Respiratory and Circulatory systems Flashcards

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1
Q

a buildup of fluid between the layers of tissue that line the lungs and chest cavity.

A

pleural effusion

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2
Q

a collapsed lung. A ____ occurs when air leaks into the space between your lung and chest wall. This air pushes on the outside of your lung and makes it collapse

A

pneumothorax

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3
Q

utilises the contraction of several thoracic and abdominal muscles. These muscles act to decrease the volume of the thoracic cavity pushing the diaphragm further upwards into the thoracic cavity.

A

active inhalation

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4
Q

The typical exhalation caused by the relaxation of the diaphram

A

passive exhalation

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5
Q

The final part of breathing where oxygen moves from the lungs to the bloodstream

A

gas exchange

Alveoli are the site of gas exchange between the environment and the bloodstream. Oxygen moves from the alveoli to the capillaries, while carbon dioxide travels in the opposite direction.

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6
Q

What are located throughout the respiratory tract to help trap particulate matter and pathogens?

A

Cilliated cells and mucus

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7
Q

What is the final electron acceptor in aerobic respiration? What is the byproduct of aeorobic respiration?

A

Oxygen is the final electron acceptor in aerobic respiration, whereas CO2 is the byproduct

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8
Q

The blood buffer system involves what 3 substances?

A

Carbon dioxide interacting with carbonic acid and the bicarbonate ion

Blood pH must be between 7.35 and 7.45 to avoid acidemia/acidosis or alkalemia/alkalosis
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9
Q

What’s the difference between the terms acidemia and alkalemia vs acidosis and alkalosis

A

The suffix -emia refers to blood that is too acidic or basic, while the suffix -osis refers to the disease processes that result in acidemia or alkalemia

recognize the differences in these suffices for the MCAT!

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10
Q

When thinking about the blood buffer system and Le Chatlier’s principle, how could the body reduce the CO2 concentration in the blood?

What other substance can be manipulated to accomplish this goal

A

Removing H+ from the blood is a way to reduce CO2 concentration in the blood by pushing the blood buffer reaction to the right

memorizing the equation is key, as well as working to understand why Le Chatliers principle means that the various components of the equation are essentially synonymous in biological processes
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11
Q

Special nerve cells or receptors that sense changes in the chemical composition of the blood

A

chemoreceptors

chemo- refers to the chemical compisition of the blood

chemoreceptors can detect acidosis/alkalosis among other things (elevated/optimal levels of CO2 and O2 for example). Chemoreceptors can affect the respiratory rate based on their detections

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12
Q

Fill in the blank

The human body contains 4-6 liters of blood, which consists of two parts: ____ and ____

A

Plasma and cellular materials

cellular components - made of bone marrow before their relese into circulatory system
plasma - aqueos solution in which cellular components are found. Composed of water, nutrients, hormones, proteins, salt, gases and amino acids

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13
Q

Comes from the liquid portion of the blood; It is the liquid that remains after the blood has clotted

A

serum

serum = plasma - clotting factors (fibrinogen)

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14
Q

The fraction of an anticoagulated blood sample that contains most of the white blood cells and platelets following centrifugation.

A

buffy coat

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15
Q

Describe the relationship between plasma volume, hydration, and blood pressure

A

↑Plasma volume, ↑ blood pressure (if more liquid is exerted on vessel walls, it will exert more pressure)
↓ Plasma volume, ↓ BP

hydration status is linked to plasma volume

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16
Q

What hormones are related to the regulation of plasma volume?

think of hormones involved in fluid balance!

A

aldosterone, ADH (vasopressin), and atrial natriuretic peptide (ANP)

aldosterone - increases Na+ absorption in the distal colvoluted tube and collecting duct of the nephron. In presence of ADH, it drives H2O reabsorption through osmosis
ADH - acts directly on collecting duct in the nephron to increase H2O absorption
ANP - opposite of aldosterone; decreases plasma volume by decreasing Na+ reabsorption

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17
Q

What are the three categories of blood (formed) elements?

A

Leukocytes, platelets, and erythrocytes

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18
Q

Small, colorless cell fragments involved in hemostatis. They form clots and stop or prevent bleeding

A

platelets

Note for MCAT: the clotting cascade must be thouroughly regulated to avoid pathology i.e blood clots getting dislodged and stuck in vessels, causing thromboembolism

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19
Q

Erythrocytes are created in the bone marrow in response to what hormone? Where is this hormone released from?

A

Erythrocytes are created in the bone marrow in response to erythropoeitin, which is *released from the kidney*

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20
Q

What protein polymer in erythrocytes is responsible for an RBC’s ability to carry oxygen?

