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294 Cards in this Set

  • Front
  • Back

What does the olfactory epithelium cover

Inferior cribiform plate and ethmoid bone

What are the types of cells in olfactory epithelium?

Olfactory sensory neurons


Supporting columnar epithelium cells


Basal epithelium cells


Olfactory glands

What do olfactory glands produce

Mucus to dissolve odorants

Where is the site of olfactory transduction

On non-motile Cilia of olfactory epith

What cranial nerve stimulates olfactory glands

Cn 7

Explain the physiology of olfaction

Odorants bind olfaction sensory neurons to release cAMP. cAMP opens Na and Ca channels causing a graded potential

Explain the olfactory nervous pathway

- axons from olfactory neurons form cn1 which synapse with mitral cells in the olfactory bulb


- 2nd order neurons form olfactory tract which synapses with primary olfactory area of temporal lobe

What are the 4 types of papillae on the tongue

Filiform (no taste buds), vallate, fungiform, foliate

Function of filliform papillae on tongue

Increase friction of tongue to move food

What are the 3 types of cells in taste buds

Gustatory receptor cell with gustatory microvilli, supporting epithelial cell, basal epithelial cell

What are olfactory sensory neurons

Bipolar neurons with non-motile olfactory cilia

Where to tastants bind

Receptors on gustatory hairs

What are the different flavors and tastants

Salty: Na


Sour: H


Sweet, bitter, umami: inositol triphosphate

Explain physiology behind taste

Receptor potential in gustatory cell triggers neurotransmitter release leading to action potential in 1st order neuron

Explain the taste pathway

1st order neurons in cranial nerves 7,9,10 synapse in the gustatory nucleus in the medulla oblongata. Impulses then travel through the thalamus to the primary gustatory area

Name the accessory structures of the eye

Eyelids, eyelashes and eyebrows, conjunctiva, tarsal plate, extraocular muscles

What is the conjunctiva of the eye

A thin protective mucous membrane that lines the eyelids and sclera

Location of fxn of tarsal glands of eyes

In tarsal plate, lubricates eyes

Fxn of the tarsal plate of the eye

Give shape to the eyes

What is the lacrimal apparatus

A group of structures that produce and drain lacrimal fluid

What is a chalazion of the eye

Blockage of the tarsal gland

Name the 3 layers of the eyeball superficial to deep

Fibrous, vascular, and inner

What composes the fibrous layer of the eyeball

Cornea and sclera

What composes the vascular layer of the eyeball

Choroid, ciliary body, and iris

What composes the inner layer of the eyeball

Retina

What is the cornea

Thin transparent layer above iris

What are the 3 layers of the cornea from superficial to deep

Nonkeratinized stratified squamous, collagen fibers and fibroblasts, simple squamous epith

What is a keratoconus cornea

A cone shaped cornea from bulging

What composes the cornea

Dense connective tissue

What is the choroid

Vascular inner layer that provides nutrients to the retina

What composes the ciliary body

Melanocytes and ciliary processes

Functions of the ciliary body of the eye

Secrete aqueous humor and attach to the lens with zonular fibers

What is the function of the ciliary muscle

Change shape of eye lens

Explain the function of the iris

Regulate the amount of light entering the eye

What muscles of the iris contract in dim vs bright light

Bright: circular muscles contract


Dim: radial muscles contract

What cranial nerve innervates the muscles of the iris

Cn 3

What is the macula lutea of the retina

Center of the retina

What is the fovea centralis of the retina

A small depression in center of macula lutea where vision is most clear

Where is the blind spot of the eye

Optic disc

What is the melanin containing epith of the retina

Pigmented layer

What is the bipolar cell layer

Layer of ganglia where 1st order neurons form optic nerve

What is retinal detachment

When neural layer detaches from the pigmented layer and fluid fills the gap

What composes the anterior segment of the eye

Anterior chamber between cornea and iris, posterior chamber between iris and lens

What fills the anterior segment of the eye

Aqueous humor

What composes the posterior segment of the eye

The space between the lens and the retina filled with vitreous humor

What is the function of vitreous humor

To hold the retina against the choroid

What is intraocular pressure

Pressure produced by aqueous and vitreous humors to maintain shape of the eye

What is glaucoma

High intraocular pressure from buildup of aqueous humor that damages neurons of the retina

