WorksheetsCh. 19 Blood Vessels
Total questions: 141
Worksheet time: 2hrs 18mins
Which layer of the blood vessel wall receives innervation from the autonomic nervous system?
Tunica Media (SNS)
Tunica Intima
Tunica externa
Endomesium
Select the correct statement regarding blood vessel anatomy:
The tunica media of veins is thicker than the corresponding layers in arteries.
The tunica externa forms a smooth surface that minimizes friction from blood flow.
The walls of all blood vessels have three distinct layers that surround the lumen.
The tunica intima contains the endothelium that lines the lumen of all vessels.
Which type of artery is correctly paired with its functional descriptor?
Muscular artery; distributing artery
Elastic artery; resistance vessel
Muscular artery; conducting artery
Elastic artery; exchange vessel
Which layer is responsible for maintaining blood pressure and circulation?
Tunica Intima
Plasma
Tunica Media
Tunica Externa
Where are the thick-walled elastic arteries located?
near the heart, aorta and its major branches
in the venules
Kidneys
Distal to the heart, pulmonary trunk
What is another name for elastic arteries?
Veins
conducting arteries
Muscular arteries
arterioles
What do elastic arteries distally give way to?
Capillaries
Arterioles
Muscular Arteries
Elastic Arteries
What is the job of muscular arteries?
resistance vessels
deliver blood to specific organs
deliver nutrients to specific organs
distribute oxygen
What is another name for muscular arteries?
Distributing arteries
conduction
resistance vessels
exchange site
What is the diameter range of muscular arteries?
8-10 mm
0.8-3 mm
a little finger to lead of a pencil
a thumb to a garden hose.
Are muscular arteries more active in vasoconstriction or vasodialation?
Vasoconstriction
Vasodialation
Arterioles are the smallest arteries (T/F)
True
False
What is another name for arterioles?
Resistance Vessels
Muscular arteries
Veins
Arteries
What are the exchange vessels?
Capillaries
Arteries
Veins
Arterioles
What are the two layers of capillaries?
Tunica media and Tunica Intima
Tunica intima and basement membrane
Tunica externa and basement membrane
Tunica Media and basement membrane
What are Pericytes?
spider-shaped contractile stem cells that help stabilize capillary walls, control permeability, and can generate new vessels or scar tissue.
WBC's
Invader eating cells
RBC's
What are the three types of capillaries?
Continuous, fenestrated and sinusoid
Continuous, Tunica intima, plasma membrane
Fenestrated, tunica media, sinusoid
What type of junctions join endothelial cells together?
Gap Junctions
Desmones junctions
Tight junctions
What are capillary beds?
Microcirculation
Interweaving networks of capillaries
Interweaving arteries
Interweaving veins
What is microcirculation?
interweaving networks of capillaries
an arteriole that divides into 10-20 capillaries that form the capillary bed.
the flow of blood from an arteriole to a venule through a capillary bed
directly connects terminal arteriole and postcapillary venule so that blood can bypass the true capillaries.
What is a terminal arteriole?
interweaving networks of capillaries
an arteriole that divides into 10-20 capillaries that form the capillary bed.
the flow of blood from an arteriole to a venule through a capillary bed
directly connects terminal arteriole and postcapillary venule so that blood can bypass the true capillaries.
What is a vascular shunt?
interweaving networks of capillaries
an arteriole that divides into 10-20 capillaries that form the capillary bed.
the flow of blood from an arteriole to a venule through a capillary bed
directly connects terminal arteriole and postcapillary venule so that blood can bypass the true capillaries.
Where do terminal arterioles drain?
post capillary venules
Veins
What type of blood do arteries usually carry?
Oxygenated
Deoxygenated
Which blood vessels take blood to the heart
Arteries
Veins
capillaries
arterioles
Which blood vessels take blood away from the heart
Arteries
Veins
capillaries
arterioles
Which blood vessel has valves to prevent the back-flow of blood?
Arteries
Veins
capillaries
arterioles
Directly connects terminal arteriole and postcapillary venule so that blood can bypass the true capillaries.
