WorksheetsCirculatory System: Blood vessels and Circulation
Total questions: 166
Worksheet time: 2hrs 36mins
correctly believed that blood flowed around the body and back to the heart
Chinese emperor Huang Ti
Roman physician Galen
English physician William Harvey
thought blood flowed back and forth; liver created blood and organs consumed it
Chinese emperor Huang Ti
Roman physician Galen
English physician William Harvey
van Leeuwenhoek
performed experiments to show that the heart pumps blood in a circuit
English physician William Harvey
Chinese emperor Huang Ti
Roman physician Galen
Malpighi
principal categories of blood vessels
Arteries
Veins
Capillaries
Vessels
Carry blood away from heart
Arteries
Veins
Capillaries
Carry blood back to heart
Arteries
Veins
Capillaries
Connect smallest arteries to smallest veins to create a circuit
Capillaries
Arteries
Veins
Walls of arteries and veins have four layers
True
False
layers of the arterial walls and veins
tunica interna
tunica media
tunica externa
tunica fibrous
Lines the blood vessel and is exposed to blood; Endothelium
tunica interna (tunica intima)
tunica media
tunica externa
tunica media
Middle layer
Consists of smooth muscle, collagen, and elastic tissue
Strengthens vessels and prevents blood pressure from rupturing them
Contraction of muscle controls blood vessel diameter
Consists of loose connective tissue that often merges with that of neighboring blood vessels, nerves, or other organs
Tunica externa (tunica adventitia)
Outermost layer
Consists of loose connective tissue that often merges with that of neighboring blood vessels, nerves, or other organs
Anchors the vessel and provides passage for small nerves, lymphatic vessels
Vasa vasorum: small vessels that supply blood to outer part of the larger vessels
Strengthens vessels and prevents blood pressure from rupturing them
Arteries are sometimes called ? because of their strong, resilient tissue structure
(a)
By definition, arteries are blood vessels that do which of the following?
Carry oxygen-saturated blood
Carry blood toward the heart
Carry blood away from the heart
Carry blood away from the lungs
are microscopic, thin-walled blood vessels that connect the smallest arteries to the smallest veins.
(a)
The endothelium is made of which type of epithelial tissue?
Transitional
Stratified cuboidal
Simple cuboidal
Simple squamous
The layer of the vein wall that contains smooth muscle is called the tunica
(a)
Which acts as a selectively permeable barrier to materials moving between the capillaries and the interstitial fluid?
Adventitia
Tunica media
Tunica externa
Endothelium
Which term refers to the small blood vessels that nourish the walls of larger vessels?
Vas deferens
Vasa recta
Vasa nervorum
Vasa vasorum
Which of these is an artery?
A
B
C
neither
In arteries and veins, the tunica ? is the thickest layer of the vessel wall
(a)
Arrange the three classes of arteries in order from largest to smallest.
conducting artieries, resistance arteries,distributing arteries
distributing arteries, conducting arteries, resistance arteries
conducting arteries, distributing arteries,resistance arteries
resistance arteries, distributing arteries,conducting arteries
The vasa vasorum are small vessels that comprise the blood supply to which of the following?
Large nerves
The walls of large blood vessels
The muscular layer of the heart
The walls of the intestines
Which class of artery includes the aorta, pulmonary trunk, common carotid, subclavian, and common iliac arteries?
distributing
resistance
conducting
which of theses is a vein?
A
B
C
True or false: Arteriosclerosis (the stiffening of arteries with age) increases the risk of aneurysms.
true
false
The brachial, femoral, renal, and splenic arteries are examples of ______ arteries.
conducting
resistance
distributing
The smallest of the resistance arteries are called ______.
metarterioles
capillaries
venules
arterioles
Why is it important for conducting arteries to maintain elasticity?
Their recoil helps maintain blood pressure between heartbeats.
Their expansion and recoil helps keep the blood flowing during diastole.
Their expansion reduces systolic stress on smaller arteries.
Their recoil ensures that blood pressure is higher during diastole than during systole.
Arteries that are muscular or medium sized arteries that deliver blood to specific organs are called ______ arteries.
conducting
resistance
distributing
Which is another name for conducting arteries?
