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Exam 3
BIO 321 muscles/endocrine/cardio
247
Physiology
Undergraduate 3
03/02/2011

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Term
What does an EEG measure? and where does it come from?
Definition
summation of graded potential from inside the brain. primary from the pyramidal cells of the cortex.
Term
What is the cause of abnormal EEGs?
Definition
damage, death,tumors, blood clots, hemorrhage, regions of dead tissue, and high or low blood sugar
Term
What shift in electrical activity is associated with epileptic seizures?
Definition
low synchronized pattern changing into high synchronized pattern
Term
An adult awakened state is connected to what EEG pattern?
Definition
alpha rhythm
Term
Where is the alpha rhythm detected best?
Definition
over the parietal and occipital lobes and is associated with decreased levels of attention.
Term
What is the difference between alpha and beta rhythms?
Definition
alpha is relaxed and beta is focused on a task, alpha arcs more than beta on an EEG chart.
Term
What is a beta rhythm?
Definition
EEG reading that is seen during attention focus and hard thinking.
Term
What are the two rhythm related to sleeping?
Definition
theta and delta rhythms
Term
What are the rhythms seen when an adult is falling asleep?
Definition
beta rhythms turn into alpha before sleep. once asleep theta and delta rhythms are seen(slow frequency high amplitude)
Term
What are the four stages of NREM sleep
Definition
1-theta waves replace alpha
2-theta waves are interrupted by sleep spindles and K-complex
3-delta and theta waves are seen
4-mainly delta are seen
cycle through stages
Term
What rhythm is related to REM sleep (paradoxical)
Definition
alpha rhythm, alert state pattern
Term
What is the pattern of sleep cycles?
Definition
NREM 1-2-3-4-3-2-REM
Term
What neurotransmitters are used in the awake and REM state?
Definition
NE and AC
Term
What neurotransmitters are used in the awake and NREM state?
Definition
GABA, stopping brain functions
Term
What function is lost in ADHD or ADD?
Definition
selective attention. or focusing on one thing and blocking out other incoming stimuli
Term
dysfunctional catecholamines in the basal nuclei and prefontal cortex are a symptom of what disease?
Definition
ADHD, treated by Ritalin, which increase the amount of Dopamine and NE in synapses
Term
What is secondary motivation?
Definition
Motivation with no relationship to homeostasis, such as preferring a type of pop over another
Term
What is primary motivation?
Definition
action with direct effects on the homeostasis of a an organism
Term
The neural system subserving reward and punishment is part of what?
Definition
the reticular activating system
Term
The major neurotransmitter for positive incentives is?
Definition
dopamine
Term
why are Amphetamines abused?
Definition
they increase the presynaptic concentrations of dopamine
Term
What drug blocks dopamine receptors?
Definition
chlorpromazine
Term
what structure is responsible for fear?
Definition
amygdala
Term
What directs the emotions to approach or avoid something?
Definition
cerebral cortex
Term
what is catatonia?
Definition
total immobilization of body movement
Term
what is Schizophrenia?
Definition
a disease in which information is not properly regulated in the brain. variety of symptoms
Term
what is the best explanation for schizophrenia ?
Definition
overactive dopamine pathways
Term
what neural functions is depression associated with?
Definition
decreased neuronal activity and metabolism in the anterior part of the limbic system and nearby prefrontal cortex
Term
What are the 3 types of anti-depressant drugs?
Definition
tricyclic antidepressant drugs, monoamine oxidase inhibitors, and serotonin-specific reuptake inhibitors (SSRIs)
Term
what does serotonin-specific reuptake inhibitors (SSRIs) do?
Definition
the most widely used antidepressant drugs and include Prozac®, Paxil®, and Zoloft®. As their name—SSRI—suggests, these drugs selectively inhibit serotonin reuptake by presynaptic terminals.
Term
what does monoamine oxidase inhibitors do?
Definition
interfere with the enzyme which degrades NE and ST
Term
what does tricyclic antidepressant drugs do?
Definition
interfere with serotonin and/or norepinephrine reuptake by presynaptic endings
Term
What is the treatment for SADD?
Definition
photo therapy.
Term
what does Repetitive transcranial magnetic stimulation (rTMS) do?
Definition
treat depression by magnetic stimulation of certain parts of the brain.
Term
what are two none drug treatments of depression?
