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Physiology Exam 1
Physiology Exam 1
56
Physiology
Professional
11/06/2011

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Term
Cholinergic/Parasympathetic Actions:

Effector Organ:

HEART
SA Node (& conduction system)
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: ↓ Heart rate & conduction velocity
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: VASCULAR SMOOTH MUSCLE
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Ach

Response: Relaxation (non-innervated)
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: LUNG Bronchial Muscle
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Contraction
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: LUNG Bronchial Glands
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Stimulation
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: EYE Sphincter Muscle (Iris)
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Contraction (Miosis)
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: EYE Ciliary Muscle (Lens)
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Contraction for near vision
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: STOMACH Motility and tone
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Increase
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: STOMACH Sphincters
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Relaxation (usually)
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: STOMACH Secretion
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Stimulation
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: INTESTINE Motility and tone
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Increase
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: INTESTINE Sphincters
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Relaxation (usually)
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: INTESTINE Secretion
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Stimulation
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: GALLBLADDER AND DUCTS
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Contraction
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: URINARY BLADDER
Detrusor Muscle
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Contraction
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: URINARY BLADDER Trigone and sphincter
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Relaxation
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: MALE SEX ORGANS
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic and Nitric Oxide (NO)

Response: Erection
Term
Cholinergic/Parasympathetic Actions:

Effector Organ: LACRIMAL & SALIVARY GLANDS
Definition
Cholinergic/Parasympathetic Actions:

Receptor: Muscarinic

Response: Secretion
Term
Adrenergic/Sympathetic Actions:

Effector Organ:

HEART SA Node (& conduction system)
Definition
Adrenergic/Sympathetic Actions:

Receptor: β1

Response: ↑ Heart rate & conduction velocity
Term
Adrenergic/Sympathetic Actions:

Effector Organ: HEART Ventricular Myocytes
Definition
Adrenergic/Sympathetic Actions:

Receptor: β1

Response: ↑Contractility
Term
Adrenergic/Sympathetic Actions:

Effector Organ: VASCULAR SMOOTH MUSCLE
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1, α2, β2

Response: Contraction
(Relaxation Non-innervated)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: LUNG Bronchial Muscle
Definition
Adrenergic/Sympathetic Actions:

Receptor: β2

Response: Relaxation
Term
Adrenergic/Sympathetic Actions:

Effector Organ: EYE Radial Muscle
Definition
Adrenergic/Sympathetic Actions:

Receptor: α

Response: Contraction, pupil dilation (Mydriasis)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: EYE Ciliary Muscle (Lens)
Definition
Adrenergic/Sympathetic Actions:

Receptor: β2

Response: Relaxation for far vision
Term
Adrenergic/Sympathetic Actions:

Effector Organ: STOMACH
Motility and tone
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1, α2, β2

Response: Decrease (usually)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: STOMACH Sphincters
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1

Response: Contraction (usually)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: STOMACH Secretion
Definition
Adrenergic/Sympathetic Actions:

Receptor: ?

Response: Inhibition
Term
Adrenergic/Sympathetic Actions:

Effector Organ: INTESTINE Motility and tone
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1, α2, β2

Response: Decrease (usually)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: INTESTINE Sphincters
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1

Response: Contraction (usually)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: INTESTINE Secretion
Definition
Adrenergic/Sympathetic Actions:

Receptor: α2

Response: Inhibition
Term
Adrenergic/Sympathetic Actions:

Effector Organ: GALLBLADDER AND DUCTS
Definition
Adrenergic/Sympathetic Actions:

Receptor: β2

Response: Relaxation
Term
Adrenergic/Sympathetic Actions:

Effector Organ: URINARY BLADDER Detrusor Muscle
Definition
Adrenergic/Sympathetic Actions:

Receptor: β2

Response: Relaxation
Term
Adrenergic/Sympathetic Actions:

Effector Organ: URINARY BLADDER Trigone and Sphincter
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1

Response: Contraction
Term
Adrenergic/Sympathetic Actions:

Effector Organ: SKIN Eccrine sweat glands
Definition
Adrenergic/Sympathetic Actions:

Receptor: Muscarinic
Response: Secretion (sympathetic)

Receptor: α1
Response: Slight, localized Secretion
Term
Adrenergic/Sympathetic Actions:

Effector Organ: SKIN Pilomotor Muscles
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1

Response: Contraction
Term
Adrenergic/Sympathetic Actions:

Effector Organ: ADRENAL MEDULLA
Definition
Adrenergic/Sympathetic Actions:

Receptor: Nicotinic (g)

Response: Secretion (sympathetic)
Term
Adrenergic/Sympathetic Actions:

Effector Organ: LIVER
Definition
Adrenergic/Sympathetic Actions:

Receptor: α1,β2

Response: Glycogenolysis
Term
Adrenergic/Sympathetic Actions:

Effector Organ: ADIPOSE TISSUE
Definition
Adrenergic/Sympathetic Actions:

Receptor: β1, (β3)

Response: Lipolysis
Term
Adrenergic/Sympathetic Actions:

Effector Organ: JUXTAGLOMERULAR CELLS
Definition
Adrenergic/Sympathetic Actions:

Receptor: β1

Response: Renin secretion
Term
Adrenergic/Sympathetic Actions:

