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Exam 3
Chapters 14-18
221
Physiology
Undergraduate 1
04/13/2013

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Term
Decreased heart rate ______ cardiac input?
Definition
Decreases
Term
Increased stroke volume ______ cardiac output?
Definition
Increases
Term
Decreased venous radius ____ the blood flow through the vein
Definition
Increases
Term
Increased skeletal muscle activity ______ the venous return
Definition
Increases
Term
Increased parasympathetic nerve activity _____ the arteriolar radius
Definition
Decreases
Term
Decreased sympathetic nerve activity _____ the venous radius
Definition
Increases
Term
Increased end-diastolic volume _____ the end-systolic volume
Definition
Decreases
Term
Increased venous return _____ the end diastolic volume
Definition
Increases
Term
The faster the heart beats the less time it spends in ______
Definition
diastole
Term
How does the heart meet increased metabolic needs?
Definition
Time of feeding decreases, so coronary artery radius increases.
Term
Anemia
Definition
Too few RBC's
Term
Polycythemia
Definition
Too many RBC's
Term
Neutrophil
Definition
Phagocyte to bacteria
Term
Eosinophil
Definition
Attack Parasitic worms
Term
Basophil
Definition
Release Histamine
Term
What WBC's are granular
Definition
Basophil
Eosinophil
Neutrophil

(BEN)
Term
Granulocytes
Definition
WBC's that have segmented nuclei and many cytoplasmic granules
Term
Agranulocytes
Definition
Large round nuclei that fill the cell

Do not have cytoplasmic granules
Term
Monocyte
Definition
Tissue macrophage (super phagocyte)
Term
Lymphocyte
Definition
Have B and T cells

B-Cells- Produce antibodies
T-Cells- Cell-Mediated Immunity
Term
Hyperpnea
Definition
energetic (deep and rapid) respiration that occurs normally after exercise
Term
Apnea
Definition
Temporary cessation of breathing, esp. during sleep.
Term
Dyspnea
Definition
Difficult or labored breathing.
Term
Hyperventilation
Definition
an increased depth and rate of breathing greater than demanded by the body needs
Term
Residual volume (RV)
Definition
the volume of air remaining after complete expiration. The volume prevents alveoli from collapsing and causes surface large surface tension.

(1200mL)
Term
Tidal Volume (TV)
Definition
The volume of air inspired or expired in one normal respiration cycle

(500mL)
Term
Expiratory Reserve Volume (ERV)
Definition
The extra volume of air that can be forcibly expired from the lungs at the end of a normal expiration.

(About 1000 mL)
Term
Vital Capacity (VC)
Definition
the maximum amount of air that can expelled from the lungs following a maximal inspiration

(About 4800mL)
Term
Functional Residual Capacity (FRC)
Definition
The expiratory reserve volume plus the residual volume

(2200 mL)
Term
Total Lung Capacity (TLC)
Definition
The vital capacity plus the residual volume (VC+RV)

6000mL
Term
Forced Expiratory Volume (FEV1)
Definition
The fraction of the vital capacity expired in 1 second. Determines the conditions of the lungs. Normal person should have a percentage of 80%

(FEV1/FVC)*100
Term
Obstructive Lung Disease
Definition
Blocks the lungs from EXPIRATION (below 50% FEV1)

Asthma & Emphysema
Term
Restrictive Lung Disease
Definition
Blocks lungs from INSPIRATION

(FEV1 is <50%)

Fibrosis and pneumonia
Term
Dead space (Vd)
Definition
Volume of air in the respiration passages which remains unchanged during respiration (air that is in air tubes)

150 mL
Term
Respiration Minute Volume (VT)
Definition
The volume of air moved in or out of the respiratory passages per minute which is equal to the product of the tidal volume by the respiratory rate

VT=TV*RR
6000ml/min at rest
Term
Alveolar Ventilation Rate/min
Definition
Total volume of "new" air entering the alveoli each minute