Definition
Electroconvulsive therapy (ECT). and Repetitive transcranial magnetic stimulation (rTMS)
Term
What is the major treatment of bipolar disorder?
Definition
lithium with a anti convulsive, which normalizes mood swings
Term
What pathway do most recreational drugs act on?
Definition
dopamine, biogenic amine pathways
Term
What does cocaine block?
Definition
re uptake of Dopamine at presynaptic cells
Term
The most addictive substance dependences come from acting on what pathway?
Definition
mesolimbic dopamine pathway .
Term
What are the two types of memory?
Definition
declarative and procedural memory
Term
What is declarative memory?
Definition
facts/figures, recalling conscious experiences
Term
What is procedural memory?
Definition
how to do things, understanding nonconscious acts
Term
Where is declarative memory created?
Definition
hippocampus, amygdala, and other parts of the limbic system
Term
Where are procedural memories formed?
Definition
regions of sensorimotor cortex, the basal nuclei, and the cerebellum.
Term
What is consolidation?
Definition
turning short term memories into long term
Term
What is the difference between working and long term memory?
Definition
working needs consist graded-action potentials. long term does not.
Term
what is anterograde amnesia?
Definition
lose of memory due to damage of limbic system such as hippocampus, thalamus, and hypothalamus. also can not form long term memories
Term
what is retrograde amnesia?
Definition
lose of memories from a variable time right before brain damage
Term
what does conscious sedation do?
Definition
stimulates GABA receptors
Term
What memory model shows forming long lasting memories?
Definition
long-term potentiation, synthesizing new proteins
Term
what two opioid peptides interfere with memory formation?
Definition
enkephalin and endorphin
Term
What signalers help memory formation?
Definition
epinephrine, ACTH, and vasopressin
Term
What does the left hemisphere code for?
Definition
language, verbal memories and emotional understanding(both)
Term
why is the cerebellum needed with speaking/writing?
Definition
involves muscle contractions
Term
what does aphasias mean?
Definition
defect in language due to brain damage
Term
Damage to the Wernicke’s area does what?
Definition
hurts comprehension of language
Term
Damage to the Broca’s area does what?
Definition
damages language. expressive aphasias, cant speak the language
Term
what does the right side of the brain code for?
Definition
nonverbal and emotional(both)
Term
What is the best position of electro convulsive therapy?
Definition
right hemisphere
Term
What are the three types of muscle?
Definition
skeletal, smooth, and cardiac muscle
Term
What are the unique descriptions of skeletal muscle?
Definition
straited, multi nuclei
Term
What are the unique descriptions of cardiac muscle?
Definition
straited, mono nuclei, fat deposits around nucleus
Term
What are the unique descriptions of smooth muscle?
Definition
NOT straited, mono nuclei
Term
What structure is unique to skeletal muscles?
Definition
Transverse tubules, carries AP down to sacroplasmic reticulum releasing Calcium
Term
What is sarcoplasm and sarcolemma
Definition
cell membrane and cytoplasm of skeletal muscles respectively
Term
What is a myofibril?
Definition
straited appearance of muscles, contains myosin and actin
Term
What is sarcoplasmic reticulum?
Definition
ER of skeletal muscles, full of Calcium
Term
A group of fascicles is called what?
Definition
muscle
Term
What is contained in a sarcomere?
Definition
between Z bands, thick and thin filaments
Term
The length of myosin is referred to as?
Definition
A band
Term
The H band is what?
Definition
The distance between the ends of actin filaments,
Term
What is the I band?
Definition
The distance between the ends of myosin
Term
What part of the muscle never changes length?
Definition
A band
Term
What does the M line link together?
Definition
Myosin filaments, where there are no myosin heads
Term
What does the Z line do?
Definition
link together actin-thin filaments
Term
What are the levels of Actin filaments?
Definition
G-actin molecules, F-actin chain, and Actin filament
Term
What protein blocks the binding of myosin to actin?
Definition
tropomyosin
Term
Troponin serves what purpose in muscle contraction?
Definition
once bound with Calcium it changes conformation moving tropomyosin out of the binding sites on actin
Term
Where does the head and tail of myosin face?
Definition
head- I band and tail-M line
Term
What three binding sites are present on myosin's head?
Definition
Actin, ATP and ATPase
Term
What protein anchors myosin between M and Z lines?
Definition
titan
Term
what is the crossbridge cycle?
Definition
the formation and breaking of bounds between myosin and actin during contraction
Term
What kind of affinity does myosin have for actin when ATP is bound to the head?