What forms the lens of the eye

Clear proteins: crystallins

Name the 3 processes in vision physiology

Refraction of light by cornea and lens, accommodation of lens, constriction of pupil

What occurs in refraction in vision

Focusing of light done mainly by cornea to focus on fovea centralis

What occurs in lens accommodation in vision

Change of lens shape:


- lens flattens and zonular fibres taut when viewing distant objects


- lens rounder and zonular fibres relaxed when close viewing

What do photopigments consist of

Rhodopsin (rods) or photopsin (cones) and retinal

What occurs when photopigments bleach

Retinal separates from the opsin making the pigment nonresponsive

What is isomerization of photopigments

When light causes retinal to change shape to produce a graded potential

What what changes retinal back to original shape after isomerization

Retinal isomerase

What is phototransduction

Process of light energy being converted to receptor potential

How does phototransduction work

When light activates photoreceptor: hyperpolarizing receptor potential produced to stop release of glutamate on bipolar cells which would inhibit impulse conduction

What are the two visual fields

Temporal and nasal

Which visual field synapses ipsilaterally in the occipital lobe

Nasal

What are the 3 main regions of the ear

External ear, middle ear, internal ear

Function of external ear

Collect sound and transmit to middle ear

What composes the external ear

Auricle: ear pinnae


External acoustic meatus


Tympanum

What composes the middle ear

Malleus, incus, stapes, eustachian tube, stapedius muscle, tensor tympani

What is the function of the stapedius and tensor tympani muscles

To protect against loud noise by dampening vibrations in tympanum and stapes

What are the two divisions of the inner ear

Outer bony labyrinth, inner membraneous labyrinth

What fills the bony labyrinth and membraneous labyrinth

Perilymph and endolymph

What composes the bony labyrinth of the ear

Semicircular canals, vestibule, cochlea

Name the 3 fluid filled channels of the cochlea, and what they are filled with

Scala vestibuli ends at vestibular window - perilymph


Scala tympani ends at cochlear window - perilymph


Cochlear duct - endolymph

What membrane separates the cochlear duct and Scala vestibuli

Vestibular membrane

What membrane separates cochlear duct from Scala tympani

Basilar membrane

What membrane does the spiral organ rest on

Basilar membrane

Explain physiology of hearing from stapes to receptor potential

- stapes vibrates vestibular window causing fluid pressure waves in perilymph of Scala vestibuli- pressure waves move vestibular membrane, creating pressure waves in endolymph of cochlear duct- pressure waves move vestibular membrane, creating pressure waves in endolymph of cochlear duct- pressure waves vibrate basilar membrane causing hair cells to rub against tectorial membrane, bending the stereocilia, inducing a receptor potential


- stapes vibrates vestibular window causing fluid pressure waves in perilymph of Scala vestibuli- pressure waves move vestibular membrane, creating pressure waves in endolymph of cochlear duct- pressure waves move vestibular membrane, creating pressure waves in endolymph of cochlear duct- pressure waves vibrate basilar membrane causing hair cells to rub against tectorial membrane, bending the stereocilia, inducing a receptor potential


- stapes vibrates vestibular window causing fluid pressure waves in perilymph of Scala vestibuli- pressure waves move vestibular membrane, creating pressure waves in endolymph of cochlear duct- pressure waves move vestibular membrane, creating pressure waves in endolymph of cochlear duct- pressure waves vibrate basilar membrane causing hair cells to rub against tectorial membrane, bending the stereocilia, inducing a receptor potential

How do hair cells of the cochlea convert vibration to action potential

Tip link proteins link mechanically gated channels for K+ to the tallest stereocilium - when stretched the gates open, depolarizing; when slack, gates fully close, hyperpolarizing

Explain the auditory pathway

Cochlear branch of cn 8 synapses in cochlear nuclei of medulla oblongata, then ascend through the thalamus to the primary auditory cortex of temporal lobe

