Shared Flashcard Set

Details

Physiology
Review for the Physiology Exam
351
Physiology
Professional
09/23/2015

Additional Physiology Flashcards

 


 

Cards

Term
What is the relationship between the surface area and the energy of a liquid?
Definition
Directly proportional
Term
What do surfactants do?
Definition
They are amphiphilic molecules that lower surface tension.
Term
What 3 factors affect phospholipid bilayer fluidity?
Definition
Temperature, phospholipid saturation, and cholesterol content.
Term
What is the effect of double bonds on membrane fluidity?
Definition
Double bonds increase fluidity.
Term
What is the effect of cholesterol on membrane fluidity?
Definition
Cholesterol decreases membrane fluidity.
Term
Lipid rafts are enriched in what kind of lipids?
Definition
Cholesterol and sphingolipids.
Term
Caveolae are enriched with what kinds of lipids?
Definition
Cholesterol and phosphatidylserine.
Term
What is caveolin?
Definition
A protein in caveolae that has a high affinity for cholesterol.
Term
What are two roles of caveolae?
Definition
Caveolae are implicated in signal transduction and mechanical stretch sensing.
Term
Describe the two modes of vesicle recycling.
Definition
Fast mode (kiss and run): No full collapse or fusion of the vesicle with the pre-synaptic membrane.

Slow mode: Vesicle completely fuses with membrane and is then recycled by endocytosis, involving clathrin and dynamin.
Term
How do vesicles re-load with neurotransmitters?
Definition
Secondary active transport powered by the vacuolar H+-ATPase.
Term
What is the role of the dystro/sarcoglycan complex?
Definition
It stabilizes the plasma membrane of muscle cells by binding to the extracellular matrix and to dystrophin in the intracellular space.
Term
What is the equation for Fick's Dilution Principle?
Definition
Volume = Amount/Concentration.
Term
What marker is used for total body water?
Definition
D2O.
Term
On average, what percentage of body weight is water?
Definition
60%.
Term
How does body fat affect the percentage of total body water?
Definition
Decrease.
Term
How does the percent body water in females compare with that in males?
Definition
Females have a lower percent of total body water because of a greater amount of adipose tissue.
Term
How does age affect total body water?
Definition
Neonates>adults>older adults (obesity)
Term
What is the marker for ECF?
Definition
Inulin.
Term
What is the marker for plasma volume?
Definition
Evans blue dye.
Term
What is the formula for ICF?
Definition
ICF = TBW - ECF.
Term
What is the formula for ISF?
Definition
ISF = ECF - plasma.
Term
What proportion of total body water is intracellular fluid?
Definition
2/3.
Term
What proportion of total body water is extracellular fluid?
Definition
1/3.
Term
What proportion of extracellular fluid is interstitial fluid?
Definition
3/4.
Term
What proportion of extracellular fluid is plasma?
Definition
1/4.
Term
How does the amount of protein in plasma and ICF compare with the amount of protein in ISF?
Definition
ISF has less protein than plasma and ICF.
Term
What is macroscopic electroneutrality?
Definition
The total amount of positive charge equals the total amount of negative charge.
Term
What is the Nernst equation?
Definition
E = -61/z*log(Ci/Co)
Term
What is the equation for the Gibbs-Donan ratio?
Definition
[Na+]i/[Na+]o=[Cl-]o/[Cl-]i=r=1.05
Term
What part of the neuron is mostly responsible for macromolecule synthesis?
Definition
Cell body.
Term
What part of the neuron is specialized for reception of signals?
Definition
Dendrites.
Term
In what part of the neuron does integration and triggering occur?
Definition
Axon initial segment.
Term
What part of the neuron is responsible for propagation and communication?
Definition
Axon.
Term
What is the name for the protein synthesizing structures in a neuron that are present everywhere except in the axon?
Definition
Nissl.
Term
Is signalling within individual neurons ionic or chemical?
Definition
Ionic.
Term
Is signalling between neurons usually ionic or chemical?
Definition
Chemical.
Term
What is multiple sclerosis?
Definition
Multiple sclerosis is an autoimmune disease that involves inflammation and loss of myelination in the CNS (loss of oligodendrocytes).
Term
What is convection?
Definition
Convection is when the solute is dragged along by solvent.
Term
What is the formula for flux?
Definition
J=Q/A.
Term
What is Fick's First Law of Diffusion?
Definition
Js = -D(deltaC)/(delta X)
Term
What is the relationship between diffusion coefficient and temperature?
Definition
Diffusion coefficient is directly proportional to temperature.
Term
What is the relationship between diffusion coefficient and the radius of the solute?
Definition
Diffusion coefficient is inversely proportional to the radius of the solute.
Term
What is the relationship between diffusion coefficient and the viscosity of the medium?
Definition
Diffusion coefficient is inversely proportional to the viscosity of the medium.
Term
What is the relationship between diffusion time and distance?
Definition
Time for diffusion goes up with the square of the distance.
Term
What is the formula for the flux of a solute being carried by the bulk movement of a fluid?
Definition
Js = JvC = (velocity of solvent)(concentration of solute).
Term
What is the formula for passive diffusion transport across a membrane?