Medium arteries
Arterioles
Elastic arteries
Muscular arteries
Arteries that are usually too small to be given individual names belong to which group?
resistance
distributing
conducting
The brachial, femoral, renal, and splenic arteries are examples of ______ arteries.
conducting
resistance
distributing
Also known as small arteries, arteries that are usually too small to be given individual names are known as ? arteries.
resistance
elastic
distributing
conducting
In some places, short vessels called ? link arterioles to capillaries or provide shortcuts that bypass the capillaries.
(a)
? arteries deliver blood to specific organs.
(a)
Which class of artery includes the aorta, pulmonary trunk, common carotid, subclavian, and common iliac arteries?
distributing
resistance
conducting
Arterial sense organs monitor blood chemistry and blood pressure in order to help regulate which of the following?
respiration rate
body temp
blood sugar level
heart rate
The carotid sinuses are located in which blood vessels?
Superior vena cava
Internal carotid arteries
Brachiocephalic arteries
Pulmonary arteries
A small resistance artery that empties into a capillary is called a(n)______.
venule
arteriole
distributing artery
Sensory signals travel from the aortic bodies to the brainstem via which cranial nerve?
vagus nerve
abducens nerve
hypoglossal nerve
glossopharyngeal nerve
Which term refers to the chemoreceptors located in the carotid artery?
Aortic bodies
Baroreceptors
Carotid bodies
Carotid sinuses
Which is an example of a sense organ found within an artery?
cones
carotid sinus
rods
vestibuloceptors
Baroreceptors that monitor blood pressure are found in specialized regions of the internal carotid arteries called the carotid
(a)
Sensory signals travel from the carotid bodies to the brainstem via which cranial nerve?
Glossopharyngeal nerve
Hypoglossal nerve
Abducens nerve
vagus nerve
Receptors in the carotid bodies that monitor O2, CO2, and pH levels are examples of which type of sensor?
chemoreceptors
nociceptors
thermoreceptors
barorecptors
Which are chemoreceptors that are located in the aortic arch?
Carotid bodies
Carotid sinuses
Aortic bodies
Capillary plexus
Which term refers to the mechanoreceptors in the carotid sinuses that monitor blood pressure?
Aortic bodies
Chordae tendineae
Baroreceptors
Carotid bodies
Why are capillaries sometimes called the exchange vessels of the cardiovascular system?
Capillaries exchange red blood cells for white blood cells in the liver.
Most exchange between the blood and the tissue fluid occurs across capillary walls.
Capillaries can become either veins or arteries as needed.
Blood changes direction in the capillaries and begins to flow back towards the heart.
What is the function of the aortic bodies?
Monitor blood viscosity to help regulate platelet production
Monitor blood chemistry to help regulate respiratory rate
Monitor white blood count to help regulate leukopoiesis
Monitor red blood cell count to help regulate release of erythropoietin
Which term refers to the arterioles, capillaries, and venules?
Capillary beds
Sinusoids
Anastomoses
Microvasculature
Where are carotid bodies located?
In the superior vena cava near the right atrium
In the aorta near the coronary arteries
In the brain near the circle of Willis
Near the branch of the common carotid arteries.
True or false: The diameter of some capillaries is even smaller than the diameter of a red blood cell.
TRUE
FALSE
Where does most of the exchange of nutrients, wastes, and hormones between the blood and body fluids occur?
Veins
Arteries
Capillaries
Arterioles
The term microvasculature (or microcirculation) refers to which of the following?
Veins
arterioles
arteries
venules
capillaries
Identify the structure labeled 'A' in the picture.
Endothelial cell
Tight junction
Intercellular cleft
Basal lamina
Pericyte
The capillary wall consists of which of the following layers?
endothelium
basal lamina
vasa vasorum
tunica media
In continuous capillaries, cells called ? contribute to vessel growth and repair by retaining the ability to differentiate into endothelial and smooth muscle cells.
