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187 Cards in this Set

  • Front
  • Back
How are the nervous and endocrine systems simliar?
they both target organs and cells; they use the same chemicals; utilize negative feedback; regulate body
How are the nervous and endocrine system not simliar?
nervous: uses nerves; faster but duration is shorter endocrine: uses hormones; slower but duration is longer
Glands of the endocrine
Pineal (melatonin: sleeping) Posterior pituitary (ADH: promotes water loss to reduce blood volume and pressure and Oxytocin: labor contractions and milk ejactulation Parathyroid (Parathyroid hormone: increases Ca in blood) Pancreas (Insulin: dec glucose level Glucagon: increase glucose level Somatostatin: produces insulin and glucagon) Hypothalamus (produces regulatory hormones: TRH, CRH, GnRH: releasing hormone; Dopamine: blocks PRL; GHIH: GH inhibiting) Heart (Brain and atrial natriuretic peptide: promotes loss of water and sodium and aborsption of pottasium Thymus (maturation of t-lymphocytes) Testes (androgens: testosterone and inhibin) Thyroid (T3 and T4: regulates growth, devlopment, and nervous system maturation) Anterior pituitary gland (MSH: melanin; FSH: secretion of estrogen and follicle development; LH: secretion of estrogen ACTH: targets cells that produce glucocorticoids; TSH: releases T3 and T4; PRL: production of milk; GH: growth, protein synthesis, lipid motility, catabolism) Kidney (Renin: regulates blood pressure; EPO: new blood cells; Calcitriol: abosrbs phosphate and Ca) Adrenal Medualla (Epin and NorEpin) Cortex (aldosterone, cortisol, androge)
What does CHRIST stand for?
CNS, Hypothalamus (sleep, sex, thirst, hunger), Important gland (pineal), Stimulating hormone (My FLAT PiG POSA), Target organ
Negative feedback?
clotting of blood (platlets); labor contraction (oxytocin)
Hormones transported from the ant by?
hypophyseal
Hormones transported from the post by?
axoplasmic
Hormones related to glucose?
insulin (beta 1) and glucaon (alpha 1)
Hormonse related to Ca?
caltiriol and PTH (para)
Hypothalamus hormones?
releasing hormones
TRH hormone?
releasing
CRH hormone?
releasing
GnRH hormone?
releasing
Dopamine hormone?
blocks PRL
GHIH hormone?
inhibits GH
What is the only output from the hypothalamus that has a neutral input?
Adrenal medulla
Pituiatry gland hormones?
ADH (kidneys; releases water to decreases blood volume and pressure); Oxytocin (_____; labor contractions and ejactulation of milk); MSH (skin;melanin secretion); FSH (ovaries; promotes secretion of estrogen and testosterone and follicle devolpment); LH (ovaries; promotes secretion of estrogen and reduces ovulation); ACTH (___; production of glutocorticoids); TSH (thyroid; releases T3 and T4); PRL (breasts; production of milk); GH (____; growth, protein synthesis, lipid motility, catabolism)
Anterior vs posterios pituitary gland?
Anterior: gland; Posterior: nerve
How are hormones transported from post to hypothalamus?
axoplasmic/synaptic nerves
How are hormones transported from ant to hypothalamus?
hypophyesal/blood stream
Pineal gland hormone?
melatonin
Another name for T3?
triiodothyronine; DRUG: liothyroine/cytomel
Another name for T4?
thryoxine; DRUG: levothyroxine/synthroid
Which is more abundant T3, T4?
T4
Which is more active T3, T4?
T3
How is iodide transported into the thyroid gland?
blood stream (via protein carriers that actively transport ions into cytoplasm which difusses to T3 and T4 cells)
What is the stimulus of the thyroid?
Relase of TSH
How is T3 made in the thyroid gland?
it can circulate back
How is T4 made in the thyroid gland?
it can be turned off by TSH
What are the steps to make T3 and T4?
Iodine is absorbed from diet --> converts to Iodide and tyrosine --> thyroid hormones are made
Thymus hormones?
Thymosins
Adrenal Medulla hormone?
Epin and Norepin
What neurotransmitters trigger the production of Adrenal Medualla hormone?
ACh
What are the adrenal cortex layer?
Zona granerulesa Zona Fascinulata, Zona Reticularis
What major hormones are produced from the three layers of the adrenal cortex?