Definition
J = p(delta C)
Term
What is the relationship between permeability and diffusion coefficient?
Definition
Permeability is directly proportional to the diffusion coefficient of the solute in the lipid bilayer.
Term
What is the relationship between permeability and partition coefficient?
Definition
Permeability is directly proportional to partition coefficient.
Term
What is the relationship between permeability and membrane thickness?
Definition
Permeability is inversely proportional to membrane thickness.
Term
What is the relationship between permeability and the number of pores?
Definition
Permeability is directly proportional to the number of pores.
Term
What is the relationship between permeability and membrane area?
Definition
Permeability is inversely proportional to membrane area.
Term
What is the relationship between permeability and the area of the pore?
Definition
Permeability is directly proportional to the area of the pore.
Term
How many subunits are in a cysteine-loop receptor?
Definition
5
Term
What is one example of a cysteine-loop receptor?
Definition
nAChR
Term
How many subunits are in glutamate receptors?
Definition
4
Term
Give one example of a glutamate receptor.
Definition
NMDA receptor.
Term
How many subunits are in ATP-sensitive P2X receptors?
Definition
3.
Term
What does a GEF do?
Definition
A GEF causes a G protein to exchange its GDP for GTP.
Term
What does a GAP do?
Definition
It accelerates the GTPase activity of a G protein.
Term
What is the effect of acetylcholine on skeletal muscle cells?
Definition
Activation (ligand-gated nicotinic receptors)
Term
What is the effect of acetylcholine on cardiac muscle cells?
Definition
Inhibition (G-protein-coupled muscarinic receptors).
Term
What is the effect of acetylcholine on smooth muscle tissue?
Definition
Inhibition (indirect-GPCR on endothelial cells).
Term
What is the effect of acetylcholine on smooth muscle cells?
Definition
Activation (direct-GPCR on smooth muscle cells).
Term
Which muscarinic receptors are coupled to Gq?
Definition
m1, m3, and m5.
Term
Which muscarinic receptors are coupled to Gi?
Definition
m2 and m4.
Term
What G-protein is the alpha-1 adrenergic receptor coupled to?
Definition
Gq.
Term
What G-protein is the alpha-2 adrenergic receptor coupled to?
Definition
Gi.
Term
What G-protein are the beta-1 and beta-2 adrenergic receptors coupled to?
Definition
Gs.
Term
What does cholera toxin do?
Definition
It stimulates G-alpha-s, which activates adenylyl cyclase and leads to the formation of cAMP.
Term
What does pertussis toxin do?
Definition
It inhibits G-alpha-i, leading to an increase in cAMP.
Term
How is arachidonic acid produced?
Definition
By the action of PLA2 on phosphatidylcholine.
Term
What are the ligands for particulate guanylyl cyclase?
Definition
Natriuretic peptides.
Term
What is the ligand for soluble guanylyl cyclase?
Definition
NO.
Term
What are two mechanisms of termination of G-protein signaling?
Definition
Phosphorylation of receptors uncouples receptor from G-protein (short-term process) and eventually leads to the binding of beta-arresting and internalization of the receptor.

GAPs (aka RGS) accelerate GTPase activity of the G-protein and inactivate the G-protein.
Term
What is GRK2?
Definition
GRK2 is a kinase that phosphorylates GPCRs, leading to receptor internalization. It is activated by G-beta-gamma.
Term
What phosphodiesterases are specific for cAMP?
Definition
PDE4, PDE7, PDE8.
Term
What phosphodiesterases are specific for cGMP?
Definition
PDE5, PDE6, PDE9
Term
What does hematoxylin interact with?
Definition
Negative charges (nuclear chromatin, nucleolus, and rER)
Term
What does eosin interact with?
Definition
Positive charges (basically everything except the nucleus and rER).
Term
What is the largest type of muscle fiber?
Definition
Skeletal.
Term
Are skeletal muscle fibers branched or unbranched?
Definition
Unbranched.
Term
Which bands narrow and which remain unchanged during muscle contraction?
Definition
The I and H bands narrow, and the A band does not change length.
Term
Are cardiac muscle fibers branching or non-branching?
Definition
Branching.
Term
Where is the nucleus of a cardiac muscle cell located?
Definition
Centrally.
Term
What type of muscle fiber has intercalated disks?
Definition
Cardiac.
Term
List 2 types of junctions at intercalated disks.
Definition
Adherent junctions and gap junctions.
Term
What is the smallest type of muscle fiber?
Definition
Smooth muscle.
Term
Where is the nucleus in smooth muscle cells?
Definition
There is a single central nucleus.
Term
Dense bodies are associated with which type of muscle fiber?
Definition
Smooth.
Term
What is the purpose of dense bodies?
Definition
Dense bodies anchor thin filaments in smooth muscle fibers.
Term
What is the main protein component of dense bodies discussed in class?
Definition
Alpha-actinin.
Term
What type of muscle undergoes both hypertrophy and hyperplasia?
Definition
Smooth muscle. The others only undergo hypertrophy.
Term
What is the effect of an impermeable solute on the hydrostatic pressure in a compartment?
Definition
An impermeable solute decreases the hydrostatic pressure in a compartment.
