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A&P Lecture Exam 3
BSC2086 Prof Momeny TCC
424
Physiology
Undergraduate 2
11/13/2012

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Term
Kidney
Definition
produces urine
Term
Ureter
Definition
transports urine toward the urinary bladder
Term
Urinary bladder
Definition
temporarily stores urine prior to elimination
Term
Urethra
Definition
conducts urine to exterior
in males: transport semen as well
Term
Nephron Includes
Definition
Proximal Convoluted Tubule
Distal convoluted tubles
Renal corpuscle
Loop of Henle (Nephron loop_
Term
Proximal Convoluted Tubule
Definition
reabsorption of water, ions and all organic nutrients
Term
Distal Convoluted Tubule
Definition
secretion of ions, acid, drugs, toxins

variable reabsorption of water, sodium ions, and calcium ions (under hormonal control)
Term
Renal Corpuscle
Definition
production of filtrate
Term
Nephron Loop (Henle)
Definition
further reabsorption of water (descending limb) and both sodium and chloride ions (ascending limb)
Term
Collection System Includes
Definition
Collecting duct

Papillary duct
Term
Collecting Duct
Definition
variable reabsorption of water and reabsorption or secretion of sodium, potassium, hydrogen and bicarbonate ions
Term
Papillary Ducts
Definition
delivery of urine to minor calyx
Term

Kidney Function

4

Definition
filtration Reabsorption Secretion Excretion
Term
Bowman Capsule Volume of Fluid
Definition
180 L/day
Term
Average urine produced per day after end of collecting duct
Definition
1.5 L/day
Term
Glomerular Hydrostatic Pressure
Definition
GHP
blood pressure in the glomerular capillaries. This pressure tends to push water and solute out of the plasma and into the filtrate.
Averages ~50 mm Hg
Term
efferent arteriole is _________ in diameter
Definition
smaller
Term
Blood Colloid Osmotic Pressure
Definition
BCOP
tends to draw water out of the filtrate and into the plasma
opposing filtration
Averages ~ 25 mm Hg
Term
Net Filtration Pressure
Definition
NFP
net pressure acting across the glomerular capillaries
Represents the sum of the hydrostatic pressures and the colloid osmotic pressures
~10 mm Hg
This pressure forces water and dissolved materials out of the glomerular capillaries and into capsular space
Term
Capsular Hydrostatic Pressure
Definition
opposses GHP, CsHP, which tends to push water and solutes OUT of the filtrate and INTO the plasma
Resulting from resistance of filtrate already present in the nephron --> renal pelvis
Term
Capsular Colloid Osmotic Pressure
Definition
usually 0 because few, if any, plasma proteins enter the capsular space
Term
Autoregulation of Filtration
Definition
rate takes place over a wide range of blood pressures
Maintains constant GFR when mean arterial blood pressure is between 80 and 180 mm Hg
Term
GFR Regulation
Definition
Myogenic Response
Tubuloglomerular Feedback
Hormones and autonomic neurons
Term
Myogenic Response
Definition
similar to autoregulation in other systemic arterioles
Term
Tubuloglomerular Feedback
Definition
paracrine control
Term
Hormones and autonomic neurons
Definition
by changing resistance in arterioles
by altering the filtration coefficient
Term
Filtration
Definition
resistance changes in renal arterioles after renal blood flow and GFR
Term
Tuboglomerular Feedback Steps
Definition
GFR increase ->
Flow thr tubule increase ->
flow past macula dena increase ->
Paracrine from macula densa to afferent arteriole ->
Afferent arteriole constricts ->Resistance in afferent arteriole increases ->
Hydrostatic pressure in glomerulus decreases ->
GFR decreases
Term
Reabsorption
Definition
principles governing the tubular reabsorption of solutes and water
Term
Reabsorption Pathways
Definition
Transepithelial

Paracellular
Term
Transepithelial Transport
Definition
substances cross both apical and basolateral membrane
Term
Paracellular Pathway
Definition
substance pass through the junction between the two adjacent cells
Term
Reabsorption Steps
Definition
Na+ is reabsorbed by active transport

Electrochemical gradient drives anion reabsorption

Water moves by osmosis, following solute reabsorption

Concentrations of other solutes increases as fluid volume in lumen decreases. Permeable solutes are reabsorbed by
diffusion
Term
Secretion
Definition
transfer of molecules from extracellular fluid into lumen of nephron
important in homeostatic regulation
increasing secretion enhances nephron excretion
Competitive process
Term
transfer of molecules from extracellular fluid into lumen of nephron
Definition
active process
Term
important in homeostatic regulation
Definition
K+ and H+
Term
Competitive Process
Definition
penicillin and probenecid
Term
Excretion
Definition
=filtration - reabsorption + secretion
Term
Excretion clearance
Definition
rate at which a solute disappears from the body by excretion or by metabolism
Non-invasive way to measure GFR
Insulin and creatinine used to measure GFR
Term
When does saturation occur?
Definition
when transport maximum = renal threshold
Term
renal threshold
Definition
plasma concentration at which saturation occurs
Term
Reabsorption
UREA
Definition
passive Reabsorption
Term
Reabsorption
Plasma Proteins
Definition
transcytosis
Term
Reabsorption
Glucose
Definition
carrier mediated
Term
Transport Maximum and the Renal Threshold
Definition
If nutrient concentrations rise in tubular fluid
Reabsorption rates increase until carrier proteins are saturated
Term
Concentration higher than transport maximum
Definition
Exceeds Reabsorptive abilities of nephron
Some material will remain in the tubular fluid and appear in the urine
Determines renal threshold
Term
_______ propels mucous across epithelial surfaces
Definition
Cilia
Term
Five functions of Respiratory System
Definition
Provides extensive gas exchange surface area between air and circulating blood

Moves air to and from exchange surfaces of lungs

Protects respiratory surfaces from outside environment

Produces sounds
Term
Respiratory is divided into?
Definition
Upper respiratory system

lower respiratory system
Term
Upper respiratory system
Definition
above larynx
Term
Lower respiratory system
Definition
below the larynx
Term
Respiratory tract into 2 portions?
Definition
conducting portion

respiratory portion
Term
Conducting Portion
Definition
from nasal cavity to terminal bronchioles
Term
Conducting Portion Epithelium
Definition
Pseudostratified

