Module 1 - Skin and Cardiovascular System Flashcards

1
Q

What are the layers of the skin?

A

epidermis, dermis and hypodermis

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

Describe the epidermis ?

A

Stratified barrier, mostly keratinocytes, no circulation

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

Describe the dermis?

A
  • Protein fibres for strength
    • Collagen
    • Elastin
  • vascular (nourishes the epidermis )
  • Not shed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the hypodermis?

A
  • Adipose tissue

- insulation

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

What are the functions of the skin

A
  • Protect underlying tissues
  • Maintain normal body temperature
  • Detect touch
  • Produce melamin
  • Produce keratin
  • Synthesis of vitamin D
  • Store lipids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What composes the cutaneous layer and describe them?

A

Epidermis and dermis
dermis
- Papillary layer - creates a wavy border between the epidermis and dermis layer to increase the surface area. There needs to be a large surface area in order to allow the nutrients to come up to the epidermis from dermis .

  • Reticular layer - primarily collagen - provides strength and rigidity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name the layers within the epidermis ?

A
  1. Stratum corneum
  2. Stratum lucidum ( only found in thick skin)
  3. Stratum granulosum
  4. Stratum spinosum
  5. Stratum Basale
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Stratum Cornuem

A

Dead, dried out cells without nuclei

- this layer can removed with just tape

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

Stratum granulosum

A
  • Contains granules that promote dehydration of the cell
  • cross linking of keratin fibres
  • Waxy material is secreted into intercellular spaces
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Stratum Spinosum

A
  • Intercellular bridges called desmosomes link the cells together
  • the cells become increasingly flattened as they move upwards
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Stratum Basale

A
  • Tall regenerative cells

- As the basal cells divides, a daughter cells migrates upwards to replenish the layer above

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

types of epithelial cells?

A

squamous, columnar, cuboidal

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

What type of layer is the epidermis

A

stratified squamous

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

Signs of skin aging

A
  • thin epidermis
  • thin dermis
  • slower skin repair
  • drier epidermis
  • impaired cooling ( less sweat)
  • less pigmentation (grey hair)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the accessory structures to the skin

A
  • Hair
  • Sweat glands
  • Receptors
  • Nails
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the function of hair ?

A
  • located all over the body except where thick skin is ( palms and sole of the feet)
  • consists of
    • hair shaft
    • Hair follicle
    • arrector pilli muscle
    • sebaceous gland
      - produces sebum - gives natural moisturiser and water repellent
  • Acne
    • blockage of hair follicles + infection
      • increased sebum increases acne risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the function of sweat glands

A
  • eccrine ( everywhere thermoregulation)
  • apocrine (specailised)
    • situated deeper into the skin, release into the base of hair follicle , they continuously secrete a fatty sweat into the gland tubule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe the function of nails ?

A
  • protect finger nails
  • enhance sensation
    - sensory receptors require deformation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

name the different receptors

A
  1. Free nerve endings
  2. Tactile discs
  3. Tactile Corpuscles
  4. Lamellar Corpuscles
  5. Bulbous Corpuscles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

function of the free nerve endings?

A

detect pain and temperature

these are most common receptor in the skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Tactile discs

A

texture, shape and fine touch

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

Tactile corpuscles

A

Located in the papillary layer of the dermis

Fine touch, pressure and low frequency vibration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Lamellar corpuscles

A

scattered deep in the dermis and hypodermis

deep pressure and vibration

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

Bulbous corpuscles

A

Located on dermis and subcantaneous tissue

Pressure and skin stretch

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

where is melanin produced ?

A

melanocytes cells

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

how is melanin transfereed?

A

melanin is transferred to the epithelial cells via melanosomes - these are vesicles containing melanin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Whats distinguishes a mole?

A

it is a cluster of melanocytes - hence more cells

- overproliferation can be caused by sun exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what distinguishes a freckle?

A

Melanocytes over producing melanosomes

- over production triggered by the exposure of sun

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Where are melanocytes found?

A

in stratum basale as pigment is not shed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

where are melanosomes found?

A

throughout the epidermis - these are shed with keratinocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

why is vitamin d needed?

A

it is needed for normal calcium metabolism and strong bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Basal cell carcinoma?