Term
Does water move to the compartment with higher or lower osmotic pressure?
Definition
Higher.
Term
What is the difference between a hypertonic and a hypotonic solution?
Definition
A hypertonic solution causes cells to shrink. A hypotonic solution causes cells to swell.
Term
What is the equation for effective osmotic pressure?
Definition
Effective osmotic pressure = (reflection coefficient)(R)(T)(osmotic coefficient)(n)(C)
Term
What is the value of the reflection coefficient when the membrane is completely impermeant to the solute?
Definition
1.
Term
What is the value of sigma when the membrane is fully permeable?
Definition
0.
Term
How does the speed of osmosis compare to the speed of diffusion?
Definition
Osmosis is faster.
Term
What is the effect of phosphorylating glycogen phosphorylase?
Definition
Phosphorylation activates glycogen phosphorylase and leads to the breakdown of glycogen into glucose.
Term
What is the effect of phosphorylating glycogen synthase?
Definition
Phosphorylation inhibits glycogen synthase.
Term
What is the function of AKAP?
Definition
It anchors PKA near its substrate.
Term
What lipid is required by all PKC isoforms?
Definition
Phosphatidylserine.
Term
What PKC isoform is calcium/diacylglycerol-dependent?
Definition
Conventional.
Term
What PKC isoform is calcium-independent and diacylglycerol-dependent?
Definition
Novel.
Term
What PKC isoform is calcium/diacylglycerol-independent?
Definition
Atypical.
Term
Which serine/threonine phosphatase is calcium-dependent?
Definition
PP2B
Term
Are growth factor receptors receptor tyrosine kinases or non-receptor tyrosine kinases?
Definition
Receptor tyrosine kinases.
Term
Does cytokine signaling involve receptor tyrosine kinases or non-receptor tyrosine kinases?
Definition
Non-receptor tyrosine kinases.
Term
In the MAPK signaling pathway, what is the role of GRB2?
Definition
It has an SH2 domain that binds to phosphorylated tyrosine residues on the receptor.
Term
In the MAPK signaling pathway, what is the role of Sos?
Definition
Sos is a GEF that activates Ras.
Term
In the MAPK signaling pathway, what is the role of Ras?
Definition
Ras is a G-protein that activates Raf.
Term
Briefly describe insulin receptor signaling.
Definition
Insulin binds to receptor.
Receptor dimerizes and autophosphorylates tyrosine residues.
IRS binds to phosphotyrosines.
PI3K binds to IRS.
PI3K forms PIP3.
Term
What does JAK do in the JAK-STAT pathway?
Definition
It phosphorylates STAT.
Term
What happens to phosphorylated STATs in the JAK-STAT pathway?
Definition
They dimerize and go to the nucleus to act as transcription factors.
Term
What is an isometric contraction?
Definition
A contraction in which muscle length remains constant.
Term
What is a muscle twitch?
Definition
A single isometric contraction that results from a single stimulation.
Term
What is the relationship between twitch force and intensity of stimulation?
Definition
Twitch force increases with increasing intensity of stimulation (until a plateau is reached).
Term
What is recruitment?
Definition
Increasing voltage progressively activates all motor units.
Term
What is recruitment?
Definition
Increasing voltage progressively activates all motor units.
Term
Define motor unit.
Definition
A motor unit is one motor unit and all of the muscle fibers it innervates.
Term
What is the size principle?
Definition
Motor units are recruited in order of their size (small first).
Term
What is the lowest muscle stimulation frequency that shows summation?
Definition
1/p
Term
What is the effect of passive lengthening on muscle tension?
Definition
It increases tension non-linearly.
Term
What is the effect of muscle length on active tension?
Definition
Maximum active tension is reached at the resting length.
Term
What are the 3 ways to increase muscle force?
Definition
Recruit more motor units.
Summation (increase frequency of stimulation).
Stretch muscle fibers (not so important).
Term
What are two ways that muscle force is augmented in the long-term?
Definition
Increase in the cross-sectional area.
Interconversion between slow-twitch and fast-twitch fibers.
Term
What is the effect of increasing the afterload on the isometric phase and the isotonic force?
Definition
Increased duration of isometric phase and increased isotonic force.
Term
What is an isotonic contraction?
Definition
A contraction with constant force.
Term
What is the relationship between force and velocity of muscle contraction?
Definition
The velocity of muscle contraction varies inversely with force.
Term
What is the formula for power of a muscle?
Definition
Power = (force)(velocity)
Term
At what force does muscle power reach its peak?
Definition
1/3 maximal force.
Term
Which type of muscle fiber produces greater maximal power (slow twitch or fast twitch)?
Definition
Fast twitch.
Term
What is a concentric contraction?
Definition
A contraction that involves muscle shortening.
Term
What is an eccentric contraction?
Definition
A contraction that involves muscle lengthening.
Term
What is the sign of the work in a concentric contraction?
Definition
Positive.
Term
What is the sign of the work in an eccentric contraction?
Definition
Negative.
Term
What type of contraction can produce the greatest force?
Definition
Eccentric.
Term
What is the effect of pinnation?
Definition
Pinnation increases muscle strength at the expense of muscle speed.
