Library/Health Professions and Related Programs/Guyton and Hall Textbook of Medical Physiology, 14th Edition/The Microcirculation and the Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid, and Lymph Flow

The Microcirculation and the Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid, and Lymph Flow

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Questions

Question 1

What is the general internal diameter of arterioles before they branch to supply capillaries?

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Question 2

Which characteristic distinguishes metarterioles from arterioles in the microcirculation structure?

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Question 3

What is the structure called that is located at the origin of a true capillary from a metarteriole and can open and close the entrance to the capillary?

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Question 4

What is the approximate total thickness of a typical capillary wall in most organs of the body?

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Question 5

What is the typical width of the intercellular clefts, the slit-pores that connect the interior of the capillary with the exterior?

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Question 6

What is the believed role of caveolae, the minute plasmalemmal vesicles, in the endothelial cells?

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Question 7

In which organ are the junctions between capillary endothelial cells mainly tight junctions, allowing only extremely small molecules like water and oxygen to pass through?

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Question 8

What is the key characteristic of the clefts between capillary endothelial cells in the liver?

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Question 9

What is the most important factor found so far that affects the degree of opening and closing of metarterioles and precapillary sphincters, a phenomenon known as vasomotion?

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Question 10

What is the most important means by which substances are transferred between the plasma and the interstitial fluid?

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Question 11

How do lipid-soluble substances such as oxygen and carbon dioxide move across the capillary endothelium?

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Question 12

What is the primary pathway for the diffusion of water-soluble, non-lipid-soluble substances like sodium ions and glucose across the capillary membrane?

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Question 13

According to Table 16-1, what is the relative permeability of skeletal muscle capillary pores for glucose molecules compared to water molecules?

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Question 14

Based on the data in Table 16-1 regarding skeletal muscle capillary pores, what is the relative permeability for albumin molecules?

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Question 15

What proportion of the total body volume is composed of the spaces between cells, collectively called the interstitium?

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Question 16

What are the two major types of solid structures contained within the interstitium?

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Question 17

Among the Starling forces, which pressure tends to cause osmosis of fluid inward through the capillary membrane?

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Question 18

How is the net filtration pressure (NFP) across the capillaries calculated using the four Starling forces?

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Question 19

What is the average capillary pressure measured in the middle of capillaries in tissues like skeletal muscle using the direct micropipette cannulation method?

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Question 20

What is the average interstitial fluid pressure in loose subcutaneous tissue under normal conditions?

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Question 21

What is described as the basic cause of the negative pressure measured for fluid in the interstitial spaces?

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Question 22

What is the average colloid osmotic pressure of normal human plasma?

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Question 23

From the point of view of capillary and tissue fluid dynamics, which plasma protein is considered most important for creating colloid osmotic pressure?

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Question 24

What percentage of the total colloid osmotic pressure of the plasma results from albumin?

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Question 25

What is the average interstitial fluid colloid osmotic pressure in most tissues?

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Question 26

In the analysis of forces at the arterial end of a capillary, what is the calculated total outward force?

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Question 27

Based on the quantitative analysis of forces at the venous end of the capillary, what is the net inward force (net reabsorption pressure)?

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Question 28

In the Starling equilibrium for the entire length of the capillary, what is the calculated mean functional capillary pressure?

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Question 29

According to the analysis of the Starling equilibrium for the total capillary circulation, what is the net outward force?

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Question 30

What is the normal rate of net filtration of fluid in the entire body, excluding the kidneys?

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Question 31

The return of which substance from the interstitial spaces to the blood by the lymphatic system is described as an essential function, without which a person would die in about 24 hours?

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Question 32

Lymph from the right side of the neck and head, right arm, and parts of the right thorax enters which structure before emptying into the venous system?

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Question 33

Into which structure do essentially all the lymph vessels from the lower part of the body eventually empty?

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Question 34

On average, what proportion of the fluid filtering from the arterial ends of blood capillaries enters the lymphatic capillaries instead of being reabsorbed into the venous capillaries?

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Question 35

What special structure of the terminal lymphatic capillaries allows them to be highly permeable to substances of high molecular weight, like proteins?

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Question 36

What is the typical protein concentration of lymph formed in the liver?

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Question 37

Because about two thirds of all lymph is derived from the liver and intestines, what is the usual protein concentration of the thoracic duct lymph?

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Question 38

What is the total estimated rate of lymph flow in a resting human?

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Question 39

What is the total quantity of lymph that flows into the circulation per day under normal conditions?

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Question 40

According to Figure 16-8, what is the effect on lymph flow when the interstitial fluid pressure rises from its normal negative value to 0 mm Hg (atmospheric pressure)?

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Question 41

What happens when a collecting lymphatic or larger lymph vessel becomes stretched with fluid?

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Question 42

What is the potential increase in lymph flow during exercise due to the pumping caused by external intermittent compression of the lymphatics?