A
  • common but relatively gentle
  • originates in stratum basale
  • metastasis is rare
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Malignant melanoma?

A
  • rare but deadly if not treated
  • originated in melanocytes
  • highly metastatic
  • mortality rate dependent upon tumour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

why does melanoma depth matter?

A

the thicker the tumour, the deeper they go into the dermis, the more likely they are to get into the circulatory system and sympathetic system and then make their way around the body and by chance if they land in an organ it will cause problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

tattoo?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

how do we constrict blood flow in the upper layer of the skin?

A

blood flow are be constricted in the upper layer of the skin through pre capillary sphincters , these are bands of smooth muscle at the start of capillary beds, if we constrict smooth muscle in the arteries or smooth muscle in the pre capillary sphincters we can constrict the blood flow in the upper layer of the skin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

describe the process to reduced skin blood flow

A
  • smooth muscle in walls of arteries and pre capillary sphincters innervated by the sympathetic nervous system (SNS)
  • Noradrenaline acts on alpha adrenergic receptors in this vascular smooth muscle in the skin
    • g-protein coupled receptors to intracellular 2nd messengers leads to increased intracellular ca++ leads to constriction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

how do you get increased blood flow?

A

decreasing the SNS activity therefore causes relaxation (dilation) of the arteries to skin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What are the primarily mechanisms of heat transfer?

A

conduction
evaporation
convection
radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

conduction?

A

involves the transfer of heat to objects or media which are in contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Convection?

A

involves the transfer of heat to air by conduction followed by the movement of he air away form the skin which maintains the gradient for heat loss from the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Evaporation?

A

when water evaporates from the body surface the heat energy required to cause the water to evaporate is also lost.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Radiation?

A

causes heat loss in the form of infrared rays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

how are eccrine sweat glands turned on?

A

they are innervated by the SNS

  • sympathetic cholinergic
    i. e release ACH onto mAChRs
  • some eccrine sweat glands can also be stimulated by adrenaline in blood acting on B receptors - ie nervous sweating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What are the responses when the body temperature increases?

A
  • Behavioural changes
  • Respiratory rate increases
  • decreased SNS leads of activation of alpha 1 on skin blood vessels which leads to vasodilation
  • increased SNS cholinergic activation of mAChRs on sweat glands leads to sweating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What are the responses when the body temperature decreases?

A
  1. shivering
    - increase tone of skeletal muscles
  2. Non- shivering
    - increase of sympathetic nerve activity and increase in circulating adrenaline
    - increased cellular metabolism
    - heat produced instead of ATP
  3. Thyroxine
    - increases basal metabolic rate
  4. Countercurrent exchange
    - exchanging blood before it reaches surface and loses heat
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

what is the function of the arrector pili muscles

A
  • attach hair follucles to upper dermis
  • contraction pulls hairs upright and goosebumos

the muscle is innervated by SNS (alpha 1 receptors)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

first degree burn

A
  • superficial - only involves the outer layer of the epidermis
  • red/pink , dry, painful
  • usually no blisters
  • skin remains a water and bacterial barrier
  • heals in 3-10 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Second degree burn

A
  • epidermis + varying amounts of dermis
  • painful , moist , red, blistered
  • usually heal in approx 1-2 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

deep 2nd burn

A
  • may include waxy looking areas
  • hair follicles, sweat glands may remain intact
  • some tactile receptors may be lost
  • usually heals in 1 month
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

third degree burn

A
  • extended into subcutaneous tissue and may involve muscle and bone
  • varied colour to deep red or black
  • no pain as sensory nerve ending have been destroyed
  • weeks to regenerate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

function of the pulmonary circuit

A

taking deoxygenated blood from the right hand side of the heart to the lungs for oxygenation of blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

describe the vascular system

A

a closed supply and drainage system - a continuous loop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

describe the lymphatic system

A

a open entry drainage system - a one way system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

function of the systemic circuit?

A

Takes oxygenated blood and pumps from the left hand side of the heart to everywhere inside the body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Function of the lymph circuit ?

A

this is present in both circuits, this accumulated any blood that leaves the vascular system. Before re uniting the accumulated blood, the fluid goes through the lymph nodes which gets rid of any miscrobes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Explain the supply side

A
  • arteries are the only supply path
  • major arteries are situated deep to avoid damage
  • important structures often receive supply from two different arteries
  • arteries change their names at each major branch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

explain the exchange system?

