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711 Cards in this Set
- Front
- Back
where are the cells bodies of the facial sensory nerve
|
geniculate ganglion
|
|
where is the point of origin of the sensory facial nerve
|
taste receptors on the anterior 2/3 of the tongue
|
|
where is the desination of the sensory facial nerves
|
sensory nuclei of pons
|
|
what is the primary function of the sensory facial nerve
|
taste from the anterior tongue
|
|
somatic motor facial nerve
|
nuclei of pons to muscles of facial expression
|
|
where is the point of origin and destinationof the visceral motor facial nerve
|
nuclei of pons to innervate
|
|
where is the point of origin and desination of thvisceral motor facial nerve
|
the lacrimal gland and nasal mucous glands via the sphenopalatine ganglion... submandibular and sublingual glands via submandibular gangion
|
|
whatare the primary functions of the facial nerve
|
sensory from tongue, motor to muscles of facial expression. auonomic motor function to tear, nasal, and salivary glands
|
|
what is the loss of funciton by VII on one side of the face
|
bell's palsy virus during pregnancy
|
|
what are the branches from the stylomastoid foramen
Two zebras bit my cock painfully |
temporal
zygomatic buccal madnibular cervical posterior auricular |
|
what nerve arises from receptors in the cochlea that monitor mechanical disturbances from sound wave
|
sensory of the vestibulocochlear nerve VIII
|
|
where are the cell bodies of the sensory vestibulocochlear nerve
|
peripheral ganglion
|
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what nerve arises from receptors within the vestibuel and semicircular canals and the neurons are located in an adjacent ganglion
|
sensory of the vestibulocochlear nerved VIII
|
|
what si the destination of the sensory vestibulocochlear nerve
|
axons pass on to the vestibular and cochlear nuclei of the pons and medulla
|
|
primary funciton of the vestibulocochlear nerve
|
special sensory associated with hearing and balance
|
|
sensory portion arsies from poster 1/3 of tongue pharynx palate and carotd sinus receptors with sensory neurons in the superior and inferior ganglia and travel on to the medulla
|
sensory glossopharyngeal IX
|
|
somatic motor from the medulla control pharyngeal msucles involved in swallowing
|
somatic motor of glossopharyngeal IX
|
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motor impulses from medulla innervate the parotid salivary gland after synapsing in the optic ganglion
|
autonomic motor glossopharyngeal IX
|
|
what is the primary function of gloossopharyngeal
|
sensory from tongue palate and carotid arteries; somatic innervation fro swallowing and visceral innervation to the partotid gland
|
|
what is the mother of nerves
|
vagus
|
|
from part of the pharynx pinna of ear and external auditory canal diaphragm and visceral organs in the thoracic and abdominopelvic cavities. sensory neurons are located in the hjugular ganglion and the nodose ganglion and synapse in the medulla
|
sensory of the vagus X
|
|
msucles of the pharnx for swallowing nad larynx for vocalization
|
somatic motor of the vagus
|
|
motor impulses from medulla proceed to visceral organs as far as the distal colon
|
autonomic motor vagus
|
|
bulbar root arises within medulla, passes through jugular foramen with the vagus nerv,e and innervates the skeletal msucles of the soft palate, pharyx and larynx
|
motor accessory XI
|
|
spinal root arises fromthe first 5 segments of the spinal cord, passes through the foramen magnum where it joins with the bulbar root and passes through the jugular foramen and it innervates the sternocleidomastoid andtrapezius muscles
|
accessory XI
|
|
primary funciton is motor to pharyx laryx and neck muscles
|
acessory XI
|
|
origin and destination of hypoglossal XII
|
arise from the medulla and innervate the extrinsic and intrinsic muscles of the tongue
|
|
how many pairs of spinal nerves
|
31
|
|
how do you name cervial nerves
|
vertebrae that FOLLOWS it
|
|
how do you name thoracic
|
vertebrae that PRECEEDS it
|
|
each segment of the peripheral nerves has what kind of roots
|
dorsal and vventral
|
|
where are the posterior dorsal roots enlarge from
|
where the cells bodies of the primary sensory neurons are located: the spinal ganglion or dorsal root ganglion
|
|
the dorsal and vetnral roots will merge together to form a
|
short spinal nerve as teh fibers pass through the intervertebral forarmen
|
|
when does a spinal nerve divide into several brahcnes
|
immediately after it emerges through intervebral formaen
|
|
after emerging from the intervertebral foramen, the spinal nerve immdediately forms several branches called
|
rami
|
|
the dorsal ramus of each spinal nerve provies snesory information fromand motor innervation to a ____
|
specific region of the back
|
|
the ventral ramus of each spinal nerve supplies the relatively large ventrolateral body surface... structures of the ____ and ___
|
structurs in the body wsalls and limbs
|
|
this ramus comes off the common trunk distal to the merger of the dorsal and ventral rami and immediately reenters the spinal colmn to innervate the meminges and vertebrae and vertebral ligaments
|
meningeal ramus U turn ramus
|
|
two bracnches from each spianl nerve that connect to a sympathetic trank ganglion which is part of the ANS
|
rami communicantes
|
|
has myelinated fibers and are preganglionic sympathetic nerve fibers
|
white ramus of rami communicantes
|
|
has unmyelinated fibers are postgangionlic sympathetic nerve fibers
|
gray ramus of rami communicatnes
|
|
plexus are not where
|
T2-T12
|
|
the ventral rami of adjacent spinal nerves combine then split again as networks of nerve fibers referred to as
|
nerve plexuses
|
|
what plexus innervates the msucles of the neck and extend into the throacic cavity to control the diaphramgmatic muscles
|
cervical plexus
|
|
composed of muscular and cutaneous branches in the ventral rami of spinal nerves C1 to four and fibers from C5
|
cervical plexus
|
|
what are the fous major branches of the cervical plexus
|
cutaneous
phrenic ansa prevertebral |
|
what are the four branches of the cutaneous cervial plexus
|
lesser occipital
great auricular transverse cervical supraclavicular |
|
skin of scapl above and behind ear
|
lesser occiptial of cutaneous of cervical plexus
|
|
skin in front of aboe and below ear
|
great auricular cuatneous cervical plexus
|
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skin of anterior aspect of neck
|
transverse cervical cutaneous cervical plexus
|
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skin of upper portion of chest and shoulder
|
supraclavicular cervical plexus
|
|
innervates the diaphragm MAJOR nerve of the cervical plexus
|
phtrenic nerve cervical plexus C3-C5
|
|
combinatio nof fibers from the cervical plexus and part of XII and innervates extrinsic laryngeal msuscles
|
ansa cervicalis cervical plexus
|
|
depp msucles of neck levator scapulae trapezius calenus and sternocelidomastoid
|
prevertebral cervical plexus
|
|
larger and more complex plexus innervates the entire upper extremity of one side as well as some shoulder and neck muscles
|
brachial plexus
|
|
root contributors from C5-T1
|
brachial plexus
|
|
Real texans drink coors beer
|
roots
trunks divisions cords branches |
|
how many
roots trunks divisions cords branches |
C5-T1 roots
3 trunks 2 divisions 3 cords 5 branches |
|
what are the 5 major nerves of the brachial plexus
