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212 Cards in this Set

  • Front
  • Back
Parasympathetic activation of the GI tract leads to:
Increased HCL production, pancreatic secretions, and muscle contractions in the muscularis externa. “Rest and digest”
Four layers of the GI tract from Lumen to Peritoneum are:
mucosa, submucosa, muscularis externa, serosa
Mucosae –
Secretory and absorptive layer. Innermost. Composed of: Muscularis mucosa, lamina propria, and simple columnar epithelial tissue.
Muscularis mucosa –
Controls folds in the small intestines’ epithelial tissue.
Lamina Propria –
Areolar connective tissue. Supports epithelial tissues. Has lots of while blood cells.
Muscularis Externa –
Layer composed of at least two muscle layers. Smooth muscle that runs both longitudinally and circularly
Submucosa –
Dense connective tissue layer containing blood vessels, lymph nodes, and nerves. Make mucus.
Mechanical digestion produces a uniform mixture in the…
…stomach
The duodenum receives _________ solution from the pancreas
bicarbonate
Enzymes from the pancreas require a pH of ___ to function
8
Two types of movement that occurs in the GI tract:
Peristalsis and segmentation
Mastication –
chewing
Lower Esophageal Sphincter –
(“cardiac sphincter”). Controls esophagus -> stomach opening
Pyloric sphincter –
Controls stomach -> small intestine
Bolus –
Balls of food for swallowing
Chyme –
Completely uniformly mixed food. Exits the stomach as chyme
Amylase breaks starch into
simple sugars
Hydrochloric acid:
Kills most bacteria, chops pepsinogen into pepsin
Pernicious anemia -
Anemia caused by a deficit in B12. The stomach produces an enzyme required for the body to be able to absorb b12
Hematocrit –
portion of blood that is occupied by cells
Palate –
Roof of the mouth.
Palate: Hard –
Palatine and maxillary
Palate: Soft –
Muscles and connective tissues at the back of the throat
Palate: Teeth –
2 baby teeth, then 32 adult teeth. Incisors, then canines (has the thickest enamel), premolars, molars, wisdom teeth. Served by the trigeminal (V)
Rh Factor is a third irritating antigens. If positive, presence is called “+”. Absence is “-“. Antibodies to Rh are not typically present in plasma of “-” people. Only appears if sensitized. Classic time for sensitizing is...
...pregnancy and delivery.
Mother starts making antibodies to baby’s RBCs. Can lead to miscarriage or “hemolytic disease of the newborn”
Leukocytes –
“White Blood cells”. Fights infection and cancer. Can follow chemical trail given off by pathogens or damaged cells.
Phagocytes –
When a white blood cell becomes a cell eater
Diapedesis –
when white blood cells become like amoebas. Puts out pseudo pods and squeezes between endothelial cells to move into tissue.
Infundibulum –
Connects hypothalamus to pituitary gland
hormones are transported via –
blood stream
Main functions of hepatocytes:
- Produce bile
- Store glucose as glycogen
- Make plasma proteins (albumin, Clotting factors)
- Store fat-soluble vitamins
- Converts NH3 → urea, (from nitrogens on broken down amino acids or nucleaic acids. Large supply from recycles hemoglobin. Build up ammonia can lead to delirium.)
Hepatic portal system –
ensures that all substances absorbed by digestive organs first pass through the liver for
- Detoxification (poisons, toxins, or medications)
- Bacterial defense (kuppfer WBC [always in the liver])
- Nutrient modification
Bile is stored and concentrated in the…
…gall bladder
Partial oxidation of fats causes…
…ketone production. Called ketogenesis.
Without sufficient glucose in cells the liver can only partially burn fatty acids to make ATP. These “charred” fatty acids are called…
...ketones.
High density Lipoprotein:
More protein than cholesterol (going from organ to liver). Cleans up blood vessel walls by reducing the risk of heart disease. “Healthy”
Low Density Lipoprotein:
More cholesterol (liver -> orgran need). Associated with increased risk of heart disease. “Lousy”
Vitamin A –
Function: New cell growth for healthy skin, hair, vision in dim light
Vitamin D –
Function: Absorption of calcium (healthy bones/teeth), immune system
Vitamin E –
Function: Healing of tissues
Vitamin K –
Function: Blood clotting, protein synthesis
Vitamin C –
Function: Formation of collagen, healing, immune health, iron absorption
Vitamin B –
Function: Important for energizing and handling stress
Antioxidants –
Protect from cell damage. Found primarily in vitamin A,C, and E.
