Chapter 9 The Blood and Blood Vessels CHAPTER CONTENTS Introduction Word Elements Specific to the Blood and Blood Vessels Capillaries, Arteries, and Veins Capillaries Arteries Conducting Arteries Medium-Size Arteries Arterioles Veins The Superior Vena Cava The Inferior Vena Cava Terminology of the Blood Blood Plasma Formed Elements (Erythrocytes, Leukocytes, and Platelets) Blood and Blood Vessel Disorders and Procedures Cholesterol Common Abbreviations Exercises Pre-Quiz Checklist Chapter Quiz 105 106 PART 2 BODY SYSTEM TERMINOLOGY efore studying the terms commonly associated with the blood, we will consider the vessels through which it travels. The reason for doing so is that blood vessels share with the heart the job of transporting blood to all the cells in the body. This chapter introduces the terms relating to blood vessels, constituents of blood, common diseases, and methods of diagnosis and treatment. B WORD ELEMENTS SPECIFIC TO THE BLOOD AND BLOOD VESSELS The word elements shown in Table 9-1 are often found in terms relating to the blood and blood vessels. You will recognize them in many of the terms you will learn in this chapter. TABLE 9-1 COMMON WORD ELEMENTS RELATED TO THE BLOOD AND BLOOD VESSELS Element ang/i/o arteri/o ather/o -ectasis -emia hem/o; hemat/o phleb/o thromb/o varic/o Type root root root suffix suffix root root root root vas/o vascul/o ven/o root root root Refers to vessel artery gruel-like dilation blood blood vein clot dilated; from the Latin word varix (“a dilated vein”) vessel vessel vein CAPILLARIES, ARTERIES, AND VEINS Capillaries The capillaries (singular: capillary) are a good place to start in a study of the blood vessels, not because they are the largest of the vessels; on the contrary, they are the smallest. They are mentioned first, however, because they are the most numerous and because they deliver nutrients from the blood to the body’s cells. The transfer of blood to the capillaries begins in large vessels and progresses through vessels of ever-diminishing size. Arteries Arteries (singular: artery) carry blood away from the heart and, eventually, to the capillaries. Arteries contain muscle tissue, which allows them to vary their diameters. CHAPTER 9 THE BLOOD AND BLOOD VESSELS 107 Two terms are associated with this action: they are vasoconstriction (a narrowing of the artery’s diameter) and vasodilation (an enlarging of the artery’s diameter). When the muscle tissue contained within an artery contracts, vasoconstriction occurs, thereby producing a resistance that increases blood pressure. When the muscle tissue relaxes, vasodilation occurs to effectively lower the blood pressure. All arteries have this capability, but in varying degrees, depending on their function. The arteries nearest the heart must be able to accommodate the large volume of blood it pumps out with each beat. Artery diameters become smaller as they get nearer to the capillaries. The three kinds of arteries are conducting arteries, muscular arteries, and arterioles. Conducting Arteries Conducting arteries, sometimes called elastic arteries, can have an inside diameter as great as an inch. The aorta is an example of a conducting artery. The pulmonary artery and the aortic trunk are examples of conducting arteries, which move blood away from the heart. Three major conducting arteries branch from the aortic arch, as shown in Figure 9-1. They are the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. Both the right subclavian artery and the right common carotid artery attach to the brachiocephalic trunk. Medium-Size Arteries Medium-size arteries, sometimes called muscular arteries (because they contain a lot of muscle tissue), typically have an inside diameter of about one-sixth of an Right common carotid artery Brachiocephalic trunk Right subclavian artery Left common carotid artery Left subclavian artery Aortic trunk Pulmonary artery FIGURE 9-1 Conducting arteries. 