Topic 1 Flashcards
Why do mammals and other large organisms need a circulation system?
Because they are too large for diffusion alone to be an effective method of supplying the molecules needed to stay alive (e.g. glucose for respiration) + removing waste
How does the surface area to volume ratio affect how substances enter/leave an organism?
In organisms with a small surface area to volume ratio, substances + water can enter and leave by diffusion + osmosis
What size surface area to volume ratio might a small organism have?
What size surface area to volume ratio might a large organism have?
Small organisms have a large surface area to volume ratio
Large organisms have a small surface area to volume ratio
What 3 properties make water a good solvent for transporting susbtances + CO2 around the body?
It is a polar molecule
It is a liquid at RTP
It easily dissolves molecules held together by ionic bonds
What is a polar molecule?
A molecule with an uneven charge distribution
One end is slightly positive (𝛿+) and the other is slightly negative (𝛿-)
Explain why water is described as a dipolar molecule
Because the oxygen end is negatively charged and the 2 hydrogen ends have a positive charge
Why is water a liquid at room temperature?
Because seperate water molecules are held together by hydrogen bonds
These are formed by the electrostatic attraction between the polar molecules
Why is water able to dissolve molecules held together by ionic bonds?
Because they are ‘pulled apart’ by the water molecules which then surround them
This is able to happen as water molecules are charged because they are polar so are attracted to the charged ions
Aside from molecules held together by ionic bonds, what other molecules can water dissolve?
Other polar molecules
e.g. Sugars + amino acids
Describe the sturcture + corresponding function of arteries
Relatively thick walls - withstands high bp
Smooth muslce - alters diamter of lumen to vary blood flow
Elastic fibres - Allow walls to stretch when blood is pumped into the artery then recoil behind it, smoothing blood flow
Lined with smooth layer of endothelial cells - low friction surface to ease flow of blood
Narrow lumen - maintains high bp
Describe the structures + corresponding functions of veins
Relatively thin wall - blood under low pressure (so thick wall not needed)
Very little smooth muscle/elastic fibres - no pulse of blood so no need to stretch + recoil
Wide lumen - carries large volume of blood + acts as ‘blood reservoir’
Valves - stop backflow
Describe the structures + corresponding functions of capillaries
Very thin wall (1 cell thick) - allows rapid exchange between blood + tissues
How can the materials that make up arteries, veins, and capillaries be compared?
Arteries + veins are made of the same tissues but in different proportions
Capillaries only have an endothelium
Draw diagrams to show the structure of arteries, veins, and capillaries
Explain why the mammalian heart has 2 sides
2 sides allow oxygenated and deoxygenated blood to remain seperate. This allows as much oxygen as possible to be carried to cells
Having 2 sides also allows having a different amount of muscle on each side. This means there can be a higher pressure on one side (pumping blood around the body) compared to the other (puming blood to the lungs)
Label the diagram of the heart shown below
Also label the apex (bottom) of the heart + the septum (wall seperating sides)
Could also label the tendinous cords that support the semilunar valves
What are the names of the artieries that carry oxygenated blood to the neck + head?
Cartoid arteries
What is another name for the artioventricular valve in the right side of the heart?
The tricuspid valve
What is another name for the atrioventricular valve in the left side of the heart?
The bicuspid valve
Describe the events of the cardiac cycle in the left side of the heart
N.B. the events are the same on the right side and happen at the same time. The only difference is where the blood comes from/goes
Blood drains into the left atrium from the lungs along the pulmonary vein
Raising of the blood pressure in the left atrium forces the left atrioventricular valve open
Left atrial systole forces more blood through the valve
As soon as left atrial systole is over, the left ventricular systole begins
This forces the left atrioventricular valve closed + the left semilunar valve open. Blood then leaves the left ventricle though the aorta
Describe what is happening in terms of the contraction of the heart at each point shown on the image.