(a)
Which type of capillary is especially important in organs that engage in the rapid absorption or filtration of small molecules, such as the intestine and kidney?
fenestrated
continuous
discontinuous
net-like
Large molecules, such as clotting proteins and albumin synthesized by the liver, enter the blood through which of the following?
sinusoids
fenestrated capillaries
continuous capillaries
Blood flow into capillary beds is regulated by smooth muscle structures called ? sphincters which surround the openings to the capillaries.
(a)
? are irregular blood-filled spaces in the liver, bone marrow, spleen, and some other organs.
(a)
Which are regarded as the capacitance vessels because they expand easily to accommodate an increased volume of blood?
veins
capillaries
arteries
sinusoids
Postcapillary venules are the smallest type of (a) .
Which type of venule receives blood from the postcapillary venules?
postcapillary
muscular
large
medium
Valves that direct blood towards the heart are formed by infoldings of which layer of the vein wall?
Tunica interna
External elastic lamina
Tunica externa
Tunica media
A modified, relatively dilated vein that lacks smooth muscle and is incapable of vasomotion is known as a venous _____.
sinuses
drains
anastomoses
valves
Which type of vessel receives blood from capillaries directly or by way of the distal ends of the thoroughfare channels?
Arterioles
Postcapillary venules
Postcapillary arterioles
Sinusoids
______ are veins with especially thin walls, large lumens, and no smooth muscle.
postcapillary venules
venous sinuses
muscular venules
large veins
Portal systems occur in which of the following?
Kidneys
Between the lungs and the heart
Heart
Between the intestines and liver
Between the hypothalamus and anterior pituitary
Which type of anastomosis provides several alternative routes of drainage from an organ?
venous
arteriovenous
arterial
which would be classified as large veins?
pulmonary & renal veins
internal jugular veins
saphenous veins
superior venae cavae
ulnar vein
Which refers to a circulatory route in which blood flows through two consecutive capillary networks before returning to the heart?
Metarteriole
Glomerulus
Anastomosis
Portal system
Which term refers to a circulatory route in which blood flows from an artery directly into a vein, thereby bypassing the capillary?
Arteriovenous anastomosis
Portal system
Blood clot
Perfusion capillary
Arterial anastomoses provide which of the following?
A bypass from an artery to a vein
Collateral routes of blood supply to a tissue
Blood supply to a tissue via two consecutive capillary beds
Alternative routes of drainage from an organ
The flow of blood per given volume or mass of tissue is known as
(a)
An anatomical convergence where two blood vessels merge and combine their bloodstreams is known as a(n
(a)
True or false: The femur has greater blood flow but less perfusion than the ovary.
true
false
Growth of lipid deposits in the arterial walls resulting in an increase in blood pressure can be described as which of the following?
Hyperlipidemia
Blood clots
Atherosclerosis
Venous blockage
Degenerative changes of the blood vessels characterized by the presence of atheromas and often leading to calcification of the vessel wall is known as
(a)
Peripheral resistance is directly affected by which of the following?
vessel radius
heart rate
vessel length
blood viscosity
What are the most significant factors which influence blood viscosity?
Oxygen saturation
Erythrocyte count
Albumin concentration
Sodium concentration
Lymphocyte count
As blood flows through vessels, it encounters forces, caused by several factors, that impede its movement. This opposition to blood flow is called periphera
(a)
Which type of blood vessels exert the greatest control over peripheral resistance and blood flow?
Capillaries
Arteries
Veins
Arterioles
The ability of a tissue to adjust its own blood supply through vasomotion or angiogenesis is known as
(a)
If a tissue's blood supply is cut off for a time and then restored, it often exhibits reactive ?, a higher than normal level of
(a)
True or false: Conducting arteries exert the greatest control over peripheral resistance and blood flow.
true
false
Which are vasoactive chemicals?
Prostaglandins
Heparin
Bradykinin
Histamine
Lysozyme
growth of a new blood vessel
(a)
The medullary ischemic reflex is an autonomic response to a drop in perfusion of which organ?
heart
brain
lungs
liver
Which hormones influence blood pressure?