108 PART 2 BODY SYSTEM TERMINOLOGY Capillaries Arterioles Veins FIGURE 9-2 Schematic diagram of the arteriole-capillary-vein network. inch—roughly the height of the letters h and l in this sentence. The external carotid artery in the neck is an example of a medium-size artery. Arterioles Arterioles are the smallest arteries, with an average inside diameter of 0.0018 of an inch, or about 1/100 the size of a medium-size artery. Arteries and arterioles connect to the capillaries, which can be as tiny as one blood cell (or about onefourth the size of an arteriole) in diameter (Figure 9-2). Veins Veins carry blood back to the heart. They follow the same path as the arteries (with blood flowing in the reverse direction, of course). Also, like the arteries, they vary in diameter, becoming larger as they approach the heart because of the increasing volumes of blood they must carry. fascinating fact about veins is that some of them are duplicated, one having a e Adeep route within the body and the other running near the surface of the skin. When you are hot, the blood flows through the veins near the surface to dissipate heat, and when you are cold, it flows through the ones deeper inside the body to keep you warm. The vein counterparts of the conducting arteries are the superior vena cava and the inferior vena cava. Together, they are known as the venae cavae, the Latin plurals for vena and cava. All the other large veins of the body system drain into one or the other of these. The counterparts of the muscular arteries and arterioles are the medium veins and venules. As its name implies, the superior vena cava drains blood from the upper body, including the head, neck, shoulders, and arms. The inferior vena cava, likewise, receives blood from the lower body, the dividing line being the diaphragm. Figure 9-3 shows the location of the superior and inferior venae cavae and principal connecting veins. CHAPTER 9 THE BLOOD AND BLOOD VESSELS 109 Great cerebral vein Vertebral vein Brachiocephalic veins Internal jugular vein Superior vena cava Azygos vein Hepatic veins Inferior vena cava Renal veins Lumbar veins Gonadal vein Digital veins Femoral vein Tibial veins FIGURE 9-3 Locations of the major veins. The Superior Vena Cava The superior vena cava collects the blood returning from the cranium from smaller veins, such as the great cerebral vein and the internal jugular vein, which runs alongside the common carotid artery. The brachiocephalic veins collect returning blood from the vertebral vein and then connects up with the azygos vein, which in turn connects to the superior vena cava, often referred to by its abbreviation: SVC. 110 PART 2 BODY SYSTEM TERMINOLOGY The Inferior Vena Cava Blood entering the inferior vena cava (IVC) includes that returning from the lower limbs, spinal cord, liver, kidneys, and reproductive organs. The names of these veins include the digital, tibial, femoral, and lumbar veins, all of which are familiar enough to you by now to indicate what parts of the body they serve. The gonadal, hepatic, and renal veins serve the following parts of the body: the reproductive organs, the liver, and the kidneys, respectively. You will learn more about the terminology associated with these organs in later chapters. TERMINOLOGY OF THE BLOOD Whole blood is made up of plasma and the formed elements it contains. Blood Plasma Blood plasma, a yellowish liquid that is 90% water, also contains proteins and other nutrients in solution, such as water-soluble vitamins and minerals. In addition, it carries the formed elements that are a part of whole blood: namely, erythrocytes, leukocytes, and platelets. Thus, although whole blood remains a fluid, it is about five times denser than water. The three main classes of blood plasma proteins are albumins, globulins, and fibrinogens. Two other terms that name common blood proteins are antibodies (also known as immunoglobulins) and lipoproteins. Formed Elements (Erythrocytes, Leukocytes, and Platelets) Erythrocytes are red blood cells, abbreviated RBC, and leukocytes are white blood cells, abbreviated WBC. Red blood cells make up 99.9% of the formed elements in the blood. Hemoglobin, which is abbreviated Hb and binds only to RBCs, gives blood its red color. Each RBC contains approximately 280 million Hb molecules. A single