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Cardiovascular 2
cardiovascular system
112
Physiology
Undergraduate 3
11/02/2015

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Cards

Term
The pulmonary vein carries oxygenated blood from the lungs to the ______
Definition
left atrium
Term
The pulmonary artery carries ______ blood
Definition
deoxygenated blood
Term
The ______ carries deoxygenated blood to the right atrium
Definition
vena cava
Term
Describe the basic passage of air from outside to inside the body
Definition
1. Oral/nasal cavity
2. Pharynx
3. Larynx
4. Trachea
5. Lung
Term
Where are the vocal chords found?
Definition
larynx
Term
During _______ the diaphragm relaxes
Definition
expiration
Term
What is the formula for lung compliance?
Definition
dV / dP
Term
In order to expand, the lungs must have high _____
Definition
compliance
Term
Inspiration is associated with _____ while expiration is associated with ______
Definition
compliance
elasticity
Term
Lung tissue contains lots of ______ proteins
Definition
elastin
Term
Draw the graph of lung volumes & capacities
Definition
ADD IT!
Term
Tidal volume is approximately
Definition
500mls
Term
volume of gas inspired or expired in an unforced respiratory
cycle
Definition
tidal volume
Term
max vol of gas that can be inspired during forced
breathing in addition to tidal volume
Definition
inspiratory reserve
Term
max vol of gas that can be expired during forced
breathing in addition to tidal volume
Definition
expiratory reserve
Term
vol of gas remaining in lungs after max expiration
Definition
residual volume
Term
max amount of gas expired after a max inspiration
Definition
vital capacity
Term
inspiratory capacity
Definition
max amount of gas that can be expired after a normal
tidal expiration
Term
functional residual capacity
Definition
amount of gas remaining in the lungs after a
normal tidal expireation.
Term
What is the typical volume of air in the anatomic dead space?
Definition
150mls
Term
Is the CO2 level of the blood in the lungs high or low?
Definition
low
Term
Is blood in tissues of high or low pH? why?
Definition
low

-oxygen is used, CO2 is produced which increases acidity
Term
The pulmonary vein carries oxygenated blood from the lungs to the ______
Definition
left atrium
Term
The pulmonary artery carries ______ blood
Definition
deoxygenated blood
Term
The ______ carries deoxygenated blood to the right atrium
Definition
vena cava
Term
The _____ is where air is directed to the lungs & food to the esophagus
Definition
laynx
Term
What is the respiratory zone?
Definition
where gas exchange occurs... alveolus
Term
During ______ the diaphragm contracts
Definition
inspiration
Term
During _______ the diaphragm relaxes
Definition
expiration
Term
True or False

The lungs are always under a state of elastic tension
Definition
true
Term
What is the 'outer' layer of the pleural membranes? The inner?
Definition
parietal

visceral
Term
What prevents the alveoli from collapsing during expiration?
Definition
secretion of surfactant, which lowers surface tension
Term
What cells secrete surfactant?
Definition
type II alveolar cells
Term
What is respiratory distress syndrome? Why does it happen?
Definition
collapsing of alveoli in premature-born neonates because they have not yet produced enough surfactant to prevent this
Term
Draw the graph of lung volumes & capacities
Definition
ADD IT!
Term
vol of gas remaining in lungs after max expiration
Definition
residual volume
Term
max amount of gas expired after a max inspiration
Definition
vital capacity
Term
inspiratory capacity
Definition
max amount of gas that can be expired after a normal
tidal expiration
Term
functional residual capacity
Definition
amount of gas remaining in the lungs after a
normal tidal expireation.
Term
What is the anatomic dead space?
Definition
where no gas exchange occurs

(nose/mouth through to bronchioles)
Term
What is the percentage of fresh air reaching the
alveoli, if …
i) the anatomical dead space is 150 mls, and
ii) tidal volume is 500mls?
Definition
Answer: 150 is dead space therefore 500 – 150 =
350 reaches the alveoli…
350 / 500 x 100% = 70%
The percentage of fresh air reaching the alveoli is
70%
Term
Is the CO2 level of the blood in the lungs high or low?
Definition
low (basic)
Term
Is blood in tissues of high or low pH? why?
Definition
low

