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What does a low hematocrit value indicate?
low percentage of erythrocytes (RBCs) in blood
What is the component of erythrocytes that binds to oxygen?
hemoglobin
What blood types can an unsensitized person with AB- blood receive?
AB- individuals can receive only Rh- factor blood to avoid agglutination
AB- (shares A antigen, B antigen, and anti-D antibodies)
O- (shares anti-D antibodies)
A- (shares A antigens and anti-D antibodies)
B- (shares B antigens and anti-D antibodies)
What is the result of the blood test depicted in the diagram below? (Anti-A = no agglutination; Anti-B = no agglutination; Anti D = agglutination)
agglutination occurs when antigen and antibody of same type are present
Blood type must be O+
no agglutination for Anti-A and Anti-B means no A or B antigens present
agglutination with anti-D means that Rh factor is present
What is the difference between ABO and Rh/D antigen?
ABO antigen is a glycan (carbohydrate) found on surface of RBC
Rh/D antigen is a protein found within blood plasma
If an individual has anti-A and anti-D antibodies, what is the blood type of this individual? What blood type can this person receive?
if anti-A and anti-D antibodies, there must be no A antigen and no Rh + antigen
Individual is blood type B-
Blood type B- individuals can receive B-, O- blood
A considerable increase in neutrophils indicates what type of infection?
bacterial infection
What is the layer of blood vessels containing endothelial cells?
tunica interna
“endo” means inside
What layer responds to different stimuli to vasodilate or vasoconstrict blood vessels?
tunica media
smooth muscle layer
Blood in the veins moves towards the heart by two mechanisms: ___ and ___
gravity
venous valves
What two veins join to become the superior vena cava?
Right brachiocephalic vein & left brachiocephalic vein
What are the two arteries formed by the division of the brachiocephalic trunk/artery?
Right common carotid artery
Right subclavian artery
How do arteries and veins compare and contrast?
Arteries
arteries are thicker, have larger tunica media for constriction
arteries deliver blood AWAY from the heart
Veins
veins are thin-walled, collapsable
veins have valves
veins deliver blood TOWARDS the heart
Both
vessel walls made of tunics
require nutrition, oxygenation, and waste removal services
found in cardiovascular system
connected to capillaries
The process of _____ allows transfer of small solutes and gas molecules across capillary walls.
diffusion
capillary exchange
What artery is used to palpate a wrist pulse?
radial artery
What is a distinguishing feature of cardiac muscle cells compated to other muscle cells?
intercalated discs
During diastole, the tendinous cords are _____. During systole, the tendinous cords are ____
Diastole = relaxation
slack
Systole = contraction
taught
What part of the EKG below is generated by ventricular repolarization?
T wave
What part of the EKG is generated by atrial depolarization?
P wave
Where on the EKG might you see atrial repolarization?
hidden, but occurs in QRS complex
If Thomas’s stroke volume is 100 mL and his heart rate is 50 bpm, what is his cardiac output?
CO = HR x SV
CO = 50 bpm x 100 mL
CO = 5000 mL/min
What is the layer of the heart that directly contacts/touches blood?
endocardium
A vessel that brances that carries deoxygenated blood away from the heart is called _____
pulmonary trunk
Use ABO/Rh blood types to see if you can identify who may be the father of the baby and who is not the father.
Mother = A-
Baby = O+
Mate 1 = B+
Mate 2 = AB+
We know O blood type is recessive (Baby must have 2 copies of O allele); + is dominant (only one copy is needed. Since mom has 2 -, dad must offer 1 + allele)
All alleles that can give B+
BB++, BB+-, BB-+, BO++, BO+-, BO-+
All alleles that can give AB+
AB++, AB+-, AB-+
→ Mate 1 can be the father
aorta
distributes blood to systemic circulation
atrioventricular sulcus
groove separating atrial and ventricular heart portions
atrium
upper chamber of the heart
bicuspid/mitral valve
allows blood movement from left atrium to left ventricle
cardiac vein
drains blood from myocardial capillaries
coronary artery
supplies blood to the heart muscle
coronary sinus
drains blood from myocardium into right atrium
endocardium
inner lining of the heart chambers
interventricular sulcus
groove separating left and right ventricles
myocardium
layer of cardiac muscle tissue
papillary muscle
structure from which chordae tendinae originate
pericardium
double-layered membrane around the heart
pulmonary trunk
gives rise to left and right pulmonary arteries
tricuspid valve
allows blood movement from right atrium to right ventricle
epicardium
contains serous fluid to reduce friction during heartbeat
What does the upper respiratory tract include?
nasal/oral cavities to the trachea
What does the lower respiratory tract include?
bronchioles and the lungs
What are the paranasal sinuses and what do they do?
air filled spaces within the bone
lighten the skull
warm and humidify air that is inhaled
increase the resonance of speech
protect vital structures during facial trauma
What are the 4 paranasal sinuses?