Antidiuretic hormone (ADH)
Aldosterone
Angiotensin II
Atrial natriuretic peptide (ANP)
Epinephrine
The ? ischemic reflex is an autonomic response to a drop in perfusion of the brain.
(a)
Angiotensin II raises blood pressure. What is its primary mechanism?
Na+ excretion
Vasoconstriction
Na+ retention
Water retention
Which hormone is secreted by the heart and has a generalized vasodilator effect that helps to lower blood pressure?
Aldosterone
Natriuretic peptide
Angiotensin II
Epinephrine
What are the sympathetic responses to a drop in perfusion to the brain?
Increased contractility force
Decreased respiratory rate
Vasoconstriction of arteries except those supplying the brain
Increased heart rate
Which hormone decreases blood pressure?
Aldosterone
Antidiuretic hormone (ADH)
Atrial natriuretic peptide (ANP)
Angiotensin II
Epinephrine
Which layer of the blood vessel wall contains smooth muscle and is responsible for enacting vasomotion?
Tunica intima
Tunica media
Tunica externa
True or false: Capillary exchange is a two way movement of fluids and substances.
true
false
Which can diffuse directly across the plasma membrane without the help of membrane channels, filtration pores, or intercellular clefts?
oxygen
proteins
glucose
electrolytes
True or false: Lipid-soluble substances diffuse easily through the plasma membrane, while lipid-insoluble substances must use channel proteins.
true
false
Which are functions of vasoreflexes?
They modify perfusion to an organ or tissue.
They modify and regulate respiratory rate.
They modify and regulate heart rate.
They help regulate blood pressure.
Chemicals given off by the systemic capillary blood to the perivascular tissues often include which of the following?
Carbon dioxide
Glucose
Oxygen
Hormones
antibodies
Which substances leave the blood by diffusing directly through the plasma membrane of endothelial cells?
oxygen
steroids
electrolytes
carbon dioxide
Which mechanism of transport likely accounts for the smallest fraction of solute exchange across the capillary wall?
filtration
osmosis
diffusion
trancytosis
Capillary reabsorption exceeds capillary filtration in which of the following?
Alveolar capillaries in the lungs
Capillaries in resting tissue
Glomeruli in the kidneys
Capillaries in active muscles
Interstitial fluids typically enter the venous end of a capillary bed via which process?
Filtration
Transcytosis
Pinocytosis
Osmosis
is a process in which endothelial cells pick up material on one side of the plasma membrane by pinocytosis or receptor-mediated endocytosis, transport the vesicles across the cell, and discharge the material on the other side by exocytosis.
(a)
Capillary filtration exceeds capillary reabsorption in which of the following?
Capillaries in resting tissue
Alveolar capillaries in the lungs
Capillaries in active muscles
Glomeruli in the kidneys
Which statement best summarizes the general process of capillary fluid exchange?
Fluid moves out of a capillary bed at the arterial end, exchanges materials with the tissue cells, then reenters the blood at the venous end.
Fluid is osmotically pulled into the capillary bed along its entire length, causing a net increase in blood volume as it flows through the tissues.
Tissue fluid enters the arterial end of a capillary bed. It is filtered to remove waste products, then leaves at the venous end
True or false: Net filtration pressure (NFP) is the same at the arterial end of a capillary bed as it is at the venous end.
true
false
Tissue fluids that are not reabsorbed by blood capillaries are absorbed by which of the following?
Lymphatic capillaries
The skeletal muscles
The aorta
Blood arteries
Which force opposes hydrostatic pressure along with the capillary and interstitial pressures?
Mean arterial pressure
Hyperstatic pressure
Equilibrium
Colloid osmotic pressure
Which term refers to the net force favoring filtration of fluid from a capillary or venule when all the hydrostatic and osmotic pressures of the blood and tissue fluids are taken into account?
Blood pressure
Blood colloid pressure
Net filtration pressure
Mean arterial pressure
Which can cause systemic edema?
Failure of the right ventricle
Failure of the left ventricle
Hypotension
Increased respiratory rate
Venous return (the flow of blood back to the heart) is achieved by which of the following mechanisms?
