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131 notecards = 33 pages (4 cards per page)

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A&P II Practical #2

front 1

Blood pressure

back 1

the force that blood exerts against the walls of the blood vessels

front 2

Arteries

back 2

blood pressure is highest in these

front 3

The ventricles of the heart contract & eject blood into the aorta & pulmonary arteries

back 3

blood pressure is highest when

front 4

Systolic blood pressure

back 4

blood pressure measured during ventricular contraction (cardiac systole)

front 5

Diastolic blood pressure

back 5

blood pressure measured during ventricular relaxation (cardiac diastole)

front 6

Veins & Arteries

back 6

have the same number of layers

front 7

Sphygmomanometer

back 7

consists of an inflatable bladder enclosed in a nondistensible cuff

front 8

stethoscope

back 8

necessary for the auscultatory method of blood pressure measurement

front 9

Anastomosis

back 9

arteries forming a network for multiple pathways for blood to flow

front 10

Circle of Willis & Coronary Circulation

back 10

examples of anastomosis

front 11

Superior vena cava & inferior vena cava

back 11

all of the body's systemic veins (except cardiac veins) drain where

front 12

endothelial tissue => connective tissue => elastic tissue

back 12

three layers of the tunica intima (deep to superficial)

front 13

Simple squamous epithelium; Lumen

back 13

the endothelium consists of ________ _________ __________ that forms a smooth inner lining around the ___________.

front 14

elastic tissue

back 14

allows for the expansion of the arteries

front 15

tunica media

back 15

thickest layer on the walls of large arteries

front 16

tunica media

back 16

made up of elastic tissue in large arteries & smooth muscle in small arteries

front 17

tunica adventita

back 17

made up of collagen and elastic tissue (& nerves, & small blood vessels)

front 18

Valves

back 18

thing that veins contain & arteries don't

front 19

Capillaries

back 19

the only blood vessel whose walls permit gas exchange between the blood & surrounding tissues

front 20

tunica media or tunica externa

back 20

capillaries contain no...

front 21

Arteriosclerosis

back 21

thickening & toughening of arterial walls due to loss of elasticity as aging occurs

front 22

Atherosclerosis

back 22

a disease that occurs when fatty deposits form along the walls of arteries

front 23

Aneurysm

back 23

a bulge in the weakened wall of a blood vessel, usually an artery

front 24

Varicose veins

back 24

sagging & swollen vessels

front 25

Hypertension

back 25

high blood pressure (systolic > 140mmHg ; diastolic > 90mmHg)

front 26

Systemic circulation

back 26

circulation to all body parts minus lungs & heart

front 27

Coronary circulation

back 27

brings oxygenated blood & nutrients to the heart

front 28

Oxygenated => deoxygenated

back 28

systemic & coronary circulations start _______ & end __________.

front 29

Pulmonary circulation

back 29

brings deoxygenated blood to the lungs to be reoxygenated

front 30

Deoxygenated => Oxygenated

back 30

Pulmonary circulation starts _______ & ends ____________.

front 31

Systemic circulation

back 31

left side of the heart associated with...

front 32

Pulmonary circulation

back 32

right side of the heart associated with...

front 33

Superior vena cava

back 33

brings blood above the heart back to the right atrium

front 34

Inferior vena cava

back 34

brings blood below the heart back to the right atrium

front 35

Infarction

back 35

heart attack due to death of tissue

front 36

atria ; ventricle

back 36

When the heart beats _______ contract first, followed by _______.

front 37

the left side of the heart has to pump blood out of the heart to the rest of the body whereas, the right side only has to pump blood to the lungs which are relatively close to the heart

back 37

Why is the left ventricle thicker than the right ventricle?

front 38

Interventricular septum

back 38

a thick wall that seperates the right & left ventricles

front 39

Murmur

back 39

when valves close abnormally or there is a structural heart defect, blood can produce a gurgling or swishing sound

front 40

tricuspid valve

back 40

between the right atrium & right ventricle

front 41

pulmonary semilunar valve

back 41

between the right ventricle & pulmonary artery

front 42

bicuspid valve

back 42

between left atrium and left ventricle

front 43

aortic semilunar valve

back 43

between the left ventricle and the aorta

front 44

"Lubb"

back 44

sound heard when AV valves close

front 45

"Dubb"

back 45

sound heard when semilunar valves close

front 46

Arteries

back 46

carry blood away from the heart
oxygenated blood in systemic circulation
deoxygenated blood in pulmonary circulation

front 47

Veins

back 47

carry blood to the heart
deoxygenated blood in systemic circulation
oxygenated blood in pulmonary circulation

front 48

Aorta

back 48

largest artery in the body

front 49

Superior & inferior vena cava

back 49

largest veins in the body

front 50

Low-density lipoproteins

back 50

bad or lousy cholesterol that can cause arterial plaques leading to atherosclerosis

front 51

High-density lipoproteins

back 51

good or heavenly cholesterol that does not cause circulatory problems

front 52

EKG or electrocardiography

back 52

voltmeter; reads the electrical activity of the heart to see if it is generated & conducting correctly