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Question 43

What is the maximum pressure that the lymphatic pump in a very large lymph vessel, such as the thoracic duct, can generate?

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Question 44

In the process of controlling interstitial fluid protein concentration, what is the initial event that leads to an increase in interstitial fluid colloid osmotic pressure?

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Question 45

What is the direct consequence of an increasing interstitial fluid pressure on the lymphatic system?

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Question 46

What is the primary mechanism that holds body tissues together, especially at points where connective tissue fibers are weak or absent?

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Question 47

If 2 milliliters of a solution containing 5 mg/ml of indicator dye are injected into a fluid compartment, and the final concentration after mixing is 0.02 mg/ml, what is the volume of the compartment?

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Question 48

Calculate the net filtration pressure (NFP) given the following values: Capillary hydrostatic pressure (Pc) = 25 mm Hg, Interstitial fluid hydrostatic pressure (Pif) = -5 mm Hg, Plasma colloid osmotic pressure (Πp) = 28 mm Hg, and Interstitial fluid colloid osmotic pressure (Πif) = 10 mm Hg.

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Question 49

According to Table 16-1, which lists the relative permeability of skeletal muscle capillary pores, what is the permeability of urea relative to water?

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Question 50

What is the primary force that normally prevents significant loss of fluid volume from the blood into the interstitial spaces?

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Other chapters

Functional Organization of the Human Body and Control of the “Internal Environment”The Cell and Its FunctionsGenetic Control of Protein Synthesis, Cell Function, and Cell ReproductionTransport of Substances Through Cell MembranesMembrane Potentials and Action PotentialsContraction of Skeletal MuscleExcitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction CouplingExcitation and Contraction of Smooth MuscleCardiac Muscle; The Heart as a Pump and Function of the Heart ValvesRhythmical Excitation of the HeartThe Normal ElectrocardiogramCardiac Arrhythmias and Their Electrocardiographic InterpretationThe Circulation: Overview of the Circulation; Medical Physics of Pressure, Flow, and ResistanceVascular Distensibility and Functions of the Arterial and Venous SystemsLocal and Humoral Control of Tissue Blood FlowNervous Regulation of the Circulation and Rapid Control of Arterial PressureCardiac Output, Venous Return, and Their RegulationMuscle Blood Flow and Cardiac Output During Exercise; the Coronary Circulation and Ischemic Heart DiseaseCardiac FailureCirculatory Shock and Its TreatmentThe Body Fluid Compartments: Extracellular and Intracellular Fluids; Interstitial Fluid and EdemaUrine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their ControlUrine Formation by the Kidneys: II. Tubular Reabsorption and SecretionRenal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid VolumeRegulation of Acid-Base BalanceKidney Diseases and DiureticsRed Blood Cells, Anemia, and PolycythemiaResistance of the Body to Infection: I. Leukocytes, Granulocytes, the Monocyte-Macrophage System, and InflammationResistance of the Body to Infection: II. Immunity and AllergyBlood Types; Transfusion; Tissue and Organ TransplantationHemostasis and Blood CoagulationPulmonary VentilationPrinciples of Gas Exchange; Diffusion of Oxygen and Carbon Dioxide Through the Respiratory MembraneTransport of Oxygen and Carbon Dioxide in Blood and Tissue FluidsRespiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen TherapyPhysiology of Deep-Sea Diving and Other Hyperbaric ConditionsOrganization of the Nervous System, Basic Functions of Synapses, and NeurotransmittersSensory Receptors, Neuronal Circuits for Processing InformationThe Eye: I. Optics of VisionThe Eye: II. Receptor and Neural Function of the RetinaCortical and Brain Stem Control of Motor FunctionContributions of the Cerebellum and Basal Ganglia to Overall Motor ControlCerebral Cortex, Intellectual Functions of the Brain, Learning, and MemoryBehavioral and Motivational Mechanisms of the Brain—The Limbic System and the HypothalamusStates of Brain Activity—Sleep, Brain Waves, Epilepsy, PsychosesThe Autonomic Nervous System and the Adrenal MedullaCerebral Blood Flow, Cerebrospinal Fluid, and Brain MetabolismGeneral Principles of Gastrointestinal Function—Motility, Nervous Control, and Blood CirculationPropulsion and Mixing of Food in the Alimentary TractSecretory Functions of the Alimentary TractMetabolism of Carbohydrates and Formation of Adenosine TriphosphateLipid MetabolismProtein MetabolismThe Liver as an OrganDietary Balances; Regulation of Feeding; Obesity and Starvation; Vitamins and MineralsEnergetics and Metabolic RateBody Temperature Regulation and FeverIntroduction to EndocrinologyPituitary Hormones and Their Control by the HypothalamusThyroid Metabolic HormonesAdrenocortical HormonesInsulin, Glucagon, and Diabetes MellitusParathyroid Hormone, Calcitonin, Calcium and Phosphate Metabolism, Vitamin D, Bone, and Teeth