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39 Terms

1
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What are the three layers of the heart wall?

Epicardium, Myocardium, Endocardium.

2
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What is the primary function of the myocardium?

Responsible for heart contraction.

3
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According to Poiseuille’s Law, what factors influence the flow rate (Q)?

Pressure gradient (P), radius (r), viscosity (), and length of vessel (L).

4
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How do small changes in radius affect blood flow according to Poiseuille’s Law?

Small changes in radius result in significant changes in flow.

5
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What mechanism increases blood flow in blood vessels?

Vasodilation increases blood flow.

6
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What shape do vein valves have, and what is their function?

Semilunar shape; they prevent backflow of blood.

7
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How do vein valves work with muscle contractions?

They work with the skeletal muscle pump to return blood to the heart against gravity.

8
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What is one anticoagulant function of endothelial cells?

Produce nitric oxide which causes vasodilation and acts as an anti-platelet.

9
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What happens to endothelial cells when they are injured?

They release von Willebrand Factor (vWF) and Tissue Factor (TF) which activate platelets and initiate coagulation.

10
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What is DVT and what is its biggest risk?

Deep Vein Thrombosis; biggest risk is Pulmonary Embolism (PE).

11
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Where does B-cell development occur in lymphoid tissue?

In the bone marrow.

12
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What are the primary lymphoid organs?

Bone marrow and thymus.

13
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What type of T-cell selection occurs in the thymus?

Positive and Negative selection.

14
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What is positive selection in T-cell development?

T-cells must weakly bind to self-MHC to survive.

15
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What does negative selection in T-cell development mean?

T-cells binding too strongly to self-antigens are eliminated.

16
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Describe the t-cell education pathway.

T-cells enter as double negative, become double positive, undergo positive selection, and exit as single positive CD4+ or CD8+ T-cells.

17
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What are germinal center reactions responsible for?

Affinity maturation and class switching of B-cells.

18
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What happens during affinity maturation in germinal centers?

B-cells mutate antibody genes to select for higher affinity antibodies.

19
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What does class switching in B-cells refer to?

The process where IgM switches to IgG, IgA, or IgE based on cytokine signals.

20
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What are splenic venous sinusoids?

Open, leaky capillaries in the red pulp of the spleen.

21
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What happens to healthy RBCs in the spleen?

They squeeze through endothelial slits.

22
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What occurs to old or damaged RBCs in the spleen?

They get trapped and are phagocytosed by macrophages.

23
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What is the main regulatory factor of cardiovascular flow?

Poiseuille’s Law.

24
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How do endothelial cells participate in blood clotting?

By expressing thrombomodulin and releasing vWF and TF.

25
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What is the role of vein valves in venous circulation?

Prevent backflow of blood during muscle relaxation.

26
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What are two secondary lymphoid organs?

Lymph nodes and spleen.

27
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What are the three types of lymphoid tissue?

Primary, secondary, and tertiary lymphoid tissue.

28
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What is the role of AIRE in T-cell development?

It promotes negative selection by allowing mTECs to present self-antigens.

29
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Describe the role of T-cells in the immune system.

They are responsible for recognizing and responding to pathogens.

30
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What does it mean if a T-cell is described as single positive?

It expresses either CD4+ (helper) or CD8+ (cytotoxic) but not both.

31
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How do B-cells activate in response to antigens?

They bind antigens and present them to helper T-cells.

32
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What is the outcome of B-cell activation in a germinal center?

They undergo proliferation and mutation, followed by selection for high-affinity clones.

33
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What is the primary characteristic of the light zone in germinal centers?

Selection for high-affinity B-cell clones.

34
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What happens to B-cells after undergoing class switch recombination?

They exit as memory or plasma cells.

35
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What is the function of the skeletal muscle pump in the circulatory system?

Helps return venous blood to the heart.

36
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How does vasoconstriction affect blood flow?

It decreases blood flow.

37
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What is the clinical significance of venous valves?

They are crucial for preventing blood stasis and thrombosis.

38
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In what location does T-cell positive selection occur?

In the cortex of the thymus.

39
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What defines a tertiary lymphoid tissue?

It forms at sites of chronic inflammation or tumor presence.