4200ml/min at rest
vA=(TV-Vd)RR
Term
Central Chemoreceptors
Definition
On Medulla

sense changes in the arterial Pco2 by
pH changes in the CSP
Send signals to increase ventilation
Term
Peripheral chemoreceptors
Definition
On aortic and carotid bodies

Sense decrease in blood pH
Send signals to increase ventilation
Term
3 steps in urinary formation
Definition
Filtration
Reabsorption
Secretion
Term
Filtration
Definition
Blood enters nephron, goes into glomerulus and is filtered into protein-free plasma that goes into renal tubule for further processing
Term
Reabsorption
Definition
Filtrate from glomerulus travels down the renal tubule as most fluids, solutes like glucose, salts, and amino acids, and ions from the filtrate are reabsorbed backed into the bloodstream
Term
Secretion
Definition
Wastes and other things that need to be eliminated can travel from the blood in the peritubular capillaries into the renal tubule without coming from the glomerulus
Term
Two hormones that regulate absorption of sodium and water at the kidneys to maintain osmolarity
Definition
Aldosterone and Vasopressin (antiduretic hormone)
Term
What are not normal urine components?
Definition
Glucose, protein, and blood
Term
Cholecystekinin
Definition
Secreted in sm intestine in response to fat in chyme

Decreases stomach motility
Term
Gastrin
Definition
Secreted by stomach in response to an increase in pyloric acid

Triggers hunger signal in hypothalmus
Term
Secretin
Definition
Secreted in small intestine in response to acidic chyme

Decreases stomach motility
Term
How do digestive enzymes work?
Definition
catalysts(they speed up chemical reactions)
break up food so that its nutrients can be absorbed by the body and waste products can be eliminated
Term
Size of thoracic cavity _____ when diaphragm is contracting
Definition
Increases
Term
Lung volume _____ and the diaphragm contracts
Definition
Increases
Term
When air comes into the lungs, intra-alveolar pressure is _____ than the outside air
Definition
Lower
Term
intra-alveolar pressure when no air is flowing through lungs
Definition
Equal to pressure of outside air
Term
intra-alveolar pressure is _____ than the outside air when air is flowing out of lungs
Definition
Higher
Term
Intrapleural pressure at the end of expiration, before inspiration, is _____ to atmospheric pressure
Definition
equal to
Term
Intraplural pressure at any point during respiration is _____ than intralveolar pressure
Definition
Less than, always by 4
Term
This size of thoracic cavity is ____ during contraction of the intercolstal muscles and ______ during contraction of external intercostals
Definition
Smaller; Bigger
Term
Air flow during passive expiration is _____ than airflow during active expiration
Definition
less than
Term
Pneumothorax
Definition
Hole in pleural cavity
Term
Intrapleural pressure in the presence of pneumothorax is ___ atmospheric pressure
Definition
equal to
Term
EDV
Definition
end diastolic volume

Normal=130
Term
ESV
Definition
end systolic volume

Normal= 70
Term
SV
Definition
Stroke volume

SV=EDV-ESV normal=70mL
Term
Cardiac Output
Definition
CO

CO= heart rate (HR)X Stroke Volume
Term
Characteristics of blood
Definition
100.4 degrees
Alkaline (pH of 7.45)
Metalic taste (iron)
Term
Functions of blood (3
Definition
Distribution (Oxygen, drugs, hormones, waste)

Regulates body temp

Protects body with WBC's, anitbodies, clots to prevent blood loss
Term
Composition of blood
Definition
55% plasma
45% Formed elements (erythrocytes, leukocytes, and platelets
Term
Composition of blood plasma (6)
Definition
90% water (polar)
Electrolytes
Glucose, amino acids, fats, vitamins
Term
Plasma proteins
Definition
Produced in liver

FAG
Fibrinogen (4%)
Albumins (60%)
Globulins (36%)
Term
Fibrinogen (function)
Definition
Clots, turned in fibrin

