is #2?

A

Media

44
Q

What is #3?

A

Intima

45
Q

What is #1?

A

Internal elastic lamina

46
Q

What is #2?

A

Media

47
Q

What is #3?

A

Lumen

48
Q

What is #4?

A

External elastic lamina

49
Q

What is #1?

A

Vein

50
Q

What is #2?

A

Muscular artery

51
Q

What is #3?

A

Adipose

52
Q

What is #4?

A

Muscle

53
Q

What is #5?

A

Nerve

54
Q

What is #6?

A

Fascial sheath

55
Q

What is #6?

A

Fascial sheath

56
Q

What is #1?

A

Internal elastic lamina

57
Q

What is #2?

A

Endothelium (intima)

58
Q

What is #3?

A

Media = more cells than fibers (stained dark purple)

59
Q

What is #4?

A

External elastic lamina

60
Q

What is #5?

A

Adventitia

61
Q

What do endothelial cells (simple squamous) secrete?

A
  • Von Willebrand factor = bloot clot formation
  • Vasoconstrcitors = endothelin = contracts vessels
  • Collagen 2, 4, 5
  • Fibronectin = glycoprotein
  • Laminin = glycoprotein
62
Q

What 3 systems are activated to maintain cardiac output?

A

1) Increase in catecholamines from SNS = results in peripheral vasoconstriction = increased venous return
2) Renin-angiotensisn-aldosterone (RAAS) decreases kidney filtration & increases fluid retention = increases blood volume
3) Cardiac hypertrophy from increased sarcomeres in either parallel or series

63
Q

What is does concentric hypertrophy cause?

A

increases wall thickness (parallel sarcomere replication)

64
Q

What does eccentric hypertrophy cause?

A

increases wall length (series sarcomere replication)