Term
Which type of muscle fibers fatigue more easily (fast twitch or slow twitch)?
Definition
Fast twitch.
Term
What is the relationship between muscle force and muscle area?
Definition
Directly proportional.
Term
What is the equation for the amount of charge stored on a capacitor?
Definition
Q = CV
Term
Define the Nernst equilibrium potential.
Definition
Potential difference across the membrane when the concentration and electrical gradients are equal and opposite.
Term
What is the equation for driving force?
Definition
Driving force = Em - ENernst
Term
What is the formula for the current of a specific ion?
Definition
I = g(Em - ENernst).
Term
What is the current at resting membrane potential?
Definition
0
Term
What surrounds muscles?
Definition
Epimysium.
Term
What surrounds fascicles?
Definition
Perimysium.
Term
What surrounds skeletal muscle cells?
Definition
Endomysium or basal lamina.
Term
What surrounds myofibrils?
Definition
SR.
Term
What is the length of the A band?
Definition
1.6 micrometers (always).
Term
What is the length of the sarcomere at rest?
Definition
2.2 micrometers.
Term
Where do thick filaments crosslink?
Definition
At the M disk.
Term
Where do think filaments crosslink?
Definition
At the Z line.
Term
What makes up the I band?
Definition
Thin filaments made of actin.
Term
What makes up the A-band outside the H-band?
Definition
Overlap of thin (actin) and thick (myosin) filaments.
Term
What makes up the H band?
Definition
Thick filaments made of myosin.
Term
Where is the ATPase activity of myosin?
Definition
Head.
Term
What is the bare zone?
Definition
The region in the center of the A band where myosin tails interact and there are no heads.
Term
What is the bare zone?
Definition
The region in the center of the A band where myosin tails interact and there are no heads.
Term
What is the function of titin?
Definition
It provides elasticity and guides myosin.
Term
How many titin molecules are in each thick filament?
Definition
2.
Term
What is the approximate length of actin?
Definition
1 micrometer.
Term
What is the function of nebulin?
Definition
Nebulin is a filamentous protein that binds actin and sets the length of the thin filaments.
Term
What causes the power stroke?
Definition
Release of ADP and Pi causes the myosin head to tilt 45 degrees.
Term
Is the length of the I-band variable or constant during contraction?
Definition
Variable.
Term
List the speed, metabolism, and fatigue response of type I, IIA, and IIB muscle fibers.
Definition
Type I - slow, oxidative, fatigue-resistant
Type IIA - fast, oxidative, fatigue-resistant
Type IIB - fast, glycolytic, fatigable
Term
What determines muscle velocity?
Definition
Myosin isoform.
Term
What is the function of costameres?
Definition
Costameres transfer the force from inside to outside the muscle fiber.
Term
What happens to sodium channels upon depolarization?
Definition
They open very rapidly and deactivate rapidly upon continued depolarization.
Term
What does tetraethylammonium (TEA) do?
Definition
It blocks potassium current.
Term
What do tetrodotoxin and saxitoxin do?
Definition
They block sodium current.
Term
At resting membrane potential, how does the inward current compare to outward current?
Definition
Inward = outward.
Term
What 2 factors prevent the upstroke from continuing indefinitely in an action potential?
Definition
Decrease in sodium driving force
Inactivation of sodium channels
Term
What causes the absolute refractory period?
Definition
Sodium channels inactivate upon depolarization, making it impossible to initiate another action potential during the absolute refractory period.
Term
What causes the relative refractory period?
Definition
Some sodium channels are inactivated.
Potassium conductance is higher than at rest.
Term
What is the effect of the relative refractory period on the threshold potential?
Definition
Increase.
Term
What is accommodation?
Definition
Decreased firing of action potentials in response to constant stimulus in nerve or muscle.
Term
What is the effect of increased serum potassium?
Definition
Depolarization and accommodation.
Term
What are 4 mechanisms of accommodation?
Definition
Accumulation of sodium channels in inactivated state.
Incomplete recovery of sodium channels from inactivation.
Fewer sodium channels in closed (but available) state.
Accumulation of potassium channels in open state.
Term
How is force generated in an eccentric contraction?
Definition
By breaking acto-myosin bridges.
Term
When does the calcium transient occur relative to the action potential and force development?
Definition
After the action potential and before force development.
Term
What senses skeletal muscle membrane depolarization and opens RyR channel on the SR?
Definition
DHPR
Term
What shuts off the calcium transient?
Definition
Calcium reuptake into the SR by SERCA.
Term
What is the function of calsequestrin?
Definition
It binds calcium in the SR lumen to increase calcium content at the same free calcium concentration.
Term
What is the difference between the role of DHPR in skeletal and cardiac muscle?
Definition
In skeletal muscle, calcium entry through DHPR is not important. In cardiac muscle, calcium entry through DHPR is required for excitation-contraction coupling.
Term
How does signal amplification occur during excitation-contraction coupling?
Definition
2 calcium ions bind to 1 troponin C and expose 7 actin binding sites for myosin.
Term
When does maximum occupancy of troponin C occur in relation to the calcium transient and peak force development?
Definition
Maximum occupancy of troponin C occurs after the calcium transient and before peak force development.