Arteries
Veins
capillaries
Vascular shunt
valve to regulate blood flow into true capillaries
Arteries
Veins
Precapillary sphincters
Vascular shunt
least permeable and most common
Arteries
Continuous capillaries
Precapillary sphincters
Vascular shunt
have pores in vessel wall; found in kidneys, intestines, and endocrine glands
Fenestrated capillaries
Continuous capillaries
Precapillary sphincters
Vascular shunt
most permeable and occur in limited locations (bone marrow, spleen, adrenal medulla)
Fenestrated capillaries
Continuous capillaries
Precapillary sphincters
Sinusoid Capillaries
What forms when capillaries unite?
Fenestrated capillaries
Continuous capillaries
Precapillary sphincters
Venules
What is formed when venules join?
Fenestrated capillaries
Continuous capillaries
Veins
Venules
What are the largest veins?
Superior and Inferior vena cava
Continuous capillaries
Veins
Venules
prevent backflow of blood in veins; most abundant in veins of limbs, resemble semilunar valves of the heart.
Superior and Inferior vena cava
Continuous capillaries
Venous valves
Venules
Flattened veins with extremely thin walls
Composed only of endothelium
Venous sinuses
Continuous capillaries
Venous valves
Venules
volume of blood flowing through a vessel, organ, or entire circulation in given period (ml/min).
Equivalent to cardiac output (CO)
Venous sinuses
Blood flow
Venous valves
Venules
the force per unit area exerted on a vessel by the contained blood. (mm HG)
Venous sinuses
Blood flow
Venous valves
Blood pressure
the differences in blood pressure in the vascular system, provides the driving force that keeps the blood moving always from an area of high pressure to an area of low pressure.
Venous sinuses
Blood flow
Hydrostatic pressure gradient
Blood pressure
opposition to flow and is a measure of the amount of friction blood encounters as it passes through the vessels
Resistance
Blood flow
Hydrostatic pressure gradient
Blood pressure
blood viscosity, vessel length, vessel diameter
Resistance
Three sources of resistance
Hydrostatic pressure gradient
Blood pressure
internal resistance to flow that occurs in all fluids. Related to a thickness or stickiness of a fluid.
Resistance
Viscosity
Hydrostatic pressure gradient
Blood pressure
Irregular fluid motion where blood from the different laminae mixes.
Resistance
Viscosity
Turbulent flow
Blood pressure
Which factor is physiologically the most adjustable determinant of resistance in a vessel?
Resistance
Viscosity
Blood vessel diameter
Blood pressure
Arterial blood pressure reflects which two factors:
Resistance
The volume of the blood forced into them at any time.
Blood vessel diameter
How much the elastic arteries close the heart can stretch (compliance or distensibility)
Blood pressure in the arteries during contraction of the ventricles. (120 mm Hg)
diastole
Diastolic pressure
systole
Systolic pressure
Aortic pressure at its lowest level. (70-80 mmHg)
diastole
Diastolic pressure
systole
Systolic pressure
difference between systolic and diastolic pressure
diastole
Diastolic pressure
Heart Rate
Pulse pressure
pressure that propels blood to tissues
Mean Arterial Pressure (MAP)
Diastolic pressure
Heart Rate
Pulse pressure
3 important adaptations for venous return?
Mean Arterial Pressure (MAP)
Muscular pump-skeletal muscle activity.
Respiratory pump-breathing
Sympathetic venoconstriction-reduces the volume of blood in the veins
Where in the systemic circuit does the steepest drop in blood pressure occur?
Arterioles-they have the greatest resistance
Muscular pump-skeletal muscle activity.
Respiratory pump-breathing
Sympathetic venoconstriction-reduces the volume of blood in the veins
Which term refers to the lowest arterial blood pressure reached during the cardiac cycle?
diastole
Diastolic pressure
systole
Systolic pressure
neural controls and hormonal controls alter BP by changing TPR and CO.
diastole
Diastolic pressure
Short term regulation
Systolic pressure
alters blood volume via the kidneys
Long term regulation
Diastolic pressure
Short term regulation
Systolic pressure
State of moderate constriction that varies from organ to organ
Long term regulation
Diastolic pressure
Short term regulation
Vasomotor tone
Cells that are sensitive to blood pressure changes.
Long term regulation
Baroreceptors
Short term regulation
Vasomotor tone
Mechanisms that activate baroreceptors
Mean Arterial Pressure (MAP)
Decreased cardiac output
Vasodialation
Sympathetic venoconstriction-reduces the volume of blood in the veins
Baroreceptors that monitor BP to ensure enough blood to brain
Long term regulation
Carotid Sinus Reflux
Short term regulation
Vasomotor tone
maintains BP in systemic circuit
Long term regulation
Carotid Sinus Reflux
Aortic reflex
Vasomotor tone
Chemoreceptors play a larger role in....