Explain how the pressure in the heart also changes at these points
B: Ventricle starts to contract, ventricular pressure greater than aortic pressure so atrioventricular valve clsoes
C: Pressure in ventricles now greater than in aorta so semilunar valve opens
D: Ventricular pressure now lower than aorta so semilunar valve closes
E: Ventricular pressure now lower than atrial pressure so atrioventricular valve opens + blood flows into ventricle
F: Blood still draining into atria + moving into ventricle
What causes the formation of a blood clot?
Damage to a tissue
What is atherosclerosis?
Disease than leads to CHD + strokes
Caused by fatty deposits (atheroma) that either directly block artery or increase its chance of being blocked by a blood clot
Describe the possible health effects of having an atheroma
Increased blood pressure - causes damage to kidneys, retina, + can cause strokes
Aneurysm - Increase bp caused by atheroma can lead to bursting of artery + internal bleeding
Angina - Chest pain felt during excerise. Caused by reduced blood flow to heart due to narrowing of coronary arteries
Heart attack - Blockage of coronary artery, usually by a clot, causing part of the heart to become starved of oxygen + die
Stroke - Interruption to blood supply of brain which can cause paralysis or death
Describe the stages that lead to the formation of an atheroma
Endothelial damage/dysfunction (e.g. caused by smoking or high bp)
Leads to an increased risk of blood clotting in artery but also an inflammatory response. White blood cells move into the artery wall.
Cholesterol builds up, leading to the formation of an atheroma
The build-up of calcium salts + fibres leads to plaque formation
This causes the narrowing of the artery + loss of elasticity
Blood pressure is raised (thus increasing risk of endothelial dysfunction!)
It’s important that a blood clot doesn’t form in the wrong place or at the wrong time.
How is this prevented?
A number of (clotting) factors have to be present for a blood clot to be able to form
Describe the sequence of the clotting cascade
When platelets come into contact with the damaged tissue they stick together forming a ‘plug’
Thromboplastin (a protein) is released from the damaged tissue + platelets
This causes insoluble prothrombin in the plasma to be converted into soluble thrombin if there are Ca2+ and vit. K present
Thrombin triggers the conversion of soluble fibrinogen to insoluble fibrin which forms a mesh trapping more platelets + red blood cells, thus forming a clot.
What is risk?
The probability of an unwanted event/outcome occuring
What can cause people to overestimate risk?
Involunatary (e.g. being a passanger in a plane as opposed to driving a car)
Dreaded
Not natural
Unfair
Unfamilliar
Very small
Why do people tend to judge the risk of heart disease poorly?
Their own experience carries more weight than statistics
Inability to assess risks well
Peer pressure - e.g. alcohol consumption + smoking when young
The idea that if something is destined to happen then its unpreventable (karma…)
The remoteness of the likely consequences (e.g. having a stroke is hard to imagine)
Give the risk factors for CVD and explain why they increase risk
Diet - correlation between dietart habits + CVD levels. e.g. lipoprotein + salt levels. Could be causal, especially for blood cholesterol levels
Smoking - chemicals in smoke physically damage artery linings + cause them to constrict
Sex - oestrogen gives some protection before menopause
Age - Elasticity + width of arterues decreases with age
Inactivity - Regular exercise decreases CVD risk by reducing bp + raising HDL levels
Genetics - can inherit high bp, poor cholesterol metabolism, easily damaged arteries, relative HDL:LDL levels in blood
High blood pressure - makes damage to endothelium + atherosclerosis more likely
What does correlation mean?
That a change in one varible is accompanied by/corresponds to a change in another
Doesn’t mean there is a causation
What is causation?
When the change in one variable causes the change of another
If this is the case the variable are said to be causally linked
What is an epidemiologist?
A scientist who carries out research on patterns of disease/health risks in populations to determine what the risk factors are
Also establish whether there are any correlations in data sets + if there might be a causation as well
What are the 2 main types of study?
Cohort studies
Case-control studies
What are the features of a cohort study?
Follow a large number of people over an extended period of time
Subjects are monitored to see if they develop the condition
Cohort then divided into groups - those with + without condition
Subjects interviewed to assess their risk factors
Correlation between risk factors + development of condition looked for