Term
What causes the delay between maximum troponin C occupation and peak force?
Definition
The series elastic elements must stretch before force is transmitted outside of muscle.
Term
What causes the delay in the fall of force after cross-bridge cycling has stopped?
Definition
Internal viscous elements.
Term
What is the purpose of parallel elastic elements?
Definition
Stretching parallel elastic elements helps set sarcomere length at rest.
Term
How does the internal resistance compare to the external resistance in an axon?
Definition
Internal resistance is much greater than external resistance.
Term
What are the 3 determinants of conduction velocity?
Definition
Amplitude of inward current
Passive membrane properties
Excitability of membrane
Term
Which has greater internal resistance, a large-diameter axon or a small-diameter axon?
Definition
Small-diameter.
Term
Which has a greater length constant, a large-diameter axon or a small-diameter axon?
Definition
Large-diameter.
Term
How does an increased length constant affect the conduction velocity?
Definition
Increase.
Term
What is the formula for length constant in terms of internal resistance and membrane resistance?
Definition
Length constant = sqrt(membrane resistance/internal resistance)
Term
What is the relationship between conduction velocity and axon diameter?
Definition
Conduction velocity is proportional to the square root of the diameter.
Term
What is the equation for the time constant?
Definition
Time constant = (membrane resistance)(membrane capacitance)
Term
What is the equation for the time constant?
Definition
Time constant = (membrane resistance)(membrane capacitance)
Term
What is the equation for the time constant?
Definition
Time constant = (membrane resistance)(membrane capacitance)
Term
How does increasing the time constant affect the conduction velocity?
Definition
Increasing the time constant decreases the conduction velocity.
Term
What is the effect of increasing axon diameter on the time constant?
Definition
No effect.
Term
What is the relationship between conduction velocity and diameter in a myelinated axon?
Definition
Conduction velocity is proportional to diameter.
Term
What is the effect of myelination on membrane resistance and length constant?
Definition
Increases both.
Term
What is the effect of myelination on membrane capacitance and time constant?
Definition
Decreases both.
Term
What is the effect of myelination on membrane capacitance and time constant?
Definition
Decreases both.
Term
What is the safety factor?
Definition
The inward current is large enough for conduction to continue even if excitation at a few nodes is blocked.
Term
List three reasons that ATP hydrolysis is greatly increased during muscle contraction. List these in order from greatest to least ATP expenditure.
Definition
Acto-myosin cross bridge cycle.
Calcium re-accumulation by SR.
Maintenance of sarcolemmal ionic gradients by sodium-potassium pump.
Term
Define duty cycle.
Definition
Duty cycle is the fraction of time that a muscle is active.
Term
List the three systems that muscles use for regenerating ATP, from fastest to slowest.
Definition
Phosphogen system.
Glycolysis.
Oxidative phosphorylation.
Term
List the three systems that muscles use to regenerate ATP, from highest capacity to lowest capacity.
Definition
Oxidative phosphorylation.
Glycolysis.
Phosphogen system.
Term
What two enzymes are used in the phosphogen system?
Definition
Myokinase and CPK.
Term
What is the function of the Cori Cycle?
Definition
The Cori Cycle recycles lactate into glucose and regenerates NAD+.
Term
Rank Type I, IIA, and IIB muscle in based on the number of mitochondria (in increasing order).
Definition
Type IIB < Type I < Type IIA.
Term
Ranke Type I, Type IIA, and Type IIB muscle based on the amount of glycogen (in increasing order).
Definition
Type I < Type IIA < Type IIB.
Term
What RyR isoform is in Type I, Type IIA, and Type IIB skeletal muscle?
Definition
RyR1.
Term
What causes fatigue in maximum effort, short duration exercise?
Definition
Increased cytoplasmic organic phosphate and decreased cytoplasmic pH.
Term
What causes fatigue in endurance events?
Definition
Depletion of glycogen stores.
Term
What is the anaerobic threshold?
Definition
Anaerobic threshold is the relative work load at which blood lactate concentration begins to increase quickly.
Term
List the three lactic acid shuttles.
Definition
1. to the mitochondria
2. to oxidative fibers
3. to the liver.
Term
What is the effect of exercise on glucose uptake by muscle cells?
Definition
Exercise increases GLUT4 on muscle membranes and increases glucose uptake independently of insulin.
Term
During exercise, what two mechanisms lead to increased localization of GLUT4 on the muscle cell membrane?
Definition
Calcium/calmodulin activates CAMK, which increases GLUT4 localization on membrane.
AMP increases GLUT4 localization on membrane.
Term
Why does the diameter of muscle fibers increase during hypertrophy?
Definition
The muscle fibers make more myofibrils, and satellite cells fuse to contribute cytoplasm.
Term
List 3 muscle growth activators.
Definition
Increased intracellular calcium, stretch, and hormones.
Term
What is the function of myostatin?
Definition
Myostatin inhibits muscle growth.
Term
How does exercise that creates chronic low fiber stimulation affect the fiber type?
Definition
Fast twitch switches to slow twitch.
Term
List the steps of the biochemical pathway that switches fast twitch to slow twitch fibers.
Definition
Exercise leads to an increase in intracellular calcium.