A
  • capillaries of varying degree of permeability
  • continuous (tight)
  • fenestrated (leaky)
  • Sinusoidal (very leaky)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Explain the drainage system?

A

3 pathways for drainage

  • deep veins
  • superficial veins
  • lymphatics
  • their cross sectional area is twice as of arteries as arteries are bigger in size
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

what is the shape of the heart

A

the heart is blunt cone shaped, it has a pointed end which is called the appex and a broad end called the base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

where does the heart sit in the body

A

the heart sits within our chest within the thorax flanked by the 2 plural cavities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

where does the base sits ?

A

between the 2nd and 3rd ribs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

where does the appex sit?

A

between the 5th and 6th ribs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

explain the process of blood from right atrium and ventricle include the veins or arteries, which ever one applies

A
  • the superior vena cava drains everything from the head, neck, chest and upper limbs
  • The inferior vena cava drains blood from everywhere from below the diaphragm.
  • coronary sinus is the drainage of the heart itself. Once we have supplied the heart with blood, it drains that venus blood that has been deoxygenated straight back to the right atrium, into the ventricular chamber
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

explain the process of blood from left atrium and ventricle include the veins or arteries, which ever one applies

A

Once we have achieved reoxygenated blood, blood drains back through the 4 pulmonary veins into the heart. The veins come into the left atrium into the ventricle. When ventricular contraction occurs, blood moves into the aorta.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

what structures help to receive blood into the right atrium

A

superior vena cava
inferior vena cava
coronary sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

what structures help to receive blood into the left atrium

A

4 pulmonary veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

name the layers of the heart

A
  1. epicardium ( uppermost layer)
  2. myocardium ( muscle layer)
  3. Endocardium - innermost layer )
  4. pericardium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

describe the pericardium

- layers?

A

this is where the heart sits in, it is a lubricated sack, it helps to protect the heart

  • the outermost layer is the fibrous pericardium
  • the inner most layer is the serous layer
  • the serous layer can be divided into 2 layers - parietal (superficial layer) and visceral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

Describe the endocardium

A
  • squamous epithelial cells
  • loose irregular fibrous connective tissue (FCT)
  • small blood vessels
  • purkinje fibres
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

what does the pericardial cavity provide

A

this provides potential space between the visceral and parietal pericardium. Serous fluid is secreted into this cavity to allow frictionless movement of the heart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

why is there a difference in the thickness between the right and left ventricle myocardium ?

A

there is difference due to the journey of blood to organs, on the right side it is not as thick due to the shorter journey from the heart to the lungs hence need to push the blood with less force compared to the left side, as from the left side we need to pump blood to everywhere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

describe epicardium?

A

visceral layer
large blood vessels
loose irregular fibrous connective tissue

74
Q

what is the name of AV valve on the right side

A

tricuspid valve`

75
Q

what is the name of AV valve on the left side

A

bicuspid valve

76
Q

what is the function of semilunar valve

A

prevent blood from returning to the ventricles during filling ( diastole)

77
Q

what is the name of the semi lunar valve on the right side

A

pulmonary valve

78
Q

what is the name of the semi lunar valve on the left side

A

aortic valve

79
Q

during diastole av valves are open/close

A

open

80
Q

during systole av valves are open/cose

A

closed

81
Q

explain the process of systole ?

A

the ventricle muscles are contracting, the pressure exerted onto the ventricles leads to the ventricle squeezing the blood, the blood can go in 2 directions, but due to the av valve closed, the blood is pushed out to the outflow artery.

82
Q

explain the process of diastole ?

A

filling from the atrium chamber down to the ventricles. This is when the heart muscle is relaxed, the ventricle system is relaxed, the av valve is open allowing blood to flow into the ventricle. the semi lunar valve are shut

83
Q

what are attached to the av valves on both sides

A

papillary muscle and chordae tendinae

84
Q

how doe papillary muscles and chordae tendiae help?

A

when the pressure starts to go up in the ventricles, the tension moves to the papillary muscle so hence these structures prevents from the leaflets to slam shut when they about to shut.

85
Q

describe a cardiac muscle cell structure?

