Respiratory + Cardiovascular System Flashcards

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1
Q

What is the reason for extensive branching in the lungs

A

Increases surface area for gas exchange

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2
Q

Why are alveolus covered in surfactant

A

Lowers the surface tension fo the alveoli and facilitates gas exchange
Reduced surface tension allows them to remain inflated when the lung is compressed during exhalation

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3
Q

What prevents lungs from collapsing, what causes them to collapse

A

Pressure differential between the intrapleural space and the lungs
When air enters the intrapleural space the lung collapses because the pressure inside increases

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4
Q

What is negative pressure breathing

A

When we inhale the diaphragm moves down and the volume of the thoracic cavity is increased causing a reduced pressure compared to the external environement so they fill with air

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5
Q

How is alveolar gas exchange considered passive diffusion

A

In the lungs the partial pressure of oxygen is higher than in the deoxygenated blood so O2 diffuses into the capillaries until equilibrium is reached
In the lungs the partial pressure of carbon dioxide is lower than that of deoxygenated blood so the CO2 diffuses into the alveoli

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6
Q

What are the 5 functions of the lungs

A

Gas exchange
Thermoregulation
Protection against disease and particulate matter
Acid base regulation

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7
Q

Be able to trace a simplified circulatory pathway in your head

A
Vena cava to right atrium 
through tricuspid valve to right ventricle 
Pulmonary artery to lung
Pulmonary vein the left atrium 
Left atrium to left ventricle 
Aorta into the body
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8
Q

Systole vs diastole

A

Systole - ventricles contract

Diastole - ventricles relax

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9
Q

Difference between arteries, arterioles, and capillaries

A

Arteries move blood and are innervated by the SNS
Arteriolies have more smooth muscle and are most involved in regulating blood pressure
Capillaries have no smooth muscle but very large surface area used for nutrient and gas exchange

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10
Q

Explain microcirculation***

A

Along a capillary the osmotic pressure DOESNT CHANGE and the hydrostatic pressure DECREASES
At first hydrostatic pressure is greater and so the fluid flows out of the capillary into the interstitium
At then venule end hydrostatic pressure is less so there is a net flow of fluid back into the capillary
About 10% of fluid is lost to the interstitium which travels to the lymphatic system

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11
Q

How are veins and venules different from ateries and arterioles

A

Lumen is larger and less smooth muscle so less pressure

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12
Q

How does blood velocity change according to surface area

A

Decreases from arteries (smallest surface area) to capillaries (largest surface area)
Increases in veins

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13
Q

How does blood pressure change

A

Decreases from arteries to capillaries (larger surface area) then constant in the veins

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14
Q

How is oxygen transported

A

Hemoglobin which contains 4 heme groups that can bind to one molecule of oxygen
Binding of oxygen at the first heme group induces a conformational change which facilitates the binding of more oxygen at the other heme groups called cooperative binding

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15
Q

Difference between cooperative non cooperative and negative cooperativity

A

Positive - binding of ligand is enhanced if other ligands already present n >1
Noncooperative - only has one binding site n = 1
Negative cooperativity - binding of subsequent ligand occurs with less affinity n <1

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16
Q

What happens to the ph when lots of CO2 is present in the body

A

Decreases due to more hydrogen ions that are produced

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17
Q

How is carbon dioxide transported in the body

A

Carbon dioxide in the peripheral tissue diffuses into the erythrocyte to combine with water and form carbonic acid
Dissociates into bicarbonate ion and hydrogen ion
Bicarbonate goes to lungs
HCO3 reassociates with H in the erythrocyte to form carbonic acid and then CO2 and water
Basically goes from carbon dioxide to hydrogen and bicarbonate so ph decreases

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18
Q

Explain the Bohr effect

A

When high concentrations of CO2, H and HCO3 form
The H ion binds to hemoglobin releasing O2 in the peripheral tissue
The hemoglobinH picks up CO2

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19
Q

How does CO2 travel through the blood

A

Either as bicarbonate (80%) or bound to hemoglobin (20%) **

20
Q

What would shift the hemoglobin dissociation curves for oxygen right (less bound oxygen)

A
Increased CO2 (want to get more O2 into tissues)
Decreased pH 
Increased temp 
Exercise 
Peripheral tissues
2,3 DPG - increases at higher altitudes
21
Q

What would cause a hemoglobin dissociation curve for oxygen to shift left (more bound oxygen)

A
Decreases CO2
Increased pH
Decreased temp
In the lungs
Fetal hemoglobin has a higher affinity for oxygen 
Carbon monoxide
22
Q