Long term regulation
Regulating respiratory rate
Aortic reflex
Vasomotor tone
epinephrine and norepinephrine. Enhance sympathetic response by increasing CO and promoting vasoconstriction.
Long term regulation
adrenal medulla hormones
Short term regulation
Systolic pressure
stimulates intense vasoconstriction promoting rapid rise in BP. Stimulates release of aldosterone and ADH.
Atrial natriuretic peptide (ANP)
adrenal medulla hormones
Angiotensin II
Angiotensinogen
secreted by atria, leads to reduction in blood volume and blood pressure. Generalized vasodialation
Atrial natriuretic peptide (ANP)
adrenal medulla hormones
Angiotensin II
Angiotensinogen
alters blood volume independently of hormones
Atrial natriuretic peptide (ANP)
Direct renal mechanism
Angiotensin II
Angiotensinogen
Renin is released by the kidneys. Renin splits angiotensinogen converting it to angiotensin I. Angiotensin converting enzyme (ACE) converts angiotensin I to angiotensin II.
Atrial natriuretic peptide (ANP)
Direct renal mechanism
renin-angiotensin-aldosterone system
Angiotensinogen
Where is ACE found?
Capillary endothelium in various body issues, particularly the lungs.
Kidneys
GI tract
Heart
any condition in which blood vessels are inadequately filled and blood cannot circulate normally
circulatory shock
hypovolemic shock
vascular shock
cardiogenic shock
shock resulting from large scale blood or fluid loss
circulatory shock
hypovolemic shock
vascular shock
cardiogenic shock
poor circulation resulting from extreme vasodilation
circulatory shock
hypovolemic shock
vascular shock
cardiogenic shock
Shock caused by inadequate function of the heart, or pump failure.
circulatory shock
hypovolemic shock
vascular shock
cardiogenic shock
Three types of vascular shock:
circulatory shock
Neurogenic shock
Anaphylactic shock
Septic shock
Which hormone decreases blood pressure?
Atrial natriuretic peptide (ANP)
Direct renal mechanism
renin-angiotensin-aldosterone system
Angiotensinogen
Blood flow through body tissues
circulatory shock
tissue perfusion
blood volume
cardiac output
Acting automatically on the smooth muscle of arterioles that feed any given tissue.
Intrinsic controls (autoregulation)
tissue perfusion
blood volume
cardiac output
Acting on arteriolar smooth muscle to maintain blood pressure.
Intrinsic controls (autoregulation)
tissue perfusion
Extrinsic controls
cardiac output
Extrinsic controls act via....
Intrinsic controls (autoregulation)
endocrine system
nerves (sympathetic nervous system)
hormones of the nervous system
Intrinsic controls...
control entirely from within the tissue or organ
use paracrines or properties of muscle tissue
are known as autoregulation or local control
are hormones of the nervous system
Extrinsic controls...
control entirely from outside the tissue or organ
use paracrines or properties of muscle tissue
are known as autoregulation or local control
uses nerves or hormones
When the body is at rest, the brain receives what percent of total blood flow?
13%
4%
20%
24%
When the body is at rest, the heart receives what percent of total blood flow?
13%
4%
20%
24%
When the body is at rest, the kidneys receive what percent of total blood flow?
13%
4%
20%
24%
When the body is at rest, the abdominal organs receive what percent of total blood flow?
13%
4%
20%
24%
Intrinsic mechanisms for vasodialation include metabolic controls such as....
Decreasing O2
Increasing K+
Increasing CO2
Decreasing H+
Increasing H+
Metabolic controls include....
prostaglandins
ATP
Adenosine
nitric oxide
Intrinsic mechanisms for vasoconstriction include myogenic controls such as....
Stretch
Increasing K+
Increasing CO2
Intrinsic mechanisms for vasoconstriction include metabolic controls such as....
prostaglandins
endothelins
Adenosine
Extrinsic mechanisms for both vasoconstriction and vasodialation include....
neuronal controls
hormonal controls
MAP maintenance
redistribution of blood during exercise and thermoregulation
stretch
Metabolic factors that regulate blood flow are...
low O2 levels
increased H+ and K+ levels
adenosine and prostaglandins
increased O2 levels
Nitric Oxide (NO) is a powerful vasodilator, a major player in controlling local vasodilation, overrides sympathetic vasoconstriction.