Stratified

Cuboidal
Term
Pseudostratified Ciliated Colunar Epithelium
Definition
has numerous mucous cells

Nasal cavity and superior portion of the pharynx

superior portion of the lower respiratory system
Term
Stratified Squamous Epithelium
Definition
inferior portions of the pharynx
Term
Cuboidal Epithelium
Definition
w/ scattered cilia

smaller bronchioles
Term
respiratory portion
Definition
the respiratory bronchioles and alveoli
Term
Alveoli
Definition
air-filled pockets in the lungs

where all gas exchange takes place
Term
Alveolar Epithelium
Definition
very delicate, simple squamous epithelium
contains scattered and specialized cells
lines exchange surfaces of alveoli
Alveoli walls must be very thing (<1um)
surface area must be very great (about 35 times the surface area of the body)
Term
Lamina Propria
Definition
underlying layer of areolar tissue that support the respiratory epithelium

located in the upper respiratory system, trachea, and bronchi
and
Conducting portion of lower respiratory system
Term
Lamina Propria in the upper respiratory system
Definition
contains mucous glands that secrete onto epithelial surface
Term
Lamina Propria in the lower respiratory system
Definition
contains smooth muscle cells that encircle lumen of bronchioles
Term
Respiratory muscosa
Definition
lines the conducting portion of respiratory system

consists of
epithelial layer
areolar layer (lamina propria)
Term
respiratory defense system
Definition
consists of series of filtration mechanisms
removes particles and pathogens
Term
Components of the respiratory defense system
Definition
mucous cells and mucous glands
cilia
filtration in nasal cavity that removes large particles
alveolar macrophages engulf small particles that reach lungs
Term
Mucous cells and mucous glands
Definition
produce mucus that bathes exposed surfaces
Term
Cilia
Definition
sweep debris trapped in mucus toward the pharynx
Term
nose
Definition
air enters the respiratory system through nostrils (external nares**)
into nasal vestibule
Term
Nasal Hairs
Definition
in nasal vestibule

the first particle filtration system
Term
Nasal Septum
Definition
divides nasal cavity into left and right
Term
Superior portion of nasal cavity
Definition
olfactory region

provides sense of smell

mucous secretions from paranasal sinus and tears
clean and moisten the nasal cavity
Term
Hard palate
Definition
forms floor of nasal cavity

separates nasal and oral cavities
Term
Soft Palate
Definition
extends posterior to hard palate

divides superior nasopharynx from lower pharynx
Term
Pharynx 3 Parts
Definition
nasopharynx

oropharynx

laryngopharynx
Term
Pharynx
Definition
chamber shared by digestive and respiratory system

extends from internal nares to entrances to larynx and esophagus
Term
Nasopharynx
Definition
superior portion of pharynx

contains pharyngeal tonsils and opening to left and right auditory tubes
Term
Oropharynx
Definition
middle portion of pharynx

communicates with oral cavity
Term
Laryngopharynx
Definition
interior portion of pharynx
extends from hyoid bone to entrance of larynx and esophagus
Term
Air Flow?
Definition
from vestibule to internal nares

through superior, middle & inferior meatuses
Term
Meatuses
Definition
constricted passageways that produce air turbulence

warm and humidify incoming air

trap particles
Term
Nasal Mucosa
Definition
warms and humidifies inhaled air for arrival at lower respiratory organs

breathing through mouth bypasses this important step
Term
Larynx
Definition
cartilaginous structure that surrounds the glottis

narrow opening
Term
Sound Production
Definition
air passing through glottis

vibrates vocal folds which produces sound waves
Term
Sound is varied by:
Definition
tension on vocal folds

voluntary muscles
Term
Vocal folds involved with sound are known as?
Definition
vocal cords
Term
Vocal folds involved with sound are known as?
Definition
vocal cords
Term
Voluntary Muscles
Definition
position arytenoid cartilage relative to thyroid cartilage
Term
Speech is produced by
Definition
phonation

articulation
Term
Phonation
Definition
sound production at the larynx
Term
Articulation
Definition
modification of sound by other structures
Term
One __________ bronchus forms about _____ terminal bronchioles
Definition
tertiary

6500
Term
Bronchioles
Definition
have NO cartilage

dominated by smooth muscle
Term
Terminal Bronchiole
Definition
delivers air to single pulmonary lobule

branches to form several respiratory bronchioles
Term
Pulmonary Lobule
Definition
supplied by pulmonary arteries and veins
Term
respiratory bronchioles
Definition
where has exchange takes place
Term
respiratory bronchioles are connected to alveoli along _______ ______
Definition
alveolar ducts
Term
Alveolar ducts end @ ________ ______
Definition
alveolar sacs
Term
Alveolar Sacs
Definition
common chambers connected to many individual alveoli
Term
Each alveolus has an extensive ___________ of ___________ which is surrounded by _________ __________
Definition
network
capillaries

elastic fibers
Term
Autonomic Control of Bronchioles
Definition
regulares smooth muscle

controls diameter of bronchioles

controls airflow and resistance in lungs
Term
Bronchodilation
Definition
dilation of bronchial airways
caused by sympathetic ANS activation
reduces resistance
Term
Bronchocontriction
Definition
constricts bronchi
caused by:
Parasym ANS activation
Histamine release
Term
Histamine release caused by?
Definition
allergic reactions
Term
Pneumocytes Type II
Definition
produces surfactant which lines the alveoli and reduces the surface tension by disrupting the forces between liquid molecules in alveoli surfactant causes alveoli to expand easily

septal cells
Term
Lack of surfactant?
Definition
respiratory distress
Term
Pneumocyte Type I
Definition
gas exchange
Term
Asthma
Definition
excessive stimulation and bronchoconstriction

stimulation severely restricts airflow
Term
Alveolar Epithelium
Definition
consists of simple squamous epithelium
contains thin delicate pneumocyte type I
patrolled by alveolar macrophages
Contains pneumocyte type II
Term
Alveolar Macrophages
Definition
dust cells
Term
Surfactant
Definition
oil secretion
contains:
phospholipids & proteins
coats alveolar surfaces and reduces surface tension
Term
respiratory distress syndrome
Definition
difficult respiratory
due to alveolar collapse
caused by pneumocyte type II, that do not produce enough surfactant
Term
respiratory membrane
Definition
thin membrane of alveoli where gas exchange takes place
Term
3 Layers of respiratory membrane
Definition
squamous epithelial cells lining alveolus

endothelial cells lining adjacent capillary

fused basement membrane between alveolar and endothelial cells
Term
Diffusion across respiratory membrane is very rapid
Definition
because distance is short