Muscle contraction (the skeletal muscle pump)
Increased blood pressure in the veins (as compared to the arteries)
Cardiac suction
Gravity
Respiration (the thoracic pump)
True or false: Large veins of the neck are normally partially collapsed and their venous pressure is close to zero.
true
false
The thoracic pump does which of the following?
Massages blood from the limbs towards the heart
Draws blood into the atria from the vena cavae and pulmonary veins
Aids in venous flow from the abdominal to the thoracic cavity
Acts as the major force in venous flow
Which increases venous return during exercise?
The heart beats faster, increasing blood pressure.
Increased muscle contraction enhances action of the skeletal muscle pump.
Increased breathing enhances action of the thoracic pump.
Vessels constrict, decreasing blood flow to muscles.
The mechanism by which contracting limb muscles squeeze blood out of the compressed part of a vein in only one direction is known as which of the following?
The thoracic pump
Cardiac suction
The skeletal muscle pump
The cardiac pump
A sudden loss of vasomotor tone, leading to systemic vasodilation, will cause which type of shock?
Anaphylactic
Hypovolemic
Neurogenic
Obstructed venous return
Hemorrhage, trauma, bleeding ulcers, burns, and dehydration are all common causes of which type of shock?
Anaphylactic
Hypovolemic
Neurogenic
Vascular
Septic
The type of response to circulatory shock in which life-threatening positive feedback mechanisms are activated is known as ______ shock
compensated
decompensated
Which is the most common form of low venous return shock?
Obstructed venous return
Hypovolemic
Vascular
Neurogenic
Transient ischemic attacks are characterized by which of the following?
headache
tempoary paralysis
temporary loss of vision
temporary weakness
dizziness
During strenuous exercise, blood flow to skeletal muscles increases. Which type of vessels dilate in response to epinephrine and norepinephrine to facilitate this?
Blood capillaries
Arterioles
Lymphatic vessels
Venules
Hyperventilation induces hypocapnia which leads to which of the following?
Hypovolemic shock
Vasoconstriction
Vasodilation
Septic shock
In what ways does the pulmonary circuit differ from the systemic circuit?
Less fluid gets "left behind" in the lungs.
Pulmonary arteries constrict in response to local hypoxia.
Pulmonary arteries have thinner, less elastic walls.
Pulmonary arteries carry oxygen-poor blood and veins carry oxygen-rich blood.
Blood pressure is higher in the pulmonary circuit.
Why is a lower blood pressure in the pulmonary circuit ideal?
It allows less time for gas exchange.
It does not allow any time for gas exchange.
It allows more time for gas exchange.
Put the following in order to describe the flow of a blood cell through the pulmonary circuit. Start with the first vessel the blood enters as it leaves the right ventricle.
1. left atrium 2. lobar arteries 3. pulmonary arteries 4. pulmonary trunk 5. pulmonary veins 6. alveolar capillaries
3,5,4,2,1,6
6,5,4,3,2,1
4,3,2,6,5,1
1,2,3,4,5,6
True or false: Arterial blood in the pulmonary circuit is less oxygenated than the venous blood in the pulmonary circuit.
true
false
The vessel marked with the letter "A" is the right
pulmonary artery
pulmonary veins
pulmonary trunk
The vessel marked with the letter "E" is the
Right pulmonary artery
Pulmonary trunk
Superior lobar artery
Inferior lobar artery
Middle lobar artery
True or false: The pulmonary arteries constrict in response to local hypoxia.
true
false
The primary purpose of the ______ circuit is for the blood to release carbon dioxide and pick up oxygen.
pulmonary
systemic
True or false: Arterial blood in the pulmonary circuit is less oxygenated than the venous blood in the pulmonary circuit.
true
false
Which circuit supplies oxygen and nutrients to all organs and removes their metabolic wastes?
pulmonary
systemic
Place the principal regions of the aorta in the order of blood flow from the heart.
1. aortic arch 2. ascending aorta 3. thoracic aorta 4. abdominal aorta
1,2,3,4
2,1,4,3
2,1,3,4
1,3,2,4
The left common carotid artery branches directly from which blood vessel?