True
False
Released by the endothelium, endothelins are some of the most potent vasoconstrictors known.
True
False
A long term autoregulatory mechanism may develop to enrich local blood flow, number of blood vessels increase and existing vessels enlarge.
Angiogenesis
Immune response
Autoregulation
Inflammation
Capillary density and blood flow are greater in red (slow oxidative) fibers than in white (fast glycolytic) fibers.
True
False
When the muscles become active, blood flow increases
Angiogenesis
hyperemia
Autoregulation
hypoemia
Blood flow through the skin
supplies nutrients to cells
is called tissue perfusion
helps regulate body temperature
provides a blood reservoir
The primary function of cutaneous circulation is to help maintain body temperature.
True
False
In the pulmonary circulation, the autoregulatory mechanism is the opposite of what is seen in most tissues.
True
False
The intermittent flow of blood through a capillary bed is due to....
Vasomotion
tissue perfusion
blood volume
cardiac output
The on/off, constriction/dilation of arterioles, mostly in response to local chemical conditions (intrinsic control).
Vasomotion
tissue perfusion
blood volume
cardiac output
The direction and amount of flow across capillary walls reflect the balance between two dynamic and opposing forces called....
hydrostatic pressure
Colloid osmotic pressure
Blood pressure
Mean arterial pressure
The force exerted by a fluid pressing against a wall.
Hydrostatic pressure
Capillary hydrostatic pressure
Interstitial fluid hydrostatic pressure
Colloid Osmotic pressure
Forces fluids through capillary walls, leaving behind cells and most proteins.
Hydrostatic pressure
Capillary hydrostatic pressure
Interstitial fluid hydrostatic pressure
Colloid Osmotic pressure
Acts outside the capillaries and pushes fluid in, assumed to be zero.
Hydrostatic pressure
Capillary hydrostatic pressure
Interstitial fluid hydrostatic pressure
Colloid Osmotic pressure
The force opposing hydrostatic pressure, created by large nondiffusible molecules, such as plasma proteins, that are unable to cross the capillary wall. Encourage osmosis.
Hydrostatic pressure
Capillary hydrostatic pressure
Interstitial fluid hydrostatic pressure
Colloid Osmotic pressure
Calculation that considers all the forces acting at the capillary bed.
Net filtration pressure (NFP)
Capillary hydrostatic pressure
Interstitial fluid hydrostatic pressure
Colloid Osmotic pressure
An abnormal increase in the amount of interstitial fluid.
Edema
Phagia
NFP
Dysphagia
An increase in capillary hydrostatic pressure accelerates fluid loss from the blood.
True
False
Increase interstitial fluid osmotic pressure can result from an inflammatory response.
True
False
Decreased capillary colloid osmotic pressure hinders fluid return to the blood.
True
False
Where is blood flow the slowest?
Arterioles
Venae Cavae
Venules
Capillaries
Select the correct statement regarding bulk flow across capillary walls.
More fluid enters the interstitial fluid than returns to the blood.
Osmotic pressure in the interstitial fluid "pushes" fluid out of the capillary.
Hydrostatic pressure in the capillary "Pulls" fluid into the capillary.
Net filtration occurs at the venous end of a capillary.
Three important differences between systemic arteries and veins are....
Arteries run deep while veins are both deep and superficial.
Venous pathways are more interconnected
The brain and digestive systems have unique venous drainage systems.
All of the above
Match the following type of vessel with its structure: Elastic arteries.
Smallest blood vessels with thin walls that allow exchange between blood and tissue cells
Contain valves to assist blood flow back toward heart
Thick-walled, large vessels near the heart that conduct blood continuously away from the heart
Smaller vessels that distribute blood to specific body organs
Identify the type of vessel indicated by D
Post capillary venule
Elastic arteries
Capillaries
Arterioles
Identify the type of vessel indicated by F
Large veins
Elastic arteries
Capillaries
Arterioles
Identify the artery and vein structure indicated by "C"
Tunica externa
Tunica Media
External elastic membrane
Tunica intima
Match the following blood vessel layer with its description: Tunica intima.