|
axillary
radial musculocutaneous median ulnar NERVES |
|
deltoid and terems minor msucles skin of shoulder nerve
|
axillary of brachial plexus
|
|
extensor muscles on the arm and forearm the supinator and 2 msucles that flex the elbow joint; skin over the posterolateral surface of the arm
|
radial nerve of brachial plexus
|
|
flexor muscles of arm biceps brachii and brachialis skin over lateral surfaceof forearm
|
musculocutaneous nerve of brachial plexus
|
|
pronators digital flexosrs skin over lateral surface of palm
|
median nerve of bracial plexus
|
|
flexor muscle on forearm flexor carpi ulnaris, skin over lateral surface of forearm
|
ulnar nerve of brachial plexus
|
|
this plexus innervates lower abdomen and anterior and medial portions of the lower extremity
|
lumbar plexus
|
|
what L and T compose the lumbar plexus
|
L1-4 and some from T12 only has roots and division
|
|
what are the major branches of the lumbar plexus
|
femoral nerve
obturator nerve |
|
anterior msucles o thigh skin over anterolateral thigh and medial leg and foot
|
femoral nerve of lumbar plexusw
|
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adductor msucles of thigh skin over medial thigh
|
obturator nerve of lumbar plexus
|
|
this plexus innervates the lwoer back, pelvis, perineum, posterior surface of the thigh and leg, dorsal and plantar surfaces of the foot
|
sacral plexus
|
|
what L and
S make up the sacral plexus |
L4-S4 the roots form anterior and posterior divisions
|
|
what are the three major branches of the sacral plexus
|
superior gluteal
inferior gluteal sciatic |
|
abductor muscles of thigh gluteus minimus and medius
|
superior gluteal branch of sacral plexus
|
|
extensor muscle of hip gluteus maximus
|
inferior gluteal branch of sacral plexus
|
|
innervates semimembranosus semitendinosus and beiceps femoris and splits into tibial and common peroneal or common fibular and is the largest of the sacral
|
scietic branch of sacral plexus
|
|
skin and muscles of perineum and external genitalia
|
pudendal branch of sacral plexusw
|
|
flexors of knee and plantar flexors of ankle skin ove rposterior surface of leg plantar surface of foot
|
tibial scieatiuc of sacral plexus
|
|
fibular or common peroneal; peroneal msucles, toe extensors, skin over anterior surface of leg and dorsal surface of foot
|
sciiatic fibular or common peroneal of sacral plexus
|
|
is a root exclusive?
|
yes either sensory OR motor NOT mixed
|
|
is a ramus exclusive?
|
NO can be mixed
|
|
what makes up a somatic reflex?
|
sensory neuron
interneuron motor neuron neurotrans |
|
wha are the functions of the somatic motor system
|
stretch reflex
flexor or withdrawal reflex crossed extensor reflex |
|
extend from the CNS and exert direct control over the effectos
|
somatic lower motor neurons
|
|
have cell bodies that are located outside the CNS in autonomic ganglia
|
preganglionic
|
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what are the axons of preganglionic
|
postganglionic
|
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all preganglion sympathetic fibers originate in the ventral roots of the spinal segments T1-L2 their cell bodies are located in the lateral gray horns at these levels
|
thoracolumbar division
|
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sympathetic have relation ___ preganglion fibers
|
long
|
|
all preganglionic fibers originate in the brainstem or thesacral part of the spinal cord
|
craniosacral divison (parasymp)
|
|
the ventral and dorsal roots of each spinal segment combine to form a ___
|
spinal nerve as it passes through the intervertebral foramen
|
|
cell bodies of preganglionic neurons are located in the lateral gray horns between T_ and L_
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1 and 2
|
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where do the axons of preganglionic neurons enter?
|
ventral roots at these segments and become part of the psinal nerve
|
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as it clears the foramen... branches from the spinal nerve carrying a sympathetic preganglionic fiber
|
a white ramus comunicans
|
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once the appropriate ganglion ... the preganglionic fibers ____ with the postganglionic neurons
|
will synapse
|
|
how many ganglionic neurons can a preganglionic fiber synpase
|
up to 32
|
|
are postganglionic fibers myelinated?
|
NO
|
|
what three things can a sympathetic chcanin gnaglia do?
|
synapse
ascend descend pass through |
|
can __ within the ganglion at the level of entry
|
synapse
|
|
can ___ within the sympathetic chain and synapse with a glanglia at a different level
|
ascend descend
|
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can ___ the sympathetic chain and proceed to one of the collateral ganglia or the adrenal medullae
|
pass through
|
|
serve head, extremities, body wall thoracic viscera
|
postganglionic fibers of the sympathetic chain ganglia
|
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ALL preganglionic fibers will enter this galgnion but not all of them will ___ here
|
synapse
|
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the sympathetic chain has ganglia that extends from the __ to __ region
|
cerical to coccygeal reions
|
|
postganglionic fibers from the sympathetic chanin ganglia return to EVERY peripheral nerves as....
|
gray ramus communicans
|
|
functions of the blood
|
transport
regulation protection |
|
what are the respiratory items transported by blood
|
erythrocytes red blood cells carrying oxygen and carbon dioxide
|
|
nutrients supplied by the digestive system are absobed by thte blood and lymph. The products are then carried through the liver to the body cells
|
nutritive transport of the blood
|
|
what metaolic wastes are transported by bloods
|
to elimination sites lungs kidneys liver
|
|
where are waste products transported to by the blood
|
lungs kidneys liver
|
|
how does blood regulate body temp
|
absorbs and distributes heat throughout the body
|
|
**
|
blood maintains adequate fluid and electrolyte volume
|
|
blood protects against microbes and toxins with WBC (leukocytes) complement and antibodies
|
how blood protects against infection
|
|
how does blood prevent blood loss
|
protects against blood loss with clotting factors and platelets
|
|
pH of blood
|
slightly basic 7.35-7.45
|
|
temp of blood
|
38 degrees C or 100.4 degrees F
|
|
what % of body weight is blood
|
8
|
|
how many liters of blood in a adult female? male
|
4.5 L 5-6 L
|
|
what is a unit of blood?
|
1/2 liter
|
|
what color is oxygen rich blood?
|
scarlet
|
|
what color is oxygen poor blood?
|
dark red
|
|
what is RBC formation called?
|
erythropoiesis occurs primarily in humerus femur ribs sternum pelvis and portions of the skull
|
|
how many RBS are produced per second
|
2.5 million
|
|
name the 3 granulocytes
|
neutrophils
eosinophils basophils |
|
what are the granulocytes do?
|
develop in bone marrow which stores 10-20 times more than are in the blood
|
|
the lymphocytes and monocytes, develop in marrow and migrate to lymphoid tissue- the tonsils, spleen, lymph nodes, appendix, and thymus where further differentiation occurs
|
agranulocytes
|
|
ratio fo fomed blood element volume (cells and platelets_ to the total blood volume, expressed as a percent
|
hematocrit
|
|
what is the hematocrit of females? males?
|
37-48% 42-54%
|
|
what do erythrocytes look like and why?