Name the two otolithic organs of the inner ear

Utricle and saccule

What is a macula of the inner ear

Hair cells with stereocilia covered by an otolithic membrane containing otoliths

How does a macula sense head movement

Head movement induces movement of the otolithic membrane causing stereocilia to bend and induce an impulse in the vestibular branch of cn 8

How do semicircular canals sense acceleration and deceleration

Endolumph moves relative to canals due to inertia, moving past cupula in ampulla causing a cell depolarization

What is an ampulla of the inner ear

A dilation of the semicircular canals where cupula are present

Explain the nervous pathway for equilibrium

Vestibular branch of cn 8 ascends to vestibular nucleus in medulla, then ascends through cerebella peduncles to the cerebellum to be passed to cranial nerves for eye, head, and neck movement

List functions of hormones

Regulate internal chemistry, metabolism, smooth muscle contraction, immune fxn, or body clock


Control growth and development


Regulate reproductive sys

Contrast circulating vs local hormones

Circulating are secreted into interstitial fluid and diffuse into blood while local hormones stay in interstitial fluid

What are the two types of local hormones

Autocrine and paracrine

What are the two chemical classes of hormones and how do they differ in transport

Lipid soluble bind transport proteins while water soluble freely circulate in blood plasma

What are the different lipid soluble hormones

Steroids, thyroid hormones, nitric oxide, eicosanoid hormones,

What are the functions of transport proteins for hormones

To increase hormone solubility, decrease loss by filtration by increasing hormone size, provide a reserve of hormones in the blood

Where do lipid soluble hormones bind vs water soluble

Water soluble: cell membrane surface


Lipid soluble: cell cytoplasm or nucleus

What are the different water soluble hormones

Amine hormones: norepinephrine, dopamine, histamine, serotonin


Peptide hormones

How does the action of water soluble hormones differ from lipid soluble

Water soluble bind surface receptors, lipid soluble binds cytoplasmic receptors


Water soluble uses adenyl cyclase to active 2nd messengers to activate protein kinases for physiological change

Contrast synergistic and antagonistic hormone activity

Synergistic: hormones have additive effects


Antagonistic: hormones have subtractive effects

What does level of activation by hormone rely on

Hormone concentration, number of receptors, influence of other hormones

What are the three stimuluses for hormone release

Humoural stim, neural stim, hormonal stim

How does the hypothalamus control anterior ptuitary hormone secretion?

By secreting releasing and/or inhibiting hormones into the hypophyseal portal system

What are the 5 releasing hormones of the hypothalamus

Growth hormone releasing hormone


Thyrotropin releasing hormone


Corticotropin releasing hormone


Prolactin releasing hormone


Gonadotropin releasing hormone

What are the two inhibiting hormones produced in the hypothalamus

Growth hormone inhibiting hormone


Prolactin inhibiting hormone

What are the 7 hormones secreted by the anterior ptuitary gland

Growth hormone, thyroid stimulating hormone, follicle stimulating hormone, luteinizing hormone, Prolactin, adrenocorticotrophic hormone, melanocyte stimulating hormone

Hypothalamic cell that secretes growth hormone

Somatotrophic cell

Growth hormone function

Stimulate production of insulin-like growth factors

Target tissues of growth hormone

Liver, skeletal muscle, cartilage, bones

Effects of insulin-like growth factors

Increase cell growth and division by increasing a.a. uptake and protein synthesis, inhibiting protein catabolism, stimulating glycogen breakdown, and stimulating lipolysis

What occurs from hypersecretion of growth hormone before epiphyseal plates close?

Gigantism

What happens from hypersecretion of growth hormone after epiphyseal plates close

Acromegaly - hands, feet, and face still respond to gh

What is the diabetogenic effect from excess growth hormone?

Growth hormone raises blood glucose levels, inducing hyperglycemia. This causes continuous release of insulin causing beta-cell burnout preventing further release causing diabetes mellitus

How is growth hormone secretion controlled

By presence of growth hormone releasing hormone or growth hormone inhibiting hormone

What stimulates secretion of growth hormone?