-oxygen is used, CO2 is produced which increases acidity
Term
What determines whether O2 combines with hemoglobin to form oxyhemoglobin, or whether it is released from oxyhemoglobin?
Definition
acidity of the plasma
Term
If plasma acidity is low, relative to pH in the lungs, O2 will be....
Definition
combined with hemoglobin
Term
If plasma acidity is high, relative to pH in the tisues, O2 will be....
Definition
released from oxyhemoglobin
Term
True or False

Hemoglobin binds CO2
Definition
true, as well as O2
Term
Describe the process of O2 uptake in the lungs
Definition
1. O2 disolves in the alveolar fluid, diffuses through walls & capillaries into plasma as CO2 diffuses from plasma to the alveolar sac

2. O2 diffuses into RBCs, binds with Hb to form oxyhemoglobin
Term
Oxyhemoglobin formation occurs in the lungs because blood CO2 levels in the lung are (low/high)
Definition
low
Term
Describe the process of O2 release in the tissues
Definition
-plasma CO2 levels in the body tissues are high, and pH is low (acidic)
-pH of blood plasma will decrease as CO2 moves from tissues to bloodstream

-Hb & O2 dissociate, O2 diffuses into body tissues
Term
T/F

CO2 is highly soluble
Definition
false
Term
What enzyme converts CO2 into HCO3-? Where is this enzyme found?
Definition
carbonic anhydrase

in RBCs
Term
CO2 + Hb form _______ compounds
Definition
carbamino
Term
What is the bicarbonate equation?
Definition
CO2 + H2O -> H2CO3 -> H+ + HCO3-
Term
In the lungs, the bicarbonate equation moves from right to left because....
Definition
CO2 is being lost to the alveolar sacs
Term
In the general body tissues, the bicarbonate equation moves left to right because....
Definition
CO2 is constantly being produced
Term
As a diver goes to deeper depths, partial pressures in their blood plasma will (decrease/increase)
Definition
increase
Term
As a diver goes to deeper depths, dissolved gases in their blood plasma will (decrease/increase)
Definition
increase
Term
What is the mammalian diving reflex? (4)
Definition
-heart rate decreases
-vasconstriction directs blood to heart/lungs/brain
-spleen releases RBCs carrying O2
-blood shift directs blood plasma to lung blood vessels
Term
SCUBA divers use air tanks filled with...
Definition
O2, nitrogen, trace gases
Term
SCUBA stands for...
Definition
self-contained underwater breathing apparatus
Term
Why must divers ascend slowly? What happens if they don't?
Definition
-allows nitrogen to diffuse through alveoli and be eliminated through expiration

-nitrogen gas bubbles form in tissues and enter the blood, blocking small blood channels
Term
How can you treat decompression sickness?
Definition
hyperbaric oxygen therapy

-give 100% O2 at 3ATM pressure, which raises the plasma concentration
Term
What is acute mountain sickness?
Definition
low arterial pressure stimulates vasodilation, increasing blood flow & pressure to the skull, increasing respiratory rate
Term
What adaptations do some people have when living at high altitude?
Definition
more Hb in the blood, increased blood vessel diamater
Term
What are some adaptations to high altitudes immediately, over days, and over weeks?
Definition
Immediately:
-hyperventilation to increase air intake, increased affinity of Hg for O2 to improve oxygen loading in the lungs

Days
-decreased affinity of Hg for O2
-increased oxygen unloading at tissues

Weeks
-more RBCs and Hg produced, increasing O2 content in blood
Term
True or False

The left ventricle does more work and is thicker than the right ventricle
Definition
true
Term
The valve between the RA & RV is called the
Definition
tricuspid valve
Term
The valve between the LA and LV is called the
Definition
bicuspid / mitral valve
Term
semilunar valves are found where?
Definition
at the origin of the pulmonary artery & aorta
Term
When the ventricles relax, the SL valves (close/open)
Definition
close
Term
Label the heart diagram
Definition
look at it
Term
True or False

