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220 Cards in this Set

  • Front
  • Back

What location is the most important for blood in the body, because it is where exchanges occur between the blood and surrounding tissues?

Capillaries

What refers to the two way movement of fluid in the blood?

Capillary exchange

What moves along with solutes into and out of the bloodstream across the capillary beds?

Water

What are the three ways in which chemicals pass through a capillary wall?

1. Endothelial cell cytoplasm


2. Intercellular clefts


3. Filtration pores (fenestrations)

What are the four mechanisms of movement through the capillary wall?

1. Diffusion


2. Transcytosis


3. Filtration


4. Reabsorption

What is a process in which endothelial cells pick up material on one side of the plasma membrane, transport the material across the cell via a vesicle, and discharge the material on the other side of the cell via exocytosis?

Transcytosis

What is a physical force exerted by a liquid against a surface such as a capillary wall: an example would be blood pressure?

Hydrostatic pressure

What is the term for the portion of the osmotic pressure due to protein?

Colloid osmotic pressure

What is the term for the difference between the colloid osmotic pressure of blood and tissue fluid: tends to draw water into a capillary by osmosis?

Oncotic pressure

What are the two measurements that make up the net hydrostatic pressure, and are the measurements of pressure moving in or out?

1. Blood pressure (out)


2. Interstitial pressure (out)

What are the two measurements that make up the oncotic pressure, and are the measurements of pressure moving in or out?

1. Blood colloid osmotic pressure (in)


2. Tissue fluid colloid osmotic pressure (out)

What are the two measurements that make up the net filtration/reabsorption pressure: this will give you the idea of whether or not the pressure will be moving in or out of the capillary?

1. Net hydrostatic pressure


2. Oncotic pressure

How much blood do the capillaries reabsorb of the fluid they filter?

85%

How much blood do the capillaries absorb and return to the blood via the lymphatic system?

15%

What are located in the kidneys in which there is little or no reabsorption, only filtration?

Glomeruli

What are located in the lungs in which are entirely dedicated to absorption so fluid does not fill the air spaces?

Alveolar capillaries

True/False: In a resting person, most precapillary sphincters are constricted and the capillaries collapsed.

True

If a tissue becomes metabolically active are the capillaries reabsorbing or filtering?

Filtering

If a tissue is resting are the capillaries reabsorbing or filtering?

Reabsorbing

What is the accumulation of excess fluid in a tissue: occurs when fluid filters into a tissue faster than it is reabsorbed?

Edema

What are the three causes of edema?

1. Increased capillary filtration


2. Reduced capillary reabsorption


3. Obstructed lymphatic drainage

What type of pressure does calcium reabsorption depend on?

Oncotic pressure

What is the term for a deficiency of albumin?

Hypoproteinemia

What are the five mechanisms in which venous return is achieved?

1. Pressure gradient


2. Gravity


3. Skeletal muscle pump


4. Thoracic/respiratory pump


5. Cardiac suction

True/False: Venous return decreases when blood volume increases.

False: Venous return increases when blood volume increases.

What is considered the most important force in venous flow?

Pressure generated by the heart

True/False: Venous return increases during generalized widespread vasoconstriction.

True: It reduces the volume of the circulatory system and raises blood pressure thereby raising blood flow.

Where in the body does the skeletal muscle pump coordinate the contracting muscles to squeeze the blood out of the compressed vein and back up to the heart?

Lower limbs

Where does the thoracic/respiratory pump aid the flow of venous blood?

Abdominal to thoracic cavity

What happens when you inhale in reference to the thoracic/respiratory pump?

1. Thoracic cavity expands


2. Internal thoracic cavity pressure drops


3. Diaphragm moves downward


4. Internal abdominal cavity pressure rises

What occurs when a person is standing still, allowing for blood to accumulate in the limbs because venous pressure is not high enough to override the weight of the blood and drive it upward?

Venous pooling

What occurs in any state in which cardiac output is insufficient to meet the body's metabolic needs?