-one –
Steroid hormone
Four primary effects of thyroxin:
1) Increases basal metabolic rate of all body cells (ups cellular use of O2 to make ATP). 2) Increases heart rate and blood pressure. 3) Increased erythropoiesis. 4) Enhances the affect of growth hormone.
Glycogenesis
“Sugar-beginning”. Enzymes of hepatocytes convert individual glucose molecules into glycogen.
Glycogenolysis
“sugar breaking”. Enzymes break glycogen into individual glucose molecules. Used when stressed, ups blood sugar.
Glyconeogenesis
“glucose new forming”. Hepatic enzymes use fatty acids and amino acids to build glucose. Used when glycogen stores are depleted such as starvation or diabetes mellitus
Hepatic portal system –
ensures all blood draining from digestive organs first passes through liver
Bilirubin -
soluble yellowish pigment left over from hemoglobin breakdown when RBCs are recycled. Some goes back to the blood, filtered through kidneys and makes urine yellow. Some pass through intestines, are modified by bacteria living there. Turns bilirubin -> stercobilin
Parathyroid glands –
Releases parathyroid hormone (PTH) which increases blood calcium by stimulating osteclasts to breakdown bones
Hypothalamus –
Regulates Pituitary Gland. Makes ADH and oxytosin. Mastery gland. In the diencephalon.
Falciform ligament –
Separates right and left lobes. Merges into round ligament. Blood vessel left over from fetal life.
Hepatocyte –
live cell
When liver fails:
blood pressure falls (not producing solutes), delusional/ornery (build up of ammonia), erratic blood sugar (no glycogen to steady it), and skin will be yellow (build up of bilirubin)
________ crosses the follicular cell from the blood in the first phase of thyroid hormone production
iodide
Main function of aldosterone:
Salt retention for blood pressure regulation
Target organ for ADH –
Kidney
Melanocyte stimulating hormone (A) –
Targets melanin – stimulates production of melanin
Thyroid Stimulating Hormone (TSH )(A) –
Targets thyroid – Prompts release of Thyroxin and increases rate of cell activity
Oxytocin (P) –
Targets reproductive organs – Stimulates milk letdown, labor contraction, and orgasm
Follicle stimulating hormone (PSH) (A) –
Targets testes and ovaries – Prompts release of testosterone, progesterone, and testosterone. Regulates ovarian and uterine cycle. Secondary sex characteristics
Luteinizing Hormone -
Targets testes and ovaries – Prompts release of testosterone, progesterone, and testosterone. Regulates ovarian and uterine cycle. Secondary sex characteristics
Cortisol –
A hormone that simulates glycogenolysis when you’re stressed. Responsible for increasing blood glucose and blood fatty acids
Cushings syndrome –
Too much ACTH. Symptoms include hyperglycemia (too much cortisol), buffalo hump (redistribution of fat), moon shaped face, and high blood pressure
Addison’s disease – Too little ACTH. JFK had this. Symptoms include low bp (not enough aldosterone), hypoglycemia (not enough cortisol), difficulty dealing with stress, and are tan.
Band cell – immature neutrophil may be a sign of infection.
The most common type of white blood cell: Neutrophil
Primary protein found inside erythrocytes: hemoglobin
Erythropoiten – Thyroxin, testosterone, decreased blood volume, and decreased oxygen in blood stimulates kidney to release erythropoietin which stimulates the bone marrow to produce RBCs
_________ stimulates fibrinogen to became fibrin thrombin
Addison’s disease –
Too little ACTH. JFK had this. Symptoms include low bp (not enough aldosterone), hypoglycemia (not enough cortisol), difficulty dealing with stress, and are tan.
Band cell –
immature neutrophil may be a sign of infection.
The most common type of white blood cell:
Neutrophil
Primary protein found inside erythrocytes:
hemoglobin
Erythropoiten –
Thyroxin, testosterone, decreased blood volume, and decreased oxygen in blood stimulates kidney to release erythropoietin which stimulates the bone marrow to produce RBCs
_________ stimulates fibrinogen to became fibrin
thrombin
Eosinophils –
Only %2 of WBC. Granules can fight worms and some fungi, allergic response. Red granules.