Definition
low affinity
Term
What is needed to have Myosin bind to action?
Definition
ADP and Pi bound to head
Term
What two receptors are used in muscle contraction and what do they do?
Definition
DHP receptor, activates Ryanodine receptors which are ion gated to the sarcoplasmic reticulum
Term
What is a twitch?
Definition
The mechanical response of a muscle fiber to a single action potential
Term
What are the three periods of twitch contraction?
Definition
Latent, Contraction, Relaxation
Term
What is the difference between isotonic and isometric contractions?
Definition
isotonic shortens muscle, and moves load. isometric doesnt.
Term
Heavier loads move______ compared to lighter loads?
Definition
slower
Term
What is summation?
Definition
A series of AP sent to the muscle for contractions
Term
What is tetanus (tetanic contraction)?
Definition
maintained contraction
Term
what are the three ways muscles get ATP?
Definition
1.)phosphorylation of ADP by creatine phosphate
2.) oxidative phosphorylation of ADP in the mitochondria
3.)phosphorylation of ADP by the glycolytic pathway in the cytosol
Term
What is muscle fatigue?
Definition
decline in muscle tension as a result of previous contractile activity
Term
What are the causes of muscle fatigue?
Definition
1.Conduction Failure
2.Lactic Acid Buildup
3.Inhibition of Cross-Bridge Cycling
4. Central Command Fatigue
Term
what are the classification of Skeletal Muscle Fibers based on?
Definition
(1) their maximal velocities of shortening (fast or slow)
(2) the major pathway they use to form ATP—oxidative or glycolytic.
Term
What are the Types of Skeletal Muscle Fibers?
Definition
Type I-Slow-oxidative fibers
Type IIa-Fast-oxidative-glycolytic fibers
Type IIb-Fast-glycolytic fibers
Term
what are the 2 controls of muscle tension?
Definition
1.) the amount of tension developed by each fiber
2.) the number of fibers contracting at any time.
Term
What are two types of atrophy in muscles?
Definition
1. disuse atrophy (think arm in a cast)
2. denervation atrophy (nerve damage= loss of function)
Term
What is poliomyelitis ?
Definition
a viral disease that destroys motor neurons, leading to the paralysis of skeletal muscle, and may result in death due to respiratory failure
Term
What is muscle cramps produced by?
Definition
Involuntary tetanic contraction of skeletal muscles, commonly because of ion concentrations
Term
What is Hypocalcemic tetany?
Definition
to little Calcium which causes membrane depolarization
Term
What is the degeneration of muscles?
Definition
Muscular dystrophy, defect in costameres
Term
What is Duchenne muscular dystrophy?
Definition
defect in Dystrophin was the first costamere protein discovered to be related to a muscular dystrophy,
Term
What is Myasthenia Gravis?
Definition
destruction of nicotinic ACh receptor proteins of the motor end plate, mediated by antibodies of a person’s own immune system.
Term
What is the difference between smooth and skeletal muscle?
Definition
smooth has NO troponin, and divide anchored by dense bodies
Term
How does cross-bridging work in smooth muscles?
Definition
Calcium causes phosphorylation of myosin which then can bind with actin by myosin light chain kinase (MLCK)
Term
What causes smooth muscles to relax?
Definition
dephosphorylation is mediated by the enzyme myosin light-chain phosphatase (MLCP)
Term
What two sources of Calcium aid the smooth muscle?
Definition
(1) the sarcoplasmic reticulum
(2) extracellular Ca2+ entering the cell through plasma-membrane Ca2+ channels.
Term
How does the membrane activation of smooth muscle work?
Definition
graded, can be both excitatory or inhibitory
Term
What is the sequence to phosphorylate myosin?
Definition
1.) high Calcium
2.) Calcium activates calmodulin
3.) Calmodulin activates MLCK
4.) which triggers the contraction
Term
What nerves trigger smooth muscle contraction?
Definition
autonomic neuron endings, which use Acetyl choline
Term
What is pacemaker potential?
Definition
the contraction of smooth muscles without any influencing factors (swallowing )
Term
What is the advantage of Single-unit smooth muscles ?
Definition
respond to stimuli as a single unit because cells are connected by gap junctions.
Term
How do Multi-unit smooth muscles work?
Definition
cells that respond to stimuli independently and they contain few gap junctions.
