Physiology Lecture Exam 1 SG

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What is blood made of?

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What is blood made of?

liquid CT (fluid CT)

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Blood is

continuously regenerative

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Arteries carry oxygenated blood

AWAY from the heart to the body

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Arterial blood would be

bright red because it is carrying oxygenated blood

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Veins carry deoxygenated blood

TOWARDS the heart

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Blood carried through veins would be

blue/ dark red because it is deoxygenated

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What is the composition of blood?

55% plasma

41% red blood cells (erythrocytes)

4% leukocytes (WBCs) and platelets

<p>55% plasma</p><p>41% red blood cells (erythrocytes)</p><p>4% leukocytes (WBCs) and platelets</p>
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Blood functions in

transportation

regulation

protection

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How is blood transported?

through veins, capillaries, and arteries

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How does blood function in regulation?

Regulates hormones, temperature, pH, and fluid balance

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How does blood function in protection?

blood clotting +

contains leukocytes, plasma proteins, and other molecules protecting against microbes.

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What is the composition of plasma?

mostly water + plasma proteins and other solutes

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Solutes in plasma

proteins- big molecules: albumin (60%), globulins (35%); antibodies or immunoglobulins, + transport proteins, fibrinogens (4%); function in blood clotting, other/ regulatory proteins (1%)

nutrients- water soluble vitamins B1-11

electrolytes- sodium, chloride, potassium, calcium, magnesium

waste products

respiratory gases

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Erythrocytes (RBCs)

vast majority of the cells in the blood

hemoglobin, oxyhemoglobin, deoxyhemoglobin, oxygen

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What is the life expectancy of RBCs?

120 days

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RBCs function to

transport respiratory gases in the blood

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Leukocytes (WBCs)

contribute to defending body against pathogens, infection, disease.

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Leukocytes are

immune cells

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Leukocytosis

high white blood cell count.

normal immune response.

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Granulocytes

WBCs with secretory granules in its cytoplasm

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What are the 3 granulocytes?

Neutrophils, eosinophils, basophils

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Neutrophils

most abundant type of granulocytes.

40-70% of WBCs in humans.

vital for protection against bacterial infection.

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Eosinophils

immune cell that fight against parasites.

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Basophils

have a low count in blood.

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Agranulocytes

account for about 30% of all leukocytes and are produced either in the bone marrow or the lymphatic system.

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Lymphocytes

a type of Agranulocyte.

large- natural killer cells

small- divided into B and T lymphocytes

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Monocytes

a type of Agranulocyte.

once in tissue can become with macrophages and dendritic.

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Thrombocytes

aka platelets.

absolutely essential in the process of blood clotting.

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ABO blood group system is determined by

the red blood cell.

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Antigen

anything a recipient will recognize as being a foreigner.

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Immunoglobulin

aka antibodies.

M, IgM

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Blood group Rhesus factor

either dominant (present) or recessive (absent) on the RBC.

Rh-, Rh+.

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Chromosome

Rhesus factor is coded by a dominant gene.

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A dominant gene is

one that would be expressed if present.

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Hemolytic Disease of the Newborn

aka Eryhtroblastosis Fetalis.

Rh- mother, Rh+ father. Fetus Rh+.

Factor incompatibility- blood can mix during birth or at the end of pregnancy.

There are no naturally occurring antibodies to the Rhesus factor in the plasma.

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When does the heart begin to develop?

in the third week of gestation; with the formation of two heart tubules.

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Where does the heart develop/ form from?

the mesoderm in embryo.

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The heart begins to beat on or around day

22

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Cardiovascular system consists of

the heart and blood vessels.

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Adequate perfusion is

the sufficient delivery of blood to maintain cells’ health.

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<p>Ventricules</p>

Ventricules

inferior chambers that pump blood away.

located inferior to atria.

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The left ventricle lining is

thicker than the right ventricle.

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The interventricular septum

separates the right and left ventricles.

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Why is the interventricular septum important?

it separates the ventricles to prevent oxygenated and deoxygenated blood from mixing.

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<p>Aorta</p>

Aorta

receives oxygenated blood pumped from the left ventricle.

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What kind of blood will you find in the aorta?

oxygenated

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Oxygenated blood is received by the ____ pumped from the ____ ventricle.

aorta, left

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The aorta is

the largest blood vessel in the body.

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Heart valves

prevent back flow to ensure one way blood flow.

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Valves on the left side of the blood

left atrioventricular valve (AV)/ bicuspid valve/ mitral valve.

aortic valve.

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Pulmonary artery

carries blood AWAY from heart TO lungs for oxygenation.

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Atria

superior chambers that receive blood and send it to ventricles.

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Valves on the right side of the heart

right AV valve/ tricuspid valve.

pulmonary valve.

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Vena cava/ right atrium

drain deoxygenated blood into right atrium.

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Pulmonary circulation

transports blood from the right side of the heart to the alveoli of the lungs for gas exchange, and back to the left side of the heart.

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Systematic circulation

transports blood from the left side of the heart to systematic cell of the body for nutrients and gas exchange, and back to the right side of the heart.

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What is the first step of blood flow?

Blood enters through the superior/ inferior vena cava from the superior/ inferior parts of the body respectively.

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Describe the process of blood flow

Blood enters through the superior/ inferior vena cava from the superior/ inferior parts of the body respectively > enters right atrium > flows through tricuspid/ right AV valve > into right ventricle > leaves right ventricle through pulmonary valve > deoxygenated blood to lungs where gas exchange occurs > pulmonary veins (oxygenated blood) > left atrium > left AV/ bicuspid/ mitral valve > left ventricle > put through aortic valve > into aorta > back to body/ system.

