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168 Cards in this Set

  • Front
  • Back
What is the tunica interna (intima)?
simple squamous endolethium in all vessels
What is the tunica media?
elastic fibers mixed with smooth circular muscle.
What is the tunica externa (adventitia)?
elastic and collagen fibers parallel to vessel
. What is the vasa vasorum?
small vessels that nourish larger blood vessels
What are arteries?
carry blood flow away from heart, provide flexible support.
What are muscular (distributing) arteries?
mainly smooth muscle in tunica media, has an elastic lamina.
What are arterioles (resistance) arteries?
thick tunica media, mostly muscle, can contract without stimulation, small lumen, regulates blood to capillaries.
What are aneurysms?
localized dilation of weakened arterial wall.
What is arteriosclerosis?
hardening of the arteries, reduced elasticity.
What is atherosclerosis?
deposits of lipids and connective tissue (plaque)
What are capillaries?
exchange of nutrients and gases between the blood and tissue cells, 0.5 - 1mm long * only endothelium of the tunica intima.
What are continuous capillaries?
bypass tissue cells, connect arteriole to venuole, are abundant in skin and muscle tissues.
What is the blood-brain-barrier?
has no gaps, protects the brain
What are fenestrated capillaries?
have tiny pores that close by a diaphragm for greater fluid exchange.
What are the kidneys like?
no diaphragm, fluid flows faster.
What are sinusoids?
thin-walled chamber that functions like capillaries.
What is in the liver?
Kupffer cells are macrophages that destroy bacteria.
What is in the spleen?
phagocytes outside sinusoids stick cytoplasmic extensions through clefts.
What is a vascular shunt?
metarteriole-thoroughfare channel connects arteriole with venule.
What are veins?
larger lumen, thin walls, blood reservoirs (largest volume of blood), few muscles.
What is phlebitis?
inflammation of a vein, can lead to thrombus.
What are varicose veins?
dilated, lengthened, weak walls, valves don't work.
What are anastomoses?
vessels supplying the same territory merge.
What determines velocity?
the smaller the cross section, the slower the velocity (capillaries)
What is pulse pressure?
the difference between systolic and diastolic pressure.
What is resistance?
opposition to flow, friction, dissipated as heat.
What is viscosity?
thickness or stickiness, increases with more protein and cells.
What is peripheral resistance?
pressure of vessel wall squeezing in.
How does vessel length affect resistance?
resistance increases as length increases
How does vessel diameter affect resistance?
resistance increases as diameter decreases.
What is venous pressure and venous return?
20 mm Hg, needs assistance to return to the heart.
What is the respiratory pump?
pressure changes in the thorax move blood toward the heart.
What does muscular compression do?
on veins helps milk blood to heart.
What are baroreceptor reflexes?
in carotid sinus and aortic arch, can feel stretch of artery, can reset to different pressure level.
What does atrial natriuretic peptide (ANP) do?
increase in water loss at kidneys, reduction in thirst, inhibits release of ADH, aldosterone, and vasodilation, reduce BP.
What does antidiuretic hormone (ADH) do?
Vasoconstriction and water conservation at kidneys.
What does the nitric oxide (NO) do?
from high blood flow rate, localized vasodilation.
What is hypertension?
> 140/90 in mm Hg
What is tissue perfusion?
blood flow through the tissues by capillaries.
What does it absorb?
nutrients from digestive tract.
What does exercise do?
vasodilation, increase venous return, increase cardiac output.
What causes shock?
inadequate blood flow.
What is the compensated state (stage I)?
reduce peripheral blood flow, weak pulse, vasoconstriction.
What is the progressive stage (stage II)?
low blood pressure, cerebral blood pressure is preserved.
What is the irreversible stage (stage III)?
circulatory collapse, damage to vital organs.
What does the lymphatic system produce?
production, maintenance and distribution of lymphocytes.
How does the lymphatic sytem affect body fluids?
return of fluids from peripheral tissues to the blood.
What is lymph?
a protein rich fluid similar to plasma from interstitial fluid.
What are lymphatic capillaries more permeable to?
capillaries more permeable to proteins and particles in interstitial fluid than blood capillaries.
What does the right lymphatic duct drain?
right lymphatic duct drains from the right arm and right upper body.
Where does lymph from the lower body and intestines go?
lower body and intestines -> cisterna chyli -> thoracic duct -> left subclavian vein
Where do lymphatic vessels empty into?
they empty into the subclavian veins and the cardiovascular system
What are milking contractions?
milking contractions of skeletal muscle
What is thoracic pressure?
thoracic pressure during breathing.