Gamma antibodies
Term
Albumins (function)(1)
Definition
Osmotic gradient in blood
Term
Globulins (function) (2)
Definition
Alpha-beta-gamma antibodies
Amphipathic
Term
Erythocytes (2)
Definition
Red Blood Cells
contain hemoglobin and transport oxygen
Term
Erythocyte characteristics (4)
Definition
Flexible
97% hemoglobin (oxygen and carbon dioxide)
Carries 98% of oxygen in body
Carries 20-25% carbon dioxide in body
Term
Lifespan of erythrocyte (2)
Definition
120 days
Removed by spleen (2-3 million a second)
Term
Hematopoiesis (3)
Definition
RBC production
(kidney controls rate -erythropoietin)
Red bone marrow produced RBC's
Term
Formed elements (4)
Definition
erythrocytes, leukocytes, and platelets
(45% of blood)
Term
erythropoietin (2)
Definition
Hormone secreted by kidneys
controls rate of hematopoiesis
Term
Nutritional Anemia
Definition
Lack of folic acid
Term
Pernicious anemia
Definition
inability to absorb adequate amount of vitamin b12
Term
Aplastic anemia
Definition
Failure of Red Bone Marrow to produce adequate # of RBC's
Term
Hemolytic anemia
Definition
Hemolysis (rupture of RBC's)

Ex)
(Sickle cell anemia)
(malaria)
Term
Causes of Polycythemia (4)
Definition
High altitude
Chronic lung disease
Tumor in bone marrow
Doping
Term
Problems of polycythemia
Definition
Makes bloody syrupy
(causes more work for heart increase blood pressure)
Term
Thrombocytes (2)
Definition
platelets that make thrombus (clots)
Lifespan: 5-9 days
Term
hemostasis
Definition
Blood clotting
Term
3 basis steps of Hemostasis
Definition
Vascular spasm (contraction of vessel to decrease blood loss)

Formation of platelet plug (scab)

Blood clot (fibrogen-->fibrin)
Term
Function of serotonin in hemostasis?
Definition
weak vasoconstrictor, helps form platelet plug (scab)
Term
Function of plasmin in hemostasis?
Definition
Causes clot removal
(starts immediately after clot is made)
Term
Thrombus
Definition
Stationary Clot
Term
Embolus (2)
Definition
Free floating clot

(can float to lungs/heart/brain and clog, which canh kill)
Term
Hemophilia (2)
Definition
Too little # of proteins that help blood clot

(causes abnormal bleeding)
Term
Respiration (3 basic functions)
Definition
Ventilation (breathing

Gas exchange (o2 from lungs to blood; co2 from blood to lungs)

Cellular respiration- oxygen utilization for ATP (krebs cycle)
Term
Non-respiratory functions (7)
Definition
Eliminates water and heat

Enhances venous return

Maintains normal pH balance

Enables voice

Defends against inhaled foreign junk!

Modifies some of things carried in blood (buffer system)

Enables the sense of smell
Term
Internal respiration
Definition
intracellular respiration (electron transport chain)
Term
External respiration
Definition
breathing, oxygen/co2 exchange (alveoli-blood)
Term
Airways of lungs
Definition
tubes from nose and mouth to alveoli
Term
Extrathoracic airway (3)
Definition
Nose-(warms, humidifies, cleans)
Pharynx-(Switch (esophagus or windpipe)
Larynx-(voicebox)
Term
Intrathoracic airway (3)
Definition
Past larynx
Trachea-(Hyaline cartilage rings)
Bronchi-(fork in trachea, keeps tubes inflated)
Bronchioles-(go to segments in lobe
Term
Alveoli
Definition
Region specialized for gas exchange between lungs and blood
Term
Characteristics of Alveoli
Definition
surrounded by pulmonary capillaries

surface area= 75sq m (size of tennis court) (ficks law)

Has pores (wet surface for gas diffusion)
Term
Structure of type I alveolar cells
Definition
Thinner barrier for more exchange
Term
Structure of type II alveolar cells (3)
Definition
Alveolar surface tension
Surfactant


(keep alveoli inflated)
Term
Surfactant
Definition
Chemical that decreases water surface tension in lungs
Term
Macrophages (2)
Definition
"Dust cells"

phagocytosis- eat up debris and bacteria trapped in lungs
Term
What is required for air to flow in and out of lungs?
Definition
pressure gradient between lungs and atmospheric air pressure
Term
What changes the air pressure in the lungs?
Definition
A change in the volume of lungs
Term
What makes the lungs decrease in air pressure? What happens to air?
Definition
When lungs expand in size