Hypoglycemia, low fatty acid blood levels, high a.a blood levels, sympathetic activity, deep sleep, testosterone, estrogen, thyroid hormones

What triggers release of thyroid stimulating hormone

Thyrotropin releasing hormone

What is the function of thyroid stimulating hormone

Stimulate production and release of thyroxine and triiodothyronine

What does gonadotropin releasing hormone trigger the release of

Follicle stimulating hormone and luteinizing hormone from anterior ptuitary

What regulates thyrotropin releasing hormone and thyroid stimulating hormone

Concentrations of triiodothyronine and thyroxine - high inhibits, low stims

What does follicle stimulating hormone do in males and females

Females: stimulates oocyte maturation and estrogen production


Males: stimulates sperm production

Function of luteinizing hormone in males and females

Females: stimulates ovulation and formation of corpus luteum


Males: stimulates testosterone production

What inhibits gonadotropin releasing hormone and follicle stimulating hormone release?

High levels of estrogen in females and testosterone in males

What controls Prolactin release

Prolactin releasing hormone and Prolactin inhibiting hormone from hypothalamus

What cells release prolactin in anterior ptuitary

Prolactin cells

What hormones are used in milk production and ejection

Prolactin for production and oxytocin for ejection

What occurs from hypersecretion of prolactin

Females: galactorrhea and amenorrhea


Males: erectile dysfunction

What stimulates adrenocorticotrophic hormone release

Corticotropin releasing hormone from hypothalamus

What cells secrete adrenocorticotrophic hormone

Corticotrophs in ant. Ptuitary

Target tissue of adrenocorticotrophic hormone and effect

Adrenal cortex to produce glucocorticoids

What stimulates melanocyte stimulating hormone

Corticotropin releasing hormone from hypothalamus

What cells release melanocyte stimulating hormone

Corticotrophs of ant. Ptuitary

What hormone inhibits melanocyte stimulating hormone release?

Dopamine

Effect of melanocyte stimulating hormone

Increasing skin pigment

Hormones released by posterior ptuitary

Antidiuretic hormone, oxytocin

Where are the hormones stored and released by posterior ptuitary produced

Hypothalamus

What cells synthesize posterior ptuitary hormones

Neurosecretory cells of hypothalamus

Function of Antidiuretic hormone

Reduce water loss in urine, vasoconstriction to increase blood pressure

Target tissues of Antidiuretic hormone

Kidneys, smooth muscle of arterioles

What is diabetes insipidus

Overexcretion of urine from hyposecretion of Antidiuretic hormone

Functions of oxytocin

During delivery: enhances muscle contraction of uterus


After delivery: uterine contractions for expulsion of placenta


Stimulate milk ejection from breasts

What compound stored in the follicle of the thyroid is used to synthesize thyroid hormones

Thyroglobulin

What cells of the thyroid produce calitonin

C-thyrocytes

Function of calcitonin

Lower blood calcium

List the hormones produced by the thyroid gland

Triiodothyronine, thyroxine, calcitonin

What stimulates release of thyroid releasing hormone

Low blood glucose levels or low metabolic rate

What is the target tissue of thyrotropin releasing hormone and effect

Thyrotropic cells of the anterior ptuitary to release thyroid stimulating hormone

What is the target tissue of thyroid stimulating hormone and it's effect

Thyroid follicular cells in the thyroid to release thyroid hormones

How are thyroid hormones synthesized

T-thyrocytes trap and oxidize iodide, then bond to tyrosine to form colloid. Colloids couple to form triiodothyronine and thyroxine

What controls thyroid hormone secretion

Thyrotropin releasing hormone secreted by hypothalamus when thyroid hormone levels are low. Secretion inhibited by high levels of thyroid hormones

What are the effects of thyroid hormones

Systemic increase in basal metabolic rate, upregulation of beta-adrenergic receptors for epinephrine and norepinephrine, and additive effects with growth hormone and insulin like growth factors

What stimulates the release of calcitonin

High calcium in blood

What tissue releases calcitonin

Parafollicular cells of the thyroid gland

Target tissue and effect of calcitonin

Stimulates osteoblasts to take up calcium from blood and deposit in bone

What is grave's disease

Autoimmune disease caused by excess thyroxine that produces antibodies that mimic thyroid stimulating hormone. Results in weight loss and edema behind eyes