Circulatory shock

What are the two divisions of circulatory shock?

1. Cardiogenic shock


2. Low venous return shock

What type of circulatory shock is caused by inadequate pumping by the heart?

Cardiogenic shock

What type of circulatory shock occurs when cardiac output is low because too little blood is returning to the heart?

Low venous return shock

What are the three forms of low venous return shock?

1. Hypovolemic shock


2. Obstructed venous return shock


3. Venous pooling shock

Which form of low venous return shock is the most common, and is produced by a loss of blood volume as a result of hemorrhage, trauma, bleeding, or dehydration?

Hypovolemic shock

Which form of low venous return shock occurs when any object, such as a growing tumor or aneurysm, compresses a vein and impedes its blood flow?

Obstructed venous return shock

Which form of low venous return shock occurs when the body has a normal total blood volume but too much of it accumulates in the lower body: long periods of standing or sitting?

Venous pooling shock

What is a form of venous pooling shock that results from a sudden loss of vasomotor tone, allowing the blood vessels to dilate?

Neurogenic shock

What occurs when bacterial toxins trigger vasodilation and increased capillary permeability?

Septic shock

What results from exposure to an antigen to which a person is allergic, such as a bee sting?

Anaphylactic shock

In __________ shock, several homeostatic mechanisms bring about spontaneous recovery.

compensated

In __________ shock, several life threatening positive feedback loops occur because homeostatic mechanisms fail.

decompensated

The brain regulates its own blood flow in response to changes in __________ and __________.

blood pressure


chemistry

What does a mean arterial pressure below 60 mmHg cause?

Syncope

What does a mean arterial pressure above 140 mmHg cause?

Cerebral edema

What is the term for the sudden death of brain tissue caused by ischemia?

Stroke

What are the three functions of the lymphatic system?

1. Fluid recovery


2. Immunity


3. Lipid absorption

What percentage of fluid do the blood capillaries not absorb?

15%

What would happen to a person if the amount of fluid not absorbed by the capillaries were not returned to the bloodstream?

They would die of circulatory failure

What absorb dietary lipids that are not absorbed by the blood capillaries?

Lacteals

What are the four components of the lymphatic system?

1. Lymph


2. Lymphatic vessels


3. Lymphatic tissue


4. Lymphatic organs

What fluid is similar to blood plasma but lacks protein?

Lymph

What is the name of the vessels where lymph begins?

Lymphatic capillaries (terminal lymphatics)

What are the five areas of the body in which terminal lymphatics are absent?

1. CNS


2. Cartilage


3. Bone


4. Cornea


5. Bone marrow

True/False: Lymphatic capillaries are closed at one end.

True: This is the primary difference between these and a blood capillary.

What prevents the sac of a lymphatic capillary from collapsing; tethers the cells to the surrounding tissue?

Protein filaments

True/False: Lymphatic capillaries contain tight junctions.

False: They have huge gaps in which bacteria and lymphocytes can enter along the tissue fluid.

What happens to the valves of the lymphatic capillary when tissue fluid becomes too high?

They push inward (opening the valves of the lymphatic capillary) causing the fluid to rush into the lymphatic capillary.

What happens to the valves of the lymphatic capillary when the pressure becomes higher inside the capillary than out?

They push outward (closing the valves of the lymphatic capillary).

What is the route from the tissue fluid back to the blood stream?

Lymphatic capillaries - collecting vessels - six lymphatic trunks - two collecting ducts - subclavian veins

What are known as the largest of the lymphatic vessels?

Collecting ducts

What are the two mechanisms that help move lymph throughout the body?

1. Skeletal muscle pump


2. Thoracic/respiratory pump

What type of lymphatic cells are large lymphocytes that attack and destroy bacteria, transplanted tissue, and host cells that have become infected or cancerous?

NK cells

What type of lymphatic cells are very large phagocytic cells that develop from monocytes?

Macrophages

What type of lymphatic cells alert the immune system to pathogens that have breached the body's surfaces by engulfing the foreign matter, migrating it to the lymph node, and activating an immune reaction to it?

