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Exam 4
BIO cardio,kidney
70
Physiology
Undergraduate 3
04/07/2011

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Cards

Term
What is an incompetent valve?
Definition
valve which doesnt close completely, so heart pumps same blood over and over
Term
What is a stenotic valve ?
Definition
narrowing of the valve, creating more work for the heart. needs surgery to correct
Term
What nerve slows the heart?
Definition
Vagus, parasympathetic
Term
Where does sympathetic nerves attach to the heart?
Definition
SA node, AV node and myocardium
Term
What is the neurotransmitter used to speed up the heart rate?
Definition
Acetylcholine at nicotinic receptors
Term
What is the path of conductivity in the heart?
Definition
Sinoatrial node to Artioventicular node down bundle branches to purkinje fibers for contraction
Term
What is tachycardia?
Definition
Fast heart beat over 100rpm
Term
What is bradycardia?
Definition
slow heart beat
Term
What is Hypokalemia?
Definition
Too much K problem with thiazide and loop diuretics
Term
What is Hyperkalemia?
Definition
common side effect of potassium sparing diuretics
Term
What is an example of a thiazide?
Definition
hydrochlorothiazide
Term
What is an example of a potassium sparing diuretic?
Definition
spironolactone
Term
What is an example of a loop diuretic?
Definition
furosemide
Term
What are the effects of diuretics?
Definition
Decrease blood volume
Decrease venous pressure
Decreases cardiac filling (preload)
Decreases ventricular stroke volume
Decreases cardiac output
Term
What do carbonic anhydrase inhibitors do? and where?
Definition
stop transport of HCO3 into interstellar fluid at proximal tubule
Term
What do K sparing diuretics do and where?
Definition
distal part of DCT, stops aldo effects, retain K weak effects
Term
What do thiazides do and where?
Definition
inhibit Cl-Na transporter at distal tubule
Term
What do loop diuretics do? where?
Definition
The inhibit tri porter of chlorine,K and Na in thick ascending tubule. 25% of Na
Term
What are the effects of ANG II in nephron?
Definition
enhance Na-K exchanger in Pt and TAL
enhance NCC in DT and ENaC in CD
Term
Where does ADH act?
Definition
V2 in kidney, places aquaporins
V1 vasoconstricts at high concentrations
Term
What does NHE-3 do?
Definition
transport Na in H out to tubule
Term
What does NBCe1 do?
Definition
symporter for Na and 3 HCO3
Term
What is the purpose of the loop of Henle?
Definition
minimize water loss
Term
What is the difference between PCT and DCT?
Definition
D is held together by tight junctions. P has leaky cells
Term
Where is regulated and non-regulated re absorption in nephron ?
Definition
DCT is regulated, PCT is not
Term
What is the JGA?
Definition
distal part of TAL, on afferent arteriole
Term
What is the set of peritubular capillaries located on the loop of henle?
Definition
vasa recta
Term
What is anuria?
Definition
little urine, low to low
Term
What is PGE2 used for in GFR?
Definition
vasodilator, counteracts NE and ANG II
Term
What are signals for renin release?
Definition
reduced stretch in JG, Macula densa signals when NaCl low, lack of ATP and high PGE2
or directly by Beta 1
Term
What is the bodies reaction to high salt content?
Definition
constrict the afferent part of TGF
Term
What are the two intrinsic controls of GFR?
Definition
TGF and Myogenic
Term
What kind of capillary beds are in the glomerular apparatus ?
Definition
fenestrated beds
Term
What does the basement membrane do in the glomerular apparatus ?
Definition
negatively charged to prevent protein from passing through.
Term
What makes up the filtration membrane?
Definition
1. the fenestrated endothelium of the glomerular capillaries.
2. The visceral membrane of the glomerular capsule (podocytes)
3. The intervening basement membrane of the fused basal laminae of the other layers.
Term
What do Peritubular capillaries connect to?
Definition
efferent arteriole and veins
Term
What is pyelitis>
Definition
infection of the renal pelvis
Term
What happens in Pulmonary Hypertension ?
Definition
right side of the heart works harder, leads to leaky fluid into capillaries
Term
What is Congestive heart failure?
Definition
progressive failing of heart leads to poor blood flow.
Term
What type of drugs are used to fight hypertension?
Definition
diuretics, beta blockers, Ca channel blockers, ACE inhibitors, ARBs
Term
What is an example of renin inhibitors?
Definition
Aliskiren, causes decrease in blood volume and SNS, vasodilation
Term
What are ARBs?
Definition
AT1 inhibitors, stop ANG II but no bradykinin
Term
What are ARBs called?
Definition
sartans. Losartan!
Term
What is an ACE inhibitor?
Definition
inhibits remodeling, ANG II formation
Term
What are ACE inhibitors called?
Definition
prils, Captopril
Term
What is cardiogenic shock?
Definition
heart stops pumping right.
Term
What is vascular shock?
Definition
bacterial in blood. extreme vasodilation
Term
What is Hypovolemic shock?
Definition
loss of blood, due to hemorrhage
Term
What is Orthostatic hypotension ?
Definition
the influx of blood flow to the brain when standing, drop in blood pressure
Term
What happens at baroreceptors?
Definition
increase firing when higher pressure, change physiology
Term
What is the pulse pressure factors?
Definition
(1) stroke volume
(2) speed of ejection of the stroke volume
(3) arterial compliance
Term
What is the purpose of the lymphiod system?
Definition
proliferation of lymphocytes
examine and clean lymph
Term
What creates venous pressure?
Definition
Respiratory pump and muscular pump
Term
What causes varicose veins?
Definition
leaky valves in veins
Term
What si unique about oncotic pressure?
Definition
Stays the same throughout a capillary bed
created by plasma proteins, made in liver
Term
Why is velocity of blood flow slow in capillary beds?
Definition
large cross section
Term
What shunts blood quickly through the capillary beds?
Definition
metarteriole
Term
What are the three types of capillaries and what do they do?
Definition
Continuous capillary-tight junctions normal bed
Fenestrated capillary- permeable, kidney
Sinusoidal capillary- incomplete membrane allows big things through, such as liver bone marrow
Term
What is autoregulation?
Definition
auto correct of blood pressure, by local factors
Term
What is EP on alpha and beta receptors?
Definition
alpha=vasoconstrict
beta=vasodilate
Term
What contributes to resistance?
Definition
blood viscosity
blood vessel length
vessel diameter
Term
What is Echocardiography?
Definition
ultrasonic way to detect cardiac valves
Term
What is Cardiac angiography?
Definition
radioactive liquid is pumped through, x ray shows artery clogs
Term
What are extrinsic control of SV?
Definition
beta 1 receptor and thyroid hormone(contraction)
Term
What is starlings law?
Definition
the effect of pre-load on length-tension of heart muscles
Term
How does SNS effect Ca for Contractility
?
Definition
activates cAMP pathway, leading to opening of L-type Ca channels
Term
PNS effect on SA node?
Definition
Acetylcholine acts on muscarinic receptor opening K channel and closing Ca T type
Term
What is the effect of SNS on SA node?
Definition
activates cAMP and opens Funny Na channel and T type Ca channel. Depolarizes
Term
What removes Ca from Cardiac muscle?
Definition
Ca2+ ATPase in sarcoplasmic reticulum
Ca2+ ATPase in plasma membrane
Na+-Ca2+ exchanger in plasma membrane
Term
Path of Electrical contraction on heart?
Definition
SA node, AV node, Bundle of His, branches then purkinje fibers
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