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81 Cards in this Set

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-Measure of heart functioning


-The amount of the blood pumped out of a ventricle in one minute


-5.25 liters per min

Cardiac output

How do you calculate cardiac output?

HR * Stroke volume (SV)

What is heart rate?

The number of ventricular contractions in a minute (~75bpm)

What is stroke volume?

The volume of blood pumped out of a ventricle per beat (~70ml /beat)

What nervous system stimulation increases heart rate?

Sympathetic nervous system

What nervous system stimulation decreases heart rate?

Parasympathetic nervous system (ACh)

How do you estimate max heart rate?

220 - age

What nervous system stimulation increases stroke volume?

Sympathetic nervous system

What is contractility?

Norepinephrine and epinephrine acting on cardiac muscle cells making them contract more forcefully.

What is preload?

The amount of blood that fills the ventricles during ventricular diastole.

What happens when cardiac muscle cells become stretched due to increase blood feeling?

Stronger contraction which results in increased stroke volume.

What is afterload?

The blood pressure the ventricles must overcome to pump blood out of them and...


The blood pressure in your pulmonary trunk and aorta.

What is cardiac arrest?

It's when the heart stops beating.

What causes cardiac arrest?

-Coronary artery becomes blocked by clock for cholesterol (heart attack)


-Electrocution


-Lack of blood flow to the heart due to excessive bleeding


-Arrhythmia


-Lack of oxygen

What is congestive heart failure?

The heart is unable to pump normal amounts of blood

What's the cavity where blood flows called in a blood vessel?

Lumen

What is the wall of a blood vessel called?

Tunic

How many miles of blood vessels are in an adult?

50,000 miles

What is the structure blood vessel wall?

Tunica interna


Tunica Media


Tunica externa

What is the Vasa vasorum?

Small blood vessels in Tunica Media and externa of large blood vessels

What are 7 blood vessel types?

-Arteries


-Arterioles


-Capillaries


-Venules


-Veins


-Anastomosis


-Capillary beds

What are three types of capillaries?


Continuous


Fenestrated


Sinusoids

What are arteries?

-Large blood vessels that carry blood away from the heart


-Design to handle high blood pressure


-Resembles a garden hose

What are arterioles?

Microscopic arteries

What are capillaries?

-Smallest blood vessels


-Only made of tunica interna


-Walls are leaky allowing fluid and cells to cross between Blood and Tissue fluid

What is a continuous capillary?

-Most common


-Least leaky


-Only fluid can cross walls

What are fenestrated capillaries?

-Found in glands and kidneys


-More leaky


-Have small pores that allow fluid to easily pass through

What are sinusoid capillaries?

-Found in liver, spleen and bone marrow


-Leakiest


-Large fenestrations and gaps between cells which cells can pass through


What are venules?

Microscopic veins

What are veins?

-Large blood vessels that carry blood to the heart


-Thin Tunica Media


-They have valves


What are anastomosis?

Arterioles or arteries that interconnect two parallel arteries or arterioles

What are capillary beds?

-Network of capillaries


-Carries nutrients dissolved from the blood into tissue fluid


-Waste dissolved from tissue into blood

What is autoregulation?

Tissue regulates blood flow to Itself by releasing heat and chemicals


What is blood flow?

The amount of blood flowing through a vessel or circuit overtime

What is blood pressure?

Force exerted by Blood onto inside wall of vessel

What is vascular resistance?

Friction between blood and inside wall of vessel

What is the blood pressure range in arteries?

120 mmHg to 80 mmHg


93 mmHg average

What is the blood pressure in capillaries?

About 25 mmHg

What is the blood pressure in veins?

About 5 mmHg

How do you calculate mean arterial pressure?

MAP = 1/3 Systolic BP(120) + 2/3 Diastolic BP(80)

How much time does body spend in ventricular systole and ventricular diastole?

1/3 & 2/3 of the time

What is pulse pressure?

The difference between systolic and diastolic blood pressure.


PP=120-80


PP=40mmHg

What is blood pressure gradient?

Difference in blood pressure on two ends of a blood vessel or circuit.


*Drives blood flow*

Systolic blood pressure is about _____ mmHg.