O2 and CO2 are lipid soluble
Term
Inflammation of Lobules
Definition
aka pneumonia

causes fluid to leak into alveoli

compromises function of respiratory membrane
Term
External respiratory
Definition
breathing + gas diffusion across respiratory membrane

exchange of gas between blood and alveoli (environment)
Term
Internal respiratory
Definition
exchange of gas between blood and individual cells
Term
Boyles Law
Definition
Increase Volume = Pressure Decreases
Term
Pulmonary Ventilation
Definition
physical movement of air in and out of the respiratory tract

provides alveolar ventilation

causes volume changes that create changes in pressure

volume of thoracic cavity changes
Term
Atmospheric Pressure
Definition
weight of air

several important physiological effects
Term
Air flows from area of _________ pressure to area of _______ pressure
Definition
higher

lower
Term
inspiration
Definition
inhalation
Term
Expiration
Definition
exhalation
Term
Compliance
Definition
indicator of expandability
Term
_____ compliance requires _______ force
Definition
Low

greater
Term
______ compliance requires _______ force
Definition
High

Less
Term
Factors that affect compliance
Definition
Connective tissues structure of lungs
level of surfactant production
mobility of thoracic cage
Term
Normal atmospheric pressure
Definition
1 atm = 760 mm Hg
Term
Intrapulmonary Pressure
Definition
relative to atmospheric pressure
Term
Intrapleural Pressure
Definition
pressure between parietal and visceral pleura

averages -4mm Hg and max of -18 mm Hg
Term
Pneumothorax
Definition
allows air into pleural cavity
Term
Atelectasis
Definition
collapsed lung

result of pneumothorax
Term
respiratory cycle
Definition
cyclical changes in intrapleural pressure operate the respiratory pump

airs in venous return to heart
Term
Tidal Volume
Definition
amount of air moved in and out of lungs in a single respiratory cycle
Term
Inhalation
Definition
always active
Term
Exhalation
Definition
active or passive
Term
Diaphragm
Definition
contraction draws air into lungs

75% of normal air movement
Term
External intercostal muscles
Definition
assist inhalation

25% of normal air movement
Term
_______ _________ assist in elevating rubs we use them during a or respiratory distress
Definition
accessory muscles
Term
Muscles used in exhalation
Definition
internal inter coastal and tranversus thoracis muscles
abdominal muscles
Term
Abdominal Muscles Exhalation
Definition
compress the abdomen which forces diaphragm upward
Term
Inhalation
V &P
Definition
Increase volume = Decrease pressure
Term
Exhalation
V & P
Definition
decrease in volume = increase in pressure
Term
Quiet Breathing
Definition
eupnea

involves active inhalation and passive exhalation

Inhalation 2 secs
Exhalation 3 secs
Term
Elastic Rebound
Definition
causes passive exhalation

when inhalation muscles relax

elastic components of muscles and lungs recoil

Returning lungs and alveoli to original position
Term
Diaphragmatic Break
Definition
deep breathing

dominated by diaphragm
Term
Costal Breathing
Definition
shallow breathing

dominated by rib cage movements
Term
Forced breathing
Definition
hyperpnea

involves active inhalation and exhalation

assisted by accessory muscles

maximum levels occur in exhaustion
Term
Volume of air remaining conducting passages is anatomic ____ _______
Definition
dead space
Term
Functional Residual Capacity
Definition
FRC
expiratory reserve volume + residual volume
Term
Vital Capacity
Definition
expiratory reserve volume + tidal volume + inspiratory reserve volume
Term
Total Lung Capacity
Definition
vital capacity + residual volume
Term
Pulmonary Function Tests
Definition
measures rates and volumes of air movements
Term
Tidal Volume
Definition
volume inspired or expired with each normal breath
Term
Inspiratory Reserve Voume
Definition
volume that can be inspired over tidal volume
Term
Expiratory Reserve Volume
Definition
ERV
volume of air that can be expired after normal expiration (after tidal volume)
Term
Residual Volume
Definition
RV
volume of air which remains in lungs after maximal expiration
Term
Minute Ventilation
Definition
tidal volume x respiratory rate (minute)
Term
Anatomic Dead Space
Definition
volume of conducting airways (150 mL) and is not exchanged
Term
Physiologic Dead Space
Definition
volume of lung that does not participate in gas exchange
in normal lung is equal to anatomic dead space
in abnormal conditions can increase due to ventilation=perfusion defect
Term
________ occurs in response to concentration gradients
Definition
diffusion
Term
Rate of diffusion depends on ______ ________
Definition
physical principles
aka gas laws
Term
Composition of Air
Definition
Nitrogen (N2) = 78.6%
Oxygen = 20.9%
Water vapor= 0.5%
Carbon dioxide= 0.04%
Term
Dalton Law and Partial Pressures
Definition
atmospheric pressure produced by air molecules bumping into each other
each gas contributes to total pressure
in proportion to its number of molecules (dalton law)
partial pressure*
Term
Partial Pressure
Definition
the pressure contributed by each gas in the atmosphere

all partial pressure together add up to 760 mm Hg
Term
Solubility of Body Fluids
Definition
CO2 is VERY soluble

O2 is less soluble

N2 is LOW solubility
Term
Partial Pressures in pulmonary vein plasma
Definition
CO2= 40 mm Hg