Aldosterone, Cortisol, Androgen
What hormone from the anterior pituitary triggers the cascade of events in the cortex?
ACTH
What happens when you block 21 hydroxylase and 11 hydroxylase?
21 hydroxylase: too much testosterone and ; 11 hydroxylase: ________
Pancreas endocrine functions?
Insulin takes in glucose into the cell (decrease glucose level in blood) and Glucagon releases glucose into the blood (increase glucose level in blood)
Pancreas exocrine functions?
Secretes sweats (pancreatic fluid)
Ovaries hormones and actions?
Estrogen (female hormones), inhibin, progestin (menstueral cycle)
Teste hormones and actions?
Androgen (turns into estrogen when it enters into the blood); inhibin
Drugs that we went over in class?
Albuterol (dilates airway; beta 2 receptors); salmeterol; epi and primatene mist (opens up airway); terazosin (alpha 1 blocker); leveothryoxin/synthroid (T4); liiodothryoine/cytomel (cardiac toxic; T3; treats hypothyroid ); prednisone (cortisol-treats inflammation; side effects: cushings, weak by suprress of the immune system); Rhogam; Claratin, benadryl, allegar (block histamine, block allergic rection, block swelling)
GH disease?
too much before puberty: gigantism; too little before puberty: dwarfish; too much after puberty: acromegaly
Cushings disease?
too much cortisol, too little ADH
Addisons' disease?
too little cortisol, too much ADH
Thryoid gland disease?
Hypothyroid: too much thyroid hormones, cold, fat; Hyperthyroid: too litte thyroid hormones, hot, skinny
Diabetes?
Mellitus: Type 1 (pancreas broken) Type 2 (cells broken)
Adrenal cortex disease?
Congetinal adreanl hyperplasia (women get hariy and masculine due to deficiency in cortisol and adlosterone and overall production of androgen)
What are the divisions and functions of ANS?
SNS (sympathetic-fight or flight; increases heart rate and respiration; "shoot"; alertness) and PNS (parasympathetic; decreases heartrate increases GI; "hold in urine" stimulates visceral activity)
What organs are affected by each division and how are they affected?
SNS: heart rate goes up and GI goes down; PSN: heart rate goes down and GI goes up
What are the neurotransmitters and the receptorrs associated with each division?
Parasympathetic: ACh (n) Nicotinic and muscarinic (r); Sympathetic: ACh (n) Nicotinic (r);beta, epin, norepin
What is the differnce between the pre and postganglionic fibers of the SNS and PNS of the ANS?
SNS: pre-short, post-long;PNS: pre-long, post-short
What is the adrenal medulla? Part of ANS or SNS?
releases neurotransimitters into the bloodstream (epin and norepin); part of SNS
SNS is also called?
Sensory, Afferent, Dorsal, Thoracolumbar
Effects of SNS on oragns and tissues?
dilates pupil; ups heart rate and respiration; decreases GI; relaxes bladder; increase glucose release from liver
What are pre ganglionic repcetors of SNS and what neurotransimtters affect them?
ACh (n); nicotinic receptors
What are the post ganglionic receptors and what are their functions in the SNS?
Alpha 1 (excites and contracts; blood vessels; (+) Epi (-) -zosin; Alpha 2 (relax and dilate; blood vessels; (+) Epi (-) none; Beta 1 (excites and contracts; heart; (+) Epi- (-) -olol; Beta 2 (relax and dilate; lungs; (+) -olol (-) none; Beta 3 (excite and contract; fat cells; (+)Epi- (-)none
PNS is also called?
Motor; Efferent; ventral; craniosacral
What are the preganglionic receptors and what neurotransmitters affect them in the PNS?
ACh (n); nicotinic receptors
What are the postganglionic receptors and what are functions in PNS?
ACh (n); muscarinic receptors
Eyes affected by SNS and PNS?
SNS: dilates eyes; PNS: constricts
Blood vessels affected by SNS and PNS?
SNS: contracts; PNS: none
Veins affected by SNS and PNS?
SNS: constricts; PNS: none
Heart affected by SNS and PNS?
SNS: increase heart rate, more pressure PNS: decrease heart rate, less pressure
Airways affected by SNS and PNS?