120mmHg

Diastolic blood pressure is about ____ mmHg.

80mmHg

What are four factors that influence blood pressure?

-Heart contraction strength


-Heart rate


-Skeletal muscle contraction


-Blood volume

What are the three factors that influence vascular resistance?

Blood viscosity


Vessel diameter


Vessel length

What causes high blood viscosity?

High hematocrit

Vasodilation and vasoconstriction are controlled by what?

-Sympathetic nervous system


-Norepinephrine


-Epinephrine


-Other hormones


-Autoregulation

Where are immune cells made?

Bone marrow

Filters abnormal cells from blood.

Spleen

Just like capillaries, venules, veins.


Carries lymph instead of blood.

Lymphatic vessels

Bulb like structures along the length of the lymphatic vessels

Lymph nodes

Large lymph nodes.


Tonsils & Peyer's patches

Lymphatic nodules

Fluid in lymphatic vessels and lymph nodes/nodules.

Lymph

What is lymph derived from?

Interstitial/tissue fluid

Where does interstitial fluid enter the lymph system and become lymph?

Lymphatic capillaries

What is innate immunity?

Design of body that protects against infection and toxins

What is adaptive immunity?

Acquired/specific immunity


Immunity developed during lifetime

What is included in innate immunity?


Skin


Mucous membranes


Mucus


Sweat


Tears


Urine


Sebum


Gastric juice


Leukocytes


Inflammation


Fever

What are interferons?

Hormone secreted by virally infected cells signaling neighboring cells to produce antiviral machinery.

What is a complement protein?

-Produced by the liver


-Binds then tags bacteria for phagocytosis

List three types of lymphocytes.

B cells


Helper T-cells (CD4+)


Cytotoxic T-cells (CD8+)

Each lymphocyte has unique ____ on the surface.

Antigen receptor

Where do B cells mature?

Bone marrow

Where do helper T cells mature?

Thymus

Where do cytotoxic T-cells mature?

Thymus

Explain lymphocyte selection.

-Occurs during fetal development


-B & T cells exposed to every type of molecule naturally occurring in your body


-The B & T cells that bind to those molecules are killed off


-The B & T cells left over will be used to bind to foreign molecules (antigens)

What are the two types of MHC proteins?

MHC I


MHC II

What are MHC I proteins?

-Made by all cells except B cells and macrophages


-The cell will bind MHC I proteins to molecules within them forming MHC I complexes


-The cell places these complexes on its surface and displays them

What are MHC II proteins?

-Made by B cells and macrophages


-Macrophages engulf random molecules from the extracellular fluid


-They link the molecules to MHC II forming MHC II complexes


-Then they place the complexes on their surface and displays them

What are two forms of acquired immunity?

Cell mediated


Antibody-mediated

What is cell mediated immunity?

-Carried out by Tc cells (w/ help of Th cells)


-Tc cell binds to MHC I complex


-Th cell binds to MHC II complex


-Th cell activates and releases cytokines telling Tc cell to release enzymes


What is antibody mediated immunity?

-Carried out by B cells (w/ help of Th cells)


-The b-cell eats the antigen


-Links it with MHC II forming MHC II complex


-Displays it on the cell surface


-Th cells docks with it using CD4


-Th cell releases cytokines telling B cell to secrete antibody

What is the function of antibodies?

They float in your extracellular fluid and bind to antigens

What is a motor unit?

A nerve and all of the muscle fibers it innervates.

What are the three types of motor units?

S(SO) slow oxidative


FR(FOG) fast oxidative glycolytic


FF(FG) fast glycolytic

Explain how muscle contraction works.

1. Action potential sent down motor neuron


2. ACH released at NMJ, and binds to receptor at motor end plate


3. NA/K ions enter muscle


4. T-tubules stimulate release of CA


5. CA binds to troponin


6. Actin combines with ATP


7. Energy is released to allow cross bridge


8. Thick/thin filaments slide

What influences the order in which motor neurons are recruited?

Size.

What neurons are in the ventral horn of SC?

Alpha motorneurons

What does.the axon of alpha motor neuron connect to?

Multiple muscle fibers throughout muscle.