Composed largely of loosely woven collagen fibers that protect and reinforce the vessel
Mostly circularly arranged smooth muscle cells and sheets of elastin
Contains the endothelium (made of simple squamous epithelium)
Blood-containing space in the center of the vessel
__________ inhibits fibrinolysis by competing with plasminogen and may contribute to the formation of atherosclerotic plaques.
Cholesterol
Lipoprotein (a)
Fibrinogen
Foamy macrophages
Which of the following blood vessels is the most susceptible to atherosclerosis?
The pulmonary arteries
The cerebral arteries
The femoral arteries
The aorta
Up to 65% of the body's blood supply is found in __________.
Arterioles
Veins
Capillaries
Arteries
Identify the vessel of the cerebral arterial circle (of Willis) indicated by “A.”
Posterior cerebral artery
Anterior cerebral artery
Anterior communicating artery
Posterior communicating artery
Which of the following blood vessels do not contain intercellular clefts?
Sinusoid Capillaries
Continuous capillaries
Fenestrated capillaries
arterioles
Identify the part of a special (mesenteric) capillary bed indicated by “B.”
Terminal arteriole
Precapillary sphincters
Postcapillary venule
Thoroughfare channel
Identify the vessel of the cerebral arterial circle (of Willis) indicated by “B.”
Posterior cerebral artery
Anterior cerebral artery
Anterior communicating artery
Posterior communicating artery
Identify the part of a special (mesenteric) capillary bed indicated by “D.”
Terminal arteriole
Precapillary sphincters
Postcapillary venule
Thoroughfare channel
Identify the part of a special (mesenteric) capillary bed indicated by “E.”
Terminal arteriole
Venule
Postcapillary venule
Thoroughfare channel
The vessels that exhibit the lowest level of permeability are the __________.
Sinusoid capillaries
Fenestrated capillaries
Continuous capillaries
Capillaries found in the glomerulus of the kidney
Exchange of gases and nutrients occurs by diffusion between the __________.
Arterioles and tissue cells
Arteries and veins
Artery walls and tissue cells
Capillaries and tissue cells
Fluids would be likely to leave or filter out of the capillary if __________.
net filtration pressure (NFP) is negative
Osmotic pressure (OP) in the capillary is high
Net hydrostatic pressure (HP) is greater than net osmotic pressure (OP)
Net hydrostatic pressure (HP) is less than net osmotic pressure (OP)
The presence of __________ stabilizes the wall of capillaries.
Valves
Pericytes
Gap junctions
Elastic fibers
The minute-to-minute blood flow through the capillary beds is determined by the __________.
constriction of elastic arteries
elastic membranes on both sides of the tunica media in muscular arteries
diameter of arterioles
number of elastic fibers in conducting arteries
The only vessels that provide direct access to nearly every cell in the body are the __________.
Venules
Capillaries
Veins
Arteries
Cardiogenic shock is most likely a result from _______
A severe bacterial infection
Large-scale blood loss
A systemic allergic reation
multiple heart attacks
Which of the following acts on both the kidneys and blood vessels to raise blood pressure?
Antidiuretic hormone
Angiotensin II
Atrial natriuretic hormone
Epinephrine
Match the following term to its correct description: Mean arterial pressure.
Lowest level of aortic pressure
Pressure that propels blood to the tissues
Peak of aortic pressure
The difference between systolic and diastolic pressure
The major long-term mechanism of blood pressure control is provided by the __________.
Kidneys
The digestive tract
The lungs
paravertebral ganglia
Match the following term to the correct description: Angiotensin II.
Hormonal control of blood flow
Nervous system control of blood flow
Metabolic control of blood flow
Myogenic control of blood flow
Match the following term with the correct description: Nitric oxide.
Hormonal control of blood flow
myogenic control of blood flow
nervous system of blood flow
metabolic control of blood flow
Hypertension is defined physiologically as a condition of sustained arterial pressure above _______.
120/80
130/80
130/90
140/90
Match the following term to its correct description: Pulse pressure.
Peak of aortic pressure
Pressure that propels blood to the tissues
lowest level of aortic pressure
The difference between systolic and diastolic pressure
Match the following term to the correct description: Angiotensin II.
Metabolic control of blood flow
Hormonal control of blood flow
Nervous system control of blood flow
Myogenic control of blood flow