Term
WHat are intercalated discs and what is there purpose?
Definition
links between cardiac cells with desmosomes and gap junctions, hold heart together
Term
When a cell produces its own electrochemical Action potential what is it called?
Definition
automaticity or autorhythmicity
Term
Where are steroids produced?
Definition
gonadal and adrenocortical glands
Term
What is the effect of Prostaglandins?
Definition
effect blood pressure, are involved with birth, enhance blood clotting, and inflammation.
Term
What are 5 steroid hormones?
Definition
estradiol, testosterone, cortisol, aldosterone cholesterol
Term
What do The lipid-soluble hormones do?
Definition
activate transcription factors
Term
What hormones are produced in the hypothalamus?
Definition
1.)oxytocin
2.) ADH (antiduiretic hormone)
3.) PRH (prolactin releasing hormone)
4.) PIH(dopamine)(prolactin inhibiting hormone)
5.) TRH (thyrotropin releasing hormone)
6.) CRH (corticotropin releasing hormone)
7.) GHRH (Growth hormone releasing hormone)
8.) GHIH (somatostatin) (Growth hormone inhibiting hormone)
9.) GnRH Gonadotropin releasing hormone
Term
What connects the hypothalamus and the posterior pituitary gland?
Definition
hypothalamic-hypophyseal tract
Term
What does hypophyseal portal system pertain to?
Definition
the direct blood vessel from the hypothalamus to the anterior pituitary gland
Term
What is the pathway of prolactin releasing hormone?
Definition
travels to ant. PG, and causes release of prolactin, which increases milk secretion
Term
What is the pathway of prolactin inhibitor hormone?
Definition
produced in the hypothalamus than travels to ant. PG, and stop release of prolactin, which increases milk secretion
Term
What is the pathway of Thyrotropin releasing hormone?
Definition
produced in hypothalamus stimulates the release of thyroid stimulating hormone (TSH) from the anterior pituitary which triggers the release of thyroid hormone in the thyroid gland
Term
What is the path way of Corticotropin Releasing Hormone?
Definition
produced in Hypothalamus, travels to ant. p. to cause release of adrenocorticotropic hormone (ACTH) which than stimulates the secretion of other hormones from the adrenal cortex
Term
What is the pathway of action for Growth Hormone releasing hormone? or Growth Hormone inhibiting hormone?
Definition
made in hypothalamus travels to ant. p. causes release of of growth hormone (GH)
This acts as trophic hormone by stimulating the secretion of insulin-like growth factors (IGF) by the liver
Term
What is the pathway of Gonadotropin releasing hormone (GnRH) ?
Definition
stimulates the release of both follicle stimulating hormone (FSH) and Luteinizing hormone (LH) by the anterior pituitary.
Term
what is the effects of Luteinizing hormone (LH) ?
Definition
ovulation in females and it stimulates the production of sex hormones (estrogen, progesterone and testosterone) by the gonads
Term
what is the effect of follicle stimulating hormone (FSH) ?
Definition
egg development in females and sperm in males. It also stimulates the secretion of estrogen in females and inhibin in both sexes
Term
What is the pathway of Antidiuretic Hormone (ADH)
Definition
produced in hypothalamus, stored in post. p. and released. causes a decrease in Diuresis
Term
What is the pathway of oxytoxin?
Definition
made in hypothalamus, released from post. p. then triggers contraction of smooth muscles or relaxation of mammary glands
Term
What are the hormones released from the anterior pituitary gland? (6)
Definition
1.) Thyroid stimulating hormone (TSH)
2.) Growth hormones
3.) Follicle stimulating hormone (FSH)
4.) Luteinizing hormone (LH)
5.)Prolactin
6.)Adrenocorticotropic hormone
Term
What are the effects of Growth Hormone?
Definition
target bones/muscles with many effects. Insulin-like growth factor causes uptake of AA and sulfur
Term
What is the effect of Thyroid stimulating hormone (TSH) ?
Definition
controls normal development of secretion of hormones by the thyroid gland
Term
What is the effect of Adrenocorticotropic hormone (ACTH)?
Definition
stimulates the adrenal cortex to release corticosteriod hormones, most importantly the glucocorticoids that help the body deal with stress
Term
What are three controls of hypothalamic hormone release?
Definition
neural, hormonal, and Circadian rhythm
Term
What is gigantism caused by?