O2= 100 mm Hg

N2= 573 mm Hg
Term
Blood arriving in pulmonary arteries has ?
Definition
low Po2

high Pco2
Term
Concentration Gradient Causes
Definition
O2 to enter blood

Co2 to leave blood
Term
________ exchange allows blood and ________ air to reach __________
Definition
rapid

alveolar

equilibrium
Term
Henry's law
Definition
when gas under pressure comes in contact with a liquid, gas dissolves in liquid until equilibrium is reached
Term
Partial Pressures in the Systemic Circuit
Definition
oxygenated blood mixes with deoxygenated blood from conducting passageways
lowers the Po2 of blood entering systemic circuit (drops to 95 mm Hg)
Term
Partial Pressures in the Systemic Circuit
Interstitial Fluid
Definition
Po2 = 40 mm Hg

Pco2= 45 mm Hg
Term
Concentration gradient in peripheral capillaries is opposite of lungs
Definition
CO2 diffuses into blood

O2 diffuses out of blood
Term
Gas pickup and delivery
Definition
blood "plasma" cannot transport enough O2 or CO2 to meet physiological needs
Term
Red Blood Cells
Definition
Transport O2 to and CO2 from peripheral tissues

Remove O2 and CO2 from plasma allowing gases to diffuse into blood
Term
___ binds to ____ ions in hemoglobin molecules
Definition
O2

iron
Term
O2 binds to iron ions in hemoglobin molecules
Definition
in a reversible reaction

new molecules is called oxyhemoglobin (HbO2)
Term
Each RBC has about ____ million Hb molecule
Definition
280

each binds four oxygen molecules
Term
Hemoglobin Saturation
Definition
percentage of heme units in a hemoglobin molecule that contain bound oxygen
Term
Environmental Factors affecting hemoglobin
Definition
Po2 of blood

Blood pH

Temperature

Metabolic activity within RBC
Term
Po2 60 mm Hg
Definition
~90 saturation of Hb

fetal hemoglobin is 95% saturated
Term
Fetal hemoglobin
Definition
has high affinity to bind with O2
cause fetal red blood cells steal oxygen from mothers red blood cells
Term
When the ___ drops below normal levels, _____ ________ is released
Definition
pH

more oxygen
Term
Effects of temperature
Definition
when temperature rises, more oxygen is released

Oxy-Hemoglobin saturation curve shifts to the right
Term
Effect of pH
Definition
curve shifts to the left
Term
Oxygen Hemoglobin Saturation Curve
Definition
graph relating the saturation of hemoglobin to partial pressure of oxygen

higher Po2 results in greater Hb saturation

curve rather than a straight because Hb changes shape each time a molecule of O2 is bound

each O2 bound makes next O2 binding easier
allows Hb to bind O2 when O2 levels are low
Term
Standardization for normal blood
Definition
pH 7.4

37* C
Term
When pH drops or temp rises?
Definition
more oxygen is released

curve shifts to the right
Term
When pH rises or temp drops?
Definition
Less oxygen is released

curve shifts to the left
Term
Carbon Monoxide
Definition
CO from burning fuels

occupy the place of O2

can result in poisoning
Term
Bohr Effect
Definition
result of pH on hemoglobin-saturation curve
caused by CO2

CO2 diffues into RBC
An enzyme catalyzes reaction with H2O
Produces carbonic acid (H2CO3)
Dissociated into the Hydrogen ion and bicarbonate ion
Hydrogen ions diffuce out of RBC thus lowering pH
Term
When enzyme in Bohr effect catalyzes reaction with H2O
Definition
carbonic anhydrase
Term
Temperature Increases?
Definition
hemoglobin releases more oxygen
Term
Temperature Decreases
Definition
hemoglobin holds oxygen more tightly
Term
Temperature effects are significant only in _____ tissues that are generating ______ amounts of heat
Definition
active

large

ex. skeletal muscles
Term
2,3- bisphosphoglycerate
Definition
(BPG)
RBC generate ATP by glycolysis
forming lactic acid and BPG

BPG directly affects O2 binding and release
More BPG, more oxygen released
Term
RBC generate ATP by ________
Definition
glycolysis
Term
BPG Levels Rise
Definition
when pH increases

when stimulated by certain hormones
Term
BPG levels are too low
Definition
hemoglobin will not release oxygen
Term
Fetal Hemoglobin
Definition
structure differens from adult Hb

at same Po2
Fetal Hb binds more O2 than adult Hb
Allows fetus to take O2 from maternal blood
Term
Carbon Dioxide Transport
Definition
generated as a by-produce of aerobic metabolism (cellular respiration)
Term
CO2 in the bloodstream can be carried 3 ways?
Definition
Converted to carbonic acid

Bound to hemoglobin

Dissolve in plasma
Term
Converted to carbonic acid
Definition
70% transported as carbonic acid

dissociates into H+ and bicarbonate

Hydrogen ions bind to hemoglobin

Bicarbonate ions
move into plasma by an exchange mechanism that takesin Cl- ions with using ATP
Term
What mechanism moves biocarbonate into plasma?
Definition
chloride shift
Term
Bound to hemoglobin with RBC
Definition
23% is bound to amino groups of globular proteins in Hb molecule

forming carbaminohemoglobin
Term
Dissolved in plasma
Definition
7% is transported as CO2 dissolved in plasma
Term
CO2 transport in blood
Definition
Co2 diffuses into the bloodstream

7% remains dissolve in plasma
Term
Peripheral and Alveolar Capillaries
Control of Respiration
Maintain balance during gas diffusion
Definition
changes in blood flow and oxygen delivery

changes in depth and rate of respiration
Term
Local Regulation of Gas transport and Alveolar Function
Definition
rising Pco2 levels
coordination of lung perfusion and alveolar ventilation
Pco2 levels
Term
Local Regulation of Gas transport and Alveolar Function
Rising Pco2 Levels
Definition
relax smooth muscle in arterioles and capillaries

increased blood flow
Term
Local Regulation of Gas transport and Alveolar Function
coordination of lung perfusion and alveolar ventilation
Definition
shifting blood flow
Term
Local Regulation of Gas transport and Alveolar Function
Pco2 Levels
Definition
control brconhocontriction and bronchodilation
Term
Oxygen Demand Rises?
Definition
cardiac output and respiratory rate increase under neural control
have both voluntary and involuntary components
Term
Voluntary Centers in the cerebral cortex affect
Definition
respiratory centers of pons and medullar oblongata

motor neurons that control respiratory muscles
Term
Respiratory Centers
Definition
3 pairs of nuclei in the reticular formation of medulla oblongata and pons

