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Blood Vessels
I SAID BLOOD VESSELS
63
Medical
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09/19/2011

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Term
What has more tunica adventitia vein or artery?
Definition
VEIN
Term
What has a smaller rounder lumen, artery or vein?
Definition
Artery
Term
What has a larger tunica media, artery or vein?
Definition
Artery
Term
What is bigger elastic or muscular artery?
Definition
Elastic artery
Term
Internal and elastic lamina is only present in...
Definition
arteries
Term
What layer can you get plaque build up resulting in atherosclerosis?
Definition
Sub-endothelial layer
Term
These describe what layer of elastic artery?
a. endothelium: simple squamous epithelium
b. subendothelial layer : loose connective tissue; fibroblasts, smooth muscle cells (arrows), elastic fibers and collagen fibers
c. internal elastic lamina: inconspicuous in elastic arteries, next to highly elastic t.m.
Definition
Tunica Intima
Term
These describe what layer of elastic artery?

Layers of smooth muscle produce interspersed fenestrated layers of elastin; collagen and glycoprotein. Number and thickness of elastic lamellae increases with age and hypertension.
Definition
Tunica media
Term
What secretes its own basal lamina?
Definition
Smooth Muscle
Term
What can be described by the following?

Control lumen constriction, but also secrete extracellular matrix: large amounts of elastic fibers in elastic arteries; collagen fibers and ground substance. Interconnected by gap junctions. Each cell surrounded by basal lamina.
Definition
Vascular smooth muscle
Term
What part of elastic muscle can be described by the following?
Loose irregular connective tissue; fibroblasts; merges into surrounding CT. Contains vasa vasorum and nervi vasorum, supplying outer vessel wall.
Definition
tunica adventitia
Term
What is described by the following

Nourish t. adventitia and outer t. media of large arteries and veins. More prominent in veins than arteries (since veins carry deoxygenated blood).
Definition
Vasa Vasorum
Term
The following describes what?

Most are post-ganglionic sympathetic nerve endings, which secrete norepinephrine to constrict the smooth muscle and narrow the lumen. Neurotransmitter diffuses to t. media; gap junctions between smooth muscle cells transmit contraction around vessel.
Some endings are parasympathetic; they secrete acetylcholine, which relaxes muscle and causes vasodilation.
Definition
Nervi Vasorum
Term
The following describes what?
Abnormal localized dilation of an artery. Greater risk with chronic hypertension, but found in 10% of autopsies. May be caused by atherosclerosis, inflammation, syphilis or Marfan’s Syndrome (a genetic defect in elastic fibers). A weakness in the tunica media, caused by deficiency in the elastin fibers. Rupture usually fatal.
Definition
Aneurysm
Term
The following describes what?

Mostly smooth muscle, and less elastic, in t.m. , so internal and external elastic laminae stand out.
Allow selective distribution of blood to specific organs, according to need.
Definition
Muscular Arteries
Term
What layer of muscular artery does this describe?

Subendothelial layer thinner than in elastic a., but thickens with age and atherosclerosis.

Internal elastic lamina is fenestrated, thick and refractile. Wavy due to contraction of muscle.
Definition
Tunica Intima
Term
What layer of muscular artery is described:

Thickest layer. Smooth muscle cells enveloped by basal lamina; coordinated via gap junctions. External elastic lamina visible in larger arteries.
Definition
tunica media
Term
What layer of muscular artery is described here?

Loose CT; vasa vasorum and nervi vasorum; generally as thick as tunica media; mostly collagen fibers with some elastic fibers.
Definition
tunica adventitia
Term
What is being described here?

Tunica media contains 1-3 layers of smooth muscle. Vasodilation or constriction of the t.m. of these controls systemic blood pressure. Resistance vessels.
Definition
arterioles
Term
What layer of the muscular atrophy is being described?