What is goiter disease

Enlarged thyroid gland

What stimulates release of parathyroid hormone

Low calcium in blood

What cells release parathyroid hormone

Principal cells

Target tissues and effect of parathyroid hormone

Kidneys: slow calcium and magnesium loss, promote calitriol formation


Osteoclasts: increase cell count and activity, increase bone resorption to increase blood-calcium

Result of hypoparathyroidism

Muscle twitches/spasms

Effects of hyperparathyroidism

High blood-calcium, weak bones, kidney stones

What are the two glandular regions of the adrenal glands

Outer cortex, inner medulla

What hormones does the outer cortex of the adrenal glands secrete

Steroid hormones

What hormones does the inner medulla of the adrenal glands secrete

Epinephrine, norepinephrine, dopamine in small quantities

Name the 3 zones of the outer cortex of the adrenal gland

Outer glomerulosa, middle fasciculata, inner reticularis

What hormones does the outer glomerulosa of the adrenal cortex produce and its effects

Mineralcorticoids that affect mineral homeostasis

Hormones and their effects from the fasciculata zone of the adrenal cortex

Cortisol and glucocorticoids to affect glucose homeostasis and the stress response

Hormones and their effects from the reticularis zone of the adrenal cortex

Androgens involved in development of male features

What are the 3 glucocorticoid hormones

Cortisol, corticosterone, cortisone

How do glucocorticoids help resist stress

Promote fat and protein breakdown for atp, stimulate gluconeogenesis, induce vasoconstriction

What is the stimulus and cells for release of adrenocorticotrophic hormone

Low blood glucose for release from corticotrophic cells of anterior ptuitary

What is the target tissue and effect of adrenocorticotrophic hormone

Cells in Zona fasciculata of adrenal cortex for cortisol production

What is Cushing's syndrome

Hypersecretion of cortisol resulting in hyperglycemia, poor wound healing, and fat redistribution

What regulates glucocorticoids?

Low blood glucose stims for adrenocorticotrophic hormone release from hypothalamus, high blood glucose inhibits release

Target tissues of mineralcorticoids and effects

Distal kidney tubules and collecting ducts to regulate sodium and potassium homeostasis

What stimulates renin angiotensin aldosterone pathway and it's effects

Dehydration, low blood sodium, or low blood pressure - results in increased sodium reabsorption and water reabsorption

Main androgen from adrenal cortex

Dehydroepiandrosterone

What cells in adrenal medulla secrete hormones

Chromaffin cells

What ate the 4 types of Endocrine cells in pancreatic islets

Alpha cells, beta cells, delta cells, pancreatic polypeptide cells

What do alpha pancreatic islets cells secrete and effect

Glucagon to raise blood glucose

Hormone from beta pancreatic islets cells and effect

Insulin to lower blood glucose

Hormone from delta pancreatic islets cells and effects

Somatostatin to inhibit glucagon, insulin, and growth hormone secretion

Hormone from pancreatic polypeptide cells of islets and effect

Pancreatic polypeptide to inhibit secretion of somatostatin

What differentiates diabetes mellitus type 1 from type 2

Type 1: absolute insulin deficiency from autoimmune attack of beta cells


Type 2: downregulation of receptors to insulin

What 5 hormones do ovaries secrete

Estradiol, estrone, progesterone, inhibin, relaxin

Function of estrogens and progesterone

Progesterone and estrogens regulate reproductive cycle, maintain pregnancy, prepare mammary glands

Effect of inhibin secretion from ovaries and testes

Inhibits follicle stimulating hormone secretion

Effect of relaxin secretion from ovaries

Dilate cervix during pregnancy, increases flexibility at pubic symphysis

Hormones produced by testes

Testosterone and inhibin

Function of testosterone

Regulate descent of testes, sperm production, maintenance of male secondary sex traits

