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Physio Final
N/A
168
Physiology
Undergraduate 2
12/15/2012

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Term
Homeostasis
Definition
  • the property of a system that regulates its internal environment and tends to maintain a stable, relatively constant condition of properties such as temperature or pH, it is basically a process in which the body's internal environment is kept stable
  • set points.
  • positive/negative feedback:
      • positive feedback moves system away from set point,  produce significant changes in a relatively short period of time (pregnancy)
    • negative feedback keeps body’s conditions close to body’s set point
Term
Metabolic Pathways (anaerobic)
Definition

Glucose-Pyruvate-Lactate

net atp: 2 

Term
Metabolic Pathways (aerobic)
Definition
Pyruvate -> Acetyl - CoA (Mitochondrial matrix)
2. Citric Acid Cycle (Mitochondrial matrix): + 2 ATP, +8 NADH, +2 FADH2 (As regard 2 pyruvate)
3. Oxidative Phosphorylation (Mit. inner-membrane):

+28 ATP (10 NADH x 2.5 ATP, 2 FADH2 x 1.5 ATP)

ATP Total: 32 ATP
Term
Tight Junctions
Definition
firmly bound by adjacent cells, seal passageway between two cells, prevent leaks within epithelial cells
Term
Gap Junctions
Definition
formed by proteins connections, permit unrestricted passage of small nutrient molecules between cells, also allows direct transfer of small signaling from one cell to another
Term
Desmosomes
Definition
act like velcro, connect two adjacent non touching cells, abundant in tissues that are subject to stretching.
Term
Simple Diffusion
Definition
occurs in membrane until equilibrium, follow concentration gradient, high to low.
Term
Facilliated Diffusion
Definition
high to low, follows concentration gradient, need carrier (protein) molecule
Term
Primary Active Transport
Definition

using ATP directly, against concentration gradient.

low to high.
Term

Secondary active transport

 

Symport/Antiport

Definition

concentration gradient, uses carrier molecule (sodium)

 

symport: 2 molecules go through same direction

antiport: two molecules go through opposite directions.

Term
Action Potential.
Definition

-"all or nothing"

-goes in one direction (axon to terminal)

--comes from EPSP (+ toward threshold) and IPSP (- away from threshold)

- is a result of EPSP and IPSP (not the other way around)
-long distance signals
Term
Graded potentials
Definition
-get stimulus
-local depolarization of cell.
-can go both ways-no set direction
-short distance signals
Term
PNS (Afferent divides to what?)
Definition
somatic and visceral. 
Term
PNS (efferent devides to what, and details?)
Definition

-Somatic: innervates skeletal muscle, voluntary

-Autonomic: innervates smooth muscle, cardiac muscle, glands, involuntary. 

Term
Autonomic system devides to what?
Definition

Sympathetic- fight or flight

parasympathetic- rest, digest, relaxed, important in homeostasis.

Term
Muscle contraction
Definition
Cross Bridging (actin & binding sites):
-actin is thin filament
-myosin is thick filament.
-action potential reaches the neuromuscular junction which stimulates the release of Acetylcholine which triggers an action potential in the muscle fiber
-WHEN EXCITED Calcium binds with troponin which moves the tropomyosin off the actin binding sites
-Myosin head binds with actin, triggers cross-bridge power stroke
-Myosin heads moves towards center of sarcomere. Power stroke slides filaments inward resulting in contraction. ATP binds to myosin head which causes it to detach from actin, ATP undergoes hydrolysis, transfers energy to myosin. Head is now re-energized.

-ATP hydrolyzed----> hydrolyzed to ADP & P
( means ATP is being broken down to be used for energy)
Term
Cardiac Output (definition, equation, and what is stroke volume?)
Definition
(amount of blood that moves through body in one minute)
  • Stroke Volume x Heart Rate 
    • Stroke Volume: (Diastolic - Systolic)
Term
What monitors blood pressure?
Definition
baroreceptors
Term

Blood Pressures

and MAP?