Endothelial cells resting on basal lamina.
Internal elastic lamina in larger arterioles only.
Definition
Tunica Intima
Term
What layer of muscular artyery is being described here?
When smooth muscle cells contract with fixation, the endothelial cells appear more prominently.
Definition
Tunica Media
Term
What muscular artery layer is being described here?

Becomes scant as arterioles get smaller.
Definition
Tunica Adventitia
Term
Access to capillaries is controlled by ?.
Definition
precapillary sphincters
Term
What bypass much of the capillary bed?
Definition
Metarterioles
Term
What completely bypass capillary bed?
Definition
Arteriovenous shunts
Term
What is being described here?

Smallest vessels, not much bigger than a RBC (or even smaller). Thin endothelium on a basal lamina. No t. media or t. adventitia. Site of gas exchange.
Definition
Capillaries
Term
What capillary is being described here?

Tight occluding junctions seal intercellular clefts; little fluid leakage. All molecules exchanged cross endothelial cells by diffusion or transcytosis. Continuous basal lamina. Often surrounded by pericyte, which has own basal lamina. Most common.
Definition
Continuous Capillary
Term
What capillary is being described?

Endothelial cells have small pores, but basal lamina is continuous. Pores usually bridged by diaphragm. Freer movement of molecules and fluids. Found in GI, kidney, endocrine glands.
Definition
Fenestrated Capillary
Term
What have high negative charge, and contain abundant heparin sulfate-rich proteoglycans. Thick, continuous basal lamina.
(Fenestrated capillaries of kidney glomeruli lack these.)
Few pericytes
Definition
Diaphragm
Term
What capillaries are described here?
Larger diameter. May have discontinuous endothelium and basal lamina; gaps are both within and between cells, and have no diaphragm. Gaps may be large enough for cells to pass through (spleen), or too small for cells (liver). Other sinusoids may have continuous walls (bone marrow) or fenestrated walls (adrenal cortex), but always large diameters. Often associated with phagocytes.
Definition
Sinusoidal Capillaries (discontinuous)
Term
What can be described as the following, Note gaps and discontinuous basal lamina, allowing blood cells to migrate through wall.
Definition
Splenic Sinusoid
Term
If blood perfuses two capillary beds, with a larger vessel in between, this is termed a ?
Definition
portal system
Term
. The major portal system involves capillaries of the ?, which drain into the hepatic portal vein, then supply the liver capillaries with all the nutrients that they have picked up.
Definition
digestive tract
Term
In general, veins have larger, flatter lumens than their companion arteries. The ? is much thicker than the t. media, and may have longitudinal as well as circular smooth muscle fibers.
Definition
tunica adventitia
Term
Postcapillary venules drain capillaries, and are still involved with exchange of ?.
Definition
metabolites
Term
Venules allow blood cells to migrate from vessel to tissue (diapedesis); primary site of ?
Definition
inflammatory response
Term
What is described by the following?

Specialized postcapillary venules found in lymph nodes (and other lymphoid tissues such as tonsils, Peyer’s patches, appendix). Endothelial cells are cuboidal, with ovoid nuclei, and specialized for the attachment and migration of leukocytes out of blood vessel by diapedesis, and for reabsorption of lymph fluid back into the blood.
Definition
High Endothelial Venules
Term
What is described here?

Two venules converging to form this. Three tunics are present, but less distinct than in arteries. Note the valves - fibroelastic tissue covered with endothelium. Prevent backflow, especially in extremities.
Definition
Small Vein
Term
When valves are weakened and fail, blood pools in the veins, twisting and expanding them, producing ?. More common in women and with prolonged standing, obesity or pregnancy. If oxygen is slowed enough, may cause necrosis, ulceration, thrombosis.
Definition
varicose veins
Term
What vein is being described here?
Thin endothelium, thin (2-3 layers of smooth muscle) tunica media, but thicker tunica adventitia. Larger lumen – veins contain 70% of blood volume.
Definition
Medium Vein
Term
What type of vein is described?