front 53

Lead

back 53

a record (tracing) of electrical activity between 2 electrodes; allow viewing of the hearts electrical activity in different planes

front 54

Baseline

back 54

if electrical activity is not detected, a straight line is recorded

front 55

Waveform

back 55

movement away from baseline in the positive (upward) or negative (downward) direction

front 56

PR Interval

back 56

indicates AV conduction time

front 57

ST segment

back 57

indicates early ventricular repolarization

front 58

QRS Complex

back 58

indicates ventricular depolarization (contraction of ventricles)

front 59

QT Interval

back 59

represents ventricular depolarization & repolarization

front 60

T wave

back 60

indicates ventricular repolarization

front 61

P wave

back 61

indicates atrial depolarization (contraction of atrium)

front 62

Sinus tachycardia

back 62

HR = 101-160 bpm
Rhythm = regular or irregular

front 63

Sinus Bradycardia

back 63

HR = 40-59 bpm
Conduction = P-R normal or slightly prolonged at slower rates
Rhythm = regular or slightly irregular

front 64

Ventricular Fibrillation

back 64

HR = unattainable
P wave - may be present, but obscurred by ventricular waves
QRS - not apparent
Conduction - chaotic electrical activity
Rhythm - chaotic electrical activity

front 65

base of the aorta

back 65

Where do the coronaries begin?

front 66

right atrium

back 66

where do the coronary veins dump deoxygenated blood into?

front 67

to carry oxygenated blood to the heart to provide it with oxygen & nutrients

back 67

what is the function of coronary vessels?

front 68

it receives deoxygenated blood from the superior vena cava, inferior vena cava, and the coronary sinus

back 68

What type of blood (deoxygenated or oxygenated) does the right atrium receive and from which 3 vessels?

front 69

it receives oxygenated blood from the left & right pulmonary veins

back 69

What type of blood (deoxygenated or oxygenated) does the left atrium receive and from what vessels?

front 70

oxygenated

back 70

the aorta transports what type of blood?

front 71

deoxygenated

back 71

the pulmonary trunk transports what type of blood?

front 72

the aorta has more elasticity because it has to be able to withstand the large amounts of blood and pressure coming from the left ventricle

back 72

which vessel (aorta or pulmonary trunk) has more elasticity & why?

front 73

the AV valves consist of a bicuspid & a tricuspid valve which are held to the ventricular walls by the chordae tendinae; the semilunar valves are composed of 3 cusp valves & these are opened and closed based on pressure

back 73

list 2 major differences in structure when comparing AV valves & semilunar valves

front 74

to reduce friction during heart activity so the heart can beat in a relatively frictionless environment

back 74

what is the function of the fluid that fills the pericardial sac?

front 75

to enforce a one-way flow of blood through the heart chambers & prevent back flow into the atria when ventricles are contracting

back 75

what is the function of the valves found in the heart?

front 76

anchor the cusps of the valves to the ventricular walls

back 76

what is the role of the chordae tendineae ?

front 77

systematic circulation

back 77

if the mitral valve does not close properly, which circulation is affected?

front 78

because that would cut off the functional blood supply to that nourishes the heart

back 78

why might a thrombus in the anterior descending branch of the left coronary artery cause sudden death?

front 79

skeletal muscle has long, cylindrical, multinucleated cells with obvious striations, wheres as cardiac muscle has cells that branch, are striated with 1 nucleus & come together at intercalated discs

back 79

how would you distinguish the structure of cardiac muscle from that of skeletal muscle?

front 80

intercalated discs allow for electrical connections between cells & it holds myocytes together so they do not pull apart when the heart contracts.
many mitochondria provide the energy required for contraction

back 80

what are the unique anatomical features or cardiac muscle & what are their functions?

front 81

SA node => AV node => Bundle of His => bundle branches => purkinje fibers

back 81

list the elements of the intrinsic conducting system in order, starting at the SA node

front 82

AV node; because it allows the atria to contract completely, ejecting all of their contents into the ventricles before the ventricles begin to contract

back 82

what structure in the transmission sequence is the impulse temporarily delayed? Why?

front 83

to act as the pacemaker. the SA node provides the stimulus for the contraction since its discharge has the highest rate (under normal circumstances the SA node will set the heart rate)

back 83

even though cardiac muscle has an inherent ability to beat, the nodal system play a critical role. What is it?

front 84

because our heart is in a greater demand when our body is under that kind of strain. the heart must beat faster & harder in order to deliver a larger amount of blood to the organs and muscles that are being used while running

back 84

why does the heart rate increase during running?

front 85

ventricular fibrillation; because blood passes from the atria into the ventricles with the help of gravity only a little remaining blood is needed to be pumped, whereas the ventricles are fighting against gravity so if the pump is fibrillating the body is not getting the blood it needs = fatal

back 85

which would be more serious, atrial or ventricular fibrillation? why?

front 86

stroke

back 86

insufficient supply of blood to the brain region or damage to the vasculature in a particular area of the brain which causes bleeding into the nervous tissue

front 87

cerebral hemorrhage

back 87

occurs when a vessel bursts causing bleeding in a region of the cerebral cortex

front 88

embolic stroke

back 88

when small clots that formed in other parts of the body occlude cerebral arteries & cut off blood supply to the cerebral cortex

front 89

ischemic stroke

back 89

narrowing or blockage of vasculature that results in oxygen deprivation to a specific part of the cerebral cortex.