Dendritic cells

What type of lymphatic cells contribute to the connective tissue framework of the lymphatic organs?

Reticular cells

What are the five major lymphatic organs?

1. Red bone marrow


2. Thymus


3. Lymph nodes


4. Tonsils


5. Spleen

What two lymphatic organs are known as the primary lymphatic organs, because they are where the B and T lymphocytes become able to recognize and respond to antigens (immunocompetent)?

1. Red bone marrow


2. Thymus

What three lymphatic organs are known as the secondary lymphatic organs, because this is where the immunocompetent lymphocytes migrate after maturity?

1. Lymph nodes


2. Tonsils


3. Spleen

What lymphatic organ produces all of the formed elements of blood?

Red bone marrow

What lymphatic organ houses developing lymphocytes and secretes hormones that regulate their activity?

Thymus

Which organ shows a huge amount of degeneration with age; becomes involuted?

Thymus

What is formed by the reticular epithelial cells that seal off the cortex of the thymus from the medulla, isolating the developing lymphocytes from blood borne antigens?

Blood-thymus barrier

True/False: There is no blood-thymus barrier in the medulla of the thymus.

True

What happens if the thymus is removed from new born mammals?

They waste away and never develop immunity.

What is considered the most numerous lymphatic organ that cleans the lymph, and acts as a site of B and T cell activation?

Lymph nodes

True/False: Lymph nodes are the only lymphatic organs that contain both an efferent and an afferent lymphatic vessel.

True

What lymphatic organ stands guard against ingested and inhaled pathogens?

Tonsils

What is considered the largest lymphatic organ that has blood capillaries that allow red blood cells to leave the blood stream, accumulate in the sinuses, and reenter the blood stream?

Spleen

What lymphatic organ is known as the erythrocyte graveyard?

Spleen

Which line of defense consists of external barriers like the skin and mucous membranes?

First line of defense

Which line of defense consists of macrophages, leukocytes, antimicrobial proteins, immune surveillance, inflammation, and fever?

Second line of defense

Which line of defense is the immune system, which defeats the pathogen and leaves the body with a "memory" of it so that it will easily be defeated next time?

Third line of defense

What category do the first and second line of defenses fall under, because they guard against several pathogens and their effectiveness does not depend on prior exposure?

Nonspecific resistance

What category does the third line of defense fall under, because it results from prior exposure and only provides protection against a specific antigen?

Specific defense

What is produced from sweat that forms a thin film of lactic acid on the skin that inhibits bacterial growth?

Acid mantle

What vitamin enhances that effects of the external barrier defenses?

Vitamin D

What are secreted by infected cells that alert neighboring cells and protect them from becoming infected?

Interferons

What are the four steps involved in the complement system?

1. Inflammation


2. Immune clearance


3. Phagocytosis


4. Cytolysis

What are the two characteristics that distinguish immunity from nonspecific resistance?

1. Specificity


2. Memory

What type of immunity employs lymphocytes that directly attack and destroy foreign cells or diseased host cells?

Cellular immunity

What type of immunity employs antibodies, which do not destroy the pathogen but mark them for destruction?

Humoral immunity

What type of immunity is effective against extracellular pathogens?

Humoral immunity

What is the term for one complete breath in and out?

Respiratory cycle

True/False: The lungs ventilate themselves.

False: They only contain smooth muscle in the walls, which adjusts the diameter of the airway and affects the speed of airflow.

What are the two principal muscles of respiration?

1. Diaphragm


2. Intercostal muscles

What happens to the internal pressure of the lungs when the thoracic cavity is enlarged?

Decreases (air moves in)

Is the diaphragm relaxed or contracted when it bulges upward, compressing the lungs, and expelling the air inside?

Relaxed

Which muscles have the primary function of stiffening the thoracic cage during respiration and prevent it from caving inward when the diaphragm descends?