Distinct t. intima, occasionally an IEL. Tunica media has few circular layers of smooth muscle. Thick t. adventitia has collagen bundles (red) and longitudinally arranged smooth muscle bundles (yellow). Extensive vasa vasorum. Few elastic fibers visible in this elastic stain.
Definition
Large Vein
Term
What is described by the following?
Distinct t. intima, occasionally an IEL. Tunica media has few circular layers of smooth muscle. Thick t. adventitia has collagen bundles (red) and longitudinally arranged smooth muscle bundles (yellow). Extensive vasa vasorum. Few elastic fibers visible in this elastic stain.
Definition
Endothelium
Term
What cells wrap in a thin tube, meeting with occluding (tight) junctions. Marginal folds may open for migration of WBCs. Nuclei protrude into lumen.
Definition
Endothelial Cells
Term
In selective permeability barrier what can pass readily by diffusion?
Definition
Small hydrophobic molecules (oxygen, carbon dioxide)
Term
Small hydrophilic molecules (gluclose, amino acids, electrolytes) must be transported via ?, or between cells.
Definition
Pinocytotic vesicles
Term
What must be transported by receptor-mediated endocytosis in a selective permeability barrier?
Definition
Specific molecules (LDL, cholesterol, transferrin)
Term
What can be described by the following?
Some tissues have highly restricted permeability (eg brain, thymus, testes). In these areas, endothelial cells are joined by extensive tight junctions, and all substances that cross must be transported by active, specific transporters. Little transcytosis, so few vesicles are seen in endothelium.
Definition
Blood-Tissue Barrier
Term
What secretes vasodilators: nitric oxide (NO), prostacyclin and secrets vasoconstrictors :endothelin
Definition
Endothelium
Term
Endothelial cells coupled to smooth muscle by ?, allowing direct control of membrane potential.
Definition
gap junctions
Term
Healthy endothelium secretes ? (eg thrombomodulin, NO, prostacyclin) that inhibit platelet attachment and prevent clotting.
Definition
anticoagulant signals
Term
Injured endothelium releases stimulators of ? (eg von Willebrand factor, tissue thromboplastin) that promote protective clotting.
Definition
platelet activation
Term
Von Willebrand factor and P-selectin (adhesion of neutrophils) are stored in ?
Definition
Weibel-Palade bodies
Term
Regulation of leukocyte migration by expression of ? molecules (eg selectins, integrins) .
Definition
adhesion
Term
Regulation of immune functions by secretion of ?
Definition
interleukins
Term
Capillary and postcapillary venule walls are often semi-surrounded by?. These wrap around the vessel, with the nucleus resembling an endothelial cell
Definition
Pericytes
Term
What are enveloped with their own basal lamina, outside the endothelial cell. They contain actin and myosin and are contractile. After injury, these function as stem cells to create new vessels, and maybe other cell types as well (osteoblasts, fibroblasts).
Definition
Pericytes
Term
What does this define?

A common form of arteriosclerosis, with formation of plaques (atheromas) containing cholesterol, low density lipoprotein and foam cells (lipid-filled macrophages).
Definition
Atherosclerosis
Term
What does this define?

A common form of arteriosclerosis, with formation of plaques (atheromas) containing cholesterol, low density lipoprotein and foam cells (lipid-filled macrophages).
Definition
Atherosclerosis
Term
What are the three consequences of atheromas?
Definition
Reduced blood flow, necrosis
Thrombus formation
Aneurysm formation
Term
What is defined as damaged endothelial cells trigger coasulation?
Definition
Thrombus formation
Term
What can be described as:
atheroma replaces elastic and smooth muscle tissue, weakening the wall and allowing abnormal widening.
Definition
Aneurysm formation
Term
Angiogenesis is the formation of?
Definition
new blood vessels
Term
What is an example of a stimulating factor for angiogenesis?
Definition
Vascular endothelial growth factor (VEGF)
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