Regulate respiratory muscles

In response to sensory information via respiratory reflexes
Term
Respiratory Center of The Medulla Oblongata
Definition
set the pace of respiration
can be divided into two groups
Term
Respiratory Center of Medulla Oblongata
can be divided into two groups
Definition
Dorsal Respiratory Group (DRG)

Vental Respiratory Group (VRG)
Term
Dorsal Respiratory Group (DRG)
Definition
inspiratory center

functions in quiet and forced breathing
Term
Vental Respiratory Group (VRG)
Definition
inspiratory and expiratory center

functions only in forced breathing
Term
Control of Quiet Breathing
Definition
Brief activity in the DRG
Stimulates inspiratory muscles

DRG neurons become inactive
allowing passive exhalation
Term
Control of forced breathing
Definition
increased activity in DRG
stimulated VRG
which activates accessory inspiration muscles
Term
Control of forced breathing after inhalation
Definition
expiratory center neurons stimulated active exhalation
Term
Apneustic and Pneumotaxic Center of the Pons
Definition
paired nuclei that adjust output of respiratory rhythmicity center

regulating respiratory rate an depth of respiration
Term
Apneustic
Definition
provides continuous stimulation to its DRG center
Term
Pneumotaxic
Definition
inhibit the apneustic center

promote passive or active exhalation
Term
Interactions between VRG and DRG
Definition
establish pace and depth of respiration
Term
Pneumotaxic center
Definition
modifies the pace
Term
Sudden Infant Death Syndrome
Definition
SIDS
disrupts normal respiratory reflex pattern

may result from connection problems between pacemaker complex and respiratory centers
Term
Respiratory Reflexes
Definition
Chemoreceptors
Baroreceptors
Stretch
Irritation Receptors
Term
Chemoreceptors
Definition
sensitive to Pco2, Po2 or pH of blood or CSF

strongly influenced by input from:
Glossopharyngeal Nerve (CN IX)
Vagus Nerve
Central chemoreceptors
Term
Baroreceptors
Definition
in aortic or carotid sinuses are sensitive to changes in blood pressure

when blood pressure falls: respiration increases

blood pressure increases:respiration decreases
Term
Stretch Receptors
Definition
respond to changes in lung volume
Term
Glossopharyngeal Nerve
Definition
from carotid bodies
stimulated by changes in blood pH or Po2
Term
Vagus Nerve
Definition
from aortic bodies
stimulated by changes in blood pH of P02
Term
Central Chemoreceptors
Definition
monitor CSF

are on ventrolateral surfaces of medulla oblongata

respond to Pco2 and pH of CSF
Term
Chemoreceptor Stimulation
Definition
leads to increased depth and rate of respiration

is subject to adaptation

decreased sensitivity due to chronic stimulation
Term
Rise in Pco2 __________ chemorecptors that _________ breathing
Definition
stimulates

accelerate
Term
A ________ in arterial Pco2 _______ these chemoreceptors
Definition
drop

inhibits
Term
Apnea
Definition
period of suspended respiration

normally followed by explosive exhalation to clear airways

sneezing and coughing
Term
Laryngeal Spasm
Definition
temporarily closes airways (by laryngeal muscle contraction)
to prevent foreign substances from entering
Term
Hypercapnia
Definition
increase in arterial Pco2
stimulates chemoreceptors in medulla oblongata

to restore homeostasis
Term
________________ is a common cause of hypercapnia
Definition
hypoventilation
Term
Hyperventilation
Definition
excessive ventilation

results in abnormally low Pco2 (hypocapnia)

stimulates chemoreceptors to decrease respiratory rate
Term
Hypoxia
Definition
low tissue oxygen level
Term
Anoxia
Definition
complete lack of oxygen
Term
What volume of filtrate is actually excreted to urine?
Definition
1%
Term
Excretion
Definition
removal of organic wastes from body fluids
Term
Elimination
Definition
discharge of waste produces
Term
Homeostatic Regulation
Definition
of blood plasma volume and solute concentration
Term
Homeostatic Function of Urinary System
Definition
regulates blood volume and blood pressure

regulates plasma ion concentrations

helps stabilize blood pH

conserves valuable nutrients

assists liver
Term
Regulated blood volume and blood pressure
Definition
by adjusting volume of water lost in urine

releasing erythorpoietin and renin
Term
Regulates plasma ion concentrations
Definition
sodium, potassium, and chloride ions (by controlling quantities lost in urine)
Calcium ion levels (through synthesis of calcitriol
Term
Helps stabilize blood pH
Definition
by controlling loss of hydrogen ions and bicarbonate ions in urine
Term
Conserves valuable nutrients
Definition
by preventing excretion while excreting organic waste products
Term
Assists liver
Definition
in detoxifing poisons
Term
Blood supply to the kidney
Definition
Receive 20-25% of total cardiac output

1200mL blood flows through kidney each minute
Term
Blood supply to the kidney
Pathway
Definition
renal artery -> Segmental Arteries ->interlobar arteries -> arcuate arteries ->afferent arterioles -> glomerulus -> efferent arterioles -> peritubular capillaries
Term
Afferent Arterioles
Definition
deliver blood to capillaries supplying individual nephrons
Term
Glomerulus
Definition
consists of 50 intertwining capillaries which receive blood via afferent arterioles
Term
Blood leaves in the ________ __________
Definition
efferent arteriole
Term
Blood leaves in the ________ __________ and then flows into ________ _________
Definition
efferent arterioles

peritubular capillaries
Term
Blood leaves in the efferent arterioles and then flows into peritubular capillaries, then:
Definition
drain into small venules

and return to venous system
Term
Renal Nerves
Definition
innervate kidneys and ureters

follow tributaries of renal arteries to individual nephrons
Term
Sympathetic Innervation
Definition
adjusts rate of urine formation

