Chapter 21

Which blood vessels act as blood reservoirs?
Arteries and arterioles
Arterioles and capillaries
Veins and venules
Venules and capillaries
Venules and arterioles
How do materials enter and leave capillaries?
Diffusion
Transcytosis
Bulk flow
A and b are correct
A, b, and c are correct
How do most large, lipid-insoluble molecules move from the tissues into the capillaries?
Diffusion
Transcytosis
Bulk flow
A and b are correct
A, b, and c are correct
Bulk flow
Is an active transport process
Slowly moves small amounts of molecules across the plasma membrane
Continues as long as pressure gradient exists between the blood and the interstitial fluid
Into the blood is called filtration
Into the interstitial fluid is called reabsorption
Which pressures contribute to filtration?
Blood hydrostatic pressure (BHP)
Interstitial fluid osmotic pressure (IFOP)
Blood colloidal osmotic pressure (BCOP)
A and b are correct
A, b, and c are correct
How is net filtration pressure (NFP) calculated?
(BCOP+BHP)-(IFOP+IFHP)=NFP
(BHP+IFOP)-(BCOP+IFHP)=NFP
(BCOP+IFOP)-(BCOP-IFHP)=NFP
(BHP-BCOP)-(IFHP-IFOP)=NFP
(BCOP-BHP)+(IFOP+IFHP)=NFP
Which of the following is correct?
At the arteriole end of the capillary, the NFP favors movement of materials in to the capillary
At the venule end of a capillary, the NFP favors movement of materials out of the capillary
Some of the fluid that leaks out of a capillary is reabsorbed into lymphatic vessels
A and b are correct
A, b, and c are correct
Which of the following is not true?
Blood pressure is generated by the contraction of the atria
A systolic pressure of 110 mmHG in a resting young adult is probably normal
The pulse pressure is the product of the systolic and diastolic pressure
The highest vascular blood pressure is observed in the aorta
The lowest vascular blood pressure is observed in the vena cavae entering the right atrium
Mean arterial pressure (MAP)
Can be estimated by calculating (systolic BP + 1/4 (systolic BP-diastolic BP)
Can be estimated by calculating (heart rate X resistance)
Is the average pressure in arteries
A and b are correct
A, b, and c are correct
Which resistance factor is most important in controlling blood pressure?
Diameter of the atriole lumen
Length of a blood vessel
Number of white blood cells/uL
Albumin content of plasma
Weight of the individual
Which of the following is not correct?
Venous return is normally favored by the lack of blood pressure in the right atrium
Venous return is enhanced by pulmonary semilunar valve stenosis
Venous return is assisted by contractions of skeletal muscles
Venous return is assisted by the contractions of the diaphragm
Venous return is assisted by the presence of valves in the veins
Which of the following is not true of the cardiovascular center?
Regulates blood vessel diameter
Regulates heart rate
Is located in the hypothalamus
Regulates contractility of the ventricles
Receives input from proprioceptors, chemoreceptors, and baroreceptors
Neutral control of blood pressure depends on
Sensory input from baroreceptors in the carotid and aortic sinuses
Sensory input from the chemoreceptors in the carotid and aortic bodies
Cranial nerves IX and V relaying impulses to the cardiovascular center
The balance of sympathetic impulses from the cardiovascular center
All of these are correct
Increased secretion of which of the following hormones would decrease blood pressure?
Aldosterone
Atrial natriuretic peptide (ANP)
Antidiuretic hormone (ADH)
Norepinephrine
Rennin
Autoregulation of blood flow
Responds to metabolic demand by redirecting blood to the least active tissues
Responds to warmth, physical factor, by constructing arterioles
Responds to chemical factors such as K+ and H+ by dilating arterioles
A and b are correct
A, b, and c are correct
Which of the following is correct?
Arteries carry blood away from the heart
Elastic arteries have larger diameters than muscular arteries
Muscular arteries branch into arterioles
A and b are correct
A, b, and c are correct
The sites of exchange between the blood and the tissues are the
Arteries
Arterioles
Capillaries
Venules
Veins
The blood supply of the larger blood vessels is called the
Capillary bed
Vaso vasorum
Peritubular capillary system
Anastamosis
Vasa recta
The blood vessels that drain blood directly from the capillary beds are the
Elastic arteries
Muscular arteries
Veins
Venules
Vena cava
Which part of the arterial wall contains smooth muscle tissue
Tunica intima
Tunica media
Tunica external
A and b are correct
A, b, and c are correct
Which of the following does not cause vasodilation?
Increased sympathetic stimulation
Decreased sympathetic innervation
Increased H+ concentration
Increased lactic acid concentration
Increased no concentration
All of the following are elastic arteries except the:
Aorta
Branchiocephalic artery
Common iliac artery
Radial artery
Subclavian artery
Muscular arteries
Are also called conducting arteries
Contain more smooth muscle than elastic fibers in the tunica media
Include the tibial and popliteal arteries
A and b are correct
A, b, and c are correct
Which blood vessels play a key role in regulating blood distribution and pressure because their diameters may be easily and rapidly adjusted?