What cells produce melatonin

Pinealocytes of the pineal gland

What are the effects of thymus produced hormone

T-lymphocyte activation and maturation

Hormone released from the heart and stim for release

Atrial natriueretic peptide release stimmed by high blood pressure

Target tissue and effect of atrial natriuretic peptide

Increases sodium and water secretion at nephron

Hormone released by kidney and stim

Hypoxia stims release of erythropoeitin

Name the two types of stress

Eustress and distress

What is the main regulator of the stress response

Hypothalamus

Name the 3 stages of stress response

Fight or flight, resistance reaction, and exhaustion

What occurs in the fight or flight stage of the stress response

Hypothalamus stimulates for resources for immediate action, sympathetic nervous system increases glucose supply to organs, renin angiotensis aldosterone pathway activates for water retention and high blood pressure

What occurs in the resistance reaction of the stress response

Corticotropin releasing hormone, growth hormone releasing hormone, and thyrotropin releasing hormone are secreted to increase glucose and atp for active cells in specific organs

What occurs in the exhaustion stage of the stress response

Resistance stage fails from prolonged exposure to hormones, immune system suppressed and muscles begin to waste

What are the 4 layers of the gi tract

Mucosa, submucosa, muscularis, serosa

What are the 3 parts of the mucosa layer of the gi tract

Epithelium, lamina propria, muscularis mucosa

What is the function of the muscularis mucosa of the mucosa gi layer

Form folds to increase surface area

What gi layers contains neural networks and names of neural network

Submucosa contains submucosal neural plexus


Muscular layer contains myenteric neural plexus

What gi layer forms the visceral peritoneum

Serosa

Name the 4 parts of the enteric nervous system

Myenteric neural plexus


Submucosal plexus


Interneurons of enteric nervous system


Sensory neurons of enteric nervous system

Function of the myenteric plexus

Gi tract motility

Function of submucosal plexus

Secretory control of gi organs

Function of enteric nervous system interneurons

Connect myenteric and submucosal plexuses

Function of enteric nervous system sensory neurons

Sensory receptors in mucosa epithelium detect stims in gi lumen

Function of the autonomic nervous system in gi tract

Vagus nerve innervates most of gi except last half of large intestine


Ans increases ens activity

Function of cns in gi tract

Voluntary movements - ie chewing, swallowing

What is the peritoneum

Largest Serous membrane

What are the two parts of the peritoneum

Visceral, parietal

Function of the parietal peritoneum

Line abdominopelvic cavity

Function of visceral peritoneum

Cover viscera

What is the peritoneal cavity

Cavity between visceral and parietal peritonea

What is the term for organs outside of visceral peritoneum

Retroperitoneal organs

List retroperitoneal organs

Kidneys, pancreas, dupdenum

Function of peritoneal folds

Act as route for blood vessels, lymph vessels, and nerves to the gi tract, anchor organs

List the five peritoneal folds

Greater omentum, lesser omentum, falciform ligament, mesentery, mesocolon

Largest peritoneal fold

Greater omentum

Peritoneal folds that attaches liver to anterior abdominal wall

Falciform ligament

Peritoneal fold that connects stomach and duodenum to liver

Lesser omentum

Peritoneal fold that attaches jejunum and ileum to posterior abdominal wall

Mesentery

Peritoneal fold that binds transverse colon and sigmoid colon to posterior abdominal wall

Mesocolon

What is the fauces of the mouth

Opening between oral cavity and oropharynx

List components of saliva

Immunoglobulin A, lysozyme, salivary amylase

What controls salivation

Autonomic nervous system: sympathetic inhibits, parasympathetic promotes

What are the muscles of the tongue for movement and speech

External and internal intrinsic muscles

Enzyme secreted by lingual glands

Lingual lipase

What is the adventitia of the esophagus

Areolar connective tissue that attaches esophagus to structures

What is gastrointestinal reflux disease

Failure of lower esophageal sphincter - acid irritates esophagus

What are the 4 main parts of the stomach

Cardia, fundus, body, pyloric

What are the 3 exocrine glands of the stomach and their secretions

Mucous neck cells: mucous


Parietal cells: hcl


Chief cells: pepsinogen and gastric lipase

What is the enteroendrocrine glandular cell of the stomach and their secretion

G cells secrete gastrin into blood

Function of gastrin from g cells of stomach

Stimulate secretion of hcl and pepsinogen, relax pyloric sphincter, increase motility