External and internal intercostal muscles

What is the term for when the muscles in the thoracic cavity relax gradually rather than abruptly, preventing the lungs from recoiling too fast; makes the transition from inspiration to expiration smoother?

Braking action (only muscular effort in normal expiration)

What are the six principal organs of the respiratory system?

1. Nose


2. Pharynx


3. Larynx


4. Trachea


5. Bronchi


6. Lungs

What division of the respiratory system consists of those passages that serve only for airflow?

Conducting division

What division of the respiratory system consists of the alveoli and other gas exchange regions of the distal airway?

Respiratory division

What is the region called that extends from the nose to the larynx?

Upper respiratory tract

What is the region called that extends from the trachea to the lungs?

Lower respiratory tract

What organ is known as the "windpipe"?

Trachea

What reinforce the trachea and keep it from collapsing when you inhale?

C shaped rings of hyaline cartilage

What mechanism involves mucous trapping inhaled particles, and the cilia beating upward to move the debris toward the pharynx where it is then swallowed?

Mucociliary escalator

What does the trachea fork into?

Left and right main bronchi

What structure does the lung receive the main bronchus, blood vessels, lymphatics, and nerves through?

Hilum

What are the names of the three lobes of the right lung?

1. Superior


2. Middle


3. Inferior

What separates the superior and middle lobes of the right lung?

Horizontal fissure

What separates the middle and inferior lobes of the right lung?

Oblique fissure

What are the names of the two lobes of the left lung?

1. Superior


2. Inferior

What separates the superior and inferior lobes of the left lung?

Oblique fissure

What are the three branches off of the right main bronchus?

1. Superior lobar/secondary bronchi


2. Middle lobar/secondary bronchi


3. Inferior lobar/secondary bronchi

What are the two branches off of the left main bronchus?

1. Superior lobar/secondary bronchi


2. Inferior lobar/secondary bronchi

What do the lobar/secondary bronchi branch into?

Segmental/tertiary bronchi

How many segmental/tertiary bronchi are in the right lung?

10

How many segmental/tertiary bronchi are in the left lung?

8

What does each segmental/tertiary bronchi ventilate?

Bronchopulmonary segment (independent unit of lung tissue)

What structure supports the main bronchi?

C shaped rings of hyaline cartilage

What structure supports the lobar/secondary and segmental/tertiary bronchi?

Crescent shaped cartilaginous plates

What are continuations of the airway that lack supportive cartilage, but contain cilia and quite a bit of smooth muscle?

Bronchioles

What does each bronchiole divide into, which lack mucous and goblet cells, but still contains cilia to move stuff that gets there back into the mucociliary escalator: marks the end of the conducting division?

Terminal bronchioles

What do the terminal bronchioles branch into, which have alveoli budding off of their walls: considered the start of the respiratory division?

Respiratory bronchioles

What do the respiratory bronchioles divide into?

Alveolar ducts

Where do the alveolar ducts end?

Alveolar sacs

What is the pathway for the conducting division of the respiratory system?

Nasal cavity - pharynx - trachea - main bronchus - lobar/secondary bronchus - segmental/tertiary bronchus - bronchioles - terminal bronchioles

What is the difference between the conducting division and the respiratory division?

The conducting division has no alveoli, thus there is no significant gas exchange going on. The respiratory division contains alveoli along all the walls.

What is the pathway for the respiratory division of the respiratory system?

Respiratory bronchioles - alveolar duct - atrium - alveolus

What type of cells cover about 95% of the alveolar surface and allow for rapid gas diffusion between the air and the blood?

Squamous/type I alveolar cells

What type of cells are the most numerous but cover less surface area, repair alveolar epithelium, and secrete pulmonary surfactant, which coats the alveoli to prevent them from collapsing during exhalation?

Great/type II alveolar cells

What are found in the lumen of alveoli that keep them free from debris by phagocytizing dust particles and rid the alveoli of these by the mucociliary escalator?

Alveolar macrophages/dust cells

What are the two layers of the lungs?