Calcium activates calcineurin, a phosphatase.
Calcineurin dephosphorylates NFAT, activating the transcription factor.
NFAT increases transcription for MHCI and decreases transcription for MHCII.
Fast twitch fibers convert to slow twitch fibers.
Term
What biochemical defect causes McCardle Disease?
Definition
Glycogen phosphorylase deficiency.
Term
What two main metabolic fuels does the McCardle muscle fiber use?
Definition
Glucose uptake from blood by insulin-dependent GLUT4.
Fatty acids.
Term
What causes synaptic delay?
Definition
Diffusion time across the synaptic cleft.
Term
List 3 rapid mechanisms of termination of signals at synapses.
Definition
Degradation of transmitter.
Diffusion out of synaptic cleft.
Reuptake into presynaptic nerve terminal.
Term
List two slow mechanisms for termination of signaling at a synapse.
Definition
Desensitization of receptor.
Autoreceptors (reduced release).
Term
How is acetylcholine taken up into vesicles?
Definition
ACh-H+ exchanger (secondary active transport powered by H+ pump.
Term
What is stored and released with acetylcholine?
Definition
ATP.
Term
How is acetylcholine signaling terminated at the neuromuscular junction?
Definition
Acetylcholine is degraded by acetylcholinesterase.
Term
What is the acetylcholine receptor permeant towards?
Definition
Sodium and potassium.
Term
What value does Em move towards when the acetylcholine receptors open?
Definition
0 mV (the reversal potential)
Term
What happens to the magnitude of the EPP with increasing rate of stimulation?
Definition
It increases.
Term
How is choline recycled?
Definition
Sodium-choline cotransporter in nerve terminal.
Term
What does botulinum toxin do?
Definition
It blocks acetylcholine release.
Term
What does tetanus toxin do?
Definition
It blocks GABA release at interneurons and removes inhibition of motor neurons, causing spasms.
Term
What does d-tubocurarine do?
Definition
It competes with acetylcholine at the acetylcholine receptor, thus decreasing the EPP.
Term
What do neostigmine and physostigmine do?
Definition
They are acetylcholinesterase inhibitors.
Term
What does hemicholinium do?
Definition
It blocks the re-uptake of choline into the presynaptic terminal.
Term
What is miosis?
Definition
Constriction of the pupil in bright light.
Term
What is mydriasis?
Definition
Dilation of the pupil in low light.
Term
What is the approximate speed of onset of autonomic responses?
Definition
About 3-5 seconds.
Term
What is tonic activity in the ANS?
Definition
Basal rate of neuronal firing (about 1 Hz) that sets a baseline for effector organ activity.
Term
How do the width, speed, and frequency of conduction in autonomic neurons compare with somatic motor neurons?
Definition
Width, speed, and frequency of conduction are all lower in autonomic neurons.
Term
What division of the ANS causes contraction of the piloerector muscles?
Definition
Sympathetic.
Term
Are preganglionic axons in the sympathetic nervous system myelinated?
Definition
Yes.
Term
Are preganglionic axons in the parasympathetic nervous system myelinated?
Definition
No.
Term
What part of the adrenal gland is innervated by preganglionic sympathetic fibers?
Definition
Adrenal medullary chromaffin cells.
Term
In which division of the ANS are divergence and convergence observed?
Definition
Sympathetic.
Term
Which division of the ANS has a distinct ganglion system?
Definition
Sympathetic.
Term
Describe the length of the preganglionic and postganglionic axons in the sympathetic and parasympathetic nervous system.
Definition
Sympathetic has short preganglionic and long postganglionic axons.
Parasympathetic has long preganglionic and short postganglionic axons.
Term
Which division of the ANS is more like a relay system, with a 1:1 or 1:2 ratio of pre to postganglionic neurons?
Definition
Parasympathetic.
Term
What type of receptors mediate signaling in the ANS?
Definition
GPCRs.
Term
What neurotransmitter is released by postganglionic neurons in the sympathetic nervous system?
Definition
Norepinephrine (except in generalized sweat glands, which use acetylcholine).
Term
Is the second neuron myelinated in the ANS?
Definition
No.
Term
What is the NMDA receptor selective for?
Definition
Sodium, potassium, and calcium.
Term
Is glutamate excitatory or inhibitory?
Definition
Excitatory.
Term
What is the ionotropic receptor for serotonin?
Definition
5HT3.
Term
What is 5HT3 selective for?
Definition
Sodium and potassium.
Term
What is the GABA-a receptor selective for?
Definition
Chloride.
Term
Is GABA excitatory or inhibitory?
Definition
Inhibitory.
Term
List 3 types of rapid up-regulation of synaptic function in response to high synaptic activity.
Definition
Post-tetanic potentiation.
Facilitation.
Augmentation.
Term
List three types of rapid downregulation of synaptic transmission in response to high synaptic activity.
Definition
Fatigue.
Depression.
Desensitization.
Term
List three mechanisms of long-term potentiation that occur due to simultaneous stimulation of weak and strong synapses.
Definition
Postsynaptic calcium influx increases CAMK signaling.
Presynaptic signaling leads to increased NO.
Increasing number of dendritic spines and synapses per spine.