Definition
Hypersecretion of GH which causes large growth in children and acromegaly in adults
Term
What is the cause of Pituitary dwarfism ?
Definition
hyposecretion of GH. proportions and effected when thyroid is also damaged
Term
What is the cause and symptoms of Diabetes insipidus ?
Definition
caused by a lack of ADH due to a damage of hypothalamus or Post. p. , symptoms are marked by a large urine output and intense thirst
Term
What is SIADH? and its causes?
Definition
Hypersecretion of ADH, it is syndrome of inappropriate ADH secretion.
Term
What is the Pineal Gland
and its purpose?
Definition
Glandular tissue in brain, secretes melatonin
Term
What is the anatomy of the thyroid gland?
Definition
colloid-stored in the central cavity, of thyroglobulin and iodine
follicle is lined with thyroglobulin producing cells
Term
What are the two forms of thyroid hormone?
Definition
T3 T4
Term
What are the hormones of the thyroid gland?
Definition
T3, T4, and Calcitonin
Term
What is the major effects of the thyroid on BMR?
Definition
hypo secretion causes low BMR, cold, low body temp. weight gain
Term
What is the major effects of the thyroid on cardiovascular system?
Definition
hyposecretion causes poor pumping efficiency, low blood rate/pressure
Term
What is the thyroids effects on muscles?
Definition
hyposecretion causes sluggish, poor muscle function
Term
Synthesis of thyroid hormone!
Definition
Term
What is myxedema?
Definition
hypothyroidism, from a lack of iodine then the gland enlarges and it is called an endemic goiter
Term
What is cretinism?
Definition
severe hypothyroidism in infants leads to bad things
Term
What is Graves’ Disease?
Definition
hyperthyroidism, overactive thyroid, can be removed or treated causes bugging eyes
Term
What is the effect of Calcitonin?
Definition
Calcitonin target the skeleton where is inhibits osteoclast activity and stimulates the uptake of calcium into bones
Term
What does the parathyroid produce?
Definition
Parathyroid hormone, is triggered by falling blood calcium levels. PTH increases osteoclast activity to increase calcium release from the bones as well as resorption of calcium from the digestive system. (opposite of calcitonin )
Term
What does Hyperparathyroidism do?
Definition
severe cases lead to oseitis fibrosa cystica, minerals are leeched out of bones
Term
What is Hypoparathyroidism?
Definition
caused by bad surgeries on thyroid or low Mg, causes over excitability of neurons
Term
What does the Thymus secrete?
Definition
thymosin which Regulates T cell function
Term
What are the two functional glands of the adernal gland?
Definition
adrenal medulla and the adrenal cortex
Term
What are the two functional glands of the adernal gland?
Definition
adrenal medulla and the adrenal cortex
Term
What are the three zones of the adernal cortex?
Definition
zona glomerulosa, zona fasciculata and zona reticularis
Term
What does zona reticularis produce?
Definition
small amounts of gonadocorticoids
EX androgens
Term
What does the zona fasciculata produce?
Definition
metabolic hormones called glucocorticoids.
EX cortisol
Term
What does Zona glomerulosa produce?
Definition
mineralocorticoids involved in mineral and water balance EX aldosterone
Term
What is a synthetic mineralocorticoid ?
Definition
deoxycorticosterone acetate (DOCA).
Term
What are the major pathways of aldosterone?
Definition
1. Renin-Angiotensin mechanism
2. Plasma concentrations of K+ and Na+ ions
3. ACTH
4. Atrial Natriuretic peptide (ANP)
Term
What effect does a drop in blood pressure have on the kidneys?
Definition
juxtaglomerular apparatus is triggered to release renin eventually leading to the ANG II
Term
What is the mechanism of renin?
Definition
cleaves a plasma protein called angiotensinogen (made in the liver) into angiotensin I. Angiotensin I then goes to the lung via the circulation and gets cleaved by Angiotensin converting enzyme to Angiotensin II (ANG II).
Term
What receptor signals renin release directly?
Definition
Beta-1 in response to SNS
Term
What converts Angiotensinogen to Angiotensin-I?
Definition
Renin-Proteolytic enzyme
Term
What converts ANG I to ANG II?
Definition
ANG converting enzyme
Term
What are the receptors of ANG II? What do they cause?
Definition
AT1 AT2, causing aldosterone release, vasoconstriction and sodium uptake
Term
Where is ACE?