front 90

brachiocephalic artery

back 90

first to branch off the aortic arch

front 91

celiac artery

back 91

supplies the stomach & spleen

front 92

superior mesenteric artery

back 92

supplies the small intestine

front 93

inferior mesenteric artery

back 93

supplies large intestine

front 94

hepatic portal vein

back 94

superior mesenteric vein & splenic vein join to form?

front 95

pelvic organs

back 95

internal iliac arteries carry blood where?

front 96

legs

back 96

external iliac arteries carry blood where?

front 97

brachiocephalic vein

back 97

jugular & subclavian veins join together to form what?

front 98

superior vena cava

back 98

right & left brachiocephalic veins join together to form what?

front 99

azygos vein

back 99

comes along the vertebral column & is an alternate pathway for the blood to get from the lower part of the body to the heart

front 100

artery: tunica media thick, tunica externa thin, open & circular lumen
vein: tunica media thin, tunica externa thick, somewhat collapsed lumen

back 100

structural difference between arteries & veins

front 101

valves are present in veins because blood flowing back from the heart is often against gravity, thus the valves ensure venous return equals cardiac output by preventing back flow

back 101

why are valves present in vein but not arteries?

front 102

skeletal muscle pumps to "milk" blood & pressure changes that occur in the thorax during breathing

back 102

name 2 events occurring within the body that aid in venous return

front 103

arteries are closer to the pumping action of the heart & must be able to expand as an increased volume of blood is pumped into them during systole & recoil passively as blood flows off into circulation during diastole. the walls have to be sufficiently strong to withstand the pressure fluctuations

back 103

why are the walls of the arteries proportionately thicker than those of the corresponding veins?

front 104

it is a protective device that provides alternate pathways for blood to reach brain tissue in case of arterial occlusion or impaired blood flow in the system

back 104

what is the function of the circle of Willis?

front 105

the arteries in the pulmonary circulation are similar to the structure of the systemic veins (tunica media thin & tunica externa thick). this allows the pulmonary arteries to create a low pressure bed in the lungs to permit gas exchange

back 105

how do the arteries of the pulmonary circulation differ structurally from systemic arteries? what condition is indicated by this anatomical difference?

front 106

digestive viscera, spleen, & pancreas

back 106

what is the source of blood in the hepatic portal system?

front 107

to ensure that the proper sugar, fatty acid, and amino acid concentrations are in the blood

back 107

why is blood carried to the liver before it enters the systemic circulation?

front 108

placenta

back 108

what organ serves as a respiratory/digestive/excretory organ for the fetus?

front 109

carotid

back 109

which pulse point has the greatest amplitude?

front 110

dorsalis pedis

back 110

which pulse point has the least amplitude?

front 111

alternate contraction & relaxation of the myocardium and opening & closing of valves

back 111

what 2 factors promote the movement of blood through the heart?

front 112

alternating surges of pressure in an artery that occur with each contraction & relaxation of the left ventricle

back 112

pulse

front 113

radial artery

back 113

artery palpated at the wrist

front 114

superficial temporal artery

back 114

artery palpated at the front of the ear

front 115

dorsalis pedis artery

back 115

artery palpated at the dorsum of the foot

front 116

common carotid artery

back 116

artery palpated at the side of the neck

front 117

femoral artery

back 117

what pressure point would you compress to help stop bleeding in the thigh?

front 118

brachial artery

back 118

what pressure point would you compress to help stop bleeding in the forearm?

front 119

popliteal artery

back 119

what pressure point would you compress to help stop bleeding in the calf?

front 120

radial artery

back 120

what pressure point would you compress to help stop bleeding in the thumb?

front 121

arterial bleeding would be bright red & spurting whereas, venous bleeding would be dark red & oozing

back 121

how could you tell by simple observation whether bleeding is arterial or venous?

front 122

sphygmomanometer

back 122

what is the name of the instrument used to compress the artery & record pressure in the ausculatory method of determining blood pressure?

front 123

venous pressure is much lower than arterial pressure; because the veins are further removed from the pumping action of the heart

back 123

how do venous pressures compare to arterial pressures? why?

front 124

decrease blood pressure

back 124

what is the effect on blood pressure: increased diameter of the arterioles

front 125

increased blood pressure

back 125

what is the effect on blood pressure: increased blood viscosity

front 126

increase blood pressure

back 126

what is the effect on blood pressure: increased cardiac output

front 127

decreased blood pressure

back 127

what is the effect on blood pressure: hemorrhage

front 128

increased blood pressure

back 128

what is the effect on blood pressure: arteriosclerosis

front 129

increased blood pressure

back 129

what is the effect on blood pressure: increased pulse rate

front 130

increased blood pressure

back 130

what is the effect on blood pressure: cold temp

front 131

decreased blood pressure; because it would cause your vessels to dilate (vasodilation)

back 131

what is the effect on blood pressure: heat? Why?