Systemic vs Pulmonary Circulation - Anatomy and Physiology

  1. How do pulmonary arterioles respond to low alveolar O2, compared with most systemic arterioles?
    Pulmonary arterioles constrict, diverting blood to better-ventilated alveoli; most systemic arterioles dilate in hypoxia.
  2. Which vessels carry oxygenated blood into the heart?
    The pulmonary veins, which return blood from the lungs to the left atrium.
  3. Why must the outputs of the right and left ventricles be equal over time?
    The pulmonary and systemic circuits are connected in series, so blood would pool in one circuit if outputs differed.
  4. The left ventricle fails and cannot pump out all the blood it receives. In which circuit does blood back up first?
    The pulmonary circuit. Rising pulmonary venous and capillary pressure leads to pulmonary congestion and edema.
  5. Trace the pulmonary circuit from the right ventricle back to the heart.
    Right ventricle, pulmonary trunk, pulmonary arteries, pulmonary capillaries, pulmonary veins, left atrium.
  6. What is a typical systolic pressure in the pulmonary artery, compared with the aorta?
    About 25 mmHg, compared with about 120 mmHg in the aorta.
  7. Which circulation supplies oxygenated blood to the lung tissue itself?
    The bronchial circulation, a branch of the systemic circuit arising from the aorta.
  8. What kind of blood do the pulmonary arteries carry?
    Deoxygenated blood, from the right ventricle to the lungs; they are named arteries because they carry blood away from the heart.
  9. Where does most venous blood from the heart wall drain?
    Into the coronary sinus, which empties into the right atrium.
  10. A clot breaks loose from a deep vein in the leg. In which capillary bed is it most likely to lodge first?
    In the lungs, causing a pulmonary embolism. Venous blood passes through the right heart into the pulmonary arteries.
  11. Why is the left ventricular wall much thicker than the right?
    It must generate much higher pressure to push blood through the high-resistance systemic circuit.

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