|
biconcanve discs that have lost their nuclei and mitochondria... liver and psleen destory them... increase surface area to exchange O2 and CO2
|
|
how many RBS in female and male cubic mL of blood
|
4.3-5.2 and 5.1-5.8 million RBC
|
|
fragments of cells, megakaryocytes. capable of ameboid movment. consitute the major portion of blood clot mass. 130,000-360,000
|
platelets
|
|
white blood cells. cubic ml contains 5,000-10,000 WBS.
|
leukocytes includes GRANULOCYTES
|
|
granules stain red with eosin. increase in number in response to parasitic infections
|
eosinophils-- increased in presence of parasite
|
|
have base loving granules. stain blue with hematoxylin contain histamine
|
basophils -- there for allergies
|
|
most common. first to response to inflammatory stimuli accounting for 54%-62% of WBC. phagocytize foreign material
|
neutrophils
|
|
lymphocytes, antibodies, cytotoxic t and helper t and killer cells are all....
|
agranulocytes
|
|
2nd most numerous WBC. some circulate. some are in lymph tissue
|
lymphocytes
|
|
what are the types of lymphocytes
|
b cells
t cells suppressor cells |
|
what produce antibodies
|
b cells lyphocytes agranulocytes
|
|
CD8+ cells that must be activated to become cytotoxic
|
seletive assassins good for cancer cells... are helper T cells lymphocytes that are agranulocyes
|
|
destroy cells that lack normal receptors. overlap with cytotoxic T cells
|
natural killer cells are lymphocytes
|
|
what percent of blood is the plasma or matrix portion of the blood
|
55%
|
|
most abundant and smallest of proteins. account for 60 % produced by the liver and give the blood the viscosity needed to maintain bloodd volume and pressure
|
albumins of the plasma ( contains blood volume)
|
|
what three things make up the plasma
|
albumins
globulins fibrinogens |
|
what are the two types of globulins of proteins of plasma of blood
|
alpha globulins beta globulins and gamma globulins
|
|
are synthesized by the liver and assist in transporting lipids, including fat soluble vitamins ADE and K
|
alpha and beta globulins
|
|
are produced by B cells ... they are the antibodies
|
gamma globulins of globulins of proteins of plasma
|
|
large proteins that play a role in clotting, the liver produces them
|
fibrinogens
|
|
what is it called when fibrinogen is removed from plasma
|
serum
|
|
what are the other components of blood
|
water inorganic salts, carbs, lipids, amino acids, hormones, and vitamins
|
|
how much the heart weigh? in females? males?
|
250 grams, 300 grams
|
|
what perc dent of the weight is the mitochondria?
|
25%
|
|
what is another name for the "receiving chambers?"
|
atria
|
|
where does right atria reeceive blood from
|
body and pumps into the right ventricle
|
|
hwere does left atria receive blood from
|
lungs (pulma) and pumps in left ventricles
|
|
where does right ventreicles pump to
|
lungs for gas exchange
|
|
where does left ventricle pump blood to
|
throughout body
|
|
what is the smallest chamber of heart
|
right atria
|
|
what is the largest ventricles of the heart
|
left ventricle
|
|
when one says that atria is small and ventricles is largest is it by muscle or volume
|
muscle the volume must remain constaint or congestive heart failure
|
|
what separates the atria from the ventricles
|
atriovewntricular
|
|
passively are the AV valves open or closed
|
open, but close when ventricular pressur is greater than atrial pressure
|
|
tri or bi on tghe right side
|
AV is tri on right side
|
|
what is another name for bicuspid
|
mitral
|
|
what separates t\he great arteries from the ventricles
|
semilunar valves
|
|
passively are the semilunar valves open o or closed?
|
closed but open when the ventricular pressure is greaeter than the arterial pressure
|
|
separates the right ventricle from the pulmonary trunk
|
`pulmonary valve
|
|
separates the left ventricle from the aorta
|
`aortic
|
|
blood pumped from right side4 of heart, oxygenated, and returned to left atrium
|
pulmonary circuit
|
|
blood pumped from left side of heart and returned to right atrium, deoxygenatid
|
systemic
|
|
chamber is relaxed
|
diastole
|
|
chamber is contracted
|
systole
|
|
loose fitting dense irregular CT that encloses and protects the heart
|
fibrous pericardium
|
|
what is the function of the fibrous pericardium
|
protects the heart
anchors it to surrounding strcures such as the diaphragm and great vessels prevents overfilling of the heart with blood |
|
serous pericardium what are the layers
|
parietal and visceral layer
|
|
lines the internal surface of the fibrous pericardium it is thin slippery serous membrane.
|
parietal layers of the serous pericardium
|
|
at the superior merginof the heart, the parietal layers attachs to
|
the large arteries and turns inferiourly over the extgernal surface of the heart as the visceral layers
|
|
continuous with the parietal pericardium, the twoo layers of the serous pericardium allow the heart to beat in a near frictionless environemtn
|
visceral layyer
|
|
what is the lub when closed
|
AV valve
|
|
what is the dub when closed
|
semilunar valves
|
|
slit like space between the 2 layers of the serous pericardium. contains a film of serous fluid
|
pericardial space or cavity
|
|
an inflammation of th pericardium which decrease poduction fo the serous fluid and roughens the membrane. can be seen as the result of chest infections like pneumonia or in autoimnybe diseases lik systemis lupus
|
pericarditis
|
|
do arters pusate
|
NO
|
|
what are the three pat os the heart wall
|
epicardium
myocargium endocardium |
|
same as the visceral pericardium
|
epicardium
|
|
infiltratred with fat especially in older people
|
depicardium
|
|
forms the great bulk of the heart (99%) consists of multiple interlocking layers of cardiac muscle tissue with associated CT blood vessels and nervers
|
myocardium
|
|
the CT fibers form a dense network called the
|
fibrous skeleton of the heart
|
|
acts as both a tendon and muscle insertion
|
fibrous skeleton of the heart of the myocardium of the hearrt wall
|
|
**
|
the myocardium is much thinner in the atria than the ventircles and the right chambers are thinner than the corresponding left chambers
|
|
the inner surfaces of the heart, including the valves are covered by simple squamous epithelium which is conn tinuous with the endothlium of blood vessls
|
qendocardium-- if scratched with yield a clot
|
|
another name for cardiac muscle cells
|
ccardiocytes
|
|
are cardiac muscle cells larger or smlaler than dkeletal muscle
|
smaller
|
|
what type of respiration are cardiocytes of the myocardium completely dependent on
|
aerobi respiration
|
|
what attaches cardiocytes to their neighbors
|
intercalated discs
|
|
what kinds of junction sare in the intercalated discs
|
desmosomes
gap junctions site of attachment of myofibrils within each cell |
|
each atrium has a protruding appendage called
|
auricles which increase the atrial volume
|
|
the walls of the atria are smooth as if they had been combed with is why they are called
|
pectinate which means combed muscles
|
|
a shallow depression in the interarial septum
|
fossa ovalis
|
|
where does the right atrium receive blood from
|
systemic blood from superior and inferior vena cava
venous blood from the myocardium returns in the coronary sinus |
|
where does the left atria receive blood from
|
four pulmonary veins
|
|
what makes up most of the mass of the heart
|
ventricles
|
|
what ar the irregulr ridges of the heart called
|
trabeculae carvaea (crossbars of flesh) of the ventricles
|
|
atria are separated by tht ethin but nmuscular interatrial septum
|
has to do with septae of the ventricles
|
|
what are the ventricles separated by
|
thick muscular interventricylar septum
|
|
the most prominent groove on the myocardium
|
coronary sulcus division between the atria and ventrices
|
|
partition between the rifght and left ventricles is reflected on the surfae of the myocardium
|
interventricular sulci anterior and posterior
|
|
what is the main function of the valves of the heart
|
prevent backflow
|
|
`cone shaped muscles that support the AV valves
|
papillary muslces ... as they contract they keep the valve cusps from everting (swinging into the atria)
|
|
heart strings
|
chordae tendinae
|
|
bundles of collagen that run from the papillary muscles to the cusps of the AV valves
|
chordae tendinae
|
|
fibrous flaps or valve leaflets
|
cusps
|
|
when the ventricle is completely relxed the vlave flas...