A

hemoglobin

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21
Q

Erythrocytes express ____ on their surface, some of which are antigens that play a role in blood typing

A

Glycoproteins

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22
Q

A type of inheritance in which two versions (alleles) of the same gene are expressed separately to yield different traits in an individual

A

codominace

ex: ABO blood typing

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23
Q

True or False

When it comes to blood typing, individuals develop antibodies against the antigens that they do have

A

False; individuals develop antibodies against the antigens that they do not have and the body attacks blood cells that have antigens that it considers foreign

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24
Q

Fill in the blanks

An individual with type A blood produces ____ antibodies and can receive blood from ____ and can donate blood to ____

A

An individual with type A blood produces Anti-B antibodies and can *receive *blood from type A and type O and can *donate blood *to type A and type AB

Individuals can receive blood from anyone that does not have antigens that correspond to the recipients antibodies! I.e, someone with type AB blood has no antibodies, thus they can receive blood from everyone but only donate to other AB folks. Someone with O blood has both anti-A and anti-B antibodies and thus cannot receive from anyone unless they also do not have A and B antigens (other O blood folks). Since people with O blood do not have any antigens, they are universal donors

25
Q

An inherited protein found on the surface of red blood cells. If your blood has the protein, you’re ____ positive.

A

Rh factor

the Rh factor is independent of the ABO typing system

An individuals blood type is based on the ABO system and the Rh system, so someone can be AB+, O-, etc

Someone with AB+ blood is a universal acceptor because they do not produce any anti-A, anti-B, or anti-Rh antibodies. O- folks are universal donors because their blood contains no relevant antigens

26
Q

name the mnenoc to help you remember the AV valves

A

LAB RAT: left atrium = bicuspid, right atrium = tricuspid

27
Q

Follow the path of blood as it moves through the heart

A
  1. Right atrium
  2. Tricuspid valve into the right ventricle.
  3. Heart beats → ventricle pushes blood through the pulmonic valve into pulmonary artery.
  4. Pulmonary artery carries blood to the lungs where it “picks up” oxygen.
  5. Blood leaves lungs to return to the heart through the pulmonary vein.
  6. Blood enters the left atrium.
  7. Drops through the mitral valve into the left ventricle.
  8. Left ventricle then pumps blood through the aortic valve and into the aorta.
  9. Aorta feeds the rest of the body through a system of blood vessels
  10. Blood returns to the heart from the body via the superior vena cava and the inferior vena cava. This blood carries little oxygen, as it is returning from the body where oxygen was used.
  11. The vena cavas pump blood into the right atrium and the cycle begins all over again.
28
Q

Name the atrioventricular valves

A

The bicuspid (mitral) and tricuspid valves

29
Q

Half-moon-shaped leaflets of endocardium and connective tissues, situated between the aorta and the left ventricle and between the pulmonary artery and the right ventricle. These valves permit blood to be forced into the arteries, but prevent backflow from the arteries into the ventricles.

the aortic and pulmonary valves fall into what category?

A

Semilunar valves

the aortic and pulmonary valves

30
Q

Low BP is clinically described as…

A

hypotension

which can cause fainting or dizziness because the brain doesn’t receive enough blood

31
Q

High BP is clinically described as…

A

hypertension

Over time, if untreated, it can cause health conditions, such as heart disease and stroke.
Eating a healthier diet with less salt, exercising regularly, and taking medications can help lower blood pressure.

32
Q

What are the three major types of blood vessels?

A

Arteries, capillaries, and veins

33
Q

Blood vessels that move blood away from the heart

A

artery

34
Q

Tiny blood vessels where gas exchange occurs

A

capillaries

35
Q

Blood vessels that move blood back towards the heart

A

veins

36
Q

Fill in the blanks

After moving through the capillaries, deoxygenated blood (in systemic circulation) moves into the ____, which drain into the ____, which then gather into the venae cavae before returning to the heart

A

After moving through the capillaries, deoxygenated blood (in systemic circulation) moves into the venules, which drain into the veins, which then gather into the venae cavae before returning to the heart

37
Q

A thin membrane that lines the inside of the heart and blood vessels. ____ cells release substances that control vascular relaxation and contraction as well as enzymes that control blood clotting, immune function and platelet adhesion.

A

endothelium

38
Q

The endothelium function is related to what conditions?

A
  • Inflammation
  • Vasodilation/constriction
  • Blood clotting
  • angiogenesis
  • hypertension
  • antherosclerosis
  • diabetes complications

be familiar with the gist of these ideas

39
Q

Generates action potentials that causes the upper heart chambers (atria) to contract. Via gap junctions, the action potential can propogate through cardiac tissue, causing contractions. The signal passes through the AV node to the lower heart chambers (ventricles), causing them to contract, or pump.