The atria contract one after another
Definition
false

simultaneously
Term
About _____ of the blood in the ventricles remains behind after contraction. This is called the _______
Definition
1/3

end-systolic volume
Term
What is stroke volume?
Definition
amount of blood from the ventricle in 1 heart beat
Term
Does the heart spend more time in diastole or systole?
Definition
diastole
Term
What regions of the heart can generate action potentials?
Definition
SA node
AV node
purkinje fibers
Term
The _____ function as the pacemaker and is found in the _______
Definition
SA node
RA
Term
What innervates the SA node?
Definition
the vagus nerve
Term
Describe the electrical activity of the heart
Definition
1. Impulse starts at SA node
2. Travels to AV node, atria contract
3. Continues through bundle of His
4. Descends intraventricular septum, going left & right through purkinje fibers
4. Spreads from endocardium to epicardium triggering ventricular contraction
Term
Where is the electrical conduction within the heart slowest? fastest?
Definition
AV node
purkinje fibers
Term
Why do the purkinje fibers conduct electrical activity so quickly?
Definition
they have a higher resting membrane potential
Term
Draw a 'normal' ECG and one with ischemia
Definition
look at pictures
Term
In an ECG, what are the following events:

P
Q
R
S
T
Definition
P = atrial depolarization
QRS = ventricular depolarization
T = ventricular repolarization
Term
True or False

Hyperstimulation of the vagus nerve can lead to tachycardia
Definition
false

bradychardia
Term
How does caffeine affect the heart?
Definition
stimulates the CNS to increase stroke volume, blood pressure and heart rate
Term
Myocytes are connected via...
Definition
gap junctions
Term
What major organelles are found within myoctyes?
Definition
mitochondria (supply energy)
and sarcoplasmic reticulum (to handle Ca2+)
Term
What effect do action potentials have within cardiac muscle?
Definition
1. AP generated in SA node
2. Voltage-gated channels open releasing Ca2+
3. Increase in Ca2+ triggers further release from SR
4. Ca2+ binds to sarcomere stimulating contraction
5. Ca2+ATPase pumps Ca back into SR
6. Myocardial cell relaxes
Term
Actin filaments are (thin/thick) while myosin filaments are (thin/thick)
Definition
thin
thick
Term
A series of myocardial cells arranged into rods are called....
Definition
myofibrils
Term
What are z discs?
Definition
proteins that anchor thin protein filaments
Term
each myofibriil is separated by....
Definition
z discs
Term
The section between Z discs is called a
Definition
sarcomere
Term
When muscles contract, the distance between Z discs
Definition
decreases
Term
Light bands are called ____ while dark bands are _____
Definition
I bands
A bands
Term
Z discs are found in the middle of ____ bands
Definition
I
Term
Where is the H-zone found?
Definition
in the middle of A bands
Term
Describe the interaction of ATP/Actin/myosin during muscle contraction
Definition
-myosin head has an ATP binding site
-ATP hydrolysis activates myosin head causing it to rotate
-Ca2+ binds to troponin, causing troponin-tropomyosin complex to move
-mysosin can form cross bridges to the now-exposed binding sites on actin
-power stroke occurs
Term
Describe the orientation of tropomyosin, troponin and actin
Definition
Tropomysin is attached to actin
Troponin complex is attached to tropomyosin
Term
How do skeletal and cardiac muscles differ?
Definition
-SM require external simulation, CM produce their own AP

-SM are long & fibrous, CM cells are short, branched & interconnected

-SM have direct excitation-contraction coupling
-CM cells have voltage gated Ca2+ channels which do not directly interact with the Ca2+ channels in the SR
Term
Which muscles are striated? which are not?
Definition
skeletal & cardiac

smooth
Term
Which muscle cells are multinucleated?
Definition
skeletal
Term
What is coronary artery disease?
Definition
plaque accumulation in coronary arteries
Term
Angina is due to...
Definition
partially restricted blood flow within the coronary arteries
Term
What is congestive heart failure?
Definition
inefficient pumping of the heart, cannot meet the body's demand for blood

-blood gets backed up in veins leading to the heart
Term
Congestive heart failure is often due to...
Definition
ventricular failure/problems
Term
What is the biggest symptom of congestive heart failure?
Definition
water retention in the legs
Term
What can you do to treat congestive heart failure?
Definition
B-blockers help the heart pump
diuretics remove salts & fluids
surgery / heart transplant
Term
What do B-blockers do?
Definition
target the beta-1 andrenergic receptor which prevents catecholamine binding, reducing heart rate

dilate arteries
Term
In cats, a diet low in ____ can lead to congestive heart failure
Definition
taurine
Term
A swollen/bulging aorta is a sign of...
Definition
an aortic aneurism
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