|
hang limpmly
|
|
when blood flows into the atria and is sentto the ventricles via ..
|
atrial contraction or systole
|
|
as the ventricle begins to contracts, pressure in the ventricles increases, and pushes the valve flaps...
|
closed
|
|
these muscles act as guy wires to anchor the flaps in the closed position. if the cusps were not anchored it would be like an umbrella blown inside out. the
|
chordae tendinae and papillary muscles-- papillary actually begin to contract before the ventricles
|
|
separates the right ventricle from the pulmonary trunk
|
pulmonary valves of the semilunar valves that separate the ventricles from the great vessels associated with them
|
|
separated the left ventricle from the aorta. after the ventricles have emptied blood into the arteries and the ventricles relax (diastole) blood is prevented from returning to them by these valves which have 3 pocket like cusps
|
aotritc vlavles of the semilunar valves
|
|
another name for white blood cells
|
leudocytes
|
|
what is teh mnemonic for leukocytes
|
never let mondeyseat bananas
|
|
what are the three granulocytes
|
eosinophils
basophils neutorphils |
|
granules stain red with eosin. increase in number in response to parasitic infections
|
eosinophils
|
|
base loving granules, stain blue with hematoxylin. contain histamine
|
basophils
|
|
most common WBC. first to response to inflammatory stimuli
|
neutrophils
|
|
what are pMNs
|
polymorphonuclear cells or neutrophiles that phagocytize
|
|
what are the 2nd most numerous WBC
|
lymphocytes
|
|
what do B cells produce
|
antibodies
|
|
what makes tissue transplants hard
|
cytotoxic t cells that must be activiated Cd8
|
|
CD4 cells
|
helper t that destroy HIV
|
|
CD4+ cells that suppress proliferation of ther t cells
|
helper t cells
|
|
destroy cells that lack normal receptros
|
NK cells
|
|
most abundant and smallest of fprotiens accounting for 60%. produced by the liver and give the blood the viscosity needed to amintain blood volume and pressure
|
albumins
|
|
what maintains blood volume
|
albumins that are most abundant and smallest proteins produced by the liver and give blood the viscosity needed to maintainblood volume and pressure
|
|
alpha beta and gama of these exist
|
globulines
|
|
are synthesized by the liver and assist in transporting lipis inluding fat soluble vitaminss aDEK
|
alpha and beta globulins
|
|
produced by B cells equal to antibodies
|
gamma globulins
|
|
which globulins are equal to antibodies
|
gamma globulins
|
|
large proteins that play a role in clotting also made by liver
|
fibrinogens
|
|
what percent of blood is plasma
|
55
|
|
fluid or matrix portion
|
plasma 55% of blood
|
|
what percent of plasma is proteins
|
8%
|
|
what are the other components of blood
|
water inorganic salts, carbs, lipids, amino acids, hormones, vitamins
|
|
how much does the heart weigh in females males
|
250 g
350 g |
|
how much of the weight of the heart is mitochondria
|
25%!!!
|
|
where does right atria recieve blood from
|
body
|
|
lub
|
AV closed due to ventricular pressure greater than atrial pressure
|
|
dub
|
semilunar
|
|
blood pumped FROm the right side of the heart
|
pulmonary circuit
|
|
blood pumped FROM the left side of the heart
|
systemic circuit
|
|
chamber is contracted
|
systole
|
|
loose fitting dense irregular CT that encloses and protects the heart
|
fibrous pericardium
|
|
what are the functions of the fibrous pericardium
|
protects the heart
anchors it to surrounding structures such as the diaphragma dn the great bessels prevents overfilling of hte heart with blood |
|
what are the layers of the serrous pericardium
|
parietal and viscereal
|
|
lines the internal surface of the fibrous pericardium. thin slippery serous membrane.
|
parietal layer
|
|
slit like space between the two layers of the serous pericadium that contains a film of serous fluid
|
pericardial space
|
|
inflammation ofthe pericardium which decreases production of serous fluid and roughens the membrane. can be seen as the result of chest infections like pneumonia or in autoimmune disease like systemic lupus
|
pericarditis
|
|
SAME as the visceral pericardium
|
epicardium
|
|
forms the great bulk of the heart. consists of multiple interlocking layers of cardiac msucle tissue with associated CT blood vessles nad nerve
|
myocardium is the vast 99%
|
|
the CT fibers of the myocardium form a dense network called...
|
fibrous skeleton o the heart. acts as both a tendon and muslce insertion place.
|
|
the inner surfaces of the heart including the valves are covered by simple squamous epithelium which is continuous with the endothelium and blood vessels
|
endocardium
|
|
another anme for cardiac muscle cells
|
cariocytes
|
|
walls posteriorly are smooth and anteriorly looked as if they have been combed
|
pectinate
|
|
shallow depression in the interatrial septum
|
fossa ovalis
|
|
venous blood from the myocardium returns here
|
coronary sinus
|
|
crossbars of flesh
|
trabeculae carnae
|
|
atria are separated by what thin but muscular layer
|
interatrial setpum
|
|
what are ventricles separated by
|
thick muscular interventricular septum
|
|
most prominnt goove on the myocardium and division between atria and ventricles
|
coronary sulcus
|
|
parition between the right and left vnetricles is reflected on the surface of the myocardium
|
interventricular sulci
|
|
cone shaped muscles that support the aV valves. as they conract they keep the valve cupss from everting
|
papillary musscles
|
|
bundles of collagen that run from papillary muscles to the cusps of the AV vlaves
|
chordae tendinae heart strings
|
|
when heart is relaxed are the ventricles open or closed
|
hang limply open
|
|
when blood is in the atria, are vnetricles closed or open?