Term
How does the source of calcium for smooth muscle contraction differ from the source for skeletal muscle contraction?
Definition
Smooth muscles get calcium from both influx and SR release, whereas skeletal muscles only increase cytoplasmic calcium via SR release.
Term
What is the function of dense bands and dense bodies in smooth muscle?
Definition
Dense bands and dense bodies anchor actin at the membrane and in the cytoplasm, respectively.
Term
What is the inhibitory neurotransmitter for smooth muscle?
Definition
NO.
Term
What is the excitatory ion channel in smooth muscle cell membranes?
Definition
L-type calcium channels (dihydropyridine sensitive voltage-dependent calcium channels)
Term
What is the inhibitory ion channel in smooth muscles?
Definition
Potassium channels.
Term
List four functions of interstitial cells of Cajal.
Definition
Generation of electrical slow wave activity.
Coordination of pacemaker activity and active propagation of slow waves.
Transduction of motor neural inputs from the enteric nervous system.
Mechanosensation to stretch in GI muscles.
Term
List two excitatory agents that modulate slow waves.
Definition
Acetylcholine and substance P.
Term
List two inhibitory agents that modulate slow wave activity.
Definition
Vasoactive intestinal peptide and NO.
Term
What is the effect of sympathetic activity on the blood vessels that supply the skeletal muscles?
Definition
Active relaxation.
Term
What do large dense core vesicles in cholinergic neurons contain?
Definition
VIP.
Term
How is catecholamine signaling terminated?
Definition
Re-uptake.
Term
What is stored in small dense-cored vesicles in postganglionic sympathetic varicosities?
Definition
Norepinephrine, ATP, and dopamine-beta-hydroxylase.
Term
What is stored in large dense-cored vesicles in postganglionic sympathetic varicosities?
Definition
NPY.
Term
How many quanta are released at an autonomic NEJ (approximately)?
Definition
2-3.
Term
How does catecholamine synthesis increase with increased nerve activity?
Definition
Tyrosine hydroxylase is activated over PKA, which causes loss of feedback inhibition.
Induces new TH.
Term
What is the role of the adrenal cortex in epinephrine synthesis?
Definition
It releases glucocorticoid.
Term
List the 5 steps of activation of smooth muscle contraction according to the phosphorylation theory.
Definition
Increase in intracellular calcium.
Formation of calcium/calmodulin complex.
Activation of MLCK by calcium/calmodulin.
Phosphorylation of MLC.
Activation of actin-activated myosin ATPase.
Term
What receptor on the SR is involved in electromechanical coupling in smooth muscle?
Definition
Ryanodine receptor.
Term
What protein on the cell membrane is responsible for increased intracellular calcium in the electromechanical coupling mechanism in smooth muscle?
Definition
L-type voltage-gated calcium channel.
Term
What receptor on the SR is involved in pharmacomechanical coupling?
Definition
IP3 receptor.
Term
What does Rho kinase do?
Definition
It phosphorylates the regulatory subunit of MLC phosphatase and inactivates it.
Term
What does CPI-17 do?
Definition
It inhibits MLC phosphatase.
Term
What activates CPI-17?
Definition
PKC.
Term
What is the effect of phosphorylating caldesmon and calponin?
Definition
It removes the inhibition of actin/myosin interaction in smooth muscle.
Term
List 6 pathways involved in PKA- and PKG-mediated smooth muscle relaxation.
Definition
1. Activation of potassium channel.
2. Inhibition of membrane calcium channel.
3. Activation of SERCA.
4. Inhibition of IP3 generation.
5. Inhibition of IP3 receptor function.
6. Stimulation of MLCP activity.
Term
How does the innervation of unitary smooth muscle compare with the innervation of multiunit smooth muscle?
Definition
Unitary smooth muscle is more sparsely innervated.
Term
What type of receptor is present on all postganglionic neurons?
Definition
Nicotinic.
Term
What type of receptor is present on the adrenal medulla?
Definition
Nicotinic.
Term
What type of receptor is on effector tissues innervated by parasympathetic postganglionic neurons?
Definition
Muscarinic.
Term
What type of receptor is on the generalized sweat glands that receive sympathetic innervation?
Definition
Muscarinic.
Term
What causes SLUDE syndrome?
Definition
Over-activation of the muscarinic receptors.
Term
What does atropine do?
Definition
It is a competitive antagonist at the muscarinic receptors and decreases parasympathetic activity.
Term
Are muscarinic receptors on the heart excitatory or inhibitory?
Definition
Inhibitory.
Term
Are muscarinic receptors on smooth muscle excitatory or inhibitory?
Definition
Excitatory.
Term
Are muscarinic receptors on glands excitatory or inhibitory?
Definition
Excitatory.
Term
What is the mechanism of parasympathetic inhibition of the heart muscle?
Definition
Activated muscarinic receptor activates a GPCR, which opens a potassium channel and inhibits beta-1 receptor action.
Term
Are alpha receptors more sensitive to epinephrine or isoproterenol?
Definition
Epinephrine.
Term
What is the most important location of alpha-1 receptors?
Definition
Smooth muscle of blood vessels.
Term
Are alpha-1 receptors excitatory or inhibitory?
Definition
Excitatory.