What do enteric reflexes induce

Peristaltic movement

What are the enzymes in pancreatic juice

Pancreatic amylase, pancreatic lipase, ribonuclease, deoxyribonuclease, trypsinogen, chymotrypsinogen, procarboxypeptidase, proelastase

What deactivates pepsin in the duodenum

High pH

What are the two regions of the pancreas and what do they produce

Acini: pancreatic juice


Islets of langerhans: hormones

What separates the two lobes of the liver

Falciform ligament

What is the major functional cell of the liver?

Hepatocytes

Hepatocyte function

Secrete bile

What is the 3d arrangement of hepatocytes

Hepatic laminae

Name the canal that hepatocytes secrete bile into

Bile canaliculi

What are the blood capillaries between hepatic laminae

Hepatic sinusoids

What are the phagocytic cells in hepatic sinusoids

Stellate reticuloendothelial cells

What are the two blood supplies yo the liver

Oxy blood from the hepatic artery, deoxy blood from the hepatic vein

Function of the gallbladder

Store and concentrate bile

Function of bile salts

Emulsify fats to assist digestion and absorption

What are the 3 sections of the small intestine

Duodenum, jejunum, ileum

What structures facilitate digestion and absorption in the small intestine

Circular folds, intestinal villi with microvilli

What are the 3 enteroendrocrine cells of the small intestine and their secretions

S cells: secretin


Cck cells: cholecsystokinin


K cells: glucose dependent insulinotropic peptide

What are paneth cells of the small intestine

Phagocytic cells that secrete lysozyme

What do duodenal glands secrete

Alkaline mucous

What are the carbohydrate digesting enzymes of the small intestine

Alpha dextrinase, Maltase, sucrase, lactase

What are the protein digesting enzymes of the small intestine

Aminopeptidase, dipeptidase

What are the nucleic acid digesting enzymes of the small intestine

Nucleosidases, phosphatases

What are the fat and water soluble vitamins absorbed in the small intestine

Fat soluble: a,d,e,k


Water: b,c

How does ethanol go from ingestion to being metabolized in the liver

Metabolized by alcohol dehydrogenase in the stomach, absorbed in stomach and small intestine, metabolized in liver

What are the 3 major regions of the large intestine

Cecuk, colon, rectum

What cells secrete mucous in the large intestine

Goblet cells

What are the twists in the karge intestine called

Haustra

Explain the defecation reflex

Rectum distended, stimulating reflex from sacral spinal cord


Motor impulses to descending colon, sigmoid colon, rectum, and Anus


Relaxation of internal anal sphincter allow movement to external sphincter


Voluntary relaxation of external sphincter completes defecation

What is the area of the kidney where blood and lymph vessels, nerves, and ureter connect to

Hilum

List the 3 layers that surround the kidney

Fibrous capsule, perineal fat capsule, renal fascia

What are the components of the parenchyma of the kidney

Renal cortex, renal medulla

What are the components of the renal medulla

Renal pyramids, renal papilla, renal columns, neohrons

What are the 3 Capillary beds of the nephron

Glomerular, peritubular, Vasa recta

Function of renal nerves

Vasoconstriction/dilation of renal arterioles

How does blood supply differ between juxtamedullary and cortical nephrons

Cortical gets supply from peritubular, juxtamedullary get supply from peritubular and Vasa recta

Function of juxtaglomerular apparatus

Regulate blood pressure @ glomerulus

List the layers that plasma must pass through to become filtrate

Filtration membrane, glomerular endothelial cells, basement membrane, slit membrane

What forms the slit membrane of the glomerulus

Pedicels of podocytes

What are mesangial cells of the glomerulus

Contractile cells between afferent and efferent glomerular capillaries that regulate filtration rate

What does net filtration pressure of the glomerulus depend on

Glomerular blood hydrostatic pressure, blood colloid osmotic pressure, capsular hydrostatic pressure