- Leaves about 6
Four primary effects of thyroxin:
1) Increases basal metabolic rate of all body cells (ups cellular use of O2 to make ATP). 2) Increases heart rate and blood pressure. 3) Increased erythropoiesis. 4) Enhances the affect of growth hormone.
Pericardical cavity contains a lubricating fluid called ______ fluid
serous
Cardiac muscles have a _______er absolute refractory period than skeletal muscles
long-
The _______ ventricular muscle wall is thicker to pump with more strength
left
Cardiac output equation:
CO=SVxHR
Ectopic focus –
An excitable group of cells that causes their own contraction. Can interrupt normal contractions especially when overstressed or tired.
Sinoatrial node –
Pacemaker of the heart. Damage results in a too slow heartbeat
Atrioventricular node –
Accepts the impulse from the sinoatrial node. Fires the action potential that makes atria and ventricles contract. Damage to the AV node is called a “heart block”. The heart beats at a steady 40-60 b/min
SV =
EDV – ESV
Steps of the heart’s contraction –
1) Sinatrial Node ->
2) Atrioventricular Node ->
3) Bundle Fibers ->
4) Bundle branches ->
5) Purkinje fibers
Stroke volume –
amount of blood ejected from each ventricle in one pump. Healthy hearts have higher SV. EDV-ESV=SV
P wave –
Caused by depolarization or atria. Occurs immediately before atrial contraction
QRS Wave/complex –
Depolarization of the ventricles. Occurs immediately before ventricular contraction. Atria are also repolarizing, but that’s masked
T Wave –
Repolarization of ventricles.
Blood flows through the heart is controlled entirely by ________ changes
pressure
AV valves close when ______ contracts
ventricle
Semilunar valves _____ when ventricle contracts
open
Ventricular filling (mid-to-late diastole)
Opening of AV valve starts this phase –
- Blood flowing from the atria into the ventricle. Usually fills up to about ~130 mL
- Atrial systole occurs during this phase. Contributing a small amount of blood to the ventricle
- Valve status:
AV valves: open
SL valves: closed
Ventricular Systole
- Isovolumetric contraction (“same volume” because both valves are closed) then ventricular ejection phase
- When pressure in ventricle overcomes pressure in the aorta, SL valve opens and blood ejection occurs
- Average pressure needed = 120mm Hg
- Usually about 70ml of blood ejected
- Leaves about 60 ml in the ventricle (ESV)
Isovolumetric Relaxation Closing of semilunar valves mark the beginning of this phase. Heard as “dub”)
- Semilunar valve close when ventricular pressure is less than aorta
- AV valve closed because ventricular pressure hasn’t dropped enough
- Pressure drops rapidly until AV valve opens and we have ventricular filling again.
Heart rate increased by –
norepinephrine, epinephrine, thyroxine
Heart rate decreased by –
Acetylecholine.
Norepinephrine –
increases heart rate and force of contraction. B1 adrenergic receptors. Norepinephrine effects is blocked by beta blockers
Congestive heart failure –
when cardiac output cannot meet the demands of the tissues. Degenerative. Prognosis is poor. Four causes/types: Coronary atherosclerosis, persistent high blood pressure, multiple myocardial infarcts, and dilated cardiomyopathy.
The layers of blood vessels –
Tunica intima, tunica media, and tunica externa.
Tunica intima –
closest layer of the blood vessel. Made of endothelial, simple squamous cells. Capillaries are made of tunica intima only
Tunica media –
middle layer of blood vessels. Contains smooth muscles that are important to blood pressure regulation. Arteries have thicker tunica media than veins do.
Tunica Externa –
outer coat of blood vessel. Made of collagen fibers. “Aventicia”
Blood pressure =
cardiac output x total peripheral resistance
Angiotensin –
Renin from kidneys eventually activates AII. AII stimulates aldo, vasoconstriction, and ADH.
High blood pressure damaging blood vessel walls is a possible negative effect of chronic ________
hypertension
_______ are blood vessel that can constrict to regulate blood pressure
capillaries
About _________ of blood are pumped through the heart every minute
5 liters
Pre load –
The amount the heart stretches just before it contracts. Stretchy-er heart raises EDV
Slower ______ _______ allows more time for ventricular filling (affects EDV)
heart rate
Exercise strengthens mycocardium so ______ ______ increases. Heart rate goes down and cardiac output need is still met.
stroke volume
When baroreceptors are very active, parasympathetic output form the vagus is _________
increased
With respect to chemoreceptors, what are three stimulus for decreased parasympathetic stimulation of the heart?