A
  • striated
  • short, branched cells
  • one or occasionally 2 nuclei
  • central (oval shaped ), nuclues
  • cytoplasmic organelles packed at the poles of the nucleus
  • interconnected with neighbouring cells via intercalated disks
86
Q

what artery branches of the Aorta

A

coronary arteries (left and right)

87
Q

adhesion belts ?

A

linking actin to actin

88
Q

desmosomes?

A

linking cytokeratin with cytokeratin

89
Q

gap junctions?

A

electrochemical communication

90
Q

what are punkinje cells ?

A

these are cardiac muscle cells which are no longer contract, they have become modified for this role carrying conduction potentials

91
Q

explain the conduction pathway

A

the conduction path begins at the top of the atrium known as the SA node. The SA node creates contraction potential which pass through the atrial chambers via the internodal branches through he right atrium to the left atrium. Than all these internodal pathways in the artriuml chamber then mateet at a single point called av node, this is the gateway to the ventricular chamber. From the AV node we go down into the ventricular spectrum, between the right the left ventricle we start off in the AV bundle and then that branches into right and left bundles

92
Q

describe the features of purkinje cells

A
  • some peripheral myofibrils
  • central nuclues
  • mitochondria, glycogen
  • lots of gap junctions
  • some desmosomes and few adhension belts
93
Q

name the 3 layers of blood vessel walls?

A
  1. tunica intima
  2. tunica media
  3. tunica adventitia
94
Q

name the layers within the tunica intima

A
  • endothelium
  • sub-endothelium
  • interbal elastic limina
95
Q

endothelium?

A

a simple squamous epithelium which lines up the lumen of all vessels

96
Q

Sub - endothelium ?

A

a spare pad of loose FCT cushioning the endothelium

97
Q

describe tunica media

A
  • smooth muscle
  • variable amount of connective tissue fibres- mainly elastin and collagen
  • thickness of the media is proportional to both vessel diameter and blood pressure
98
Q

describe tunica adventitia ?

A
  • loose fibrous connective tissue with a high content of collagen and variable amount of elastin
  • in larger vessels this layer contains vasa vasorum
  • lymphatics and autonomic nerves are also found in this region
99
Q

function of arteriole

A

the resistance vessels of circulation determine blood pressure

100
Q

describe veins

A
  • low pressure, large volume transport system
  • one way flow
  • capacitance vessels
101
Q

describe the layers with veins

A
  1. intima
  2. media - much thinner than arteries, a few layers of smooth muscle
  3. adventita - often the thickest layer of a vein
102
Q

what is the shape of vein?

A

irregular, flattened shape with large lumen and thin wall

103
Q

describe capillaries?

A
  • very thin walls
  • large total cross sectional area of a capillary bed
  • slow and smooth blood flow
104
Q

what is a vascular stunt

A

when the blood goes from supply to drainage without going to the gas exchange beds

105
Q

explain the continuous capillaries

A
  • 8-10 in diameter

- single file of cells

106
Q

fenestrated capillary?

A

leaky

  • 8-10 in diameter
  • single file of cells
107
Q

sinusoidal capillary?

A
  • 30-40 um in diamter

- incomplete basement membrane

108
Q

functions of the lymph vascular system ?

A
  1. drains excess tissue fluid and plasma proteins from tissues and returns them the blood
  2. filters foreign material from the lymph
  3. screen lymph for any antigens and responds by activating immune cells
    - absorbs fat from intestine and transport to blood
109
Q

describe the structure of the lymphatic system?

A

lymphatics vessels

  1. commence as large, blind ending capillaries
  2. from small intestine vessels called lacteals drain fat into a vessel called cisterna chyli
  3. larger collecting vessels which have numerous valves
110
Q

name the veins in legs

A
  • common iliac vein
  • external iliac vein
  • femoral vein
  • great saphenous vein
  • Popliteal vein
  • posterior tibial vein
  • plantar venous ar h
111
Q

name the arteries in the legs

A
  • common iliac artery
  • external iliac artery
  • femoral artery
  • popliteal artery
  • posterior tibial artery
  • planar arch
112
Q

name the structures involved in the lymph on the left side

A

everything below the diaphragm goes through the left subclavian vein and than into the thoracic duct.

113
Q

name the structures involved in the lymph on the right side

A

face, body than into the right subclavian vein

114
Q

describe the breast drainage ?