Definition
  • Good BP - 120/80
  • Hypo - 100/60
  • Hyper - 140/90
-Any change in the Mean Arterial Pressure triggers an autonomically mediated baroreceptors reflex that influences the heart and blood vessels to adjust cardiac output and total peripheral resistance in an attempt to restore blood pressure towards normal.
Term
Inspiration
Definition
Alveolar Pressure in the lung is less than the atmospheric pressure due to contraction of diaphragm
1. Alveolar P < Atmospheric P
2. Contraction of diaphragm
3. Contraction of External intercostal muscles
Term
Expiration
Definition
Alveolar Pressure in the lung Is greater than atmospheric pressure outside
- Summary
1. Alveolar P > Atmospheric P
2. Relaxation of diaphragm
3. Relaxation of External intercostal muscles
** p.s. Intrapleural P is always less than Atmospheric and Alveolar P.
Term
O2 Transport Percentages
Definition
O2- 2% dissolved in blood plasma and 98% transport by hemoglobin
Term
CO2 transport percentages
Definition
CO2: 60%- by bicarbonate  30%-by hemoglobin  10%-dissolved in plasma
Term
Kidney filtering
Definition
glomerular filtration rate- tubular reabsorption + secretion= urine output
only 20% of blood actually gets filtered
Term
What is the functional unit of the kidney?
Definition
Nephron
Term
What is the capillary system in the kidney?
Definition
glomerulus
Term
What do peritubular capillaries do?
Definition
Give up/takes what it needs.
Term
What do carbohydrates break down to?
Definition
monosaccharides, mainly glucose to be absorbed, diffuse directionly into the blood.
Term
What is glucose stored as?
Definition
Glycogen
Term
What is fat stored as?
Definition
triglyceride
Term
What do proteins get broken down to?
Definition
amino acids and a few polypeptides.
Term
What are fats broken down to?
Definition
monoglycerides and free fatty acids, emulsification of lipase
Term
Carbs and proteins diffuse directly to ______
Definition
blood
Term
Fats go where?
Definition
lacteal system by way of protein carriers
Term
CCK
Definition
- stimulating the digestion of fat and protein
- influence on duodenal control of gastric emptying
- decrease appetite
- stimulate acinar cells -> pancreatic digestive enzymes going up
- causes gallbladder to secrete bile
Term
Chyme is buffered by what?
Definition
Bile (bicarbonate)
Term
Motility
Definition
1. Propulsive movements: push contents forward
2. Mixing movements: mix food with digestive juices, helps with absorption
movement, peristalsis, segmentation
3. Small amounts of chyme go to stomach, responses go back to stomach to tell it to rest.
Term
Parietal cells secrete what?
Definition
HCl
Term
What does bile break down?
Definition
fat
Term
Amylase digests what?
Definition
carbs
Term
What does pepsin break down?
Definition
proteins
Term
What makes pepsinogen (inactive) into pepsin (active)?
Definition
HCl
Term
Phases of digestion- Motility
Definition
motility- (in esophagus and stomach) movement through smooth muscle contraction.  Peristalsis and segmentation.
Term
Phases of digestion- Secretion
Definition
HCl, enzymes, bicarbonate, hormones, bile.  Cells an pancreas, gallbladder.
Term
Phases of digestion- absorption
Definition
absorption- carbs: monosaccharides
      fat: triglycerides
      protein: amino acids
Term
Phases of digestion: digestion
Definition
mechanical and chemical breakdown of food
Term
What is the phase called when you see/smell food?
Definition

sephalic phase

-simple reflex when food is in mouth

-conditioned reflex when see and smell food

Term
Nutrient absorption
Definition
  • done mostly in small intestine
  • H2O reabsorbed in large intestine
  • Alcohol can be absorbed in stomach
  • proteins and carbs absorbed into bloodstream
  • fat is broken down by lipase
Term
work/heat percentages
Definition
25% of chemical energy in foods is used to do biological (internal) work, 75% is converted to heat and used to maintain body temperature (98.7 F/37 C)
Term
Appetite control is where?
Definition
arcuate nuclues (the hypothalamus)
Term
NPY signals from where, and increases/decreases appetite?
Definition

-arcuate nucleus of hypothalamus

-increases appetite

Term
Melanocortins signal from where, and increase/decrease appetite?
Definition

-arcuate nucleus of hypothalamus

-decreases appetite

Term
Where does leptin signal from and does it increase or decrease appetite?
Definition

-adipose tissue

-decreases appetite

-made by fat cells

Term

Where does insulin signal from and does it increase or decrease appetite?

Definition

-endocrine pancreas

-decreases appetite

Term

Where does orexins signal from and does it increase or decrease appetite?