SNS: dilates; PNS: constricts
Sphincters affected by SNS and PNS?
SNS: slower; PNS: faster
Bladder affected by SNS and PNS?
SNS: faster; PNS: slower
Reproductive (male and female) affected by SNS and PNS?
SNS: (m) ejaculation (f) contraction of pregnant (alpha 1); relaxation of non pregnant (beta 2); PNS: (m) erection (f) none
What is the significance of the foremen ovale and fossa ovalis?
Fetal: the foramen ovale connects the two aortas together but at birth it seals off and turns into the fossa ovalis
What is the coronary sinus?
A this wall (flap) that opens the right atrium
What are the layers of the heart?
Endo, Myo, Opicardium
Where is the heart located?
Posterior to the sternum; anterior to the chestwall
What is the pericardium?
lining of the pericardial cavity
What are the chordae tendineae?
connective tissues that is attached to the tricuspid
What is the papillary muscle?
conicle projections from the inner surface of the right ventricle
Where are the chrodaea and tendineae?
located in the right ventricle
Whay are the left and right ventricles so different?
left side pumps back to the body so its bigger and stronger whereas the right side pumps back to the lungs so its not as strong and thinner
What are the chambers of the heart?
Right atrium, right ventricle, left atrium, left ventricle
What valves are found between the chambers?
tricuspid (right) bicuspid (left)
What valves are found between the ventricles and pulmonary trunk/artery?
pulm. Semi lunar valve
What valves are found between the ventricles and aorta?
aortic semi lunar valve
What is a murmur?
when the artery does not close completely all the way
What are the main arteries that supply the heart?
right coronary, left coronary, poster descending, circumflex, left anterior descending
What are the consequences if arteries become narrowed?
reduced blood flow
What are the major vessels that enter and leave the heart?
Enter: vena cava (right); pulm. Vein (left) Exit: pulm. Artery (right); aorta (left)
How are cardiac muscle and skeletal muscle different? Similar?
Cardiac muscle: single nuclei, intercalated discs; Skeletal muscle: multinucleid; Similar: striated; function is to relax and constract
What are pacemaker cells of the heart?
SA nodes
How are the action potentials different from myocardial cells?
Myocardial: Na depolarizes; SA/AV node: Ca depolarize
What is the ECG?
Electrocardiogram
What does ECG detect change in?
atrial depolarization, ventricle depolarization, ventricle repolarization
What does the P-wave in the ECG represent?
atrial depolarization
What does the QRS complex in the ECG present?
ventricle depolarization
What does the T-wave in the ECG represent?
ventricle repolarization
What does the ST segment represent?
lack of O2; heart attack
What does the PR internval represent?
AV nodes function
what is the first heart sound (S1) due to?
AV valves closing
What is the second heart sound (S2) due to?
semilunar valves closing
what is the normal electrical conduction pathway through the heart?
SA node -> AV node -> Bundle of Hiss -> Bundle of branches -> Perjunke fibers
What drugs would affect the SA node and AV node?
Potassium, Calcium, Sodium blockers; -olol; Beta 1 (SNS); Muscarinic (PNS)
What drugs would affect the other muscle fibers and nerves of the heart?
Potassium, Ca, Na blockers; -olol; Epin; digoxin
what happnes during the cardiac cycle?
MAAM COCO: Mitrol closes, Atrial opens, Atrial closes, Mitrol opens
What is the equation for cardiac output?
CO = HR x SV
How will increasing heart rate affect the cardiact ouput?
increases
How will increasing the stroke volume affect the cardiac output?
increases
How does the SNS affect Chronotropic, Dromotropic, and Inotropic?
increases
What is chronotropic?
time keeping
Where is chronotropic found?
SA nodes
What is the dromotropic?
how fast you can send the message
What is the inotropic?
contractvitiy
Where is the inotropic found?
heart
Where is the dromotropic found?
AV node
How does PNS affect the C,D,I?
decreases
What two structures allow blood to bypass the heart during fetal circulation?
Excentric?
outside the heart; PNS and SNS
Fetal circulation to bypass the heart?
foramen ovale
Fetal ciruclation to bypass the lungs?
ductus arterosus
Fetal ciruclation to bypass the liver?
ductus venesus
What is congestive heart failure?
too much fluid that backs up into the heart; not enough overlap
Incentric?