Definition
endothelial cells of the lung and in other tissues that can make RAS components
Term
Why are ACE inhibitors used to treat hypertension and diabetes?
Definition
they prevent the formation of the active hormone ANG II and in turn sodium uptake
also protecting against kidney failure
Term
What is the difference between AT 1 and AT 2?
Definition
they do opposite jobs, AT 1 receptor antagonists are clinically considered the first line of treatment for hypertension and are given as adjunct therapy in diabetes.
Term
What other negative effects of ANG II are seen?
Definition
Increasing levels of ROS
Altering expression of other vasoconstrictors (ET-1)
Increasing growth responses
Increasing extracellular matrix deposition
Increasing collagen deposition
Increases cardiac hypertrophy
Term
What does the increase in potassium do to aldosterone secretion?
Definition
increases release from zona glomerulosa
Term
How can increased CRH release effect aldosterone?
Definition
stress releases more ACTH and increases aldosterone release
Term
What are the effects of ANP?
Definition
atrial natriuretic peptide is released when blood pressure is high, it inhibits RAS and blocks aldosterone release
Term
What is the cause and effect of Hypersecretion of aldosterone (aldosteronism) ?
Definition
result from tumors. hypertension from excessive water and Na+ retention and accelerated excretion of potassium. This can cause nervous system depression, muscle weakness, cardiac arrhythmias. This can lead to paralysis and death.
Term
What is the cause and effect of Addison’s Disease?
Definition
hyposecretion of both the mineralocorticoids and glucocorticoids, loss of weight, plasma glucose and sodium levels drop and potassium levels increase. Dehydration and hypotension are common
Term
What stimulates cortisol secretion?
Definition
ACTH
Term
What is the cause and effect of Cushing’s Syndrome?
Definition
excessive level of glucocorticoids, presents in buffalo hump, hyperglycemia
Term
What is Pheochromocytoma? and its effects?
Definition
a hypersecretion of catacholamines usually sue to a chromaffin cell tumor in the adrenal medulla,
Effect:hyperglycemia, increased metabolic rate, increased heart rate, hypertension, palpitations, intense nervousness and sweating
Prevention: Pharmacological inhibition of the adrenergic receptors is a short-term solution. Long-term treatment requires surgery
Term
What do the acinar cells secrete?
Definition
digestive enzymes
Term
What do Islet of Langerhans also known as pancreatic islets secrete?
Definition
beta cells-insulin
alpha cells-glucagon
Term
What does delta and F cells secrete in the pancreas?
Definition
somatostatin and pancreatic polypeptide respectively
Term
What is the insulin cascade?
Definition
insulin binds to insulin receptor triggering IRS-1 to PI3 kinase PDK 1----AKT which phosphorylates NOsynthase or translocation of Glut 4
Term
What are the three cardinal signs of diabetes mellitus?
Definition
polyuria (pee alot)
polydipsia (excessive thirst)
polyphagia (excessive hungry)
Term
What are the four side effects of hyperglycemia?
Definition
osmotic diuretic, formation of advanced glycation, ROS, and alteration in cellular growth responses
Term
What is Synergism?
Definition
two hormones enhancing the effects of each other
Term
What is Permissiveness?
Definition
One hormone needed for another to exert its effects
EX : TH suppressing adrenergic receptors in bronchi
Term
What is Antagonism ?
Definition
One hormone blocks/inhibits/prevents/counteracts the effects of another hormone
Term
What are Hydrophilic hormones?
Definition
Peptides, catecholamines
Term
What are Hydrophobic hormones?
Definition
Steroids, thyroid hormones bound to carrier proteins
Term
What is the difference between primary and secondary secretion disorders?
Definition
1- defect in endocrine organ
2- Abnormality in in either the anterior pituitary or the hypothalamus
Term
What is sprironolactone?
Definition
a mineralocorticoid antagonist
Term
What are the three granular leukocytes?
Definition
neutrophils, basophils and eosinophils
Term
What is Erythropoiesis responsible for?
Definition
red blood cell formation. Triggers by Erythropoietin released from kidney
Term
What are the two differentiating steps towards blood cells? name the cell types?
Definition
1-lymphoid stem cell goes to lymphocyte
2-myeloid stem cell goes to everything else
Term
What are the Agranulocytes?
Definition
lymphocytes and monocytes
Term
What do neutrophils do?
Definition
phagocytic, increased to kill infection
Term
What do eosinophils do?