Definition

-lateral hypothalamus

-increases appetite

Term

Where does corticotropin-releasing hormone signal from and does it increase or decrease appetite?

Definition

-paraventricular nucleus of the hypothalamus

-decreases appetite

Term

Where does gherlin signal from and does it increase or decrease appetite?

Definition

-stomach

-increases appetite

-made by stomach

Term

Where does peptide YY signal from and does it increase or decrease appetite?

Definition

-small and large intenstine

-decreases appetite

Term

Where does stomach distention signal from and does it increase or decrease appetite?

Definition

-stomach

-decreases appetite

Term

Where does CCK signal from and does it increase or decrease appetite? and what does it control?

Definition

-small intenstine

-decreases appetite

-controls stomach emptying

Term
Conduction
Definition
direct contact exchange of heat (ex. if you are cold and hug someone warm, you get some of their body heat)
Term
Convection
Definition
transfer of heat by air currents
Term
Radiation
Definition
movement of heat energy via electromagnetic waves (ex. waves of heat leaving the skin, or sitting on a cold chair)
Term
Evaporation
Definition
extraction of heat energy from the body by the conversion of liquid H20 to H20 vapor (ex. sweating)
Term
Basal metabolic rate
Definition
the lowest energy you need to survive (lowest is upon waking but before rising)
Term
Temperature increase mechanisms
Definition
Fever set point increases in the hypothalamus. indogenous pyrons. shivering. fever turns down replications of viruses.
Term
FFA and Ketones
Definition
Ketones are the by product of fatty acids used for energy; used as energy source of other tissues in place of glucose (ex. brain)
Term
Posterior pituitary hormones
Definition
Vasopression and oxytocin
Term
Anterior pituitary 
Definition

hypophysiotropic

has neuron in hypothalamus

moves to APG to be released, then signals again

-all 3 levels except testes/ovum/testosterone

 

Term
Hypophysiotropic hormones (definition)
Definition
hormones released from the hypothalamus which trigger the release of a hormone from the anterior pituitary
Term
GnRH 3 levels.
Definition
GnRH ----> FSH and LH -----> Gonads (germ cell development and secrete hormones)
Term
GHRH 3 levels.
Definition
GHRH -----> growth hormone -----> liver and other cells (secrete IGF-1)
Term
TRH 3 levels
Definition
TRH-----> TSH-----> Thyroid (secretes thyroxine, triiodothyronine)
Term
CRH 3 levels.
Definition
CRH----> ACTH----> Adrenal Cortex (secretes cortisol)
Term
Parathyroid gland
Definition
releases parathryroid hormone when calcium levels are low. work on osteoclast to harvest bone matrix and free up blood plasma. break down bone formation
Term
When the blood plasma levels are high, what is released? and what happens?
Definition
calcitonin (opposing) released reduces blood levels and blocks osteoclasts.
Term
Hydrophilic
Definition
molecule that is water loving and readily absorbed and dissolved in water
Term
Lipophilic Hormone
Definition
fat loving, ability to dissolve fats, oils, and other lipids

-steroid hormones don't dissolve in water, require help through fluid
Term
Target cell receptor sensitivity
Definition
binds with particular hormone that initiates a chain of events within target cells to bring about the hormone’s final effect
-antagonism: one hormones decreases the effectiveness of another
-down regulation: decrease in number of target-cell receptors
-permissiveness: one hormone increases effectiveness of another.
-synergism: combines effect of two homrones is greater than separate effects
Term
Where does E live and what is its duty?
Definition
(Medulla, 80%): reinforcing sympathetic activity, maintaining arterial blood pressure, increasing blood glucose and fatty acids
Term
Where does NE live and what is its duty?
Definition
(Medulla, 20%): reinforcing sympathetic activity with Epinephrine
Term
Where does cortisol live and what is its duty?
Definition
glucocorticoids (Cortex, Zf, Zr) : gluconeogenesis, influencing nutrient metabolism, involving in stress-resistance, exerting anti-inflammatory & immunosuppressive effects
Term
Where does aldosterone live and what is its duty?
Definition
mineralocorticoids (Cortex, Zg): Na+ Reabsorption, K+ Secretion, maintaining blood pressure homeostasis
Term
Pineal Gland
Definition
melatonin - keeps inherent cardiac rythyms in synchrony with the light-dark cycle.
Term
Which 2 hormones do not secrete third level?
Definition
dopamine and prolactin
Term
Bone formation
Definition
Dividing and pushing epiphyseal plate upwards, chondrocytes (increase length of bone) stop dividing but osteoblasts (build matrix) keep building up, osteoclasts= breakdown.