Term
What ligand activates alpha-1 receptors under physiological conditions?
Definition
Norepinephrine.
Term
What second messenger mediates the effects of the alpha-1 receptor?
Definition
IP3.
Term
Where are alpha-2 receptors located?
Definition
On pre-synaptic nerve terminals.
Term
What ligand activates alpha-2 receptors?
Definition
Norepinephrine released by sympathetic nerves.
Term
What is the function of alpha-2 receptors?
Definition
They inhibit evoked release of transmitter by decreasing calcium entry into the presynaptic terminal; they act both as autoreceptors and as hetero-receptors on the parasympathetic nerves of the GI tract.
Term
Which is more sensitive, alpha receptors or beta receptors?
Definition
Beta.
Term
What is the location and effect (excitatory or inhibitory) of beta-1 receptors?
Definition
Heart; excitatory.
Term
What second messenger mediates the response to activation of all beta receptors?
Definition
cAMP.
Term
What are the physiological ligands for the beta-1 receptor?
Definition
NE and EPI.
Term
Are beta-2 receptors excitatory or inhibitory?
Definition
Inhibitory.
Term
What is the ligand for beta-2 receptors?
Definition
Epinephrine.
Term
List 3 locations of beta-2 receptors.
Definition
Smooth muscle of airways.
Smooth muscle of GI tract.
Smooth muscle of blood vessels supplying skeletal muscles.
Term
Are beta-3 receptors excitatory or inhibitory?
Definition
Inhibitory.
Term
List 2 locations of beta-3 receptors.
Definition
Bladder and fat cells.
Term
What is the ligand for beta-3 receptors?
Definition
Norepinephrine.
Term
What effect does the sympathetic nervous system have on the pupil, and via what receptor?
Definition
Dilates pupil by contraction of the radial muscle; alpha-1.
Term
What effect does the sympathetic nervous system have on the ciliary muscle, and via which receptor?
Definition
Relaxes (far vision); beta-2.
Term
What receptor causes relaxation of the gallbladder and bile ducts in response to sympathetic stimulation?
Definition
Beta-2.
Term
What receptor activates sweat glands in the palms in response to sympathetic stimulation?
Definition
Alpha-1.
Term
Are autonomic reflexes monosynaptic?
Definition
No; a ganglionic synapse is always present.
Term
What part of the brain is involved in cognitive processing in autonomic reflexes?
Definition
Cortex.
Term
What part of the brain is involved in emotional effects on autonomic reflexes?
Definition
Limbic system.
Term
What are the afferents for the baroreceptor reflex?
Definition
Glossopharyngeal (IX) and vagus (X) cranial nerves.
Term
What is the integration for the baroreceptor reflex?
Definition
Medullary vasomotor center.
Term
What is the integration center for the pupillary light reflex?
Definition
Midbrain/tectum.
Term
What is the integration center for bladder emptying?
Definition
Pontine filling and micturition center.
Term
What conveys information on touch, temperature, proprioception, and pain to the CNS?
Definition
Spinal afferents in the spinal cord.
Term
What carries the efferent output in the pupillary light reflex?
Definition
Cranial nerve III carries parasympathetic output to the sphincter muscle, leading to constriction of the pupil.
Term
What happens if the parasympathetic innervation to the left eye is damaged?
Definition
The left eye is unresponsive to light shone into the left eye or right eye, while the right eye remains responsive to light shone into either eye.
Term
What happens if the left optic nerve is damaged?
Definition
Neither pupil constricts when light is shone into the left eye. Both pupils constrict when light is shone into the right eye.
Term
What effect does a hot temperature have on the sympathetic firing to the skin arterioles?
Definition
Decrease.
Term
What effect does a hot temperature have on the sympathetic firing to the sweat glands?
Definition
Increases.
Term
What effect do cold temperatures have on sympathetic firing to the skin arterioles?
Definition
Increases.
Term
What effect do cold temperatures have on the sympathetic firing to the sweat glands?
Definition
Decreases.
Term
Where are the high pressure baroreceptors of the baroreceptor reflex?
Definition
Wall of carotid sinus and aorta.
Term
What is the effect of increased baroreceptor firing on sympathetic and parasympathetic activity?
Definition
Decreased sympathetic and increased parasympathetic activity.
Term
List the 3 physiological stressors that cause reflex release of adrenal medullary catecholamines.
Definition
Fear.
Low blood sugar.
Severe hypothermia.
Term
What is the most potent stimulus for the adrenal medulla?
Definition
Hypoglycemia.
Term
What is vago-vagal activation of the stomach?
Definition
Food in the stomach activates the stomach (CNS reflex).
Term
What is the gastrocolic reflex?
Definition
Food in the stomach or upper part of the small intestine leads to evacuation of the bowel.
Term
List 4 mechanisms by which the sympathetic nervous system causes global inhibition of GI function.
Definition
1. Alpha-2 heteroreceptors on postganglionic parasympathetic nerves.
2. Closing of sphincters (NE activates alpha-1 receptors).
3. Reduced blood flow due to alpha-1 receptor activation.
4. Adrenal epinephrine inhibits motility by activating beta-2 receptors.
Supporting users have an ad free experience!