The pacemaker of the heart

A

Sinoatrial (SA) node

40
Q

After SA node initiates action potential that triggers the atria to contract, the signal passes through this structure. The ____ then allows action potentials to pass through to the ventrcles

A

atrioventricular (AV) node

41
Q

After the action potential reaches the ventricles, the ventricles must contract to push the blood out of the heart. Where is the signal sent next?

A

The signal is sent through the Bundle of His (right and left branches), and the Purkinje fibers to all of the muscle cells of the ventricles

42
Q

Transmits electrical signal from the AV node to its right and left branches

A

Bundle of His

43
Q

Specialized conducting fibers composed of electrically excitable cells. They conduct cardiac action potentials more quickly and efficiently than any of the other cells in the heart’s electrical conduction system. Act as a direct coupling between the AV node system and the ventricles.

A

Purkinje Fibers

44
Q

What is this first equation used to measure? What is the name of this equation?

RF = ΔP (can also be RQ = ΔP)
A

Resistance in Flow. This equation is Ohm's Law for fluids

| It can be used to measure blood flow in blood vessels

## Footnote

Given the two equations, we know that given constant flow, resistance (R)and ΔP are proportional to one another. Meaning, if we inrease resistance, ΔP increases too (if we maintain the same flow)

45
Q

What is the second equation used to measure? What is the name of the eqn?

A

This equation can be used to calculate the resistance . It is a form of Poiseuille’s Law

Can be used to measure resistance in blood flow

46
Q

The dysregualtion of hydrostatic pressure and oncotic pressure causing fluid buildup is identified by what medical condition?

A

Edema

47
Q

What is the name of the phenomenon that explains why when an oxygen atom binds to one of hemoglobin’s four binding sites, the affinity to oxygen of the three remaining available binding sites increases?

A

Cooperative binding

Increased affinity is caused by a conformational change, or a structural change in the hemoglobin molecule

48
Q

What can you deduce from the oxygen-hemoglobin dissociation curve?

the x-axis is the amount of O2 present in the blood, that's what partial pressure of O2 means
A
  • the more oxygen present in the blood, the more liekly Hb is to bind to O2

the partial pressure of O2 is lower in areas where exercise is happening, allowing even more oxygen to be delivered precisely where it is needed (bc lower partial pressure = less likely it will bind to Hb –> more free flowing oxygen to go to muscles, brain, etc).

49
Q

Using the bicarbonate equilibrium reaction, how does an increase in CO2 affect the pH of the blood?

A

An increase in CO2 correlates with a lower pH due to a higher concentration of H+ ions

increase in reactant (CO2) → reaction favors products (bicarb & H+)

increased CO2 → increased carbonic acid production → converted into H+ ions and bicarbonate anions → pH decreases → acidic conditions (acidosis)

50
Q

What allosterically regulates Hb, causing Hb to have less affinity for oxygen at a given partial pressure of oxygen?

A

H+

This phenomenon is called the Bohr effect

The Bohr effect describes hemoglobin’s lower affinity for oxygen secondary to increases in the partial pressure of carbon dioxide and/or decreased blood pH

51
Q

How does 2,3-biphosphoglyceric acid (2,3-BPG) affect the allosteric regulation of Hb?

A

2,3-BPG causes a rightward shift of the dissociation curve

a rightward shift reflects a lesser affinity for oxygen

be sure to understand the shifts on this graph! Also BPG can also be called DPG

Fetal Hb is less affected by 2,3-BPG. This allows fetal Hb to “take” oxygen from maternal Hb

52
Q

The enzyme that assists rapid inter-conversion of carbon dioxide and water into carbonic acid, protons and bicarbonate ions.

A

carbonic anhydrase

53
Q

On a graph, the systolic pressure would most likely represent the [highest/lowest] point on a peak

A

Highest

54
Q

The ____ of blood throguout the systemic circulatory system is determined by the heart (or LVAD) and is equal to cardiac output of the heart

A

volumetric flow rate

cardiac output = (stroke volume) x (heart rate)

cardiac output = volume of blood pumped by the heart every minute and is the product of the stroke volume

https://youtu.be/-0CXs9L9O0A

55
Q

volume of blood that is ejected from the left ventricle in one cardiac cycle

the difference in LV volume between the beginning and end of ejection

A

stroke volume

this is called a cardiac pressure volume (PV) loop graph, where the starting ejection is represented by the mitral valve closing
56
Q

If you are given a heart rate in Hertz (Hz), what are the units?

A

cyles/second

Hz is the SI unit of frequency

57
Q

Heart rate is the number of cardiac cycles per….

A

Minute

58
Q

Name the equation

Q = A x V

A

volumetric flow rate

Q = area x velocity

59
Q

There is a law that states that pressure (ΔP) drop across a pipe (or vessel) is directionally proprtional to its resistance (R).

A

Ohm’s law for flow

ΔP = Q x R where Q is volumetric rate