What is lymphedema?
swelling of tissues due to backup of lymphatics from blockage.
What are plasma cells?
produce antibodies to fight specific antigens.
What is lymphoid tissue?
reticular connective tissue
What are lymphoid organs?
contain large numbers of lymphocytes.
Where are lymph nodes found?
clustered along lymphatic vessels.
What is the inner medulla?
contains macrophages, lymphocytes, and plasma cells.
Why are there many afferent vessels?
many afferent vessels enter lymph nodes.
Why are there fewer efferent vessels?
exit lymph nodes at hilus, so lymph pools in nodes.
What is the spleen?
largest lymphoid organ, size of a fist.
What is in the white pulp?
lymphocytes on reticular fibers.
What do macrophages do?
destroy old RBCs and pathogens.
What does the red pulp do in the fetus?
stores and releases breakdown products of hemoglobin.
What does the spleen store?
it stores blood platelets.
What does the spleen act as?
acts as a blood reservoir for RBCs.
Where is the thymus found?
found above the heart, under the sternum.
When does the thymus increase in size?
. increases in size in childhood, shrinks after puberty, may be replaced by fibers and fat later.
What are Hassall's corpuscles?
areas of degenerating cells.
What do tonsils do?
defend against bacteria and other foreign particles.
What are palantine tonsils?
on either side of back of throat, enlarge with sore throat.
What are pharyngeal tonsils?
(adenoids) peak development in children.
Where are lingual tonsils?
at base of tongue
What are crypts?
pockets that trap bacteria
What are nodule aggregates?
they prevent pathogens from crossing mucous membrane lining.
What are Peyer’s patches?
lining of last portion of small intestine, contain macrophages, destroy microbes before being absorbed.
What are lacteals?
in villi of intestinal mucosa, absorb fats, called chyle.
What is MALT?
(Mucosa-Associated Lymphatic Tissue) nodules in the bronchial walls of respiratory tract, tonsils, Peyer’s patches, lacteals and appendix .
What is Hodgkin’s disease?
malignant lymph nodes,swollen, non-painful, fatigue, fever, night sweats.
What is Lymphoma?
tumor of lymphoid tissue.
What is Mononucleosis?
caused by Epstein-Barr virus, spread by saliva, fatigue, fever, sore throat, large numbers of T cells.
What is a Bubo?
an infected lymph node as was seen in the bubonic plague
What is innate immunity?
nonspecific body defenses.
What is the first line of defense?
first line of defense: physical barriers, deny access to pathogens.
How does the skin give immunity?
keratin is resistant to most weak acids and bases and toxins.
How does the hair give immunity?
epithelial cells secrete chemicals toxic to bacteria, sebum.
What do phagocytes do?
remove debris and pathogens.
How do the epidermal secretions give immunity?
tears, saliva, and sweat glands produce lysozymes.
What are macrophages?
Monocytes that leave the bloodstream to enter tissues and clean up after microphages.
How do macrophages engulf and destroy?
Macrophages engulf and destroy by lysozymes.
What are fixed phagocytes?
Fixed phagocytes are immobile.
Where are microglia found?
In the CNS.
Where are Kupffer cells found?
found in liver sinusoids.
Where are Langerhans cells found?
Found in skin.
What are free phagocytes?
they wander through tissues, osteoclasts and dust cells of the alveolar margins.
What are microphages?
(Kamikaze pilots) target foreign compounds and pathogens coated with antibodies.
What are neutrophils?
abundant, mobile, quick, but also self destructs.
What are eosinophils?
defend against parasitic worms.
What are mast cells?
mast cells are involved in allergic response in tissues, can also be a phagocyte.
How are chemicals a part of the immune system?
Chemicals are immunological surveillance.
What are NK (natural killer) cells?
granular lymphocyte, activated to attack any abnormal antigens on pathogens or cancer cells
What are perforins?
perforins from golgi bodies perforate cell membranes.
What are interferons?
they stop replication of virus in cells and activate macrophages.
What is a complement?
(plasma proteins) stimulates inflammatory response, causes cell lysis and bacterial destruction, positive feedback.
What is opsonization?
antibodies coat foreign particles, attracts phagocytes.
What is the inflammatory response?
response to injury.
What is the function of inflammatory response ?
prevents spread of damage to nearby tissues.
What are signs of inflammation?
redness, heat, swelling, pain, impairment of function.
What is histamine?
histamine: local vasodilation, increases permeability of capillaries
What are kinins?
same as histamine, chemotaxis, stimulate neutrophils to release lysozymes, induce pain.