- Increased CO2
- Decreased pH
- Decreased BP
Fluid that does not re-enter the capillary system is returned to the blood stream via the __________ __________
lymphatic system
Hormal controls of BP:
Epinephrine, norepinephrine, atrial natriuretic peptide (blocks aldosterone’s effect), ADH, and angiotensin II.
_______’s ________ is a protusion of thyroid cartilage
Adam’s apple
Connective tissue that separates right and left lungs:
mediastium
As we breath in, intrapleural pressure changes from
-4 to -7 and intrapulmonary pressure changes from +1 to -1
Dead space –
the amount of air that doesn’t participate in gas exchange
Surfactant –
necessary to keep alveoli open, some babies may not have enough.
Something that can be treated by steroid injections
Surfactant (Type II) cells -
secrete surfactant, which decreases surface tension in the alveolus to prevent collapse. Lack of surfactant can lower lung compliance.
Description of inhalation and exhalation:
When we inhale, the diagram contracts downward bringing the parital pleura and the visceral pleara down and out, creating negative pressure by increasing volume. In exhalation, the diaphragm and ribs relax up and in, decreasing volume, creating positive pressure, and pushing air out.
Eustacian tube –
equalizes pressure in middle ear,.
Purpose of the nasal conchea (turbinates) –
Clean, moisten, and warm air as it enters the body.
Epiglottis –
Elastic cartilage. Swallowing muscles cause the epiglottis to close. Very sensitive nerve endings around epiglottis cause tearing, coughing, vomiting.
Each lung is divided into 8 or 9
bronchiopulmonary segments
Three layers of the respiratory membrane:
1) Areolar epithelial tissue (simple squamous), 2) Areolar connective tissue, 3) Pulmonary epithelial tissue (simple squamous)
Two functions of the kidney:
1) regulate volume and composition of extracellular fluid (ECF) and 2) excrete waste products from the body.
How many lobes are in each kidney?
8-15
Nephron –
one filtration unit in a kidney
Three process in urine formation:
Glomerular filtration, tubular secretion, and tubular reabsorption
Reabsorption –
when desired substances pass back into the peritubular capillary and are saved from excretion
Kidney blood supply - Aorta → renal artery → segmental arteries → interlobar arteries → arcuate arteries →
cortical radiate arteries → afferent arterioles (microscopic) → glomerulus (capillary bed) → efferent arteriole → peritubular capillaries (cortical nephron) and vasa recta (juxtamedullary nephron) → venules and veins converge until reaching the renal vein
From collecting ducts to papillary ducts to minor calyx(es) which drain into…
renal pelvis ->ureters ->bladder ->urethra
Each kidney contains approximately _________ nephrons
1.3 mill
Renal corpuscle –
Glomerus and bowman’s capsule
Nephron:
One functional unit of a kidney. Includes the renal corpuscle, the proximal convoluted tubule (PCT), the loop of Henle, the distal convoluted tubule (DCT) and the collecting duct.
Hypernatremia –
dehydration: condition of high Na+ concentration (i.e. water depletion). This results in decreased plasma volume and blood pressure that can lead to hypovolemic shock (inadequate circulation) and confusion
Hypokalemia –
low K+ concentration in the ECF: will cause muscular weakness and mental confusion
Hyperkalemia –
high K+ concentration in the ECF: will cause cardiac arrhythmia and flaccid paralysis
Hyponatremia –
decrease of Na+ in the plasma
Hypernatremia –
increase in plasma levels of sodium
Aldosterone leads to the secretion of K+ from the ________ __________ _________
Distal convoluted tubule
If a person’s blood is hypertonic, they are likely to be _____________
dehydrated
The DCT is MOST sensitive to hormone ___________ while collecting ducts are most sensitive to ______
aldosterone…ADH
Three nitrogenous wastes found in urine are
urea, creatinine, and uric acid
In the kidneys, glucose and amino acids…
..are filtered out but should always be completely reabsorbed
- CO2 makes your blood
acidic (combines with water to make acid)
- Exercise, stress, diarrhea or illness causes blood to be
acidic
- Ketones produced in large amounts by diabetes make blood
acidic.