Calcitonin puts calcium into bone from blood (osteoblasts)
Parathyroid homrone puts calcium from bone and puts in blood (osteoclasts)
Term
Which hormone is responsible for allowing calcium absorption in GI tract? 
Definition
calciferol (vitamin D)
Term
Actions of insulin
Definition
Anabolic hormone. Insulin lowers blood sugar levels by moving glucose into cells, responds to glucose in blood. secretion increased during absorptive state
Term
Actions of glucagon
Definition
Glucagon supports gluconeogenesis, moves glucose out of the blood from the livers glycogen stores (glucose levels low)
Term
What has to be available to grant permission for GH to reach optimal levels in blood, and if it is not reached, dwarfism is a result?
Definition
TSH
Term
What are some growth hormone abnormalties?
Definition
Dwarfism (too little TSH), gigantism (too much TSH), acromegaly, TSH (thyroid stimulating hormone)
Term
Glycogenesis
Definition
Glucse to glycogen; making glucose in liver
Term
Glycogenolysis
Definition
Glycogen to glucose; storage form of glucose in liver/muscles, taking glycogen in liver and breaking it down/putting it back into bloodstream.
Term
Gluconeogenesis
Definition
(turned on by glucagon hormone for post absorptive state)
Amino acids to glucose
Term
Diabetes
Definition
pathophysiological. Cell is asking for glucose, but not getting it. It signals along pathways to increase glucose, but more glucose is outside of the cell membrane than it could ever use. gluconeogenesis ongoing.
Term
What does androgen convert to and what does it use to do this?
Definition
estrogen and aromatayse. 
Term
Gametogenesis
Definition
is accomplished by meiosis resulting in genetically unique sperm and ova.
- Man: Spermatogenesis
- Woman: Oogenesis
Term
XX
Definition
genetic female
Term
XY
Definition
genetic male
Term
SRY
Definition
Sex-determining region of Y Chromosomes (SRY): Products testis-determining factor
(TDF) -> influence gonads to develop to testis
Term
Wolffian and Muellerian Duct Formation in Male
Definition
1. Testis -> Secreting Testosterone and Mullarian-Inhibiting Factor
2a. MIF -> Degeneration of Mullarian Ducts
2b. Testosterone ->Transform Mullarin ducts into male reproductive tracts
Term
Wolffian and Muellerian Duct Formation (woman)
Definition
1. Absence of MIF -> Develop Mullarian Ducts into female reproductive tracts
2. Absence of Testosterone -> Degeneration of Wolffian Ducts
Term

Spermatogenesis

(where does it take place?)

(which hormone goes to cell to support this?)

(what releases testosterone?)

(what does it result in?)

(what 2 things does it require?

