S2W4 L2- Circulatory Physiology- Special Circulations- Prof Derek Steele Flashcards

1
Q

total blood flow average (CO)

A

5.8 L/min

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2
Q

why do we have coronary arteries and veins

A

heart is too large to be oxygenated by just blood passing through myocardium

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3
Q

where do right and left coronary arteries supply

A

walls of myocardium

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4
Q

where does most venous blood drain via

A

coronary sinus

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5
Q

why do the myocardial capillaries have very small max diffusion distance

A

high density
small diameter of myocytes

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6
Q

why are coronary arteries compressed during systole

A

3D structure

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7
Q

what does obstruction in coronary arteries cause

A

ischemia of tissue downstream, leads to myocardial infraction

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8
Q

what does gradual obstruction of coronary arteries cause

A

development of collateral vessels

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9
Q

why are pulmonary capillaries more susceptible to stress failure than systemic

A

they are not surrounded by supporting tissues

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10
Q

why is blood flow unevenly sitribted in lungs of an upright subject

A

pulmonary pressure higher at base than apex

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11
Q

why is there a lower resitance and higher blood flow at base of lung

A

pressure higher at base, high pressure distends vessels of microcirculation

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12
Q

what happens to the vessels of the apex during systole

A

collapse

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13
Q

what becomes the primary determinant of systemic vascular resistance during exercise

A

skeletal muscle resistance

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14
Q

which type of muscle has greater capillary density

A

slow twitch (red) greater than fast twitch (white)

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15
Q

active hyperaemia

A

increase in blood flow associated with an increase in metabolism

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16
Q

6 local changes during exercise which induce vasodilation

A

decreased O2
increased adenosine
K+
CO2
H+
NO

17
Q

something which facilitates skeletal muscle blood flow

A

vasoconstriction in other areas e.g digestive tract

18
Q

where does most of the CO to the brain go to

A

grey matter

19
Q

what arteries form circle of willis

A

basillar and carotid

20
Q

at what BP does cerebral autoregulation fail below

A

50mmHg

21
Q

effect of hypercapnea on cerebral circulation

A

vasodilation

22
Q

effect of hypocapnea of cerebral circulation

A

vasoconstriction

23
Q

symptom of tumour/ haemorrage blocking occupying skull space

A

raises intracranial pressure, restricts cerebral blood flow, increases sympathetic outflow from vasomotor centre, increases MAP to maintain cerebral perfusion

24
Q

what are the 3 main functions of skin blood flow

A
  1. heat exchanger for thermal regulation
  2. supply of nutrients to cell
  3. blood reservoir
25
Q

what are AV shunts richly supplied with

A

sympathetic nerve endings

26
Q

what are AV shunts linked to

A

temp receptors or hypothalamus signals

27
Q

result of heat on skin

A

hypothalamus reduces vasomotor tone
substances in sweat stimulate endothelial cells to release NO, further vasodilation occurs

28
Q

effects of cold on skin

A

superficial vessels contact strongly
blood bypasses capillaries via AV shunts, diverts to vital organs
rosy skin due to blood trapped in superficial capillary loops after rapid vasoconstriction