Air pressure is lower in lungs; air travels into lungs
Term
What causes lungs to increase in size?
Definition
Diaphragm contraction
Term
What happens to lung pressure when there is a decrease in lung volume?
Definition
Lung pressure increases
Term
What happens to lung pressure when lung volume does not change (2)
Definition
Lung pressure is equal to outside pressure

No airflow
Term
When is alveolar pressure equal to atmospheric pressure?
Definition
When there is no airflow in the lungs
Term
What muscles cause air to be pulled in (inspiration)? (2)
Definition
Diaphragm

external intercostals

Sternocleidomastoid

Scalenes
Term
What muscles cause air to be pushed out (expiration)? (2)
Definition
Internal intercostals

Abdominal muscles (push diaphragm up)
Term
Compliance
Definition
How easy the lungs can expand under pressure
Term
Elasticity
Definition
The tendency of a structure to recoil back to original size
Term
Thorax
Definition
Outer chest wall

Ribs, sternum, vertebrae
Term
Intra-alveolar pressure ________ intrapleural pressure

(<,>,=)
Definition
Greater than (>)
Term
Air movement is always down a ________ ___________
Definition
Pressure gradient
Term
Active expiration (3)
Definition
Active process (ATP used) Abdominal muscles contract (push diaphragm up) Internal intercostal muscles contract (push chest wall down & in)
Term
intrapleural space
Definition
potential space between the visceral and parietal pleurae
Term
intrapleural pressure is always less than ______ by _____
Definition
intrapulmonary pressure

by 4 mmHg
Term
Intrapleural pressure (3)
Definition
Pressure within pleural cavity

Sealed chamber

Normal pressure is 756mmHg
Term
Higher altitude means __________ pressure
Definition
Lower
Term
Passive Process (Repiratory) (4)
Definition
Inspiratory muscles relax

Lungs recoil due to elasticity

Chest wall falls

No ATP used
Term
The larger the pressure gradient, ____________
Definition
The more air flow in/out of lungs
Term
What does airway diameter determine?
Definition
Resistance to air flow
Term
Narrower airways mean _______
Definition
less air gets through
Term
Wider airways mean ______
Definition
more air gets through
Term
Smooth muscle in bronchioles is controlled by _______
Definition
autonomic nervous system
Term
Parasympathetic stimulation on bronchioles
Definition
bronchoconstriction
Term
sympathetic stimulation on bronchiloles
Definition
bronchodilation
Term
Flight or Fight effect on bronchioles
Definition
bronchodilation, need greater airflow
Term
COPD
Definition
Chronic Obstructive Pulmonary Disease

Makes expiration more difficult than inspiration
Term
Forms of COPD
Definition
Asthma

Chronic Bronchitis

Emphysema
Term
Asthma
Definition
Air can't get out of alveoli
Term
Chronic Bronchitis
Definition
Long term inflammation on brochioles
Term
Emphysema
Definition
"smokers"

Macrophages eat way surface area

"self digestion"
Term
What controls airway resistance?
Definition
Size of bronchiole tubes
Term
Restrictive lung disease
Definition
Cannot expand lungs

Inspiration capacity is reduced because lung expansion is reduced
Term
Restrictive lung diseases effect what parts of the spirogram? (2)
Definition
TLC and VC are reduced
Term
Pulmonary ventilation
Definition
Volume of air moving in and out of the lungs each minute
Term
Alveolar ventilation
Definition
Volume of air exchanged between atmosphere and alveoli each minute

(TV-Dead airspace)* Respiratory rate
Term
What is the best way to breath?
Definition
Deep, slow breathing