|
contract in systole
|
|
when all valves are called
|
isobolumetric contraction
|
|
atrial systole is what fraction of the cycle
|
1/8 100 msec
|
|
ventricular systole is what fraction of the cycle
|
1/3 300 msec
|
|
quiescent period is what fraction of the cyle
|
1/2 400msec
|
|
delivers vernous blood from the head neck upper limbs and chest to the superior posterior wall
|
superior vena cava
|
|
HOW MANY pulmonary artiers
|
four
|
|
runs to left side of the heart and divides
|
left coronary artery
|
|
LAD
|
left anterior descending
|
|
anterior interventricular artery is known as
|
LAD left anterior descending artery
|
|
follows the interventricular sulvus and supplies blood to the anterior ventricles and interventricular septum
|
anterior interventricular
|
|
continues along the left atrioventricular groove to supply the left atrium and the posterior walls of the left ventricles
|
circumflex
|
|
runs to the right side of the heart in the coronary sulcus
|
right coronary artery
|
|
supplies the posterior ventricular walls and the apex of the heart, running in the pposterior interventircular sulcus
|
posterior interventricular
|
|
serves the myocardium of the lateral aparty of the right side of the heart
|
marginal
|
|
branches from the right coronary artery and supplies the cardiac pacemakers
|
nodal branchers
|
|
responsible for establishing the rat of cardiac contraction. unusual in that their membranes spontaneously depolarize to hreshold
|
nodal cells
|
|
conducting fiber distrbiute the stimulus to the general myocardium
|
nodal cells
|
|
posterior wall of the right atrium. near the ntrance of the superior vena cava
|
SA node
|
|
**
|
isolated pacemaker cells depolarize rapidly an spontaneously generate 80 to 100 action potentials per minue
|
|
what does ACh from teh postganglionic fibers do
|
parasympatetic slows spontaneous depolarization
|
|
what does sympathetic NE from postganglionic fibers do
|
accelerates the rate of depoliarization
|
|
where is the av node
|
floor of the right atrium
|
|
what happens if the AV node is knocked out
|
need a pacemaker
|
|
what conveys impulses to the ventricular myocardium
|
purkinje fibers
|
|
inexcitable period cones after a contraction when the sodium channels are inactivated
|
refractory period
|
|
what depolarizes the atrial fibers by the SA node
|
p wave
|
|
actual atrial contraction followw the blank wave by a fraction of a second
|
p wave
|
|
indicated the depoliarzation of the ventricles during thiperior blood is being ejected from the heart . the atria repolarize
|
QRS
|
|
prodcued by ventricular repolarization
|
t wave
|
|
what is atrial repolarization is hidden by this step
|
QRS complex
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
innermost part of the walls of the arteries and veins
|
tunica interna or tunica intima
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
anonher anme for tunica inerna
|
tunica intima
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
simple squamous epithelium that line arteries and viens
|
endothelial layer
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
anonther name for elatic tissue layer
|
inernal elastic membrane
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
what layer is found in the thickect arteriees contains variable amounts of connective issue adn elastic tissue in between the other TI layers
|
connective tissue layer
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
in larger arteris, termed elacsctic arteries, there are numberous layers of elastic between the concentric layers of smooth muscle
|
tunica media
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
are the walls of the tunica media thick?
|
no they are not thick in diameter but are extremely resilient
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
smaller muscular arteries have less elastin, but ----er layer of smooth muscle in proportion to their diamete
|
thicker.... smaller muscular arteries are not as elastic but are thicker in smooth muscle
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
do veins have less or more smooth muscle and elastic than their corresponding arteries
|
less
|
|
a reduction of the ddiameter of the vessle by the sympathetic stimulation
|
vasoconstriction or venoconstriction
|
|
relaxation that increases the lumen size
|
vasodilation
|
|
how much of the blood is in the veins at any one time
|
65-70%
|
|
how many litiers of blood are stored in teh venous reserve
|
1.5 L
|
|
what is th very thick mostly collagen ayer of the arteries and veins
|
tunica externa or tunica adventicia
|
|
hwat is another name for tunica externa
|
tunica adventicia
|
|
what are leaky to fluid and electorlytes
|
fnestrated true capillary beds
|
|
found in bone marrow liver and spleen spacesbetween endothelial cells is so great that capillaries look like little cavities
|
discontinuous true capilaries
|
|
which type of true capillarh in the capillary bed has lots of filtering and sinusoids goingon?
|
discontinuous
|
|
what do vewnules lack
|
tunica media
|
|
what is the thickest layer of the veins
|
tunica externa
|
|
compared tothe corresponding artery do veins have a larger lumen or smaller and then a thicker or thinner wall?
|
LARGER glumen and thinner wall
|
|
what size of veins have valves that prevent backflow
|
medium sized
|
|
where does gas exchange occur to get the oxygen into the blood
|
pulmonary capillaries
|
|
where do the pulmonary veins go back to
|
left atrium
|
|
vessles that drain one group of capillaries and deliver blood to a second group of capillaries
|
portal system
|
|
what are the veins that drain bloo from capillaries in the intestines, spleen, pancreas, somachand gallbladder into the hepatic portal vein
|
sinusoids
|
|
drains small intestine and first half of colon
|
supeior mesenteric vein
|
|
drain from spleen
|
splenic vien and pancreatic vien
|
|
what are the splenic veins
|
pancreatic vein
left gastroepiphloic vein from stomach interior meseneric vein from teh distal colon |
|
neurons in the hypothalamus secrete hormones in the region of the median eminence where they enter a network of primary capillries
|
hypothalamic or hypophyseal circulation
|
|
venous draingage through the pituitary stalk to secondary capillaries wihtin the
|
anterior pituirtayt are part of the hypothalamic circulation
|
|
capillary exchange between maternal and fetal blood occurs where
|
within the placenta
|
|
what connects the placenta and the fetus
|
umbilical cord
|
|
what does the umbilical cord consist of
|
one vein two arteries
|
|
arteries carry what kind of blood back to the lacenta
|
deoxygenated
|
|
veins carry what kid of blood toward the heart in the fetus
|
oxygenated
|
|
veins split into two braches which merge with waht in the fetus
|
portal vein and inferior vena cava
|
|
what is the inferior vena cava called int he fetus
|
ductus vensosus
|
|
about 25% of blood passes from the right to left atrium by what in the fetus
|
foramen ovale
|
|
what does the foramen ovale become after birth
|
fossa ovalis
|
|
90% of blood inthe pulmonar trunk of the fetus flows though what
|
ductus artereriosis-- into the aorta where it is mixed with left ventricular blood
|
|
what does the ductus arteriosus become after birth
|
ligamentum arteriosum
|
|
what offers high resistance to circulatory flow
|
cxollapsed lungs
|
|
how is blood returned to the placenta
|
by umbilical arterie that arise from internal iliac arteries
|
|
what are three casues of congenital circulatory problems
|
patent foramen ovale and ductus arteriosus
ventricular septal defect tetralolgy of fallot |
|
what are the four things wrong in the tetralogy of fallot