drop of blood contains about 260 million red blood cells. The number of white blood cells present in a drop of blood is only 35,000 or so, although WBCs are not much larger than the RBCs. White blood cells do not all do the same job and are not all the same size. However, all WBCs are at least slightly larger than RBCs. In fact, the WBCs of one category are double the size of RBCs. The terms naming the WBC categories are given in Figure 9-4 and are discussed further in Chapter 13. Platelets, which are very small in comparison to both RBCs and WBCs, are formed elements that are important in the coagulation process. They are produced in the bone marrow and vary somewhat in shape (Figure 9-4). Erythrocytes Basophil Neutrophil Monocyte FIGURE 9-4 Formed elements in blood. Eosinophil Lymphocyte Platelets CHAPTER 9 THE BLOOD AND BLOOD VESSELS 111 BLOOD AND BLOOD VESSEL DISORDERS AND PROCEDURES Table 9-2 lists common abnormal blood conditions, along with some of the procedures used to diagnose and correct them. TABLE 9-2 COMMON DISORDERS AND PROCEDURES ASSOCIATED WITH BLOOD AND BLOOD VESSELS Term aneurysm angiitis (also vasculitis) angiogram angiography angiopathy (also vasculopathy) angioplasty angiorrhaphy angiospasm angiostenosis angiotomy arteriolitis arteriopathy arterioplasty arteriorhhexis arteriorrhaphy arteriosclerosis arteriospasm arteriostenosis arteriotomy arteriovenous arteritis hemolysis hemopathy hemophilia hemorrhage hemorrhagic fever vasculitis (also angiitis) vasculopathy (also angiopathy) vasoparalysis vasoparesis vasospasm Definition a bulge in an artery (or a heart chamber) inflammation of a blood vessel the printed record obtained through angiography radiography of a blood vessel after injection of a contrast medium any disease of blood vessels surgical repair of a blood vessel suture of a vessel spasm in blood vessels narrowing of a blood vessel incision into a blood vessel inflammation of the arterioles any disease of the arteries surgical repair of an artery rupture of an artery suturing of an artery hardening of the arteries spasm of an artery narrowing of an artery an incision into an artery adjectival form of “arteries and veins” inflammation of an artery or arteries change or destruction of red blood cells any disease of the blood congenital disorder affecting the coagulation process Discharge of blood category that includes a number of viral diseases, one of which is Ebola fever inflammation of a vessel any disease of blood vessels paralysis of blood vessels similar to but less severe than vasoparalysis spasm in blood vessels (angiospasm) 112 PART 2 BODY SYSTEM TERMINOLOGY CHOLESTEROL Cholesterol, a fat-soluble steroid alcohol, is manufactured in the liver and transported through the bloodstream. Cholesterol is delivered to body tissues, including arterial walls, by low-density lipoprotein (LDL), known as “bad” cholesterol. High-density lipoprotein (HDL) is known as “good cholesterol” because it returns LDL to the liver for excretion. DECIPHERING MEDICAL DOCUMENTS Read the following excerpt from a progress note, then answer the questions. Complete blood count reveals a total leukocyte count of 6,600/mm3, Hb of 8.0 g/dL, hematocrit of 23.0, and a platelet count of 149,000/mm3. Clinical diagnosis is chronic myelomonocytic leukemia. 1. What root and suffix combine to make up the word leukocyte? What does it mean? 2. What is Hb? 3. What is the suffix in leukemia and what does it mean? A STUDY TABLE 9-1 THE BLO OD AND BLO OD VESSELS Term and Pronunciation Analysis Meaning STRUCTURE & FUNCTION albumins (al-BYU-mihns) from the Latin albumen (“white of an egg”) antibodies (AN-tih-bodies) anti- (“against”) aorta (ay-OR-tah) from the Greek word aeiro (“lift up”) arteries (AR-tuh-rees) from the Latin word arteria, meaning “windpipe” (broadly, “a tubeshaped vessel”) from the Latin word arteria, meaning “windpipe” (broadly, “a tubeshaped vessel”) from the Greek prefix a- (“single”); and the Greek word zygon (“yoke”) arterioles (ar-TEER-ee-oles) azygos vein (AYZ-eye-gohs) brachiocephalic trunk (BRAKE-eeoh-seh-FALL-ik) brach/io (“arm”); cephal/o (“head”); -ic (adjective suffix) brachiocephalic veins (BRAKE-eeoh-seh-FALL-ik) brach/io (“arm”); cephal/o (“head”); -ic (adjective suffix) one of the three main blood plasma proteins; globulins and fibrinogens are the other two also called immunoglobulins; a common blood protein the main trunk of the systemic arterial system the largest of the blood vessels the smallest arteries that connect with the capillaries a vein that connects the brachiocephalic veins with the superior vena cava one of three major conducting arteries branching from the aortic arch vein connecting the azygos vein to veins of the head, neck, shoulder, and arms CHAPTER 9 A STUDY TABLE 9-1 THE BLOOD AND BLOOD VESSELS 113 THE BLO OD AND BLO OD VESSELS (co nt inued) Term and Pronunciation Analysis Meaning capillaries (KAP-ih-layr-ees) from the Latin word capillus (“hair”) cholesterol (ko-LESS-tehr-all) from the Greek words chole (“bile”) and stereos (“stiff ”) conducting arteries (konDUCK-ting) digital veins (DIJ-ih-tuhl conducting (English word); arteries (from the Latin word arteria) digit (English word meaning “finger” or “toe”); -al (adjective suffix) elastic (English word); arteries (from the Latin word arteria) from two Greek words erythros (“red”); kytos (“cell”) from the Latin word femur (“thigh”) from the Latin word fibra (“fiber”) the smallest of the blood vessels a fat-soluble steroid alcohol found in animal tissues and in food; consists of both high-density (HDL) and low-density (LDL) varieties the largest of the arteries and nearest the heart veins in the fingers and toes elastic arteries (ee-LASS-ik) erythrocytes (er-RITH-ro-sites) femoral veins (FEE-mor-uhl) fibrinogens (fy-BRIHN-o-jens) another term for conducting arteries red blood cells; abbreviated RBC veins in the legs one of the three main blood plasma proteins; globulins and albumins are the other two formed elements common English words phrase used to refer collectively to the red blood cells, white blood cells, and platelets in the blood globulins (GLAWB-yu-lins) from the Latin word globus (“ball”) one of the three main blood plasma proteins; albumins and fibrinogens are the other two gonadal veins (go-NAD-uhl) from the Greek word gone (“seed”) veins in the reproductive sytem great cerebral vein (seh-REEB-ruhl) cerebr/o (“brain”) vein of the cranium hemoglobin (hee-mo-GLO-bihn hem/o (“blood”); the Latin word the protein that gives blood its globus (“ball”) red color; abbreviated Hb hepatic veins (heh-PAT-ik) hepat/o (“liver”); -ic (adjective suffix) veins that drain the liver immunoglobulins (IM-yu-nofrom the Latin words immunis also called antibodies; a GLOB-yu-lins) (“tax exempt”) and globus (“ball”) common blood protein inferior vena cava (VEE-nah KAV-ah) from the Latin words vena (“vein”) large vein that collects blood and cavus (“hollow”) from the smaller veins of the lower body internal jugular vein (JUG-yu-lahr) from the Latin word jugulum (“throat”) a vein in the neck that runs alongside the common carotid artery left common carotid artery (kahfrom the Greek word karotides one of three major conducting ROT-ihd) arteries branching from the aortic arch left subclavian artery (SUB-klaysub- (“beneath”); clavian (adjective one of three major conducting vee-ahn) related to the clavicle) arteries branching from the aortic arch 114 PART 2 BODY SYSTEM TERMINOLOGY A STUDY TABLE 9-1 THE BLO OD AND BLO OD VESSELS (co nt inued) Term and Pronunciation leukocytes (LUKE-o-sytes) lipoproteins (lip-o-PRO-teens) lumbar veins (LUM-bar) muscular arteries plasma (PLAZ-muh) platelets (PLATE-lets) renal veins right common carotid artery (kah-ROT-ihd) right subclavian artery (SUBklay-vee-ahn) superior vena cava (VEE-nah KAV-ah) tibial veins venae cavae (VEE-nay KA-vay) veins (VAYNS) vertebral veins (VURT-eh-bruhl) Analysis Meaning leuk/o (“white”); and the Greek word kytos (“cell”) lip/o (“fatty”); proteins (common word) from the Latin word lumbus (“loin”) muscular (English adjective); arteries (from the Latin word arteria) white blood cells; abbreviated WBC a common blood protein veins in the lower back medium-size arteries that connect the conducting