stimulates release of renin
Term
Sympathetic Innervation
Adjusts the rate of urine formation
Definition
by changing blood flow and blood pressure at nephron
Term
Sympathetic Innervation

stimulates release of renin
Definition
which restricts losses of water and salt in urine

by stimulating reabsorption at nephron
Term
Nephron
Definition
microscopic, tubular function structures of each renal lobe
where urine production beings
consists of renal corpuscle and renal tubule
Term
Renal Corpuscle
Definition
spherical structure consisting of
glomerular (Bowman) capsule
capillary network
Term
Filtration occurs?
Definition
renal corpuscle

also blood pressure
Term
Blood pressure
Definition
forces water and dissolves solutes out of glomerular capillaries into capsular space

produces protein-free solution (filtrate) similar to blood plasma
Term
Renal Tubule
Definition
long tubular passageway

begins at renal corpuscle
Term
3 Functions of Renal Tubules
Definition
Reabsorb useful organic nutrients that enter filtrate

Reabsorb more than 90% of water in filtrate

Secrete waste product that failed to enter renal corpuscle through filtration at glomerulus
Term
Segments of Renal Tubule
Definition
Located in Cortex:
Proximal CT
Distal CT

Separated by nephron loop
Term
Loop of Henle
Definition
U shaped tube which extends into medulla
Term
Organization of Nephron
Definition
traveling along tubule, filtrate (tubular fluid) gradually changes composition

changes vary with activities in each segment of nephron
Term
Each nephron. Empties....
Definition
into the collecting system

a series of tubes that carrie tubular fluid away from nephron
Term
Collecting Ducts
Definition
receive fluid from many nephrons

each collecting duct beings in cortex
descends into medulla
carries fluid to papillary duct that drains into minor calyx
Term
Glomerular Capsule
Definition
outer wall is line by simple squamous capsular epithelium
Term
Filtration Slits
Definition
narrow gaps between adjacent Bowman's capsule epithelial cells
materials passing out of blood at glomerulus
must be small enough to pass between filtration slits
Term
Glomerular Capillaries
Definition
are fenestrated capillaries
endothelium contains large-diameter pores
Term
Control of Glomerular Blood Flow
Definition
special supporting cells

between adjacent capillaries

control diameter and rate of capillary blood flow
Term
special supporting cells
also called
Definition
mesangial cells
Term
Filtration
Definition
Blood pressure
forces water and small solutes across membranes into capsular space
Large solutes, such as plasma protein can't be filtered
Term
Filtration at Renal Corpuscle
Definition
pass
solutes enter capsular space

Metabolic wastes and excess ions
Glucose, free fatty acids, amino acids and vitamins
Term
Reabsorption
Definition
useful materials are recaptured before filtrate leaves kidneys
Term
Where does reabsorption occur?
Definition
proximal CT
Term
Tubular Cells
Definition
absorb organix nutrients, ions, water, and plasma proteins from tubular fluid

Release them into peritubular fluid
Term
Peritubular Fluid
Definition
interstitial fluid around renal tubule
Term
Goal of Urine Production?
Definition
maintain homeostasis

regulating volume and composition of blood
Term
Three Waste Products?
Definition
Urea
Creatinine
Uric Acid
Term
Kidney produce?
Definition
concentrated urine

1200-1400 mOsm/L
Term
Kidney Functions
Definition
concentration filtrate by glomerular filtration
failure leads to fatal dehydration

absorbs and retains valuable materials for use by other tissues
(sugars and amino acids)
Term
Basic Process of Urine Formation
Definition
Filtration

Reabsorption

Secretion
Term
Where does filtration occur?
Definition
across capillary walls

as water and dissolved materials are pushed into interstitial fluids
Term
Carrier-Mediated Transport
Types
Definition
Facilitated diffusion
active transport
cotransport
countertransport
Term
Characteristics of Carrier-Mediated Transport
Definition
specific substrate binds to carrier protein that facilitates movement across membrane
given carrier protein usually works in one direction only
distribution of carrier proteins varies among portions of cell surface
membrane of single tubular cell contains many types of carrier proteins
Carrier proteins, like enzymes, can be saturated
Term
If nutrient concentration rise in tubular fluid?
Definition
reabsorption rates increase until carrier proteins are saturated
Term
Concentration higher than transport maximum
Definition
exceeds re absorptive abilities of nephron
Term
Renal Threshold
Definition
when specific compound begins to appear in urine
Term
Renal Threshold for glucose?
Definition
180 mg/dL
Term
When glucose appears in urine?
Definition
glycosuria
Term
Aminoaciduria
Definition
threshold for amino acids lower than glucose (65 mg/dL)
they show up in urine
after protein rich meal
Term
Body fluid osmotic concentration?
Definition
300 mOsm/L
Term
Unit for ion concentration
Definition
mEq/L

milliequivalents per liter
Term
Cortical Nephrons
Definition
85% of all nephrons

located within superficial cortex of kidney

nephron loop
Term
Juxtamedullary Nephron
Definition
15% of nephrons

nephron loops extend deep into medulla and as deep section of medullar has high Oncotic pressure
Term
Oncotic pressure
Definition
causes reabsorption of more water
Term
Glomerular Capillaries
Definition
have pores 60-100 nm diameter
prevent passage of blood cells
allow diffusion of solutes (including plasma proteins)
Term
Dense layer
Definition
more selective

allows diffusion of only: small plasma proteins, nutrients and ion
Term
Glomeruli generates _______ liter of _______ per day
Definition
180
filtrate
Term
How much is reabsorbed in rental tubules?
Definition
99%
Term
Net hydrostatic pressure
Definition
difference between hydrostatic and capsular pressure
Term
Glomerular Hydrostatic Pressure
Definition
push water and solute molecules

out of plasma and into filtrate
Term
Capsular Hydrostatic Pressure
Definition
opposed glomerular hydrostatic pressure

pushes water and solutes

out of filtrate and into plasma

result from resistance to flow along nephron and conducting system

averages about 15 mm Hg
Term
Colloid Osmotic Pressure
Definition
osmotic pressure resulting from presence of suspended proteins
Term
Blood Colloid Osmotic Pressure
Definition
tends to draw water out of filtrate and into plasma

opposes filtration

averages 25 mm Hg
Term
Glomerular Filtration Rate
Definition
amount of filtrate kidneys produce each minute

avg 125 mL/min

~10% delivered to kidneys
leaves bloodstream
enters capsular spaces
Term
Juxtaglomerular Complex
Definition
endocrine structure that secretes

hormone erythropoietin
Enzyme renin
Term
Juxtaglomerular Complex formed by
Definition
Macula dena