Elastic arteries
Conducting arteries
Arterioles
Capillaries
Venules
Capillaries
Form more extensive beds in tissues that have greater metabolic rates
Have a thick tunica media
Receive blood from venules
Drain into anterioles
Are found in the cornea and in cartilage
Sinusoids
Are straighter and narrower than other capillaries
Are less porous than other capillaries
Are found in the liver and red bone marrow
Have no specialized lining cells
All of the above are correct
Venules
Drain capillary beds
Merge to form veins
Provide exit points for phagocytic cells
A and b are correct
A, b, and c are correct
Veins
Carry blood toward the heart
Have thick layers of smooth muscle in the tunica media
Have no valves
Have thin layers of connective tissue in the tunica externa
Carry blood under high pressure
Anastomoses
Are unions of the branches of two or more veins supplying the same body region
Are unions of the branches of two or more arteries supplying the same body region
Are union of the branches of arteries and veins supplying the same body region
Are found only in the brain
Are uncommon in the upper and lower extremities
Place the following in the order in which blood flows through them, starting with the heart: 1.heart 2. veins 3. capillaries 4. arterioles 5. arteries 6.venules
1, 4, 5, 3, 6, 2
1, 5, 3, 4, 6, 2
1, 5, 4, 6, 3, 2
1, 5, 4, 3, 6, 2
1, 5, 4, 3, 2, 6
A pulse
Is caused by the expansion and recoil of elastic arteries after left ventricular contraction
Can be palpated in superficial artery briefly compressed against a hard underlying surface
Of 120 represents tachycardia
A and b are correct
A, b, and c are correct
A patient with blood pressure of 180/120
Is hypertensive
Has a pulse pressure of 60 mmHG
Has a normal ratio of systolic:diastolic:pulse:pressure
A and b are correct
A, b, and c are correct
The two main circulatory routes are the
Pulmonary and systemic circulations
Pulmonary and coronary circulations
Coronary and systemic circulations
Coronary and cranial circulations
Systemic and hepatic circulations
Systemic circulation
Carries oxygen-enriched blood from the right ventricle through the aorta to the body tissues
Returns oxygen-depleted blood to the right atrium via the vena cavae or the coronary sinus
Carries blood to the alveoli (air sacs) of the lungs
Take venous blood from the gastrointerstinal organs into the hepatic portal vein of the liver
Carries oxygen-depleted blood to the lungs from the left ventricle via the pulmonary trunk
Why is less pressure needed to move blood through the pulmonary circulation then through the systemic circulation?
Pulmonary arteries have large diameters
Pulmonary arteries have thinner walls and less elastic tissue than systemic arteries
Pulmonary arteries offer less resistance to blood flow than systemic arteries
A and b are correct
A, b, and c are correct
The right and left coronary arteries are branches of the
Ascending aorta
Aortic arch
Thoracic aorta
Abdominal aorta
Usually the ascending aorta, but sometime the aortic arch
Place the following in the order that blood will move through them to reach the right side of the face from the heart: 1.ascending aorta 2. Common carotid artery 3. Brachiocephalic artery 4. External carotid artery 5. Aortic arch 6. Maxillary artery
1, 5, 3, 2, 4, 6
5, 1 ,3 2, 4, 6,
1, 3, 5, 2, 4, 6
1, 5, 2, 3, 4, 6
1, 5, 3, 2, 6, 4
Which of the following is not a branch of the abdominal aorta?
Celtic trunk
Superior mesenteric artery
Esophageal artery
Renal artery
Inferior mesenteric artery
Alternating contraction and relaxation of metaerioles and precapillary sphincters that regulates flow into capillary beds
Lumen
Metarteriole
Microcirculation
Pressure reservoir
Vasomotion
Blood flow from arterioles to venules through capillaries
Lumen
Metarteriole
Microcirculation
Pressure reservoir
Vasomotion
Hollow space at center of blood vessel
Lumen
Metarteriole
Microcirculation
Pressure reservoir
Vasomotion
Veins carry blood from one capillary bed to the capillary bed of an organ other than the heart
Continuous capillaries
Fenestrated capillaries
Portal system
Sinusoids
Vascular sinuses
Capillaries containing pores that let larger molecules and even blood cells to leave the blood stream
Continuous capillaries
Fenestrated capillaries
Portal system
Sinusoids
Vascular sinuses
Veins having thin endothelium but missing smooth muscle; found on posterior wall of heart and in dura mater of brain
Continuous capillaries
Fenestrated capillaries
Portal system
Sinusoids
Vascular sinuses
Difference between the sum of filtration pressures and the reabsorption pressure
BCOP
BHP
IFHP
IFOP
NFP
Pressure water in the interstitial fluid exerts against the capillary walls
BCOP
BHP
IFHP
IFOP
NFP
Primary force driving fluid out of the capillary and into the interstitial fluid
BCOP
BHP
IFHP
IFOP
NFP
Also called vasopressin
ADH
Aldosterone
ANP
NO
Norepinephrine
Locally acting; causes vasodilation
ADH
Aldosterone
ANP
NO
Norepinephrine
Raises BP by increasing reabsorption of Na+ and H2O in kidneys
ADH
Aldosterone
ANP
NO
Norepinephrine
Heart rate <50 bpm
Bradycardia
Diastolic blood pressure
Pulse pressure
Systolic blood pressure
Tachycardia
Difference between systolic and diastolic blood pressures
Bradycardia
Diastolic blood pressure
Pulse pressure
Systolic blood pressure
Tachycardia
Force of blood remaining in artery during ventricular relaxation
Bradycardia
Diastolic blood pressure
Pulse pressure
Systolic blood pressure
Tachycardia
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