arteries and the arterioles from the Latin word plasticus as differentiated from its (“molded”) non-medical context, the yellow fluid that makes up a bit more than half of whole blood by volume from the English word plate or the smallest of the formed Greek work platys (“flat”) elements; important in the coagulation process ren/o (“kidney”); -al (adjective suffix) veins in the kidneys from the Greek word karotides one of two conducting arteries attached to the brachiocephalic trunk sub- (“beneath”); clavian (adjective one of two conducting arteries related to the clavicle) attached to the brachiocephalic trunk from the Latin words vena (“vein”) large vein that collects blood and cavus (“hollow”) from the smaller veins of the upper body from the Latin word tibia (“shin bone”) veins in the legs plural form of vena cava the superior vena cava and the inferior vena cava, taken together English word the blood vessels that return blood from the tissues to the heart vertebra (“spinal column”); -al veins flowing from the upper (adjective suffix) spinal area into the brachiocephalic veins COMMON DISORDERS aneurysm (AN-yur-iz-um) angiitis (an-jee-EYE-tiss); also called vasculitis angiopathy (an-jee-AWP-uh-thee); also vasculopathy from the Greek word aneurysma (“dilation”) a localized dilation of an artery, cardiac chamber, or other vessel angi/o (“vessel”); -itis (“inflammation”) inflammation of a vessel ang/io (“vessel”); -pathy (“disease”) any disease of blood vessels CHAPTER 9 A STUDY TABLE 9-1 THE BLOOD AND BLOOD VESSELS 115 THE BLO OD AND BLO OD VESSELS (co nt inued) Term and Pronunciation Analysis angiospasm (AN-jee-o-spaz-uhm) ang/io (“vessel”); -spasm (“involuntary muscle contraction”) angiostenosis (AN-jee-o-steh-NO-siss) angi/o (“vessel”); -stenosis (“narrowing”) arteriolitis (ar-TEER-ee-oh-LY-tihs) arteriol/o (the arterioles); -itis (“inflammation”) arteriopathy (ar-teer-ee-OP-ah-thee) arteri/o (artery); -pathy (“disease”) arteriorrhexis (ar-TEER-ee-oharteri/o (artery); -rrhexis (“rupture”) REK-sihs) arteriosclerosis (ar-TEER-ee-o-skluarter/io (artery); -sclerosis (“hardening”) RO-sis) arteriospasm (ar-TEER-ee-oarter/io (artery); -spasm (“involuntary spaz-uhm) muscle contraction”) arteriostenosis (ar-TEER-ee-oh-steh- arteri/o (artery); -stenosis (“narrowing”) NO-sihs) arteritis (ar-tur-EYE-tihs) arteri/o (artery); -itis (“inflammation”) hemolysis (hee-MAWL-ih-sihs) hemopathy (hee-MAWP-uh-thee) hemophilia (hee-mo-FEEL-ee-ya) hemorrhage (HEM-o-rij) hemorrhagic fever (hem-o-RAJ-ik) vasculitis (also angiitis) vasculopathy (vass-cue-LOPah-thee) (also angiopathy) vasoconstriction (VAZE-o-konSTRIK-shun) vasodilation (VAZE-o-dy-LAY-shun) (also sometimes vasodilatation) vasoparalysis (VAZE-o-pahRAL-ih-sis) vasoparesis (VAZE-o-pah-REE-sis) vasospasm (VAYZE-o-spaz-uhm) Meaning spasm in blood vessels narrowing of a blood vessel inflammation of an arteriole any disease of the arteries rupture of an artery hardening of the arteries spasm of an artery narrowing of an artery inflammation of an artery or arteries hem/o (“blood”); -lysis (“destruction”) change or destruction of red blood cells hem/o (“blood”); -pathy (“disease”) any disease of the blood hem/o (“blood”); -philia (from the congenital disorder affecting Greek word philos), meaning “love” the coagulation process hem/o (“blood”); -rrhage (“flow”) discharge of blood hem/o (“blood”); -rrhage (“flow”); category of diseases that include -ic (adjective suffix) a number of viral diseases, one of which is Ebola fever vascul/o (“vessel”); -itis (“inflammation”) inflammation of a vessel vascu/lo (“vessel”); -pathy (“disease”) any disease of blood vessels vas/o (“vessel”); constriction (English word meaning “narrowing”) vas/o (“vessel”); dilation (widening) narrowing of the arteries the widening of the arteries vas/o (“vessel”); paralysis (immobility) paralysis of blood vessels vas/o (“vessel”); paresis (“weakness”) vas/o (“vessel”); -spasm (“involuntary muscle contraction”) similar to but less severe than vasoparalysis spasm in blood vessels (angiospasm) DIAGNOSIS & TREATMENT angiogram (AN-jee-o-gram) ang/io (“vessel”); -gram (“record”) angiography (an-jee-AWG-ruff-ee) angi/o (“vessel”); -graphy (“process of recording”) printed record obtained through angiography radiography of a blood vessel after injection of a contrast medium 116 PART 2 BODY SYSTEM TERMINOLOGY A STUDY TABLE 9-1 THE BLO OD AND BLO OD VESSELS (co nt inued) Term and Pronunciation Analysis Meaning SURGICAL PROCEDURES angioplasty (AN-jee-o-plass-tee) angi/o (“vessel”); -plasty (“surgical repair”) angiorrhaphy (an-jee-OR-ah-fee) angi/o (“vessel”); -rrhaphy (“suturing”) angiotomy (an-jee-AWT-uh-mee) angi/o (“vessel”); -tomy (“cutting into”) arterioplasty (ar-TEER-eearteri/o (“artery”); -plasty oh-plass-tee) (“surgical repair”) arteriorrhaphy (ar-teer-ee-OR-ah-fee) arteri/o (“artery”); -rrhaphy (“suture”) arteriotomy (ar-teer-ee-OT-oh-mee) arteri/o (“artery”); -tomy (“incision”) ENHANCEMENT TERMS angiogenic (an-jee-o-JENN-ik) angioid (AN-jee-oyd) angina pectoris (an JY-nahpek-TOR-ihs) arteriovenous (ar-TEER-ee-oVANE-uhs) atherosclerosis (ATH-ah-rohskleh-ROH-sihs) basophil (BAY-soh-fil) eosinophil (ee-oh-SIHN-oh-fil) hemolytic (hee-mo-LIH-tik) lymphocyte (LIM-foh-site) monocyte (MON-oh-site) neutrophil (NU-troh-fil) phagocyte (FAG-oh-site) vascular (VASS-cue-lahr) venous (VEE-nuhs) angi/o (“vessel”); -genic (“origin”) angi/o (“vessel”); -oid (“similarity”) angina from the Latin verb ango (“to press tightly”); pectoris from the Latin word pectus (“breastbone”) surgical repair of a blood vessel suturing of a vessel incision into a blood vessel surgical repair of an artery suturing of an artery incision of an artery originating in a blood vessel resembling blood vessels pain in the chest (Note: Some believe that angi/o (vessel) is the root of angina; such is probably not the case, since angina once meant “sore throat.”) arter/io (“artery”); venous (adjectival adjectival form of “arteries form of vein) and veins” from the Greek word athere (“gruel”); the most common form of -sclerosis (“hardening”) arteriosclerosis bas/o (“base”); -phil (“love”) a white blood cell with granules that stain with basic dyes eosin (a fluorescent dye); -phil (“love”) a white blood cell that stains with certain dyes hem/o (“blood”); -lysis (“destruction”) adjective form of hemolysis lymph/o (“lymph”); -cyte (“cell”) a white blood cell formed in lymphatic tissue mon/o (“single”); -cyte (“cell”) a relatively large white blood cell neutr/o (“neutral”); -phil (“love”) a mature white blood cell normally constituting more than half of the total number of leukocytes phag/o (“eat”) -cyte (“cell”) a white blood cell capable of ingesting bacteria and other foreign matter vascul/o (“vessel”); -ar (adjective suffix) adjectival form of vessel ven/o (“vein”); -ous (adjective suffix) adjectival form of vein CHAPTER 9 117 THE BLOOD AND BLOOD VESSELS ABBREVIATION TABLE 9-1 COMMON ABBREVIATIONS: The Blood and Blood Vessels Abbreviation Hb HDL IVC LDL RBC SVC WBC c Meaning hemoglobin high-density lipoprotein inferior vena cava low-density lipoprotein red blood cells superior vena cava white blood cell Exercises Exercise 9-1 Choosing the Correct Term Fill in the missing terms to complete the sentences. 1. Arteries carry blood away from the heart through the arteries, to the medium-size arteries, sometimes called muscular arteries. , also called the elastic 2. Blood then flows to the , which are the smallest arteries, connecting with the which transfer nutrients directly to the body’s cells. 3. , carry blood back to the heart. 4. The drains blood from the upper body, and the receives blood from the lower body. 5. Cholesterol is delivered to body tissues, including arterial walls, by low-density lipoprotein (LDL), also known as cholesterol. 6. Cholesterol is manufactured in the liver and transported through the . 7. High-density lipoprotein (HDL) is known as “good cholesterol” because it returns LDL to the excretion. 8. Narrowing of artery walls from cholesterol causes for in the vessel. 9. Arteriosclerosis is diagnosed by a radiographic procedure called angiography, and a surgical repair to the vessel called may be carried out. 10. If not repaired, the vessel could become completely blocked, cutting off oxygen to the heart, causing a myocardial infarction, commonly called a . 