sphenoid sinus
frontal sinus
ethmoid sinus
maxillary sinus
____ of the larynx is where air goes through
glottis lumen
_____ closes off the glottis during swallowing and contains ___ cartilage
epiglottis; elastic
What type of epithelium does the mucosa contain?
pseudostratified ciliated columnar epithelium
A single layer of cells with nuclei in multiple orientations of the cell
What type of cartilage is found within tracheal cartilage?
hyaline cartilage
this type of cartilage is also found on the thyroid and cricoid cartilages
Where does the parietal pleura line?
thoracic wall
Where does the visceral pleura line?
lung surface
What is the pleural space/cavity?
space between the parietal and visceral pleura
filled with pleural fluid
3 functions of the pleura and pleural fluid
reduces friction
creates pulmonary pressure gradient
compartmentalization
What is the carina?
where the trachea forks into the primary bronchi
What is the conducting portion of bronchial tree?
trachea
primary bronchi
secondary bronchi
tertiary bronchi
bronchioles
terminal bronchioles
What is the respiratory portion of the bronchial tree?
respiratory bronchioles
alveolar ducts
alveolar sacs
alveoli
What type of muscle is in the terminal bronchiole?
smooth muscle
Where does gas exchange occur in the lungs?
alveoli
Alveoli is made up of Type 1 and Type 2 pneumocytes/epithelial cells. What are the types?
Type 1 = simple squamous epithelial cells
Type 2 = simple cuboidal epithelial cells
type 2 secrete surfactant (oily, soapy phospholipids that coat alveolar surface and reduce surface tension)
What is pulmonary ventilation?
movement of air into and out of lungs
consists of repetitive, cyclic inspiration and expiration
What is the respiratory cycle?
one complete breathing cycle (one inspiration, one expiration)
What is quiet respiration?
relaxed, unconscious, automatic breathing
done when at rest or walking around
What is forced respiration?
forceful, deep and rapid breathing
exercise
What is ventilation dependent upon?
pressure gradients
difference in air pressure between air inside lungs and outside
What are the muscles involved in breathing?
diaphragm, internal and external intercostals
What is the relationship between pressure and volume?
pressure is inversely related to volume
diaphragm
increases thoracic cavity in inferior direction
prime mover of inspiration
external intercostals
increase thoracic cavity in lateral and anterior/superior direction
synergist of inspiration
internal intercostals
decrease the thoracic cavity during forced expiration
Breathing is largely unconscious, and is controlled by the ___ and ___
medulla oblongata and pons
also responds to chemoreceptors and baroreceptors
tidal volume
amount of air inhaled and exhaled in one cycle during quiet breathing
inspiratory reserve volume
amount of air in excess of tidal volume that can be inhaled with max effort
expiratory reserve volume
amount of air in excess of tidal volume that can be exhaled with max effort
residual volume
amount of air remaining in the lungs after maximum expiration
amount that can never voluntarily be removed
vital capacity
amount of air that can be inhaled and exhaled with max effort
deepest possible breath
VC = IRV + ERV + TV
inspiratory capacity
max amount of air that can be inhaled after a normal tidal expiration
functional residual capacity
amount of air remaining in the lungs after a normal tidal expiration
total lung capacity
max amount of air the lungs can contain
cellular respiration
converts carbohydrate and oxygen into carbon dioxide and water
produces 32 ATP
external repiration
gas exchange between air in the lungs and blood
internal respiration
gas exchange between blood and tissues
gas transport
movement of respiratory gases in the blood
carries gases from the alveoli to the systemic tissues and vice versa
Fick’s law
rate that respiratory gases diffuse in and out of blood
rate of diffusion is proportional to (surface area*pressure gradient)/(membrane thickness)
as pressure gradient and surface area increase, diffussion increases
as membrane gets thinner, diffusion increases
How is oxygen transported in the blood?
98.5% bound to hemoglobin in RBCs
1.5% dissolved in blood
How is carbon dioxide transported in blood?
90% as hydrated bicarbonate ions
5% bound to hemoglobin
5% dissolved in blood
What is picked up in the tissues and what is released there?
picked up = carbon dioxide
released = oxygen
What is picked up in the lungs and what is released there?
oxygen is picked up
carbon dioxide is released
What is emphysema?
alveoli burst and fuse into enlarged air spaces, reducing surface area for gas exchange
stroke volume
volume of blood ejected from left ventricle in one cardiac cycle
depends on your physical fitness
cardiac output
the volume of blood ejected from the left ventricle in one minute
total peripheral resistance
sum of all the resistance to blood flow in all the peripheral vasculature in systemic circulation
mean arterial pressure
the average arterial pressure during one cardiac cycle
What are some factors that cause total peripheral resistance to change?
blood viscosity
vessel length
vessel diameter
How can you increase blood flow to muscles?
increase cardiac output
decrease TPR
redirection of blood flow (shunts)
What does a prolonged QT interval indicative of?
ventricular tachyarrythmias