Effector Organ LACRIMAL & SALIVARY GLANDS
Definition
Adrenergic/Sympathetic Actions:

Receptor: α

Response: slight secretion
Term
Drugs which act at the neuromuscular junction:

Acetylcholine receptor agonists
Definition
Drugs:

Methacholine
Carbachol
Nicotine
Term
Drugs which act at the neuromuscular junction:

Acetylcholinesterase Inhibitors
Definition
Drugs:

Neostigmine – short lasting
Physostigmine – short lasting

Actions / Symptoms postsynaptic:
Increased Ach levels
Used to treat neuromuscular diseases

Diisopropyl Fluorophosphate (Sarin Gas) – long lasting

Causes: Muscle spasms and death
Term
Toxins which act on the neuromuscular junction:

Presynaptic:

Botulism
Definition
Botulism – Clostridium botulinum

endopeptide toxin cleaves snare protein (synaptobrevin)

Muscle weakness, constipation, bradycardia, respiratory issues cause death

Treat conditions which cause tetanus - Dystonia
Term
Toxins which act on the neuromuscular junction:

Postsynaptic:

D-Tubocurare
Definition
D-Tubocurare– South American poison darts, plant extract

Reversible binds to nAchR’s – prevents opening

Used surgically to immobilize muscles
Term
Toxins which act on the neuromuscular junction:

Postsynaptic:

α-bungarotoxin
Definition
α-bungarotoxin – snake venom toxin – banded krait

Binds irreversibly to nAchR (bad)

Need anti-venom before too many receptors lost
Term
Toxins which act on the neuromuscular junction:

Postsynaptic:

μ-conotoxin
Definition
μ-conotoxin – marine cone snails

Block nAchR’s and voltage-gated Ca2+, Na+ channels
Term
Disorder:

Lambert-Eaton Syndrome (LEMS)
Definition
Presynaptic – abnormal motor neuron synapse leads to weakness and fatigue

Decreased end plate potentials upon stimulation (mEPP’s normal)

Loss of voltage-gated Ca2+ channels

Linked to previously diagnosis of lung cancers

Autoimmune

Proximal muscles more affect than distal
Legs > arms
Ocular problems – Ptosis (70%)

Symptoms lessen when activity begins

Treatments
Immunosuppressants
K+ channel inhibitors
Term
Disorder:

Myasthenia Gravis
Definition
Postsynaptic – abnormalities on the muscle cells typically problems with nAchR

1 in 20,000 (young adult women, older men)

Decreased mEPP’s with normal quanta release

Muscle fatigue and weakness during activity

Proximal weakness, typically problems with respiration, speech and swallowing, arms

Ptosis – droopy eyelids, eye problems early

Auto immune attack on nAchR’s

Symptoms improve with rest

Treatments:
Immunosuppressants
Acetylcholinesterase inhibitors
Term
Muscle Physiology/Pathophysiology:

Muscular Hypertrophy
Definition
Increase in muscle mass due to increase in number of actin and myosin in muscle fibers

Muscle loaded regularly show more hypertrophy

Stretching will cause new sarcomeres to be added - rapid
Term
Muscle Physiology/Pathophysiology:

Muscle Atrophy
Definition
loss of proteins due to lack of use

More rapid than hypertrophy

Lack of neural stimulation will cause atrophy
Term
Muscle Physiology/Pathophysiology:

Hyperplasia
Definition
increase in muscle fiber number due to splitting of original fibers
Term
Muscle Physiology/Pathophysiology:

Rigor mortis
Definition
Loss of ATP production, continue locked state, contracture, 15-24 hours proteins decay

ATP needed for both relaxation and contraction
Term
Muscle Physiology/Pathophysiology:

Muscular Dystrophies
Definition
Defect: dystrophin gene and related membrane proteins

Weakens muscle membrane and causes muscle wasting in skeletal and smooth muscle

Signaling cascades resulting in cell death
Term
Muscle Physiology/Pathophysiology:

Duchenne’s Muscular Dystrophy
Definition
Defect: dystrophin gene and related membrane proteins

Weakens muscle membrane and causes muscle wasting in skeletal and smooth muscle

Signaling cascades resulting in cell death

x-linked mutation
1 in 3500 male children

Symptoms: age 6, falling, weakness in legs

Tests: Same as usual plus (EMG, strength), serum CPK

Treatments: physical therapy and braces
Term
Muscle Physiology/Pathophysiology:

Malignant Hyperthermia
Definition
Problems with the regulation of intracellular Ca2+

Anesthetics (halothane), ether, muscle relaxants – succinylcholine

Autosomal dominant gene defect in RnyR
(1 in 50000)

Uncontrolled release of Ca2+ from SR

Rigidity, increase HR, hyperventilation and hyperthermia
Term
Muscle Physiology/Pathophysiology:

Central Core Disease
Definition
Rare.

Mutation in ryanodine receptor – congenital autosomal dominant (like MH)

Muscle weakness and loss of mitochondria (Ca2+ overload)
Term
Muscle Physiology/Pathophysiology:

Brody’s disease
Definition
Rare.

Muscle cramping and impaired relaxation

Autosomal dominant/recessive – SERCA mutations
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