|
pulmonary tunk is abnormally narrow
the interventricular spetum is incomplete the aorta originates where the interventricular septum normally ends the right ventricle is enlarged |
|
what are two more causes of congenital circulatory problems
|
transposition of great vessels
atrioventricular septal defects |
|
what are three potential vascular problems
|
arteriosclerosis
aneurysm hyupertension |
|
waht are four cuases of cardiac diseases of the heart
|
Mi
arrhythmia angina pecotis heart murmurs |
|
oh oh oh to touch and feel very good velvet ah ha
|
olfactory
optic occulomotor trochlear trigeminal abducens facial vestibulocochlear glossopharyngeal vagus accessory hypoglossal |
|
where are the cell bodies located in the snesory facial CN VII
|
cell bodies are located in the geniculate ganglion
|
|
where is the point of origin of the facial sensory nerve
|
taste receptors on the anterior 2/3 of the tongue
|
|
destination of the facial sensory nerve
|
pons
|
|
primary function of the sensory facial nerve
|
taste from the anterior tongue
|
|
point of origin and destination of the motor facial nerve CN VII
|
somatic origin is nuclei of the pons to muscles of facial expresseion
visceral motor is nuclei of pons to innervate the lacrimal gland and nasal mucous glands via the sphenopalatine ganglion; submandibular and sublingual glands via submandiular ganglion |
|
primary funciton is sensory from tongue, motor to muscles of facial expression, autonomic motor function to tear, nasal, and salivary glands
|
CN VII
|
|
what is the loss of CN VII on one side
|
bells palsy
|
|
what are the branches from the styolmastiod foramen
hint: two zebras bit my coccyx painfully from superior to inferior |
temporal
zygomatic buccal mandibular cervical posterior auricular |
|
this nerve arises from receptors in the cochlea that monitor mechanical disturbances froms ound waves. cell bodies are located within a peripheral ganglion
|
cochlear nerve of the sensory vesitbulochoclear nerve VIII for hearing and balance
|
|
this nerve arises from receptors within the vestibule and semicircular canals. the neurons are located in an adjacent ganglion
|
vestibular nerve of the sensory vestibulocochlear VIII for hearing and balance
|
|
what is the destination of the sensory vestibularcochlear nerve
|
axons pass on to the vestibular and cochlear nuceli of the pons and medulla
|
|
primary funciton is special snesory associated with hearing and balance
|
vestibulocochlear VIII
|
|
origin of sensory of glossopharyngeal
|
sensory arissse from posterior 1/3 of tongue, pharynx, palate, and carotid sinus receptors with sensory neurons in the superior and inferior ganglia. they travel on to the medulla
|
|
where do the sensory recepots of the glossopharyngeal nerve travel on to
|
medulla
|
|
what is the function of the somatic motor of the glossopharyngeal IX
|
from the medulla, control pharyngeal muscles involved in swallowing
|
|
what is the funciton of the autonomic motorglossopharyngeal IX
|
motor impulsees from medulla innervate the parotid salivary gland after synpasing in the otic ganglion
|
|
what is the primary funciton of the glossopharyngeal
|
sensory from tongue, palate, and carotid arteries; somatic innervation for swallowing and visceral innervation to the parotid gland
|
|
what is the mother of all nerves?
|
vagus X
|
|
from part of the pharynx pinna of ear external auditory canal disphragm and visceral organs in the thoracic and abdominopelvic cavities this nerve also does sensory neurons are located in the jugular ganglion and the nodose ganglion and synapse in the medulla
|
sensory of the vagus X
|
|
what does the motor bagus do
|
msucles of pharynx for swallowin gnad laryunx for vocalization
|
|
what is the funciton of the autonomic motor vagus
|
motor impulses from medulla proceed to visceral organs muscles as far as the distal colon
|
|
what arises within the medulla, passes through the jugular foramen with the vagus nerve and innervates the skeletal muscles of the soft palate, pharynx, and larynx
|
bulbar root of the motor of the accessory XI
|
|
where does he spinal root arise from for the motor accesesory
|
from the 1st 5 segments of the spinal cord, passes througyh the foramen magnum where it joins with the bulbar root and passes through the jugular foramen. it innervates the sternocleidomastoid and trapezius muscles
|
|
what is the primary funciton of the accessory motor
|
motor to pharynx larynx and neck muscles
|
|
origin and destination of hypoglossal CN XII
|
arise from the medulla and innervate the extrinsic and intrinsic muscles of the tongue
|
|
primary function is motor tongue movements
|
hypoglossal XII
|
|
how many pairs of spinal nerves
|
31
|
|
innervates the muscles of the neck and extend into the thoracic cavity to control the diaphragmatic muscles
|
cervical plexus
|
|
made of muscular and cutaneous branches in the ventral rami of spinal nerves C1-3 and fibers from C5
|
composition of the cervical plexus
|
|
what are the major branches of the cervical plexus
|
cutaneous
phrenic nerve C3-C5 ansa cervicalis prevertebral |
|
subbranches of the cutaneous cervical plexus
|
lesser occipital
greater auricular transverse cervical supraclavicular |
|
what does the phrenic nerve innervates
|
diaphragm
|
|
what is teh MAJOR nerve of the cervical plexus
|
phrenic nerve
|
|
combination of fibers from the cervical plexus and part of teh XII and innervates the extrinsic laryngeal muscles
|
ansa cervicalis of the cervical plexus
|
|
dep m uslces of the neck levator scapulae trapezius scalenus and sternoclediomastiod
|
prevertebral
|
|
what is the larger and more complex plexus that innervates the entire upper extremity of one side as well as some shoulder and neck muscles
|
brachial plexus
|
|
what C-T is the brachail
|
5-T1
|
|
describe the brachial plexus
|
big and ugly
|
|
what are the major cords from teh five major nerves
hint: Real texans drink coors beer |
roots 2
trunks 3 divisions 2 cords 3 branches |
|
what does ulnar nerve do
|
flexor muscle on the forearm
|
|
innervates the lower abdomen and anteiror and medial portions of the lower extremity
|
lumbar plexus made up of L1-4 and soem from T12 and has only roots and division
|
|
innervates the lower back pelvis perineum posterior surface of the thigh and leg dorsal and plantar surfaces of the foot
|
sacral plexus
|
|
what innervates the extensor msucles of the hig gluteus maximus
|
inferior gluteal
|
|
what innervates the abductor msucles of the thigh the gluteus minimus and medius
|
superior gluteal
|
|
what innervates the skin and muscles of perieum and external genitalia
|
pudendal
|
|
what innervates flexors of the knee and plantar flexors of the ankel
|
tibial nerve
|
|
peroneal muscles toe exyensors skin over anterior surface of leg and dorsal surface of the foot
|
fibular or common peroneal
|
|
what is the innermost part of the arteries arterioles capillaries venules and viens
|
tunica interna
|
|
what is another name for tunica interna
|
tunica intima
|
|
simple squamous epithelium in the arteries and veins
|
endothelial layer
|
|
another name for the elastic tissue layer
|
internal elastic membrane
|
|
found in thickest arteries only
|
connective tissue layer
|
|
contains variable amounts of connective tissue and elastic tissue and is in between teh other TI layers
|
connective tissue layer
|
|
what does elastic do to the pusatile flow of blood
|
reduces it as in less pounding
|
|
smaller muscular arteries have less elastin but thicker or thinnner layer of smooth muscle
|
thickere
|
|
veins have more or less smooth muscle and elastic than their corresponding
|
arteries... less smooth muscle and less elastic