A

axillary node -> right lymphatic duct-> right subclavian vein

115
Q

explain the mechanism of cardiac contraction

A
  • calcium levels go up, more calcium is released from the sacroplasmic reticulum (SR)
  • myosin binds to actin to form cross bridge
  • myosin pulls on actin to shorten the sarcomere and generate force
116
Q

how do we increase the force of cardiac contraction?

A

by increasing the level of calcium released leads to an increase of cross bridges and hence more pulling of myosin so therefore a greater force of contraction.

117
Q

explain the mechanism of cardiac relaxation

A
  • decrease in the levels of calcium as the calcium is pumped back into the SR
  • cross bridges release when ATP binds to myosin
  • reduction in force means the heart can relax
  • all myocyte relax each beat
118
Q

what is systole ?

relaxation or contraction? and rising or falling pressure

A

contraction and rising pressure

119
Q

what is diastole ?

relaxation or contraction? and rising or falling pressure

A

relaxation and falling pressure

120
Q

what does systolic mean?

A

highest point

121
Q

what does diastolic mean?

A

lowest point

122
Q

what is hypo-extension?

A

when the pressure goes below the lowest point

123
Q

what is hyper extemsion?

A

when the pressure goes above the highest point

124
Q

what are electrical cells and give an example?

A
  • they make up 1% of the heart cells
  • pale cells with striations
  • low amounts of actin and mysoin
    e. g purkinje and av nodal cells
125
Q

what are contractile cell?

A
  • make up 99% of the hearts cells
  • high actin and myosin
  • have striatedh appearance
126
Q

how does the propagation of the cell wok

A
  1. depolarisation starts from the SA node
  2. it then travels to the neighbouring cells
  3. in contractile cells - the levels of calcium goes up
127
Q

how does the impulse spread between both types of cardiac cells?

A

the impulse mostly travels through the intercalated disks , these contain gap junctions, the gap junction provides low resistance to electric current, hence the pulse is able to pass through with increased speed

128
Q

what is a functional syncytium?

A

when all the cells in the heart behave as one

129
Q

what are the 3 ways the SA node sends it signal ?

A
  1. send the signal directly into the right atrium
  2. to move the signal into the inter-atrial bundle over the left atrium . the inter-atrial is comprised of electrical cells which will cause both the atria to contract
  3. send the signal through internodal bundles
130
Q

what is the function of the av node

A

to collect the signal form the SA node and put a pause on it, it does this so both the atria and ventricles do not contract at the same time, as if this happens then the blood will just squeeze out of everywhere

131
Q

what role do purkinje fibres play in this conduction pathway?

A

the signal travels back up the purkinje fibres

132
Q

state the order of the conduction pathway

A
  1. sa node
  2. internodal bundles
  3. AV node
  4. AV node bundle ( branches into 2 )
  5. Purkinje fibres
133
Q

lubb?

A
  • when the av valves first snap shut , the sound heard is called lubb
134
Q

dupp?

A

when the semi lunar valve snap shut we get the second sound called dupp

135
Q

why is there a pressure difference between the arteries and vein?

A

this allows the blood to be moved around the body - the difference is the driving force for blood flow

136
Q

what happens when the “blood flows in”?

A
  • it fills the arteries
  • increases the arterial blood volume
  • raises the arterial pressure
137
Q

what happens when the “blood flows

“ out?

A
  • drains in the veins
  • decreases the arterial blood volume
  • lowers the arterial pressure
138
Q

what is the arterial blood volume and pressure determined by ?

A

The balance between the blood flowing in and out

139
Q

whats the equation for MAP

A

MAP= CO x TPR

140
Q

Equation for CO

A

CO= SV x HR

141
Q

what does stroke volume stand for

A

contraction strength

142
Q

what does heart rate stand for?

A

contraction speed

143
Q

what are baroreceptors?

A

they are stretch receptors which sense a change in the stretch in the arteries as if the blood pressure increases, the arteries expand a little bit. They are continuously signalling the brain how the pressure is in the artiers

144
Q

where are baroreceptors heavily concentrated ?

A

Aortic arch and carotid artery

145
Q

what is the afferent input to maintain the MAP?