Juxtaglomerular Cells
Term
Macula Densa
Definition
epithelial cells of DCT, near renal corpuscle
tall cells with densly clustered nuclei
Term
Juxtaglomerular Cells
Definition
smooth muscle fibers in wall of afferent arteriole
Term
3 Controls of GFR
Definition
Autoregulation (local)

Hormonal Regulation (initiated by kidneys)

Autonomic Regulation (by sympathetic ANS)
Term
Autoregulation of GFR
Definition
maintains GFR despite changes in local blood pressure and blood flow

reduced blood flow or glomerula blood pressure triggers
dilation of afferent arteriole and constriction of efferent arterioles

Rise in renal blood pressure
constricts afferent arterioles and constriction of efferent arterioles
Term
Autoregulation Dilation?
Definition
afferent arteriole
Term
Autoregulation Constriction?
Definition
efferent arterioles
Term
Hormonal Regulation of GFR
Definition
by hormones of renin-angiotensin system
natriuretic peptides (ANP and BNP)
Term
3 Stimuli Cause Juxtaglomerular Complex (JGC)
Definition
decline in blood pressure at glomerulus due to decrease in blood volume, fall in systemic pressures, or blockage in renal artery or tributaries

stimulation of juxtaglomerular cells by sympathetic innervation

Decline in osmotic concentration of tubular fluid at macula densa
Term
Angiotensin II Activation constricts _________ arterioles of nephron
Definition
efferent
Term
Constriction of efferent arterioles of nephron causes
Definition
elevating glomerular pressurs and filtration rates
Term
Angiotensin II Activation
Definition
Stimulates secretion of aldosterone by adrenal cortex which causes stimulates reabsorption of sodium ions and water at PCT

stimulates thirst

triggers ADH

Increase sympathetic motor tone

causes brief, powerful vasoconstriction
Term
Angiotensin II Activation Triggers release of ADH
Definition
stimulates reabsorption of water in distal portion of DCT and collecting system
Term
Angiotensin II Activation
increases sympathetic motor tone
Definition
mobilzing the venous reserve

increasing cardiac output

stimulating peripheral vasoconstriction
Term
Angiotensin II Activation
Cause brief, powerful vasoconstriction
Definition
of arterioles and precapillary sphincter which increase arterial pressures throughout the body
Term
Angiotensin
Definition
powerful vasoconstrictor increases blood pressures throughout the body
Term
Aldosterone
Definition
accelerates sodium reabsorption in DCT and cortical portoin of collecting system
Term
Angiotensin thus ==>
Definition
increases blood flow to kidney -> increases GFR
Term
Hormonal Regulation of GFR
Definition
increased blood volume

automatically increase GFR
to promote fluid loss

hormonal factos further increase GFR
accelerating fluid loss in urine
Term
Natiuretic Peptides
Definition
released by heart in response to stretching walldue to increased blood volume or pressure

trigger dilation of afferent arterioles and constriction of efferent arterioles

elevate glomerular pressures and increase GFR

Atrial Natiuretic peptide

brain Natiuretic peptide
Term
Autonomic Regulation of GFR
Definition
consist of sympathetic postganglionic fibers

sympathetic activation
Term
Sympathtetic Activation of Autonomic Regulation of GFR
Definition
constricts afferent arterioles

decreases GFR

slows filtrate production
Term
Reabsorption
Definition
recovers useful materials from filtrate
Term
Secretion
Definition
ejects waste products, toxins, and other undesirable solutes
Term
Where does reabsorption and secretion occur?
Definition
every segment except renal corpuscle
Term
Reabsorption & Secretion at PCT
Definition
PCT cell reabsorb 60-70% of filtrate produced in renal corpuscle

reabsorbed materials enter peritubular fluid
diffused into peritubular capillaries
Term
Ion enter tubular cells
Definition
diffusion through leak channels

sodium-linked cotransport of organic solutes

countertransport for hydrogen ions
Term
Reabsorption & Secretion at Loop
Definition
nephron loop reabsorbs about 1/2 water and 2/3 sodium and chloride ions remaining in tubular fluid
(by way of countercurrent exchange)
Term
Fluid in descending limb flows?
Definition
toward renal pelvis
Term
Fluid in ascending limb flows
Definition
toward cortex
Term
Multiplication
Definition
refers to effect of exchange

increases as movement of fluid continues
Term
benefits of countercurrent multiplication
Definition
Efficiently reabsorbs solutes and water

establishes concentration gradient
Term
Thin descending limb
Definition
IS permeable to water

impermeable to solutes
Term
Thick Ascending limb
Definition
IMPERMEABLE to water and solutes

2/3 of Na+ and Cl- are pumped out of tubular fluid into peritubular fluid of medulla before reach DCT
Term
Potassium Ions
Definition
pumped into peritubular fluid by cotransport carries

removed from peritubular fluid by sodium-potassium exchange pump

diffuse back into lumen of tubule through potassium leak channels
Term
Sodium and Chloride Ions
Definition
removed from tubular fluid in ascending limb

elevate osmotic concentration of peritubular fluid around thin descending limb
Term
Maximum solute concentration of peritubular fluid near turn of nephron loop
Definition
1200 mOsm/L
Term
2/3 from Na+ and Cl-
Definition
pumped out of ascending limb
Term
How much fluid is in the tubular fluid
Definition
450 mOsm/L
Term
Function of the Vasa Recta
Definition
carries water and solutes out of medulla
balances soluet reabsorption and osmosis in medulla
Term
Distal CT
Definition
3rd segment of renal tubule
initial portion passes between afferent and efferent arterioles
has a smaller diameter than PCT
Term
3 Processes at the DCT
Definition
active secretion of ions, acids, drugs, and toxins

