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Chapter 19 Reading Assignment

front 1

Blood vessels are ___

back 1

Dynamic anatomical structures that maintain efficient blood flow via a variety of fascinating physiological processes

front 2

Sort these vessel types in the order of blood flow, starting with those that first carry blood away from the heart and finishing with those that eventually return blood to the heart

back 2

- Arteries

- Arterioles

- Capillaries

- Venules

- Veins

front 3

Arteries

back 3

Carry blood away from the heart and branch into progressively smaller structures

front 4

Arterioles

back 4

The smallest of the structures and deliver blood to capillaries

front 5

Capillaries

back 5

Gets blood from arterioles which serve the organs and tissues of the body (systemic circuit) or the lungs (pulmonary circuit)

front 6

Venules

back 6

Collect blood from capillary networks and then converge to form progressively larger structures, the veins

front 7

Veins

back 7

Eventually return blood to the heart

front 8

Arteries carry oxygenated blood, veins carry deoxygenated blood

back 8

Systemic circuit

front 9

Arteries carry deoxygenated blood, veins carry oxygenated blood

back 9

Pulmonary circuit

front 10

Arteries and arterioles carry blood ___ from the heart

back 10

Away

front 11

Veins and venules carry blood ___ the heart

back 11

Toward

front 12

Which blood vessels carry oxygenated blood?

back 12

- Pulmonary veins

- Systemic arteries

front 13

Arrange the layers of a blood vessel wall, from superficial to deep

back 13

- Tunica externa

- Tunica media

- Tunica intima

front 14

What is the likely problem the patient is suffering from (pain is excruciating and tearing)?

back 14

Aortic dissection (tearing)

front 15

Tunica intima (tissue type)

back 15

Simple squamous endothelium

front 16

Tunica media (tissue type)

back 16

Smooth muscle and elastic connective tissue

front 17

Tunica externa (tissue type)

back 17

Collagenous connective tissue

front 18

Aorta and its principle branches are considered to be

back 18

Elastic arteries and conducting arteries

front 19

Why must the aorta and its branches be able to stretch and recoil so readily?

back 19

The arteries must be able to stretch when pressure rises during the ventricular systole and then recoil when the pressure stops during ventricular diastole.

If vessels were to harden and lose the ability to stretch and recoil, resistance to blood flow would be much greater.`

front 20

Elastic arteries-

back 20

- The largest

- Contains the highest proportion of elastic connective tissue

front 21

Muscular arteries-

back 21

- Medium sized arteries

- Have a greater proportion of smooth muscle than the other arteries

front 22

Arterioles-

back 22

- Smallest of the three

- Have all three tunics

front 23

Which arteries are most directly responsible for controlling the amount of blood entering individual capillary beds?

back 23

Arterioles

front 24

Autoregulation

back 24

Occurs through mechanisms that are activated in response to changes in local tissue demands

2 categories: metabolic and myogenic responses

front 25

Metabolic respones

back 25

- Adjust blood flow based on the specific demands of local tissue

Ex: endothelial cells of tunica intima produce and release strong vasodilators and vasoconstrictors. NO and endothelins are constantly produced and released; metabolic demands occur by adjusting the balance between the two mediators.

front 26

Myogenic responses

back 26

- Occur reflexively within the smooth muscle of the tunica media

- Prevents over or under delivery of blood to the tissues

Ex: stretch, associated with increased pressure, causes vascular smooth muscle to contract, while decreased pressure and stretch causes it to relax. Arterioles avoid large changes to their diameter as systemic blood pressure fluctuates

front 27

Elastic arteries

back 27

These arteries are closest to the heart and have relatively larger lumens than other arteries

front 28

Muscular arteries

back 28

These arteries have the thickest tunica media of any vessel type

front 29

Arterioles

back 29

These arteries can be so small that their wall is only an endothelium and a thin layer of smooth muscle fibers

front 30

What would be the effect of capillaries with diameters less than 5 micrometers?

back 30

The capillaries would quickly plug with red blood cells, making them ineffective in delivering nutrients to tissues.

front 31

Only the tunica intima is present in ___

- Tunica media and tunica externa are absent

back 31

Capillaries

front 32

Capillaries have ___ ___ that make them even more permeable, facilitating the movement of fluid and small solutes between the blood and interstitial fluid

back 32

Intercellular clefts

front 33

Continuous capillaries

back 33

- The most common and widely distributed type of capillary

- Completeness of their endothelial lining

- Do not contain pores, have tight junctions

- Have pinocytotic vesicles that increase the permeability of continuous capillaries by allowing the movement of fluid and solutes across the capillary wall through endothelial cells

- Specialized to be less permeable

front 34

Fenestrated capillaries

back 34

- Endothelial cells are dotted with pores, or fenestrations that more readily allow the passage of fluid and larger molecules

- More permeable

- Fenestrations

- Small intestine, kidney glomeruli, certain endocrine organs

front 35

Sinusoid capillaries

back 35

- Permeability exceeds that of the fenestrated type

- Serve bone marrow, spleen, and liver

- Large fenestrations and a discontinuous basement membrane

- Tight junctions are more incomplete, creating larger intercellular clefts

front 36

Arrange the capillary tubes in order from the most to least permeable

back 36

- Sinusoid capillaries

- Fenestrated capillaries

- Continuous capillaries

front 37

Portal system

back 37

An arrangement of vessels through which blood collected from one set of capillaries passes through a large vessel (or vein) to a second set of capillaries before returning to the systemic circulation and passing through the heart

front 38

GI tract to liver- portal system

back 38

Capillary blood from GI tract passes through the hepatic portal vessel vein to a second capillary bed in the liver