5 breaths a minute
Term
What is more efficient way to breathe?
Definition
Increase TV instead of Increasing breathing rate
Term
Purpose of respiration
Definition
To get oxygen in and carbon dioxide out of body
Term
How is gas exchanged accomplished?
Definition
Simple diffusion (non-polar)
Term
Gases move passively down _________ ______ ______
Definition
Partial pressure gradients
Term
How do gases move in there gradients?
Definition
Down each of their own concentration gradient, independent of other gases
Term
What does more metabolic activity in a tissue cause on the partial pressure gradient?
Definition
Causes larger gradient between ISF blood, meaning more gas movement
Term
How much oxygen and co2 partial pressure does deoxygenated blood (blood from pulmonary arteries) have?
Definition
oxygen partial pressure (pp) of 40 mmHg and CO2 pp of 45 mmHg.
Term
How much oxygen and co2 partial pressure does oxygenated blood leaving lungs (blood from pulmonary veins) have?
Definition
O2 pp of 100 mmHg and CO2 pp of 40 mmHg.
Term
Pressure of o2 and co2 in alveoli
Definition
Po2 is 105 mmHg

Pco2 is 40mmHg
Term
Pressure of o2 and co2 in pulmonary capillaries
Definition
Po2 is 40mmHg

Pco2 is 46mmHg
Term
What part of oxygen in blood contributes to the blood partial pressure of oxygen?
Definition
Oxygen that is dissolved in the blood
Term
What part of oxygen in blood does not contribute to the blood partial pressure of oxygen?
Definition
Oxygen that is bound to hemoglobin
Term
Oxygen need of body at rest
Definition
250 mL oxygen/min
Term
Oxygen need of body during exercise
Definition
6000 mL oxygen/min
Term
Release of oxygen from hemoglobin is increased by _________
Definition
tissue metabolism
Term
Tissue metabolism causes _____ ______ ________ (3)
Definition
Increase is Pco2 in tissues

Increase in H+ conc. in tissues

Increase in temperature in tissues
Term
Purpose of carbon dioxide transport
Definition
maintain acid/base balance
Term
% of carbon dioxide dissolved in plasma and RBC's
Definition
10%
Term
% of carbon dioxide bound to hemoglobin
Definition
30%
Term
% of carbon dioxide as bicarbonate buffer (HCO3)
Definition
60%
Term
What is oxyhemoglobin
Definition
Hemoglobin plus oxygen
Term
What is carbon monoxide poisoning?
Definition
Carbon monoxide binds to hemoglobin faster, and suffocates the cells, making them unable to transport oxygen
Term
Bicarbonate anhdrayse
Definition
enzyme on RBC's that catalyzes carbon dioxide and water into carbonic acid
Term
Carbonic Acid
Definition
What is ionized to form H+ and HCO3, (bicarbonate)
Term
Hypoxia
Definition
Low pressure of oxygen
Term
Hyperoxia
Definition
High pressure of oxygen

Toxic
Term
Hypocapnia
Definition
Decrease in pressure of carbon dioxide

Hyper ventilation
Causes decrease in pH, (Alkalosis)
Term
Hypercapnia
Definition
High pressure of carbon dioxide

Hypoventilation

Increase in pH (acidosis)
Term
What creates hypocapnia
Definition
Hyperventilation
Term
What creates hypercapnia
Definition
Hypoventilation
Term
What controls respiration
Definition
Brainstem
Term
The roles of chemoreceptors
Definition
sends input to brainstem that tells what the blood oxygen/carbon dioxide levels are
Term
Peripheral chemoreceptors (2)
Definition
Carotid and Aortic bodies

Respond to blood Po2 levels when they are low
Term
Central chemoreceptors (2)
Definition
In Medulla

Respond to H+ concentration in CSF
Term
Why does H+ concentration monitor the blood gas levels?
Definition
The more H+, the more CO2 is in blood
Term
What gas does peripheral chemoreceptors measure
Definition
Oxygen
Term
What gas does central chemoreceptors measure
Definition
Carbon dioxide
Term
The basic functions of the urinary system (6)
Definition
Maintain water balance