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<p>Tendinous cord/ chordae tendineae</p>

Tendinous cord/ chordae tendineae

holds AV valves in place while heart pumps blood.

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<p>Layers of the heart</p>

Layers of the heart

pericardium, endocardium, myocardium

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Heart conduction system

specialized cardiac muscle cells within the heart located internal to the endocardium

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What happens in the cardiac circle?

atria contracts first, ventricles will contract from the bottom up

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SA node (sinoatrial node)

generates an electrical signal that causes atria to contract.

pacemaker of the heart.

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Heart electrical system

SA node generates an electrical stimulus. Atria are activated. Electrical stimulus travels down through conduction pathways and causes ventricles to contract and pump out blood.

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AV node (atrioventricular node)

Collects signals from SA node. Serves as a gate that slows electric current before signal is permitted to pass down through to the ventricles.

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Bundle of His

a group of fibers that carry electrical impulses from AV node to bundle branches.

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Bundle branches

There are 2- left and right.

The bundle of His is divided into these two bundle branches.

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Left bundle branch

conducts impulses to left ventricle

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Right bundle branch

conducts electrical impulses to right ventricle

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Purkinje fibers

Deliver electric signals to ventricles, making them contract.

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Components of the heart electrical system

SA node

AV node

Bundle of His

Left and right bundle branches

Purkinje fibers

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Heart conduction system

Starts at SA node > action potential distributed through aorta > reaches AV node > action potential delayed at AV node (delay allows ventricles to fill before the contract) > action potential travels through AV bundle to Purkinje fibers (AV node > AV bundle > bundle branches > Purkinje fibers) > action potential spreads through ventricles (ventricles contract simultaneously)

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<p>P wave</p>

P wave

atrial depolarization (contraction) originating in SA node

<p>atrial depolarization (contraction) originating in SA node</p>
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<p>QRS complex</p>

QRS complex

ventricular depolarization.

atria also simultaneously repolarizing.

<p>ventricular depolarization.</p><p>atria also simultaneously repolarizing.</p>
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T wave

ventricular depolarization (rest)

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<p>EKG segments</p>

EKG segments

two segments between waves correspond to plateau phases of cardiac potentials (NO ELECTRICAL CHARGE)

<p>two segments between waves correspond to plateau phases of cardiac potentials (NO ELECTRICAL CHARGE)</p>
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<p>P-Q segment</p>

P-Q segment

atrial cell’s plateau (atria are contracting)

<p>atrial cell’s plateau (atria are contracting)</p>
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<p>S-T segment</p>

S-T segment

ventricular plateau (ventricles contracting)

<p>ventricular plateau (ventricles contracting)</p>
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<p>Atrial depolarization</p>

Atrial depolarization

P wave

<p>P wave</p>
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<p>Atrial plateau- muscle cells of atria contract and relax</p>

Atrial plateau- muscle cells of atria contract and relax

PQ segment

<p>PQ segment</p>
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<p>Atrial depolarization</p>

Atrial depolarization

not visible on EKG

<p>not visible on EKG</p>
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<p>Ventricular depolarization</p>

Ventricular depolarization

QRS wave

<p>QRS wave</p>
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<p>Ventricular plateau- ventricles contract and relax</p>

Ventricular plateau- ventricles contract and relax

ST segment

<p>ST segment</p>
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<p>Ventricular depolarization</p>

Ventricular depolarization

T wave

<p>T wave</p>
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<p>Bradycardia</p>

Bradycardia

Persistently low heart rate in adults (normal change in athletes).

Abnormal due to hypothyroidism, electrolyte imbalance, congestive heart failure

<p>Persistently low heart rate in adults (normal change in athletes).</p><p>Abnormal due to hypothyroidism, electrolyte imbalance, congestive heart failure</p>
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<p>Bradycardia heart rate</p>

Bradycardia heart rate

below 60 beats/ minute

<p>below 60 beats/ minute</p>
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<p>Tachycardia</p>

Tachycardia

Persistently high resting heart rate

Caused by heart disease, fever, anxiety

<p>Persistently high resting heart rate</p><p>Caused by heart disease, fever, anxiety</p>
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<p>Tachycardia heart rate</p>

Tachycardia heart rate

over 100 beats/ minutes

<p>over 100 beats/ minutes</p>
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Types of blood vessels

arteries

capillaries

veins

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Arteries blood flow

Oxygenated blood away from heart > tissues

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Do arteries contain a valve?

No. Blood moves by pressure of contraction of heart

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Veins blood flow

From body toward the heart

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Valves are present in most veins

True

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Systematic veins

transport blood low in oxygen

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Pulmonary veins

transport blood high in oxygen

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Vessels are composed of layers called

tunica

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<p>tunica intima/ interna</p>

tunica intima/ interna

innermost layer of blood vessel

<p>innermost layer of blood vessel</p>
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<p>tunica media</p>

tunica media

middle layer

thicker, muscular wall

mostly smooth muscle + elastic tissue

<p>middle layer</p><p>thicker, muscular wall</p><p>mostly smooth muscle + elastic tissue</p>
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Vasucular endothelium

inner cellular lining of blood vessels.

in direct contact with blood.

inside lining of lumen.

allows for smooth blood flow.

increase diameter of artery to increase blood flow.

found in large arteries.

one cell thick- simple endothelium.

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Vascular endothelium maintain

vascular homeostasis

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