- Portal blood flow allows the liver to immediately monitor, detoxify, and adjust the materials absorbed in the intestine prior to release into the general venous circulation

front 39

Hypothalamus to the anterior pituitary- portal system

back 39

Hypothalamaic neurons secrete releasing hormones into a capillary bed of the infundibulum that drains into a portal vessel that carries this blood to the anterior pituitary, which itself is drained by a second capillary bed into the general systemic circulation

- Provides intimate and specific chemical signaling between these two important homeostatic regulatory structures

front 40

Glomerulus capillary bed with the nephron of a kidney to the peritubular/vasa recta capillary beds also within the kidney- portal system

back 40

Blood is filtered by a capillary bed inside the glomerulus and then the same blood passes through the peritubular/vasa recta capillary bed surrounding nephrons

front 41

Maternal placenta capillaries to the capillaries of the developing fetus-portal system

back 41

Maternal placental capillaries exchange nutrients with blood that then passes through fetal capillaries

front 42

How does the presence of large fenestrations within sinusoids affect the movement of cancerous cells or bacteria?

back 42

It makes the movement of bacteria or cancer cells easier throughout the body. This is one of the drawbacks of this type of arrangement.

front 43

Continuous capillary location

back 43

Skin

front 44

Fenestrated capillary location

back 44

Small intestine

front 45

Sinusoid capillary location

back 45

Bone marrow

front 46

Capillaries are typically organized as branching networks of vessels called ___ ___

back 46

Capillary beds

front 47

Arterial capillaries

back 47

True capillaries arising from the metarterioles

front 48

Venous capillaries

back 48

True capillaries emptying into the thoroughfare channel

front 49

Microcirculation

back 49

Flow of blood from a terminal arteriole to a postcapillary venule through the capillary bed, is regulated by the precapillary sphincters in response to nervous input and local metabolic demands

front 50

Which feature of the capillary wall results from incomplete tight junctions?

back 50

Intercellular clefts

front 51

Venules

back 51

The smallest of the vessels carrying blood back toward the heart after it has passed through capillary networks

- Have very thin walls; walls of postcapillary venules are thin enough to allow passage of fluids and to readily permit the movement of leukocytes by diapedesis

front 52

Venules converge to form larger vessels called ___

back 52

Veins

- They have larger lumens and thinner walls than are arteries

front 53

Thickest layer of a vein is ___

back 53

Tunica externa

front 54

Veins can be though of as ___ ___ and are often called ___ ___

back 54

Blood reservoirs; capacitance vessels

front 55

Which vessel types may be porous enough to allow diapedesis?

back 55

Capillaries and venules

- Capillaries are the most permeable type of blood vessel. Postcapillary venules have walls that are thin enough to allow diapedesis.

front 56

Venous valves

back 56

Ensure a undirectional flow of blood

front 57

What would be the impact on venous physiology if the tunica media had many smooth muscle cell layers?

back 57

You would lose venous compliance and the ability of the veins to store extra blood. This would increase the amount of blood within the arterial side of the circulatory system, and hence blood pressure.

front 58

Varicose veins

back 58

Result from failure of the venous valves, which allows blood to back-up and pool in the peripheral veins of the legs

front 59

Explain the function of venous valves

back 59

In veins, valves ensure that blood flow is unidirectional despite being under low pressure

front 60

Are the effects of gravity the same in the body when a person is swimming compared with standing or with lying down?

back 60

No, when swimming, people are at neutral buoyancy, minimizing the effects of gravity

front 61

What is the likely problem the patient is suffering from (lips blue, no pulse in right leg, hairdresser)?

back 61

Deep vein thrombosis

front 62

Anastosomes

back 62

Specialized connections between blood vessels that permit alternate routes of blood flow

front 63

Arterial anastosomes create ___ ___ that provide multiple, additional pathways for blood delivery

back 63

Collateral channels

front 64

Arteriovenous anastosomes

back 64

Direct connections between arterioles and venules, which are primarily controlled by the sympathetic nervous system

front 65

Blood flow (F)

back 65

The volume of blood per unit of time moving through a vessel, tissue, organ, or the entire circulation, F is the same as cardiac output (CO), which is the amount of blood pumped by either ventricle each minute

- Blood flow between two points in the circulation is directly proportional to the difference in pressure

front 66

Blood pressure (BP)

back 66

- Form of hydrostatic pressure

- Is the force exerted onto a given area of the vessel wall by the blood contained within the vessel, and is measured in mmHG

front 67

Resistance (R)

back 67

Friction encountered by blood that impedes its flow

front 68

Briefly describe the relationship between blood flow, blood pressure, and resistance using the formula discussed. What is the relationship between flow and pressure? What is the relationship between flow and resistance?

back 68

Flow (F) varies directly with the difference in pressure (delta P) and inversely with resistance (R). As delta P increases, F increases; as R increases, F decreases.

front 69

If the viscosity (thickness) of a fluid moving through a tube were to decrease, what would happen to the value of delta P?

back 69

Delta P would decrease

front 70

Peripheral resistance is ___

back 70

- Directly proportional to blood vessel length

- Directly proportional to blood viscosity

front 71

Total peripheral resistance

back 71

Used to describe the forces impeding blood flow through the systemic circulation

front 72

Laminar flow

back 72

Under normal conditions, with a constant blood vessel diameter, blood flows with laminar flow

- Blood moving within different sections of a vessel's cross-sectional diameter moves witht he same relative velocity

front 73

Turbulent flow

back 73

Abrupt change to the diameter of the vessel disrupts this continuity and causes turbulent flow

- Blood will flow at varying relative velocities in different sections of the vessel, thereby increasing resistance