Definition
-Takes place in sertoli cell.
-Testosterone goes to sertoli cell to support spermatogenesis.
-Leydig cells release testosterone.
•Results in many highly specialized sperm.
•Requires both testosterone and FSH.
Term
What are the two phases of ovulation? describe them.
Definition
follicular phase - follicle development, mainly estrogen
luteal phase - corpus luteum, progesterone and estrogen release
Term
What separates phases?
Definition
ovulation
Term
When does the LH spike?
Definition
ovulation
Term
Where does to corpus lutem form?
Definition
luteal phase
Term
What does corpus luteum release?
Definition
progesterone and estrogens
Term
What happens if there is no fertilization of corpus luteu,?
Definition
degeneration, new cycle starts
Term
Where does fertilization take place?
Definition
corpus luteum
Term
Which hormone lets you know if you're pregnant?
Definition
HCG
Term
How many folliles do females start with at birth?
Definition
2 million
Term
What does secretin tell the pancreas?
Definition
to secrete bicarb and pancreatic enzymes
Term
Where does segmentation take place?
Definition
small intestine
Term
Process of digestion starting in mouth.
Definition
mastication---forms bolus---- bolus moves to stomach via peristalsis----chyme, further digestion
Term
What do chief cells secrete?
Definition
pepsinogen
Term
What do mucus cells secrete?
Definition
mucus
Term
What is RAAS?
Definition
increases blood pressure
(Renin ^ -> Angiotensin ^ -> Aldosterone ^).
Term
What are the steroid classes?
Definition
mineralocorticoids, glucocorticoids, sex hormones.
Term
CO2 and O2 in alveoli are exchanged by what?
Definition
simple diffusion
Term
What are the BMI ranges?
Definition
-underweight- 18.5 and lower
-normal- 18.6- 24.9
-overweight: 25-29.9
Term
What are the body types?
Definition
-anaroid: central adiposity
-gynoid: curves
Term
What does SS turn off?
Definition
growth hormone
Term
What are the gonads in a male and a female?
Definition
testes and ovaries
Term
________ cells contain 46 chromosomes (diploid)
Definition
somatic
Term
_______ contain 23 chromosomes (haploid)
Definition
gametes
Term
Which hormones are the testes regulated by?
Definition
LH and FSH, which are controlled by the GnRH from the hypothalamus. 
Term
FSH has to do with what?
Definition
sertoli cells/inhibit/spermatogenesis
Term
LH secretes what from what?
Definition
testosterone from leydig cell
Term
Testosterone goes to ________, inhibits it for spermatogenesis, makes long and short feedback loops.
Definition
sertoli cells.
Term
What does the corpus luteum house and what does it release?
Definition
ovum; progesterone
Term
What 2 types of cells are in follicular phase?
Definition
granulosa and theca
Term
What happens during hyperthyroidism?
Definition
Secrete too much, lose weight fast, bulging eyes.
Term
What happens during hypothyroidism?
Definition
Secretes too little, gain weight, metabolic rates slows down, sleepy
Term
What does the thyroid gland control?
Definition
basal metabolic rate
Term
what does the adrenal gland maintain?
Definition
salt balance, nutrient metabolism
Term
What is the endocrine pancreas important for?
Definition
nutrient metabolism and glucose homeostasis. 
Term
What is the parathyroid gland important in?
Definition
calcium metabolism
Term
What do the follicular cells produce?
Definition
T3 and T4
Term
What do C cells produce?
Definition
calcitonin
Term
What is the thyroid hormone synthesized and stored as?
Definition
thyroglobulin
Term
What 2 things couple together to create T3?
Definition
MIT and DIT
Term
What 2 things couple together to make T4?
Definition
DIT and DIT
Term
Is most secreted into T4 or T3?
Definition
most T4 is converted to T3
Term
What does the adrenal cortex secrete?
Definition
steroid hormones
Term
What does the adrenal medulla secrete?
Definition
catecholamines
Term
Sex hormones are with what?
Definition
DHEA
Term
The adrenal medulla releases _____ and _____.
Definition

E- 80%

NE- 20%

Term
What is in the absorptive state?
Definition
fed state, glucose is plentiful
Term
What is in the postabsorptive state?
Definition
fasting state
Term
What is a triglyceride made up of?
Definition
3 fatty acids and a glycerol
Term
What is most important in regulating fuel metabolism?
Definition
insulin and glucagon
Term
Beta (B) cells produce what?
Definition
insulin
Term
A (alpha) cells produce what?
Definition
glucagon
Term
Delta (D) cells produce what?
Definition
somatostatin
Term
What is the only type of transporter that responds to insulin?
Definition
GLUT-4
Term
What opposes the actions of insulin?
Definition
Glucagon
Term
What is excitation-contraction coupling?
Definition
time in between stimulus coming in and depolarization of muscle cell, cross bridging
Term
What does oxytocin stimulate?
Definition
uterine contraction during childbirth and milk ejection during breast-feeding
Term
What type of loop is in the anterior pituitary gland?
Definition
short loop
Term
What type of loop is in the hypothalamus?
Definition
long loop
Term
SS 3 levels
Definition
SS----> Growth hormone----> many organs and tissues (protein synthesis, carbohydrate and lipid metabolism)
Term
DA 3 levels
Definition
DA -----> prolactin ----> breasts (breast development and milk production)
Term
Duodenem Digestion Activities
Definition
Factors in duodenum inhibit further emptying:
fat already in duodenum
acid in duodenum
hypertonic fluid in duodenum
distension of duodenum
Term
What are the two pancreatic enzymes?
Definition
amylase and peptidase
Term
What does peptidase do?
Definition
digest protein
Term
What is gastrin produced?
Definition
produces in stomach when fat/protein present
Term
What does lipase do?
Definition
digest fats
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