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CV > Histology > Flashcards

Histology Flashcards

1
Q

two types of circulation

A

pulmonary and systemic

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2
Q

blood vessels

A

Arteries carry blood to peripheral capillary beds
Veins carry blood from peripheral capillary beds to heart
Capillaries are the site of exchange
*Sometimes there are veins or arteries in-between two capillary networks (“portals”)

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3
Q

two septa

A

interatrial, inerventricular

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4
Q

4 chambers

A

4 chambers
Right Atrium
Receives blood via inferior and superior venae cavae
Right Ventricle
Receives blood from right atrium ,pumps to lungs via pulmonary arteries (deoxygenated)
Left Atrium
Receives oxygenated blood from lungs via pulmonary veins
Left Ventricle
Receives blood from left atrium, pumps into aorta for distribution through body

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5
Q

portal examples

A

hepatic and the one in the pituitary gland

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6
Q

myocardial building blocks

A

cardiomyocytes. Thicker in the ventricles than in the atria.

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7
Q

Fibrous skeleton of heart: structure

A 
Dense, irregular connective tissue
Part of 2 septa
Surrounds valves
Encircles aorta and pulmonary trunk
Chordae tendinae
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8
Q

Fibrous skeleton of the heart: function

A

Anchors and supports valves
Provides insertion for cardiac muscle
Electrical insulation between atria and ventricles

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9
Q

chordae tendinae

A

heartstrings. open and close valves.

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10
Q

Conducting system of heart: function

A

Depolarizes heart, allows for rhythmic contractions

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11
Q

SA Node: cell features and location

A

Nodal cardiac muscle cells
Smaller than other cardiomyocytes, no intercalated discs
Near junction of Superior vena cava and right atrium
Fastest depolarization

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12
Q

AV Node: cell features and location

A

Nodal cardiac muscle cells
Smaller than other cardiomyocytes, no intercalated discs
Picks up electrical signal from SA Node, sends through bundle of His
Second fastest depolarization

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13
Q

Purkinje fibers

A

Modified cardiomyocytes
Lots of glyocgen
3rd fastest depolarization
NOT located in myocardium

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14
Q

Coronary vasculature

A

Coronary vasculature
Left and right coronary arteries, originate from ascending aorta, branches converge toward apex
Many coronary veins, drain into coronary sinus, which drains into the right atrium

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15
Q

Pericardium

A

fibrous sac, attaches to diaphragm and organs

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16
Q

Epicardium

A

Adheres to outer surface of heart
Single layer of mesothelium
Squamous
Provide slippery surface
Adipose and loose connective tissue
2 layers: visceral and parietal serous pericardium
Potential space, site of cardiac tamponade
Nerves and ganglia travel through this layer

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17
Q

four layers of heart

A

Pericardium, epicardium, myocardium, endocardium

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18
Q

another word for epicardium

A

serous layer of pericardium

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19
Q

layers of pericardium

A

parietal and fibrous

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20
Q

cardiac muscle: properties of the sarcomere

A

striations and intercalated discs, branching (allows for communication)

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21
Q

intercalated discs of myocytes

A

stair-step connections between myofibers/myocytes

Instead of z-lines

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22
Q

what type of cardiomyocyte doesn’t have intercalated discs?

A

the nodal ones

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23
Q

nuclei of cardiomyocytes

A

one, maybe two per. Located in the middle.

24
Q

adhesive functions of intercalated discs

A

Fascia Adherens
Most extensive
Bind actin (like a Z-band)
Desmosomes (Macula adherens)
Anchor to intermediate filaments of the cytoskeleton, hyper-adhesive
Gap junctions
Open pores = continuous connection between two cells

25
Q

cardiac muscle vs skeletal muscle

A 
Most of accessory proteins similar, use actin and myosin as contractile units
Troponin used as sign for MI
T-Tubules are close to Z-lines, NOT A-I junctions
1 T-Tubule + 1 Terminal Cistern = diad
More of these in ventricles than atria
SR is less organized
RYR2 is isoform
Calcium-gated calcium channel
26
Q

Endocardium

A

Inner layer: Endothelium and loose connective tissue (elastin and collagen)
Middle layer: Smooth muscle and connective tissue (elastic)
Subendocardial layer: Connective tissue and Conduction system of heart, Nodes, Bundle, Purkinje

27
Q

Smooth muscle organization

A 
Elongated, tapering, NON-striated
Not structured in sarcomeres
Spontaneous contractile activity
Single nucleus
Sarcomeres not organized around z-bands, instead Dense bodies
Myogenic
Also contract to paracrine factors
28
Q

smooth muscle myosin arrangement

A

“side-polar;” looks more like rows of hooks, skeletal muscle looks like leaves or flowers on a vine

29
Q

Endocardial composition of heart valves

A

Fibrosa: Continuation of rings, Dense, irregular connective tissue
Spongiosa: Shock absorption, Loose connective tissue
Arterialis or Auricularis
Ventricularis: Adjacent to ventricular or atrial valve surface, Endothelium, Dense, connective tissue, Continuous with chordae tendinae

30
Q

Autonomic nervous system impacts on heart

A

tachycardia (norepinephrine– beta blockers block these receptors), bradycardia (ach).