How if myoglobin different from hemoglobin

A

Single polypeptide chain with only one heme group so it cants participate in cooperative binding
So has a hyperbolic oxygen dissociation curve
Only found in muscle tissue

23
Q

Describe the shape of hemoglobin oxygen dissociation curve vs myoglobin

A
Hemo = S shaped 
Mayo = hyperbolic
24
Q

Describe passive vs active exhalation

A

Passive - relaxation of diaphragm is enough for lungs to contract and air to flow in
Active - intercostal muscles involved

25
Q

How are the lungs involved in the innate immune system

A

Ciliated cells
Goblet cells secrete mucus
Antibiotic proteins called defensins are secreted

26
Q

How is respiratory system part of thermoregulation

A

Capillary beds in nasal cavity and trachea can vasodilate when hot so more blood passes through and therefore more heat released
Think of a dog panting because they cant sweat

27
Q

What happens if blood is alkalemic

A

Reducing the rate of respiration allow carbon dioxide to build up and re-acidify the blood

28
Q

What are the 3 components of blood

A

Plasma - has as whole bunch of hit water proteins hormones etc
Buffy coat - contains white blood cells and platelet
Hematocrit - red blood cells

29
Q

How does changing plasma volumes affect hydration and blood pressure

A

Increases plasma volume - high blood pressure

Low volume - dehydration

30
Q

How is plasma volume regulated by the endocrine system

A

Aldosterone increase sodium reabsorption
ADH increases water reabsorption
Atrial natriuretic peptide decreases sodium reabsorption

31
Q

Explain erythrocytes function, formation, structure

A

Carry oxygen to tissues and carbon dioxide to lungs
Created in bone marrow in response to erythropoietin
Lose their membrane bound organelles

32
Q

What are the consequences of red blood cells losing organelles

A

They have anaerobic metabolism and only like 100 days

Have a bioconcave shape so they can travel more efficiently and it increases the surface area

33
Q

Explain what the ABO blood type system demonstrates and how it effects blood donation
Think about what this means for who can donate to who

A

Co dominance
The blood type you have is what antigen you express so
Blood type A would have A antigens and B antibodies
O is the recessive phenotype and has no A or B antigens but has antibodies to both

34
Q

Explain the Rh factor of blood

Relate it to a mother and fetus

A

Single antigen that is either present or it isn’t
If someone is + they can accept from anyone because they dont make antibodies against it
If someone is - they can donate to anyone but cant accept from Rh + because they will have antibodies to it

35
Q

Mnemonic to remember the valves in the heart

A

LAB RAT
Left atrium bicuspid
Right atrium tricuspid

36
Q

Function of arteries, veins, and capallaries *** this is an easy concept but counts for points on the mcat

A

Arteries move blood away from the heart ie. pulmonary artery deoxygenated blood
Veins move blood to the heart ie pulmonary vein oxygenated
Capillaries is where gas exchange takes place

37
Q

Explain why arteries have thick walls and veins have thin

A

Arteries carry high pressure blood

Veins carry low pressure blood and require valves to go against gravity

38
Q

What type of junctions are in cardiac muscle

A

Gap this allows the action potential to move from SA node throughout the heart

39
Q

Using the modified pouiselles law to describe how radius affects pressure in the circulatory system

A

Resistance is inversely related with radius to the fourth power
As blood flows from arteries to arterioles to capillaries the TOTAL RADIUS increases and thus the resistance (pressure) drops dramatically

40
Q

What do you mean the radius increases from arteries to arterioles!

A

An artery branches out into thousands of capillaries

The total cross sectional area increases dramatically looking at the system as a whole

41
Q

How is the continuity equation a1v1=a2v2 used to predict blood flow
Does blood move faster in arteries or capillaries

A

Applied directly when considering an artery narrowed by plaque
But if comparing artery to capillary must consider all the capillaries fed by an artery
Thus blood flow slows down in capillaries allowing time for gas exchange

42
Q

Compare pressure between arteries, veins etc

A

Aorta > arteries > arterioles > capillaries > venues > veins > vena cava

43
Q

Can you use bernoullis law for blood

A

Only is question tells us blood is ideal or you have a good reason to neglect viscosity and friction

44
Q

Describe the cooperative binding of hemoglobin**

A

When the first heme (of 4) in the hemoglobin molecule binds with oxygen it facilitates subsequent binding

45
Q

Distinguish between the T and R form of hemoglobin

A

T - tense - has low affinity for oxygen

R - relaxed - high affinity for oxygen

46
Q

Explains shifts in the oxygen hemoglobin dissociation curve and why they happen to a friend

A

See sheet