Definition
defend against parasitic worms, contain toxic molcules
Term
What do basophils do?
Definition
allergic reation, non-phagocytic
Term
What do monocytes do?
Definition
phagocytic, migrate to tissues and become macrophages
Term
What do lymphocytes do?
Definition
turn into T and B cells for immune system
Term
What is required for erythrocyte production?
Definition
Iron, Folic Acid and B 12
Term
What is required for erythrocyte production?
Definition
Iron, Folic Acid and B 12
Term
What happens to old erythrocytes?
Definition
filtered by spleed and digested in liver, iron is recycled once bound to transferrin in blood and ferrin in liver storage
Term
What is the heme group converted into?
Definition
bilirubin, which is broken down and turned into bile by liver
Term
What is the definition of anemia ?
Definition
loss of oxygen carrying capacity
Term
What is dietary anemia?
Definition
lack of iron intake
Term
What is hemorrhagic anemia?
Definition
loss of F(X) due to blood loss
Term
What is hemolytic anemia?
Definition
malaria, sickle cell etc
Term
What is aplastic anemia?
Definition
bone marrow defect
Term
What is renal anemia?
Definition
kidney dysfunction causes no EPO release
Term
What is pernicious anemia?
Definition
lack of B 12
Term
What are platelets derived from?
Definition
megakaryocytes
Term
What do platelet granules contain?
Definition
ADP-increase stickiness (+ feedback)
Serotonin-vasoconstriction
Epinephrine-vasoconstriction
Term
What are the three stages of clotting?
Definition
1. Vascular spasm
2. Formation of platelet plug
3. Blood coagulation
Term
What is produced once a plug is forming?
Definition
thromboxane A2
Term
What prevents platelet aggregation?
Definition
Nitric oxide and prostocyclin (PGI2)
Term
Why do NSAIDs prevent blood clotting?
Definition
they block the cyclooxygenases that creates thromboxane A2
Term
What are the names of clotting factor I II III?
Definition
fibrinogen, prothrombin and tissue factor
Term
Where are clotting factors produced?
Definition
liver
Term
What is hemophilia?
Definition
defect in Factor VIII often.
Term
What clotting factors are NOT made in the liver?
Definition
III and IV
Term
What is the difference between intrinsic and extrinsic blood clotting?
Definition
in-vessel rupture
ex-trauma to tissue (bruises)
Term
See Clotting Factors!!
Definition
Term
What occurs 30 minutes after clot formation?
Definition
clot retraction, clot compresses closing wound and releasing serum
Term
What does PDGF do?
Definition
starts the wound healing immediately so fibroblasts are dividing to rebuild the wall
Term
What are the two anticlotting systems?
Definition
plasminogen and thrombomodulin
Term
What is the pathway for plasminogen?
Definition
tissue plasminogen activator plasminogen to activators and turns into plasmin which breaks down fibrin to fragments
Term
What is the pathway of thrombomodulin ?
Definition
thrombomodulin is turned into thrombin, cleaving protein C which inhibits factor VIIIa and Va
Term
what is recombinant tissue plasminogen activator (TPA) used for?
Definition
to dissolve clots in stroke patients
Term
What is Von Willebrand’s disease?
Definition
Reduced levels of vWf
Decreases platelet plug formation
Term
What is the effect of low vitamin K on clotting factors?
Definition
they can not be produced
Term
What is the difference between low and high doses of aspirin?
Definition
low prevents thromboxane a2 high prevents prostocyclin (PGI2)
Term
What happens to free thrombin in blood?
Definition
is inactivated by antithrombin III and protein C
Term
What is Heparin ?
Definition
anti-coagulant released from mast cells and basophils, increases antithrombin III also inhibits intrinsic pathway
Term
What drugs can be used to prevent clots?
Definition
aspirin, heparin and warfarin (coumadin)
Term
What is Embolus or emboli ?
Definition
a free floating clot
Term
What is the difference between Pulmonary embolisms and cerebral embolisms ?
Definition
stops oxygen in lungs or causes strokes
Term
A blood clot lodged in a body's vein it is called what?
Definition
deep vein thrombosis or DVT.
Term
What is Thrombocytopenia?
Definition
lack of platelet formation
Term
How can you treat liver dysfunction?
Definition
vitamin K injections, if severe it needs transfusions
Term
What is hemophilia A, B, C ?
Definition
lack of factor VIII, IX and XI(mild defect cant be bypassed)
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