|
|
what does sympathetic stimulation do to veins
|
vasoconstriction recduces the diameter of the vessel
|
|
relaxation does what to the lumen size during vasodilation
|
increases
|
|
ho wmuch of the blood is in the veins at any one time
|
65-70% about 2/3
|
|
how many liters of blood are the in venous reserve
|
1.5 L
|
|
what is the very thick mostly collagen with scattered elastic fibers layer of the arteries and veins
|
tunica externa
|
|
another name for tunica externa
|
tunica adventicia
|
|
what arteries is elastic tissue found in
|
only pulmonary aorta subclvian common carotid and common iliac
|
|
external carotid, brachial arteries and femoral arteries have this kind of tissue
|
muscular
|
|
capillary netwoks are often served by more than one artery; the arteries can fuse rather than draining into arterioles and are common in the brain and heart
|
anastomosis
|
|
direct communications between arterioles and venules; are comon in visceral organs and joints, especially where poisition or posture could ocmpromise blood flow
|
arteriovenous anastamosis
|
|
have poorly defined adventicia and tunica media is incomplete layer of scattered smooth muscles and controls blood flow between arteries and arterioles
|
arterioles
|
|
what is the only structure that permits diffusion between blood and tissue
|
capillaries
|
|
diffusion distances must be small, only 5-10% are open at rest
|
capillaries
|
|
what are the walls of capillaries composed of
|
one cell layer that is simple squamous epithelium
|
|
a relativley direct communication between an arteriole and venule is an
|
thoroughfare channel
|
|
the arteriolar end of the thoroughfare channel somewhat of an itermediate between arteriole and capillary with some smooth tissue
|
metarteriole
|
|
what are three types of tue capillaries
|
ontinuous
fenestrated discontinuous |
|
those in which adjacent endothelial cells are tightly joined together by tight junctions and desmosomes; muscles lungs nad adipose in CNS they lack intercellular channels
|
continuous
|
|
occur in kidneys endocrine glands and intestines have wide intercellular pores covered by mucoprotein and are leaky to fluid and electrolytes
|
fenestrated
|
|
found in bone marrow liver spleen spaces between endothelial cells is so great that capillaries look like little cavities
|
discontinuous have lots of filtering
|
|
spaces between endothelial cells that look like little cavities are called
|
sinusoids
|
|
what is the thickest layer of the veins
|
tunica externa
|
|
do veins have larger lumen than arteries
|
yes but thinner walls
|
|
what drains the small intestine and first half of the colon
|
superior mesenteric vein
|
|
vein from sleep
|
splenic vein
|
|
where does celiac artery superior mesenteric artery and inferior mesenteric artery flow to
|
stomach spleen pancrease galld bladder small intestine large intestine
|
|
stomach spleen pancrease gall bladder small intestine large inestine flow to
|
splenic ein inferior mesenteric vein superior emsenteric vein
|
|
where do splenic vien inferior mesenteric vein superior mesenteric vein flow to
|
hepatic portal vein
|
|
where does hepatic portal veine flow to
|
liver
|
|
here does liver flow to
|
inferior vena cava
|
|
where does inferior vena cava lead to
|
heart
|
|
where does heart lead to
|
celiac artery superior mesenteric artery inferior mesenteric artery
|
|
neurons in the hypothal secrete hormones in the region of the median eminence where they enter anetwork of primary capillaries
|
hypothalamic hypoghyseal circulation
|
|
venous drainage through the pituitary stalk to secondary capillaries wihtin th anterior pituitary
|
hypothalamic hypophyseal
|
|
where do the venous rainage through the pituitary stalk go to
|
anterior pituitary
|
|
capillary exchange between maternal and fetal blood occurs with the
|
placenta
|
|
what connects the placenta and the fetus
|
umbilical cord there is one vein two arteries
|
|
what carries blood toward the heart that is oxygenated in the fetus
|
vein
|
|
what carries deoxygenated blood back tot he placenta in a fetus
|
arteries
|
|
**
|
oxygenated nutrient rich blood flows through the umbilical vein towards the inferior liver surface
|
|
ductus venosus
|
where the oxygenated blood in the umbilical cord that goes toward the inferior liver surface merges with the portal vine and the inferior vena cava in two branches
|
|
about 25% of blood passes from the right to left atrium through the
|
foramen ovale
|
|
what does the foramen ovale become in adults
|
fossa ovalis
|
|
what goes into the aorta where it is mixed with left ventricular blood
|
ductus arteriolis where 90% of the blood in the pulmonary trunk flows
|
|
what does the ductus arteriosus become
|
ligamentum arteriosum after birth
|
|
what are the four things wrong in tetralogy of fallot
|
pulmonary turnk is abnormally narrow
interventricular septum is incomplete aorta originates where the interventricular septum normally ends right venticle is enlarged |
|
what are vascular problems that can go wrong
|
arteriosclerosis
aneurysn hypertension |
|
what are cardia problesm
|
MI arrhgtythmia nagina pectois heart murmurs
|
|
primary function of the lymphatic system
|
production maintenance and distribution of lymphoctes
|
|
what are the other function of the lypathic system
|
making lymphocytes
maintians fluid balance in tissue absorbs fat from teh GI teract |
|
BP at beginning of systemic capillary is
|
35 mm Hg
|
|
what tends to force water and solutes out of plasma
|
bp does
|
|
what is the osmoti pressure resulting from the presence of supended plasma proteins
|
colloid osmotic pressure about 25 mm
|
|
what percent of the total blood volume enters the intersitutal fluid each day
|
72% which si 3.6 L
|
|
what happens when lypahtcis can no longer drain tissue
|
lympehdema
|
|
are there lympathics in the bone marrow or CNS
|
NO!
|
|
close ended tubes in teh intercellular spaces of most tissue
|
lympathic capllaries
|
|
how do lympathic capillaries differ from vascular capillaries
|
larger in diamete
thinner walls because they lack a continuous basement membrane endothelial cells ovelap instead of being tightly bound to each other gaps between cells are large enough to allow viruses bacteria and cell debris to enter |
|
what is the role of lympathic vessles of lymph ducts
|
drain the lympathic capillaries
|
|
what gives a beady appearance
|
valves
|
|
bean shaped bodies within CT capsule. contain phagocytic cells that help purify the fluid
|
lymph nodes
|
|
where can lymph nodes be found
|
popliteal
infuinal lumbar cubital axillary thoracic cervical |
|
locatd in the posterior superior wall o the nasopharynx
|
tonsils
|
|
what are the two types of tonsils
|
pharyngeal in the posterior wall of nasopharynx
palatine are aroudn the openning between the nasal and oral cavities and the pharynx |
|
assists in filtering blood porudcing lyphocytes and destorying old RBC
|
spleen
|
|
what is found in the spleen
|
red pulp
white pulp |
|
what destroys RBC
|
red pulp of the spleen
|
|
what is the gernminal center for lymphocyte production
|
white pulp of the spleen
|
|
prominent lymphatic capillaries in the small interstie which transport absorbed lipids
|
lacteals
|
|
carry lymph toward the lymphatic trunks in the abdominopelvic and thoracic cavities. rhythmic contraction possible to help more lymph
|
lymphatic vells
|
|
convergence of superficial and deep lympathics
|
trunks
|
|
what drains the lower extermities
|
lumbra trunk
|
|
what drains the intestinal tract
|
intestinal trunk
|
|
what drains the upper extremities
|
subclavian trunk
|
|
what drains the lungs and chest
|
bronchomediastinal trunk