1. Visceral pleura


2. Parietal pleura

What is the name of the space between the visceral and parietal pleura?

Pleural cavity

What are the three functions of the pleurae and the pleural fluid?

1. Reduction of friction (enables expansion and contraction)


2. Creation of pressure gradient


3. Compartmentalization (prevents infections from spreading from one organ to the other)

What are the two reasons that breathing is dependent on the brain?

1. Skeletal muscles cannot contract without nervous stimulation


2. Breathing involves the action of multiple muscles which require a central coordinating mechanism

What are the two levels by which breathing is controlled by the brain?

1. Cerebral (conscious)


2. Automatic (unconscious)

Where are the respiratory centers found that control the automatic unconscious cycle of breathing?

Reticular formation of the medulla oblongata

What is the formula for cellular respiration?

C6H2O6 + 6O2 <-> 6H2O + 6 CO2

What is the formula for pH control?

CO2 + H2O <-> H2CO3 <-> H+ + HCO3-

Do hydrogen ions increase or decrease if the pH has increased CO2?

Increase

What happens to the pH if CO2 increases?

Becomes more acidic

Do hydrogen ions increase or decrease if the pH has decreased CO2?

Decrease

What happens to the pH if the CO2 decreases?

Becomes more basic

What works with the respiratory system to control pH?

Kidneys

Flow is proportional to the pressure difference between two points and inversely proportional to _________?

resistance

What law states that the pressure of a given amount of gas is inversely proportional to its volume?

Boyle's law

What law states that the volume of a quantity of gas is directly proportional to its absolute temperature?

Charles's law

What law states that the total pressure of a gas mixture is equal to the sum of the partial pressure of its individual gases?

Dalton's law

What law states that at the air-water interface, the amount of gas that dissolves in water is determined by its solubility in water and its partial pressure in the air?

Henry's law

What filters clots in the lungs by picking them up and breaking them down?

Respiratory pump

What is the term for a collapsed lung?

Neumothorax

For Boyle's law, if pressure goes up what happens to the volume?

Goes down

For Boyle's law, if pressure goes down what happens to the volume?

Goes up

For Charles's law, if volume goes up what happens to the pressure?

They go down

For Charles's law, if volume goes down what happens to the pressure?

They go up

What has to be created in order to cause gases to move?

Pressure gradient

What are the three factors that affect ventilation?

1. Compliance


2. Airway resistance


3. Surface tension

If you have a high resistance then you will have a __________ compliance?

low

Is it easy to inflate the lungs?

Yes because of the elastic tissue.

What can alter lung compliance?

Disease causes a buildup of scar tissue that takes over the elasticity

True/False: Decreased vessel radius makes it easier to move air.

False: It makes it harder (airway resistance is high)

Because water molecules are attracted to each other, does it make it easier or harder for the alveoli to inflate?

Harder

What reduces the surface tension of the lungs, thus making it easier for the alveoli to inflate?

Surfactant

True/False: The smaller alveoli would collapse into the larger alveoli.

True (due to the surface tension)

What law states that the smaller alveoli would collapse into the larger alveoli?

Law of La Place

True/False: All alveoli in the uterus are collapsed.

True

When does a baby begin to produce surfactant?

7 months old in the womb

What can occur if a baby is born prematurely resulting in an absence of surfactant on the lungs?

Respiratory Distress Syndrome

What category of lung disorder would limit the ability to expand (inhale) your chest?

Restrictive disorder

What category of lung disorders would narrow your airways, taking longer to breath in and out?

Obstructive disorder

Would the occurrence of fibrosis occur in a restrictive or obstructive disorder?

Restrictive (buildup of scar tissue replaces the elasticity)

What type of lung disorder is tuberculosis an example of?

Restrictive disorder

What type of lung disorder are emphysema and bronchitis an example of?

Obstructive disorder

True/False: No one disease can be both restrictive and obstructive disorders.

False

What are the three types of respiratory groups?

1. Pontene


2. Dorsal


3. Ventral

Where are the nuclei located in the pontene respiratory group?