List the 3 mechanisms that regulate glomerular filtration rate

Renal auto regulation, hormonal regulation, neural regulation

What are the two methods of renal autoregulation

Myogenic mechanisms by contracting or dilating afferent arterioles in response to blood pressure


Tubuloglomerular feedback from macula densa cells sensing na, cl, and h2o

Explain tubuloglomerular feedback

When there is a higher filtration rate, less cl, na, and h2o are absorbed. Macula densa cells sense this and inhibit nitric oxide release from juxtaglomerular cells. Less nitric oxide causes constriction of afferent arterioles to lower filtration rate

How does hormonal regulation of the glomerular filtration rate occur

Angiotensin 2 decreases filtration rate, atrial natriuretic peptide increases filtration rate

How does neural regulation of glomerular filtration rate occur

As sympathetic activity increases, afferent arterioles constrict more than efferent arterioles, decreasing filtration rate

What epithelium types form the regions in nephron

Pct: cuboidal with microvilli


Descending loop: simple squamous


Ascending loop: cuboidal


Dct: cuboidal


Last region of dct: intercalated and principal cells

What are the two reabsorption routes for material in the nephron

Paracellular reabsorption through leaky tight junctions


Transcellular reabsorption through apical and basal membranes via active or passive transport

What are the two types of water reabsorption in the nephron

Obligatory reabsorption from water following solutes via osmosis through aquaporin-1


Facultative reabsorption under control of adh

How is blood pH controlled at the nephron

Secretion of hydrogen ions

What reabsorption occurs in pct of nephron

Na reabsoprtion via symporters and antiporters


Obligatory h2o reabsorption towards peritubular capillaries

What secretion occurs in pct of nephron

Urea and ammonia secreted by pct cells

What is permeable in thick and thin limbs of nephron loop

Thick: has pumps for solutes, impermeable to h2o


Thin: permeable to h2o, impermeable to solutes

What reabsorption occurs in early dct of nephron

Apical membrane has na/cl symporters


Basal membrane has na/k pumps and cl leak channels

What reabsorption occurs in late dct of nephron

Principal cells with adh and aldosterone receptors increase h2o reabsorption when stimulated



Intercalated cells reabsorb hco3 and secrete h+ or opposite depending



Na leak channels in apical membrane

List the 4 hormones that affect reabsorption and secretion in tubules of nephron

Angiotensin 2, aldosterone, adh, atrial natriuretic peptide

Effect of angiotensin 2 on nephron

Increases reabsorption by decreasing filtration rate through afferent vasoconstriction and increasing activity of na/h+ antiporters in pct



Stimulates aldosterone release to increase na reabsorption and k secretion by principle cells

Effect of adh on nephron

Increase h2o permeability of principle cells in collecting duct by promoting insertion of aquaporin-2

Effect of atrial natriuretic peptide on nephron

Inhibit na + h2o reabsorption in pct and collecting duct


Suppress adh and aldosterone secretion

What are the 3 evaluations of kidney function

Urinalysis: volume, physical, chemical, microscopic characteristics



Blood tests: blood-urea-nitrogen levels, plasma creatinine levels



Renal plasma clearance: measures rate of removal of substance from blood plasma

What are the 3 layers of the ureters

Mucosa: transitional epithelium



Muscular layer: inner longitudinal, outer circular



Adventitia: loose connective tissue with blood and lymph vessels that anchor ureters

What is the smooth triangular shape in floor of bladder

Trigone

What are the 3 layers of the bladder wall

Mucosa: transitional epith with mucosal folds



Musculadis: inner longitudinal, middle circular, outer longitudinal, skeletal muscle external urethral sphincter



Adventitia: areolar ct that covers regions without serosa

What are the 3 regions of the urethra in males

Prostatic, membraneous, spongy

What is the histology of the urethra

Transitional to nonkeratinized stratified squamous epith, lamina propria with elastic fibres and circular smooth muscle

What is micturition

Urination

Explain the process of micturition

Filling of bladder activates stretch receptors



Impulse sent to micturition center in sacral spinal cord to trigger reflex



Reflex causes relaxation of internal urethral sphincter while voluntary relaxation of external sphincter completes urination