|
|
what drains the head and neck
|
jugular trunk
|
|
what drains 3/4 of body into L subclavian vien near the base of the left internal jugular vein
|
left thoracic duct
|
|
what collects lumbar and intestinal trunks at the base of the thoracic duct
|
cisterna chyli
|
|
what drains the upper 1/4 of the body and only drains right bronchomediastinal trunk right jugular and right subclavaian trunks
|
right thoracic duct
|
|
paired openings from the external envrionment into the respiratory system
|
external nares
|
|
mucosa lined space superior to the oral cavity and divided by the nasal septum the first chamber of the respiratory system
|
nasal cavity
|
|
what is the first chamber of the respiratory system
|
nasal cavity
|
|
postion of the nasal cavity enclosed by flexible tissue of the nose
|
vestibule
|
|
what i the vestibule
|
portion of the nasal cavity enclosed by flexible tissue of nose
|
|
forms the floor of the nasal cavity
|
hard palate
|
|
composed of the masillary and palatine bones and serpartes the oral from the nasal cavitiy
|
hard palate
|
|
extends posteriorly fromthe hard palate separating the superior nasopharynx from the rest of the pharynx
|
soft palate
|
|
where the nasal cavity opens into the nasopharynx also called the choana
|
internal nares
|
|
another name for internal nares
|
choana
|
|
within the vestibules, the epithelium preogresses from keratinized stratified squamous to non keratinized stratified squamous epithelium and still farther back
|
nasal epithelium
|
|
what does it eventually become once it is done extending back
|
pseudo stratified ciliated columnar which is respiratory epithelium
|
|
present in the superior medial protion of the nasal cavity concerned with the sense of smell
|
oflactory epithelium
|
|
where does the blood supply ot the nasal cavity come from
|
sphenopalatine artery which is a branch of the maxillary artery and from the naterior ethmoidal arteries a branch of the ophtalmic artery
|
|
wha does the sphenopalatine artery of the branch of the maxillary artery supply
|
blood to nasal cavaity along with the antrior ethmoidal arteries a branch of the opthalmic artery
|
|
nares is innervated by th enaterior ehtmoidal nerve of the opthalmic branch
|
V1
|
|
branches of the nerve supply the palate, pharynx, and nasal cavity
|
V2
|
|
branches come form the greater petrosal nerve from the facial nerve to the nasal glands and lacriumal glands
|
parasympathetic
|
|
from the internal carotid plexus are distributed with the parasympathetic
|
sympathetic
|
|
funnel shaped passageway about 13 cm long, connecting the nose and mouth with the larynx and the esophagus
|
pharynx
|
|
positioned directly behind the nasal cavity
|
nasoopharynx
|
|
positioned directly behind the nasal cavity above the soft palate
|
nasopharynx
|
|
this connects the auditory tubes with the middle ear caivites
|
nasopharynx
|
|
superior middle nad inferior blank form ridges that project into the nasal cavity
|
turbinates or conchae
|
|
what is another name for turbinates
|
conchae
|
|
what is another name for the pharyngeal tonsil
|
adenoid on the posterior wall fot he nasopharynx
|
|
extends between the soft palate and the base of the tongue at the hyoid bone
|
oropharynx
|
|
what are structures associated with the oropharynx
|
uvula
palatine tonsils lingual tonsils |
|
this blocks the nasopharynx during swalling
|
uvula
|
|
this is located on the posterior lateral wall of the mouth
|
palatine tonsils
|
|
these are located on the base of the tongue
|
lingual tonsils
|
|
this extends inferiorly from the hyoid tothe larynx
|
larynopharynx
|
|
what kind of epithelium does the nasopharynx have
|
typical respiratory epithelium
|
|
what kind of tissue does the oropharynx have
|
stratified spuamous epithelium
|
|
what kind of epithelium does the larynopharynx have
|
stratified squamous epithelium
|
|
what is the vascular supply of the respiratory system
|
branches of the external thyroid arteries
|
|
what is the innervation of the respiratory system
|
pharyngeal plexus formed by the pharyngeal branches of the vagus and glossopharyngeal nerves and sympathetic branches from the superior cervical gnaglion from XI
|
|
describe the cartilages of the larynx
|
9-- 3 large unpaired and 6 are smaller and paired
|
|
what is the larest cartilage and forms most of the anterior and lateral walls of the larynx
|
thyroid
|
|
what inferiorly articulates with the cricoid cartilage
|
thryoid
|
|
a complete rign that is enlarged posteriorly. these cartilages protect the glottis and the entrace ot the trachea
|
cricoid
|
|
flops over the glottis when you swallow to prevent aspiration
|
epiglottis
|
|
shoehorn shaped cartilage supported by ligamentous attachments tot he anterior and superior borders oft he thyroid cartilage and the hyoid bone. during swalloiwng the epiglottis is elevated and it folds back over the glottis preventing entry of liquid or solid food into the respiratory pathways
|
epiglottis
|
|
narrow opening form the pharynx open when the vocal folds are relaxes and closed when they are approximated
|
glottis
|
|
what muscles are responsible for elevating the larynx and closing the epiglottis during swallowing
|
extrinsic
|
|
what muscles are responsible for phonation
|
intrinsic muscles
|
|
what is the innervation of the larngeal muscles
|
recurrent laryngeal nerve fot eh vagus nerve
|
|
what is the sensory innervation of the laryngela muscles
|
superior laryngeal nerve, a branch of the vagus
|
|
9-15 cm in lenght, slightly less than 1/2 the length of the esophagus. splits into right and left principle bronchi at the level fo the sternal angle.
|
trachea
|
|
what is the function of the trachea reinforced by
|
cartilaginous carina
|
|
what epithelium lines the mucosal layer of the trachea
|
pseudostratified ciliated epithelum
|
|
what is the thick layer of CT containing mucous glands
|
submucosal layer
|
|
superficial to the submucosa
|
cartilaginous layer
|
|
dense and loose connective tissue that binds the trachea to other mediastinal tissue
|
adventicia contains variable amount of adipose tissue
|
|
what is the vascular supply of the trachea
|
inferior thyroid arteries and superior thyroid arteries and bronchial arteries
|
|
**
|
preganglionic parasympathetic fibers in teh vagus nerves are givien to the trachea; the postganglionic fibers are in the wall itself
|
|
**
|
postganglionic sympathic fibers arrive from the thoracic sympathetic ganglia in the symphthic trunks
|
|
afferent fibers in nteh trachea go to the brain via what nerve
|
VAGUS NERVE
|
|
right and left main bronchi extrapulmonary bronchi
|
primary bronchi
|
|
histologic organization of the bronchi is the same as what other organ thing
|
trachea
|
|
which bronchus is larger
|
right is sligtly larger than the lefft
|
|
where are foreign bodies usually lodged
|
right primary bronchus
|
|
where do the primary bronchi enter the lungs
|
hilus along with the pumonary vessels and nerves at the root of the lungs
|
|
what bronchi go to the pulmonary lobes
|
secondary bronchi
|
|
how many lobes in the righ tlung
|
3 lobes superior lobar middle lobar and inferior lobar
|
|
what are the two lobes of the left lung
|
superior lobar bronchus and inferior lobar bronchus
|
|
what is another name of the tertiary bronchi
|
segmental bronchi
|
|
what is the largest lobe
|
superior lobes of either
|
|
23 orders of air tubes
|
bronchi
|
|
bunch of grapes
|
alveolar sac
|
|
grape
|
alveolus
|
|
URI
|
upper respiratory infection
|
|
lobar pneumonia
|
involved entire lobe
|
|
involves only part of the lobe
|
bronchopneumonia
|
|
inflammation of the trachea and bronchi ariways
|
bronchitis
|