Pons

Where are the nuclei located in the dorsal respiratory group?

Medulla

Where are the nuclei located in the ventral respiratory group?

Medulla

Which respiratory group initiates normal breathing?

Ventral respiratory group

What is the term for when inspiratory neurons fire for two seconds, which are then stopped by the expiratory neurons, which in turn block them?

Eupna

What is the term for an abnormal breathing rate?

Apnea

What are the three main gases that make up the atmosphere?

1. Nitrogen (78%)


2. Oxygen (21%)


3. Carbon Dioxide (Trace)

Does atmospheric pressure increase of decrease as you go further up into the atmosphere?

Decreases

If partial pressure between two gases are the exact same what happens?

There will be no gradient because the gases will not move

When we inhale, mixing clean air with leftover air found in the trachea, the partial pressure of the oxygen __________, while the partial pressure of the carbon dioxide __________ in the alveoli.

decreases


increases

The partial pressure on the arterial side of the capillaries is __________ than partial pressure of the tissue fluid, so gas exchange occurs from capillary to tissue fluid.

More

What are the five factors that effect exchange?


1. PO2 gradient


2. Solubility


3. Distance


4. Surface area


5. Ventilation perfusion coupling

What is the normal partial pressure of the lungs?

160

What is the normal partial pressure of the alveoli found in the lungs?

104

What is the normal partial pressure of arterial blood?

100

What is the normal partial pressure of tissue fluid?

40

Because the partial pressure of the tissue fluid is 40 and arterial partial pressure is 100, what direction will gases, such as oxygen, move?

From the blood to the tissue fluid

What is the normal partial pressure of the venous blood?

40

Since the venous blood and the tissue fluid have the same partial pressure, what has occurred?

Equilibrium
Which has a negative effect on exchange, a shorter distance or a longer distance?

Longer distance (has to travel far)
What type of disease can reduce the surface area of the lungs, by replacing the elastic tissue with fibrous scar tissue, thus making exchange more difficult?

Emphysema

True/False: You can alter BOTH perfusion and ventilation.

True
In the lungs, if the capillaries sense bad ventilation they constrict and reduce blood flow. They are trying to match blood flow to __________ flow?

air

If there is a sudden increase in blood flow, there will be an increase in CO2 delivery unloading into the lungs causing the bronchioles to __________ in order to increase airflow.

dilate
True/False: Oxygen easily dissolves into water and the blood stream.

False: Only 1.5% is dissolved. The rest is transported by hemoglobin.

According to Henry's law if some liquid had a 0.05 solubility and a partial pressure of 40, what would the content be?

2 mL (40 x 0.05)
According to Henry's law, if the solubility is higher, then is the content higher or lower?
Higher

According to Henry's law, the steeper the slope, the __________ the solubility.

higher

Why is there a steep slope at the beginning of the deoxyhemoglobin disassociation curve?
Lots of binding sites available

What happens to the deoxyhemoglobin disassociation curve once partial pressure is very high?

It levels off because the binding sites have all been filled.

What is the hemoglobin considered once they are ALL carrying oxygen?

Saturated

If something has a high affinity, does it bind quickly or slowly?


Quickly


If something binds quickly, does it have a high or low solubility?

High

Why is the high affinity of blood great in the lungs but horrible in the tissues?

The blood will not want to give up its oxygen to the tissues.

What happens to the affinity of a gas if temperature rises?

Becomes lower

What happens to the affinity of a gas if pH lowers?

Becomes lower (Bohr shift)

If BPG is low, then affinity is __________.
high

Since fetal hemoglobin has a higher affinity than the mother, where will oxygen move?

From mother to baby

Once a baby is born, what begins to break down?

Fetal hemoglobin into adult hemoglobin which has a lesser affinity
True/False: Oxygen ALWAYS binds to hemoglobin over carbon monoxide because it has a higher affinity.

False: Carbon monoxide has the higher affinity, so it would bind over oxygen. This is what causes carbon monoxide poisoning.