Pacemaker (SA nodes)
Affects the heartrate (cardiac output)?
Chronotropy and dromotropy
Affects the stroke volume (cardiac output)?
Inotropy
Afterload effects?
ESV
Preload effects?
EDV
Afterload goes up?
stroke volume goes down
ESV is?
left over blood in the heart
EDV is?
original amount that is started off in the heart
Diffusion equation
D is proportional to change in pressure x SA x sol / thickness x sq root of molecular weight
Ohm's law?
Q = change in pressure / resistance
Ohm's law function (heart)?
generate pressure to overcome resistance to drive flow
Poiseuille's law?
Q = change in pressure x PI x r^4 / 8nL
What happens to flow (Q) when the radius is doubled (Poiseuille)?
increases 16 x
What happens to the flow (Q) when the radius decreases by half (Poiseuille)?
decreases 1/16x
What happens to flow (Q) when length of the tube increases (Poiseuille)?
flow decreases
What happnens to flow when the length of the tube decreases (Poiseuille)?
flow increases
What happens to flow when the pressure of the blood increases (poiseuille)?
flow increases
What is TPR?
total peripheral resistance
Resistance formula?
R = 8nL/PI x r^4
Cardiac outpout formula?
CO = HR x SV
Stroke volume formula?
SV = EDV - ESV
What happnes to stroke volume when EDV increases?
SV increases
What happnes to stroke volume when ESV increases?
SV decreases
What happens to stroke volume when ESV decreases?
SV increases
What happens to stroke volume when EDV decreases?
SV decreaes
What factors effect EDV and ESV?
preload, afterload, contractility
what is preload?
the amount of blood that is there to begin
what is afterload?
the amount of blood left after blood is pumped out
What is contractility?
the force the heart needs to pump to blood out /during contraction
MAP formula?
Dp+1/3 (Sp-Dp); CO x TPR
what happens to MAP when CO increases?
MAP increases
what happnes to MAP when TPR increases?
MAP increases
What happens to MAP when CO decreases?
MAP decreaes
What happens to MAP when TPR decreases?
MAP decreases
What is MAP if systolic pressure is 120 and diastyolic pressure is 80?
93
What is the most abundant blood cell?
RBC
What are the different WBC?
Neutrophil, Lymphocytes, Monocytes, Eosinophil, Basophils
What are the % of the WBC?
Neutrophil: 60, Lymphocyte: 30, Monocyte: 6, Eosinophil: 3, Basophil: 1
What are platelets?
not real blood cells but important when it comes to clotting blood cells; turns into megakaryocytes
What is hemoglobin?
cytoplasm is filled with it; able to transport oxygen and CO2
What are granulocytes? Which cells?
having distinct granules; Basophil, Eosinophil, Neutrophil
What agranulocytes? Which cells?
no distinct granule; Lymphocyte, Monocytes
What are the functions of blood cells?
transport nutrients, regulate body, defend body
What are surface antigens?
what determines the blood type for the individual
What are agglutinogens?
same as surface antigens
What are antibodies?
cannot accept that type of blood
What happens when two blood types are mixed?
aggultination occurs
What is aggulintation?
clumping of red blood cells
Which blood type is a universal donor?
O type
Which blood type is a universal receiver?
AB type
What is rhogram?
given to the mother when giving birth so the blood (rh) doesn't mix and kills the baby
What is rh system?
if mother is rh- and baby is rh+ then at second birth, mother will have rh+ antibodies which could kill the baby (2nd born)
Which WBC is the most abudnant cell?
neutrophil
What is basophil?
releases histamines; inflammation
What is eosinophil?
allergy, parasites
How long can blood cells live up to?
120 days
Where is the RBC stored?
Spleen
Where is the RBC made?
bone marrow
What is plasma?
fluid
What is chemotaxi?
chemical messengers to call other RBC to come
What are RBC also called?
erythrocytes
What are WBC also called?
leukocytes
What are platlets also called?
thromobcytes
What is most abundant protein in plasma?
Albumin
What is the fxn of neutrophil?
phagocytes
what is the fxn of Lymphocyte?
defense against toxin
what is the fxn of monocyte?
phagocytes (become macrophages)
what is anemia?
low blood preassure/hemoglobin
what is sickle cell anemia?
mutation that affects amino acid sequence