31
Q

3 reflexive receptors that regulate the heart rate

A

baroreceptors in the carotid sinus and aortic arch, pressure receptor within the atrial and ventricular walls, (tilt table test) chemoreceptors measure pH in the carotid and aortic bodies. (wake up in the night!)

32
Q

major cranial nerves related to cardiac stuff

A

9 and 10

33
Q

Nucleus of the solitary tract

A

important!! heart receptors send afferent signals here to work changes in heart rate.

34
Q

Glomus cell

A

found in carotid bodies, detects pH changes from CO2 –> signals to nucleus of solitary tract

35
Q

layers of blood vessels

A

Tunica intima, tunica media, tunica externa. continuous with layers of heart.

36
Q

vein vs. artery

A

vein: valves, larger lumen, smaller tunica media. Walls have more collagen.
Arteries: wall is thicker, contains more smooth muscle and elastic fibers, always has inner elastic layer.
Medium-sized veins and muscular arteries usually travel together.
distinctions between layers are less clear in veins

37
Q

sizes of veins and arteries

A

Large veins, elastic arteries
medium-sized veins, muscular arteries
Venules, arterioles

38
Q

Tunica intima

A 
continuous with endocardium.
Endothelium around lumen
Basement membrane
Subendothelial connective tissue
Inner Elastic Lamina
39
Q

Tunica media

A 
continuous with myocardium.
Tunica media  (myocardium)
Mostly smooth muscle
External elastic lamina
Thickest in arteries
40
Q

What vessel doesn’t have a basement membrane?

A

lymphatic

41
Q

Tunica adventitia

A 
continuous with epicardium.
Mostly dense connective tissue
Lots of fibroblasts
Vasa vasorum
Nervi vasorum (both GVA and GVE)
Thickest in veins
42
Q

Elastic artery aspects

A

relatively thic intima, IEL is not conspicuous, lots of elastic laminae in media, thick media, collagen, elastin in adventitia to prevent overdistension, most nervi and vasa vasorum

43
Q

muscular artery aspects

A

thinner intima, IEL is conspicuous, very little elastic laminae in media, thick media, thicker adventitia, may see external elastic membrane (EEL)

44
Q

Precapillary sphincters

A

control blood pressure to capillaries

45
Q

myocardial sleeve

A

extension of myocardium in adventitia. Not sure what it does. In excess, it means there is some type of heart problem– often atrial fibrillation.

46
Q

characteristics of arteriole

A

very thin tunica intima, IEL not distinct, 1-5 layers of smooth muscle, EEL not visible, very thin adventitia, can contain precapillary sphincters.

47
Q

Large veins

A

tunic intima and media aren’t clearly separated. IEL is not conspicuous. Thick adventitia, may contain smooth muscle. Extensions of myocardium in adventitia = myocardial sleeves

48
Q

Medium-sized veins

A

valves common (from intima). DVTs common here, similar organization to large veins, less smooth muscle in adventitia

49
Q

Properties of the endothelium in blood vessels

A 
selectively permeable barrier (pinocytosis common and clathrin dependent)
produces anticoagulants (but damage promotes thrombogenesis)
secretes vasodilators and vasoconstrictors
secretes growth factors
modifies lipoproteins (macrophages convert these to foam cells)
50
Q

characteristics of capillaries

A 
1 layer of endothelial cells
Thinner than erythrocytes
Allows for diffusion of nutrients and gasses
Basal lamina
Surrounded by pericytes
51
Q

pericytes

A

undifferentiated mesenchymal stem cells

52
Q

three types of capillaries

A

continuous, fenestrated, discontinuous

53
Q

continuous capillaries

A

most common, basal lamina is continuous, endothelium uninterrupted, tight junctions

54
Q

fenestratd capillaries

A

around glands and sties of absorption. basal lamina is continuous. endothelium has perforations

55
Q

discontinuous capillary

A

irregularly shaped, liver, spleen and marrow. discontinuous basal lamina. endothelium has large perforations.

56
Q

microvascular bed and shunting

A

in arterioles and metarterioles with precapillary sphincters, blood can be shunted away from capillary bed. Used in thermoregulation, reason our hands get “pruny”

57
Q

lymphatic vessels

A

Unidirectional flow of lymph
Smallest are capillaries, converge into lymphatic vessesls
Largest vessels are thoracic duct, right lymphatic trunk
Irregular lumen diameter
Lymphatic walls are thin
Poorly developed adventitia
Have smooth muscle in media
Lymphatic capillaries lack basal lamina, pericytes
Anchored to perivascular collagen by Anchoring filaments

CV (15 decks)

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