Regulates Ionic Balance

Regulates Plasma Volume

Regulates body pH

Regulates osmolarity

Eliminates wastes
Term
How are proteins prevented from getting out of glomerulus?
Definition
Negatively charged basement membrane repels them
Term
What is present in filtrate? (3)
Definition
Plasma
Glucose
Amino Acids
Term
What is the driving force of the urinary system
Definition
High glomerular capillary blood pressure
Term
What is the pressure of the urinary system?
Definition
55mmHg
Term
What are the 3 forces that effect filtration rate? (GFR)
Definition
High glomerular capillary blood pressure

Hydrostatic pressure (-15 mmHG)

Osmotic gradient (-30mmHg)
Term
What is the average GFR?
Definition
125mL/min
Term
What effect does vasodilation and constriction have on GFR
Definition
more constriction means more BP, which means more GFR
Term
What does the Na/K pump do in the nephron
Definition
The pump gives on osmotic gradient (cotransports glucose and amino acids, moves water back into capillaries)

electrochemical gradient (moves Cl- back into capillaries)
Term
Tubular maximum
Definition
Limited about of Na+ carriers to cotransport glucose and amino acids
Term
What is the collecting duct permeable to?
Definition
Water
Term
What is the collecting duct not permeable to?
Definition
Salt
Term
What controls rate of water permeability in collecting duct?
Definition
ADH
Term
How much glucose is reabsorbed?
Definition
100%
Term
How much urea is reabsorbed?
Definition
50%
Term
How much salt is reabsorbed?
Definition
99.5%
Term
How much water is reabsorbed?
Definition
99%
Term
What increases Na+ absorption?
Definition
Renin, Aldosterone
Term
Where is urine concentration changed from isotonic to hyper or hypotonic?
Definition
Loop of Henle
Term
What are the negative ions influenced by Na+ reabsorbtion?
Definition
Cl- and Phosphate (PO4-)
Term
What substances are secreted (last step) from blood to tubules?
Definition
Excess H+ and K+, drugs
Term
What is the minimum obligatory volume of urine output needed to be secreted daily?
Definition
400 mL
Term
What are the effects of angiotensin II?
Definition
Increases aldosterone secretion

Gives thirst signal to hypothalmus

Increases ADH

Vasoconstriction (increases blood pressure)
Term
How are negative ions influenced by Na+
Definition
Na+ creates an electrochemical gradient when it is reabsorbed, which pulls negative ions (chlorine and phosphate)
Term
What effects does Aldosterone have?
Definition
Stimulates the secretion of H+

Makes K+ go into filtrate, Na+ out

Increases blood flow
Term
What direction does tubular secretion go?
Definition
From peritubular capillary to tubular fluid (tubules or loop of henle)
Term
What does aldosterone do to excess K+?
Definition
Aldosterone trades K+ for Na+, K goes into filtrate, Na+ goes into blood
Term
What effects does ADH have? (3)
Definition
Changes the permeability of the Distal Convuluted tubule and Collecting Duct

Allows more water to leave the filtrate

Produces hypertonic urine
Term
What causes renin to be released?
Definition
Low Na+

Low arterial blood pressure
Term
What permits voluntary bladder control?
Definition
Voluntary control over external urethral sphincter
Term
Micturition
Definition
process of urination
Term
When do you have the urge to pee?
Definition
When bladder is filled with 150 mL urine
Term
Maximum amount bladder can hold
Definition
600mL
Term
How to solve MAP
Definition
(systolic pressure-diastolic pressure)/3

1/3 of pulse pressure
Term
Where does majority of water reabsorption occur?
Definition
Proximal convoluted tubule
Term
Purpose of surfactant in lungs
Definition
decreases surface tension on alveoli

Keeps them inflated
Term
What effect does parasympathetic stimulation have on veins
Definition
None, blood vessels aren't affected by parasympathetic stimulation
Term
What does the frank-starling law NOT do?
Definition
does not regulate heart rate
Term
What hormone causes increase in the blood calcium concentration and decrease in blood phosphate concentration?
Definition
Parathyroid hormone
Term
What is good cholestrol
Definition
high density lipoproteins
Term
What is bad cholestrol
Definition
low density lipoproteins
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