What are prostaglandins?
prostaglandins produce free radicals, induce pain.
What is phagocyte mobilization?
phagocytes mobilization stimulate tissue repair
What is leukocytosis?
leukocytosis inducing factors released by injured cells promote release of neutrophils from bone marrow.
What is margination or pavementing?
neutrophils cling to inner walls of capillaries.
What is diapedesis?
squeeze between cells.
What is chemotaxis?
endothelial chemical markers like flares alert macrophages.
What is a fever?
increase in body temperature (controlled in hypothalamus).
What are pyrogens?
secreted by leukocytes and macrophages fighting foreign substances.
What is the specific or adaptive defense system?
lymphocytes, specific, systemic immunity.
What is an antigen?
antigen: “nonself”, usually larger, foreign protein .
What is immunogenic?
can stimulate formation of antibodies.
What is reactive?
react with antibodies.
What is an antibody or immunoglobulin?
you inherit the ability to produce antibody or immunoglobulin before you’re exposed to antigens.
What is an antibody?
antibody specific to only 1 antigen.
What is humoral immunity?
antibody-mediated, in body fluids, produced by lymphocytes.
What does the bone marrow do?
Bone marrow -> B cells: fight antigens with specific antibodies.
What are B lymphocytes?
B lymphocyte is activated by antigen and produces clones that become plasma cells that secrete antibodies or become memory cells.
How are B lymphocytes activated?
activated by helper T cells
What is the secondary response?
acts much faster to previously primed antigens.
How do you get innate immunity?
innate (natural) during infections, ex) getting chickenpox.
What is passive immunity?
no antibody production results, short-lived.
What is IgG?
(Immunoglobulin) resistance against viruses, bacteria and toxins, crosses placenta.
What is IgA?
in glandular secretions, mucus, tears & saliva .
What is IgM?
Agglutination in blood typing.
What is IgE?
attaches to basophils & mast cells, releases histamine for allergic response.
What is IgD?
assists antigen binding on B cells.
What are variable segments of antibodies?
antibody-antigen complex.
What does the thymus do?
Thymus -> T cells: become immunocompetant in the thymus, must make physical contact with pathogen.
What are CD8 cells?
CD8 cells, cytotoxic T cells: (killer Ts) attack foreign cells or body cells infected by viruses or cancerous.
What are CD4 cells?
CD4 cells or helper T cells (destroyed by HIV)
How do CD4 or helper T cells affect B and T cells?
stimulate the activation and function of B and T cells.
How do CD4 or helper T cells affect NK cells and macrophages?
attract and stimulate NK cells and macrophages.
How do CD4 or helper T cells affect memory T cells?
stimulate production of memory T cells.
What does the bone marrow do?
Bone marrow -> NK cells: large granular lymphocytes: police peripheral tissue.
What are Autografts?
tissue grafts transplanted from one body site to another in the same person.
What are Isografts?
a tissue from an identical twin, with the same DNA.
What are Allografts?
tissue from another person, that is not identical.
What is Hodgkin's disease?
cancer of lymph nodes.
What are Xenografts?
tissue taken from another animal species.
What are Immune disorders?
Immune disorders: cause the immune system to become depressed.
What are immunodeficiencies?
any condition that causes the immune cells to behave abnormally.
What are Congenital immunodeficiencies?
Congenital: severe combined immunodeficiency syndrome (SCID): lack B and T cells, treated by bone marrow transplant or umbilical cord stem cells.
What is Acquired Immune Deficiency Syndrome?
(AIDS) in helper T cells from human immunodeficiency virus (HIV).
What is pneumocystis carini?
pneumocystis carini is a type of pneumonia
What is Kaposi's sarcoma?
cancer of blood vessels, leaving purple lesions.
What are autoimmune diseases?
sensitized cytotoxic T cells destroy self-tissues.
What is Myasthenia gravis?
impairs connection between nerves and muscles.
What is Grave's disease?
thyroid produces excess thyroxine.
What is rheumatoid arthritis?
(RA) destroys joints
What are Hypersensitivities?
allergies
What are immediate, acute or type I Hypersensitivities?
begin within seconds of contact
What is anaphylaxis?
releases histamine, inflammatory response, local or systemic.
What is cytotoxic, type II?
cytotoxic, type II: mismatched transfusion reactions.
What is immune complex, type III?
persistent infection, ex) farmer's lung.
What are delayed hypersensitivity, type IV?
delayed hypersensitivity, type IV: slower to appear.
What is allergic contact dermatitis?
allergic contact dermatitis from poison ivy.