- Metabolic acidosis –
cell producing more acid
- 3 Mechanisms to restore blood pH:
1) Chemical buffers (works in seconds),
2) Respiratory buffers…breath CO2 our faster (works within minutes), and
3) Kidneys…secrete H+ ions to decrease acidity (hours and days. But most powerful)
- Respiratory acidosis – It’s the _____ fault!
lungs
- Respiratory alkalosis –
lungs blowing off too much CO2 (hyperventilating)
- Metabolic alkalosis –
when cells are losing too many H+ (extreme vomiting)
Placenta previa –
egg attached to the cervix
Ectopic pregnancy –
egg is….where? Not where it should be!
Eggs travel down the fallopian tubes for a _____ before implanting in the uterus
week
Week 1
1st day of period)
Week 2
when fertilization occurs)
Week 3
(implantation begins)
Week 5
Heart starts beating.
nueral tube closes, but if not, there’s spinal bifida. Folic acid help prevent this
Week6
Heart beat visible on ultrasound
Week 10
Embryonic period ends
-All organs formed
Week 12
Heart beat heard on Doppler stethascope
Week 13
About when first trimester has ended and placenta takes over progesterone production (corpus luteum not needed anymore)
Sex visible but not always accurate
Week 20
Usually when a detailed ultrasound is done for abnormalities
Week 21
Earliest survival of premie recorded
Week 24
50% chance of survival if born now
Week 27
End of 2nd trimester
Week 28
80% chance of survival if born
Week 32-35
When lungs finish, are now making surfactant. If not ready, the mother can be given steroid injections
Week 37
“Full term"
Placenta –
Pancake shaped capillary of mother runs right next to baby’s capillary (w/o touching). Glucose, fatty acids, nurtrients, water, hormone diffuse to baby’s blood vessels. CO2 and waste also diffuses
Take home:
placenta provides exchange.
Umbilical cord –
contains umbilical artery and vein. Very stretchy, almost jelly like. The more active the baby, the longer the umbilical cord
Amiotic sac –
very strong membrane
Amiotic fluid –
mostly bay’s urine
Labor initiated by baby’s chemical and
mother’s chemicals
Cervix goes from 0cm to
10cm
Baby usually born head first, head
to the floor
3 Glands that make semen:
Seminal vesicle, prostate, bulbourethral gland
4 Components of semen:
Fructose (5 days worth of food), alkalinity, stickiness, and sperm
Vas deferens –
tube from testis to urethra (?)
Epididymus -
“upon the mind” where sperm mature and learn to swim
Testis –
million of sperm every day through mitosis
Each sperm contains only one copy of DNA and that cell contains ____ or ____ chromosome
x…y
Scrotum –
attached to the body with muscles to help regulate temperature. Contains the testes
Sperm must mature at ___ deg below body temperature
3
A woman is born with aprox _____,______ immature eggs and that’s all she gets
400,000
Fallopian tubes –
carries egg to uterus
Myonatrium –
thick muscle layer of uterus. must be thick because it stretches as the baby grows
Endometrial lining –
bloody, nutrious lining
3 Ways of telling when ovulation is occurring –
body temperature, texture of cervical, and consistency of cervical mucus
ovulation caused by ________ hormone. Also maintains corpus leteum
luteinizing
egg dies if not fertilized in _____ _______
24 hours
Day 10-___ is when a woman is most fertile
14
Estrogen is the main hormone for the first ______ weeks
two
________ stimulating hormone stimulates egg to grow
Follicle
FSH signals the ovaries to release _________
estrogen
About ___ days after ovulation, the egg implants in the uterine lining
7
Ovum –
where the egg is
The ______ is surrounded by mourishing cells that stimulate the egg to grow by producing estrogen
ovum
Pregnancy changes are due to ________
progesterone
Secondary sex characteristics are due to __________
estrogen
After the ovum is released, the noursishing cells start producing ________
progesterone
Corpus luteum –
secretes progesterone and degenerates by the end of the cycle if cell is not fertilized. Produces progesterone until placement (12 weeks) if cell is fertilized
Most water absorption happens in
the large intestines
Chemically breaks down protein
trypsin
________ fibers from the _______ _______ travel down the vagus nerve and synapse on the SA node and release actylecholine
parasympathetic...medulla oblongatta
congestive heart failure on the right side of the heart leads to
systemic edema
________ pressure must always be present in the intraplueral space
negative
cramping and restlessness are often symptoms of
hyperkalemia
a patient on diuretics for heart problems has muscle weakness, what is the likely electrolyte imbalabnce?
hypokalemia