Brachiocephalic trunk
Ascending aorta
Descending aorta
Aortic arch
What is the middle branch off the aortic arch?
Left subclavian
Left common carotid
Right common carotid
Brachiocephalic
True or false: The costocervical trunks arise from the right and left subclavian arteries and supply blood to the muscles of the neck and rib cage.
true
false
The right common carotid artery branches directly off of which blood vessel?
Ascending aorta
Descending aorta
Brachiocephalic trunk
Aortic arch
True or false: The vertebral arteries ascend through the transverse foramina of vertebrae C6 through C1 before it enters the cranial cavity though the foramen magnum.
true
false
Which branch of the external carotid artery supplies blood to the tongue?
Occipital artery
Lingual artery
Facial artery
Superior thyroid artery
The ____ artery, a branch of the external carotid artery, supplies blood to the teeth, maxilla, oral cavity, and external ear.
pulmonary
maxillary
carotid
arterial
The artery marked "A" is the superficial (a) artery
The anterior cerebral artery is a branch of the ______ carotid artery.
internal
external
The opthalmic artery is a branch off of the ______ carotid artery.
internal
external
The lingual artery is a branch of the ______ carotid artery.
external
internal
Which artery is indicated by the arrow in this picture?
Anterior communicating artery
Posterior communicating artery
Basilar artery
Posterior cerebral artery
Anterior cerebral artery
Which part of the cerebral arterial circle arises from the basilar artery, travels posteriorly to the rear of the brain, to the occipital lobes, as well as to the midbrain and thalamus?
Anterior cerebral arteries
Middle cerebral arteries
Posterior cerebral arteries
The middle cerebral artery is a branch of the ______ carotid artery.
external
internal
The dural venous sinuses collect the blood immediately after it has circulated through which of the following organs?
Brain
Heart
Stomach
Liver
Which are examples of dural venous sinuses?
Cavernous sinuses
Ethmoid sinuses
Transverse sinuses
Inferior sagittal sinuses
Where does blood collect after it circulates through the brain?
Inferior vena cava
Internal jugulars
Vertebral veins
Dural venous sinuses
The thorax receives blood from several arteries which arise directly from which of the following?
Esophageal artery
Internal thoracic artery
Mediastinal artery
Aorta
Laterally, each transverse sinus gives rise to a ______.
inferior sagittal sinus
sigmoid sinus
cavernous sinus
superior sagittal sinus
Which sinus is contained in the inferior margin of the falx cerebri are arches over the corpus callosum, deep in the longitudinal fissure?
Sigmoid sinus
Superior sagittal sinus
Inferior sagittal sinus
Cavernous sinus
The head and neck are drained mainly by three pairs of veins: the internal jugulars, the external jugulars and the (a) veins
The visceral branches of the thoracic aorta include which of the following?
Subcostal arteries
Superior phrenic arteries
Bronchial arteries
Mediastinal arteries
Esophageal arteries
Which sinuses are honeycomb in shape, located on each side of the body of the sphenoid bone, and receive blood from the superior opthalmic vein of the orbit and the superficial middle cerebral vein?
Transverse sinuses
Vertebral veins
Inferior sagittal sinuses
Cavernous sinuses
The superior sagittal sinus does which of the following?
Encircles the superficial middle cerebral artery
Encircles the inside of the occipital bone
Overlies the lateral fissure of the brain
Overlies the longitudinal fissure of the brain
Which artery supplies the posterior regions of the diaphragm?
Subcostal
Superior phrenic
Posterior intercostal
Which of these arteries, that branch from the thoracic aorta, directly supply blood to the muscles, bones, and skin of the chest wall?
Subcostal arteries
Superior phrenic arteries
Bronchial arteries
Mediastinal arteries
Which is the largest branch of the axillary artery? It supplies the scapula and the latissimus dorsi.
Subscapular artery
Thoracic artery
Superior phrenic artery
Bronchial artery
The brachiocephalic vein is formed by the union of which two veins?
Subclavian and external jugular
Vertebral and internal jugular
Vertebral and external jugular
Subclavian and internal jugular
The superior vena cava is formed by the union of the right and left (a) vein