118 PART 2 BODY SYSTEM TERMINOLOGY Exercises Exercise 9-2 Converting Nouns to Adjectives Convert each of the following nouns to its adjective form using one of the following suffixes: -al, -ar, -ous. Noun Adjective 1. artery 2. vein 3. vessel 4. sclerosis 5. hemolysis 6. hemorrhage 7. stenosis 8. vasospasm 9. vasculopathy 10. angina Exercises Exercise 9-3 Matching Terms with Definitions Place the letter of the definition in the right column in the space next to the matching term in the left column. Noun Definition 1. hemoglobin A. carries blood back to the heart 2. arteriole B. the smallest but most numerous of the blood vessels, responsible for transferring nutrients directly to the cells 3. erythrocytes C. the blood plasma proteins that are also known as 4. capillary D. contains muscle tissue and carries blood away 5. leukocytes E. the protein that gives blood its red color 6. platelets F. a large venous vessel that drains blood from the antibodies from the heart upper body to be transported to the heart 7. immunoglobulin G. red blood cells 8. vein H. the smallest of the arteries, connecting with the capillaries CHAPTER 9 9. 10. THE BLOOD AND BLOOD VESSELS superior vena cava (SVC) 119 J. white blood cells artery K. a formed element found in whole blood, which is important in the coagulation process 11. angiostenosis 12. vasculopathy M. discharge of blood L. surgical repair of a blood vessel 13. aneurysm N. a congenital disorder affecting the coagulation process, causing excessive bleeding 14. angioplasty O. “hardening” of the arteries 15. HDL P. the narrowing of a blood vessel 16. angiography Q. a bulge in an artery or a heart chamber 17. LDL R. radiography of a blood vessel after injection of a 18. arteriosclerosis S. any disease of the blood vessels 19. hemorrhage T. “good cholesterol”; picks up “dead” cholesterol contrast medium from cells and removes it 20. hemophilia U. “bad cholesterol”; delivers cholesterol to the body Exercises Exercise 9-4 True, False, and Correction Read each statement, then indicate whether you think it is true or false. If False, fill in the correct answer in the “Correction, if False” box at the right. Statement 1. A vein that connects brachiocephalic veins with the superior vena cava is the renal vein. True False Correction, if False ___ ___ ____________ 2. Conducting arteries are the largest of the arteries and nearest the heart. ___ ___ ____________ 3. Vasoparalysis is the paralysis of blood vessels. ___ ___ ____________ 4. Vasculitis is any disease of blood vessels. ___ ___ ____________ 5. Hemopathy is any disease of the blood. ___ ___ ____________ 6. Erythrocytes are white blood cells. ___ ___ ____________ 7. The vein in the neck that runs alongside the common carotid artery is the vertebral vein. ___ ___ ____________ 8. Lumbar veins are in the kidneys. ___ ___ ____________ 9. The great cerebral vein is in the cranium. ___ ___ ____________ ___ ___ ____________ 10. The three main blood plasma proteins include the femorals, globulins, and albumins. 120 PART 2 BODY SYSTEM TERMINOLOGY Exercises Exercise 9-5 Choosing from Options Choose the term in the right column that correctly completes the sentence. Sentence 1. Origin is the inflammation of a vessel. angiitis; angina pectoris; arteriosclerosis; arteriospasm 2. Hardening of the arteries is referred to as 3. The phrase . means a pain in the chest. angiitis; angina pectoris; arteriosclerosis; arteriospasm angiitis; angina pectoris; arteriosclerosis; arteriospasm 4. A change in or destruction of red blood cells is known as . hemolysis; hemopathy; hemophilia; hemorrhage 5. hemolysis; hemopathy; hemophilia; hemorrhage is a congenital disorder affecting the coagulation process. 