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