selective reabsorption of sodium and calcium ions from tubular fluids**

selective reabsorption of water
concentrates tubular fluid
Term
Tubular Fluid at DCT
Definition
100 mOsm/L
1/3 concentration of peritubular fluid of renal cortex
Term
Secretion at DCT
Definition
rate of K+ and H+ secretion rises or falls

tubular cells at their apical surface exchange Na+ in tubular fluid

Excess K+ in body fluids
Term
Aldosterone
Definition
hormone produced by the adrenal cortex
controls ion pump and channels

stimulates synthesis and incorporation of Na+ pumps and channels

reduces Na+ lost in urine
Term
Hypokalemia
Definition
(low potassium level) can be dangerous

produced by prolonged aldosterone stimulation
Term
Natriuretic Peptides (ANP and BNP)
Oppose secretion of aldosterone

its action on DCT and collecting system
Definition
Term
Parathyroid Hormone and Calcitriol
Definition
increase and decrease calcium ion reabsorption at the DCT respectively
Term
Hydrogen Ion Secretion
Definition
generated by dissociation of carbonic acid by enzyme carbonic anhydrase
secretion is associated with reabsorption of sodium
Term
Hydrogen Ion secretion accelerates when _______ pH falls
Definition
blood
Term
Acidosis
Definition
acidifies tubular fluid and elevates blood pH
Term
Lactic Acidosis
Definition
develops after exhaustive muscle activity
Term
Ketoacidosis
Definition
develops in stravation or diabetes mellitus
Term
Alkalosis
Definition
abnormally high blood pH

can be caused by prolonged aldosterone stimulation

this stimulates secretion
Term
Individual nephron (DCT) drain into a nearby ___________ _____
Definition
collecting duct
Term
Several collecting ducts converge into a larger __________ _____
Definition
papillary duct
Term
papillary duct empties into?
Definition
minor calyx
Term
Regulating water and solute loss in the ___________ ________
Definition
collecting system
Term
collecting system
by aldosterone
Definition
controls sodium ion pumps

actions are opposed by natriuretic peptides
Term
collecting system
by ADH
Definition
controls permeability to water
is suppressed by natriuretic peptides
Term
Reabsorption in the collecting system
Definition
sodium ion reabsorption

bicarbonate reabsorption

urea reabsorption
Term
Secretion in the collecting system
Definition
of hydrogen or bicarbonate ions

controls body fluid pH
Term
High pH in peritubular fluid
Definition
collecting system

secretes bicarbonate ion
pumps H+ into peritubular fluid
Term
water reabsorption
Definition
occurs when osmotic concentration of peritubular fluid exceeds that of tubular fluid

1-2% of water in original filtrate is recovered

during sodium ion reabsorption

in distal convoluted tubule and collecting system
Term
Obligatory Water Reabsorption
Definition
85% of filtrate reabsorption which can't be prevented
Term
Facultative Water Reabsorption
Definition
controls volume of water reabsorbed along DCT and collecting system

15% of filtrate volume (27 liter/day)

segments are relatively impermeable to water except in presence of ADH
Term
ADH
Definition
hormone insert special water channel (aquaporins) in apical cell membranes

increase rate of osmotic water movement

higher levels of ADH increase
Term
High levels of ADH increase
Definition
number of water channel

water permeability of DCT and collecting system
Term
Hypothalamus
Definition
continually secretes low levels of ADH

At normal ADH levels
Term
continually secretes low levels of ADH
Definition
DCT and collecting system are always permeable to water
Term
At normal ADH levels
Definition
collecting system reabsorbs 16.8 liters/day (9.3% of filtrate)
Term
without ADH
Definition
water is not reabsorbed at collecting duct

all fluid reaching DCT is lost in urine
Term
Tubular Fluid Arriving at DCT?
Definition
100 mOsm/L
Term
Presence of ADH
Definition
300 mOsm/L
Term
In minor calyx
Definition
1200 mOsm/L
Term
Urine production adult?
Definition
1200-1800 mL per day (0.6% of filtrate)

osmotic concentration of 800-1000 mOsm/L
Term
Diuretic
Definition
are drugs that promote water loss in urine
Term
Diuretic Therapy reduced
Definition
blood volume

blood pressure

extracellular fluid volume
Term
Urinalysis
Definition
analysis of a urine sample

an important diagnostic tool
Term
_____ needed for completion of electron of ________ ________ ________
Definition
02

electron transport chain
Term
Conductive
Definition
not involved in gas exchange
Term
Respiratory
Definition
gas exchange
Term
epithelial cells
Definition
provide passage way for air
Term
Function of respiratory system
Definition
supply the O2 for body and dispose Co2
Term
Function of Urinary System
Definition
water
electrolytes
disposes waste products (urea)
Term
Two portion of Kidney
Definition
cortex

medulla
Term
Where is Bowman capsule located?
Definition
cortex
Term
efferent?
Definition
exit
Term
What is an important factor that affects pressure rate?
Definition
GHP
Term
Ascending Loop
Definition
reabsorption of Na+ into vasa recta
Term
______ shows you filtration GFR rate
Definition
insulin
Term
Females have no ________ _________
Definition
internal sphincter
Term
Aldosterone located?
Definition
distal CT
Term
Aldosterone affects?
Definition
increase reabsorption of Na+ and water
Term
ADH located?
Definition
collecting duct
Term
ADH affects?
Definition
increase reabsorption of water
Term
What increases release of aldosterone?
Definition
low blood pressure
Term
Renin releases ______________
Definition
angiotensin
Term
Strongest vasoconstrictor in the body
Definition
Angiotensin II
Term
Function of Renin
Definition
makes angiotensin (made by liver)
Term
Treat hypertension
Definition
block angiotensin converting enzyme inhibitor
ACE inhibitor
Term
Vessel smaller?
Definition
Increase blood pressure
Term
More H2o and Na+ causes?
Definition
Increase in Blood pressure
Term
Primary function of PCT
Definition
absorption of ion, organic molecules, vitamins and water
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