6. Any disease of the blood may be referred to as 7. An incision into a blood vessel is called . hemolysis; hemopathy; hemophilia; hemorrhage . angiography; angioplasty; angiorrhaphy; angiotomy 8. X-raying a blood vessel after injection of a contrast medium is called . angiography; angioplasty; angiorrhaphy; angiogram 9. is the surgical repair of a blood vessel. angiography; angioplasty; angiorrhaphy; angiotomy 10. A printed record obtained through angiography is an . angiography; angioplasty; angiorrhaphy; angiogram Exercises Exercise 9-6 Misspelled Terms Check the terms below and correct all misspellings that you find. Term 1. angiojenic 2. anjoid 3. arteriovenous 4. capillarys 5. erythrocites 6. gobulins 7. hemolytic 8. immunogobulins 9. leukocytes Correction CHAPTER 9 THE BLOOD AND BLOOD VESSELS 10. platilets 11. tibial veins 12. venos 13. angiostenosys 14. angitis 15. vasseldilation 16. vasoparesis 17. angiotomii 18. angiorhaphy 19. lipoprotenes 20. inferior venae cava Exercises Exercise 9-7 Identifying the Conducting Arteries Label the conducting arteries on Figure 9-5. aortic trunk brachiocephalic left common carotid left subclavian pulmonary artery right common carotid right subclavian 5 3 2 6 7 1 4 FIGURE 9-5 Identifying the conducting arteries (Exercise 9-7). 121 122 PART 2 BODY SYSTEM TERMINOLOGY Pre-Quiz Checklist _____ Study the word roots specific to the blood and blood vessels (Table 9-1). _____ Review the definitions and etymologies listed in the study table. _____ Check the exercises with the answers in the Appendix, and consult the review table again to correct your errors. _____ Complete the quiz, and check your answers. Chapter Quiz Write the answers in the spaces provided to the right of each item. 1. What is an aneurysm? 1. _____________________________ _____________________________ _____________________________ _____________________________ 2. What is vasoconstriction? 2. _____________________________ _____________________________ _____________________________ 3. What effect does vasoconstriction have on blood pressure and why? 3. _____________________________ _____________________________ _____________________________ 4. What are the three major conducting arteries branching from the aortic arch? 4. _____________________________ 5. Name five veins draining into the superior vena cava. 5. _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 6. What are the three formed elements in whole blood? 6. _____________________________ _____________________________ _____________________________ 7. Name the three main classes of blood plasma proteins. 7. _____________________________ 8. What happens to blood pressure with vasodilation of arteries and why? 8. _____________________________ _____________________________ _____________________________ _____________________________ 9. What are the three main types of arteries? 9. _____________________________ _____________________________ _____________________________ CHAPTER 9 10. Name five veins draining into the inferior vena cava. THE BLOOD AND BLOOD VESSELS 10. _____________________________ _____________________________ _____________________________ 11. What is the medical term for heart attack? 11. _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 12. What does the abbreviation SVC stand for? 12. _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ 13. What does the abbreviation Hb stand for? 13. _____________________________ 14. Name two possible terms for inflammation of a blood vessel. 14. _____________________________ 15. What is the medical name for a person who has a congenital disorder characterized by excessive bleeding? 15. _____________________________ 16. Hemorrhagic fever is a category of viral diseases; what two symptoms are suggested by the etymology of the term? 16. _____________________________ 17. What word signifies a change in red blood cells? 17. _____________________________ _____________________________ 18. Name a common medical disorder that is characterized by 18. _____________________________ pain in the heart” or chest pain resulting from sclerotic or “ narrowed coronary vessels, but that is not a heart attack or MI. 19. What is the one-word term for any disease of the blood? 19. _____________________________ 20. What is the one-word term for any disease of the blood vessels? 20. _____________________________ 123
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