A

from periphery baroreceptor

146
Q

what does the sympathetic system do?

A

hardwired into the sa node, it tells the heart to fo contract faster hence, more calcium is released so more cross brdges are formed and hence a stronger contraction

147
Q

what does the parasympathetic system do?

A

it tells the av node to put longer pauses, hence slowing thr signaling

148
Q

why is high pressure in the blood vessels good?

A

it allows full control of the blood

149
Q

name the order of vessels as the MAP decreases?

A

aorta, elastic, muscular arteries, arterioles, capillaries, venules,

150
Q

how is the flow split up?

A

the flow splits up by the arterial circuits being in parallel with each other

151
Q

why is the flow split up?

BDE

A

this allows to control the blood flow as it needed to meet the metabolic demand, as if were exercising more blood can be flowed to the muscles, skin and heart

152
Q

during exercise where is the decreased blood flow?

A

GI and kidney

153
Q

during exercise where is the increased blood flow?

A

heart
muscle
skin

154
Q

What is TPR?

A

it is the resistance of our blood vessels that allow the blood to drain into the capillaries

155
Q

in the muscle increased flow means decreased…

A

resistance

156
Q

what is the relation of the radius and resistance ?

A

The bigger the radius the less resistant it is on the blood

157
Q

what is the process of vasodialtion?

A

the process of relaxing the smooth muscle around the vessel so the vessel is able to get larger and hence making the arteriole bigger, so more blood flows

158
Q

what is the process of vaso constriction?

A

the process of contracting the smooth muscle around the blood vessel so we can constrict the amount of blood flowing through it. i.e when exercising we need to constrict the blood flow tot the GI

159
Q

what is the equation of resistance and radius

A

resistance = 1/r^4

160
Q

where is most of the blood found?

A

systemic veins

161
Q

define complaince?

A

the extent to which a vessel allowed deformation in response to an applied force

162
Q

are veins or arteries compliance ? why?

A

veins are compliance as they have a shit wall hence the shape of veins is easily distorted which allows more blood to flow

163
Q

equation for compliance?

A

compliance = v/p

164
Q

what is a survival valve?

A

we associate this with the veins as in an emergency the veins are able to give blood to the arteries it is losing blood

165
Q

what is venoconstriction?

A

we constrict the veins so blood can be pushed into the heart and into the arteries

166
Q

what is the starlings law of heart

A

the more stretched muscle fibres are before contraction, the stronger the contraction so the greater the return of venous blood back to the heart, the greater the blood is pushed into the arteries

167
Q

what are the functions of the blood

A

transport
coagulation
immune response

168
Q

what does transport include?

A
  • gases
  • nutrients
  • water
  • hormones
169
Q

what is coagulation?

A
  • this is to prevent bleeding

transporting platelets and coagulation factors to the areas of a bleed

170
Q

what is comprised of the plasma

A
  • plasma proteins
  • other solutes
  • water
171
Q

what forms the formed element

A
  • platelets
  • white blood cells
  • red blood cells
172
Q

hematopoiesis ?

A

the process of formation of of blood cells

173
Q

hemocytoblasts ?

A

these are progenitors for all blood cells

174
Q

where are hemoctyoblasts stored ?

A

in the red marrow in the bones

175
Q

erythropoietin (EPO)

A

is a molecule which tells hemocytoblasts to produce red blood cells which leads to firing up a specific pathway

176
Q

what is the shape of RBC and why are they shaped like that?

A

they are biconcave disc shaped. This allows for them to have

  • a larger surface area to volume ratio
  • allows for efficient diffusion for gases
  • flexibility for movement through narrow capillaries
177
Q

characteristics of red blood cells

A
  • contain large amounts of hemoglobin
  • one-third weight of RBC
  • uses iron as part of the heme structures
  • 4 heme units, so each hemoglobin can bind 4 oxygen molecules
178
Q

what is hematocrit?

A

is the fraction of your blood which is composed of red blood cells

179
Q

anemic?

A

associated with iron defiency and since iron is needed to bind heme groups, the blood will be carrying less oxygen

180
Q

polycythemic?

A

to many red blood cells so crowding out in the plasma that means the blood is getting thick, hence difficult to push the blood around due to an increase in the resistance due to thickness. Hence need to provide extra force to push the blood increasing the blood pressure .