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Physiology Exam 1 Winter 2011
Physiology MWU
239
Physiology
Graduate
12/17/2011

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Term
How many organ systems does the body have?
Definition
11
Term
In order to maintain homeostasis, control systems must be able to :1,2,3
Definition
1-Detect deviations from normal
2-integrate this infomration
3-Restore the deviation via adjustments
Term
3 points of Negative feed back system
Definition
Primary type of homeostatic control
Maintains stability by defending set points
Opposes initial change
Term
What is the most important feedback mechanism in homeostasis?
Definition
Negative feedback
Term
What are the three components of Negative feedback systems? and what nerve pathway does the signal travel?
Definition
Sensor (Afferent)
Integrator
Effector (Efferent)
Term
Describe how positive feedback mechanisms work, give an example
Definition
Positive feedback amplifies an initial change by driving the physiological values even further from a set point. Example Uterine contractions or the Opening of NA channels during membrane depolarization.
Term
What are the two components of ECF?
Definition
Plasma, Interstitial Fluid
Term
What are the two properties of particles that influence whether they can permeate the cell membrane without assistance?
Definition
Solubility
Size
Term
What two forces are involved in accomplishing transport a cross a cell membrane?
Definition
Active
passive
Term
Compare osmosis and diffusion
Definition
Osmosis-Water
Diffusion-Solutes
Both- down concentration gradient, unassisted membrane transport
Term
What are the two types of assisted membrane transport?
Definition
carrier-mediated
vesicular
Term
membrane channels for the passage of water
Definition
aquaporins
Term
Fick's law
Definition
diffustion will occur in proportion to the difference in concentration gradients (both sides will equilibriate if both can permeate)
Term
How long will Osmosis occur from a side of low solute conc. to a side of high conc?
Definition
to the point that hydrostatic pressure pushes back
Term
What does VantHoff's equation estimate? What is the equation?
Definition
Osmotic pressure of a solution.
pi=gCdeltaRT
Term
What effect does hydrostatic pressure have on transport in/bt cells?
Definition
plasma membranes deform easily so usually ther is no pressure diff. Hydrostatic doesn't have much of a driving force
Term
What changes water concentration? What's the relationship?
Definition
the concentration of solutes in solution. Inverse
Term
What occurs with semi permeable vs permeable membrane?
Definition
Osmosis in semipermeable, fick's law in permeable
Term
What is osmolarity? What is the osmolarity of bodily fluids? What is an osmole?
Definition
#mol/L soln (#particles/mol*concentration of particles)
290miliOsmoles/L
Osmole is the # of particles a solute dissociates into when in solution
Term
What is the relationship with Water and osmolarity?
Definition
It is inverse, if you have more water there will be a lower ratio of particles/liter
Term
Calculate the osmolarity for a 5M solution of CaCl2
Definition
(#particles*concentration(Molar))
Ca Cl Cl=3
5M= 5
3*5=15 osmolar
Term
Why does effective osmolarity only pertain to impermeable particles?
Definition
Permeable molecules will diffuse and the osmotic gradient will dissipate
Term
Tonicity refers to what two main points?
Definition
The ultimate effect the SOLUTION has on the CELL,
the osmolarity of non-permeable particles in SOLUTION (and how that works on the cell, EASY!!)
Term
Cell is introduced to isotonic solution with permeable solutes
Definition
Cell fills with solutes as well as water and lyses
Term
Cell is introduced to isotonic solution with different impermeable solutes
Definition
nuthin happnin
Term
Cell is introduced to isotonic solution,slow addition of permeable substances added to solution
Definition
water moves out of the cell momentarily to dissolve the solutes that were added, but the solutes will eventually disolve in as well (permeable) so the water comes back in and equals out.
Term
extracellular fluid becomes hypoosmolar and fluid enters the cell (so the interior ratio matches) and it swells. What is the mechanism to help bring the cell back to normal?
Definition
Swelling activates solute efflux (kick solutes out, water will follow).
Cl and K channels activated, decreasing osmolarity- water follows, cell volume returns to normal.
Term
extracellular fluid becomes hyperosmolar and fluid leaves the cell (so the interior ratio matches) and it shrinks. What is the mechanism to help bring the cell back to normal?
Definition
Shrinking activates solute uptake
Na/H exchanger is activated
decrease in H activates the Cl/HCO3 exchanger.
over-all increase of Na,Cl in the cell draws in water
Term
Increasing what three factors of diffusion increases Net diffusion? What two Decreases Net?
Definition
Conc, SA, Solubility +
MW, Distance (membrane thickness)-
Term
What three characteristics determine thekind and Q of material that can be transferred across a membrane via carrier mediated transport?
Definition
Stereospecificity (the right molecule)
saturation (proteins free)
Competition (similar Molecules,etc)
Term
Transport maximum
Definition
Tm, when transporters are saturated.
Term
Rate of molecule carrier mediated transport is directly related to
Definition
the exctracellular concentration of the molecule being transported
Term
Na/K ATPase, function,method,E source, inhibitors.
Definition
Electrogenic
3Na out 2K in
Uses ATP
Inhibited by cardiac glycosides, oubain
Term
How do cardiac glycosides inhibit Na/K ATPase? Cellular effects
Definition
bind to the E2P site near the K binding site on extracellular side, prevents conversion of E2 back to E1. Causes cell to swell
Term
Describe the two types of secondary active tranpsort
Definition
Cotransport-when the solute moves in the same direction of NA
Countertransport- when the uphill solute moves in the opposite direction of Na
Term
Pinocytosis
Definition
nonselective uptake of ECF particles and retrieves extra plasma membrane added during exocytosis
Term
Phagocytosis
Definition
Nonselective uptake of large particles for attack by lysosomal enzymes.
Term
Receptor mediated endocytosis
Definition
selective uptake of molecules that are needed.
Term
cotransport vs exchanger
Definition
transport jointly
one in/ one out
Term
ICF/ECF ratio
ICF compartment ratio
TBW ratio
Definition
2/3, 1/3
3/4, 1/4
60%(total), 40%(ICF), 20%(ECF)
Term
What is the equation for TBW
Definition
TBW= .7LBM+.1AT
Term
What is the equation for TBW if LBM is not known? In what case does this not work
Definition
TBW=0.6*weight
Adipose obviously above 20%
Term
H2O intake occurs by 2 sources, what sources, what volume?
Definition
Ingested- 2L
Oxidation of Carbs- 200mL
Term
What are the major Ions in the Plasma and Interstitial fluid? Intracellular fluid?
Definition
Na and Cl
K, PO4 3-
Term
What is the formula for estimating plasma osmolarity? given GLU and BUN
Definition
2*Na+(GLU/18)+(BUN/2.8)
Term
What is BUN? It also indicates proper function of what organ?
Definition
Blood urea nigrogen, removed by kidney, so indicative of kidney fx.
Term
Changes in ____ result in changes in ____> ECF?ICF?
Definition
ECF-ICF
Term
Isoosmotic (hypotonic) gain example and changes.
Definition
IV,
+ECF vol
-Hematocrit/plasmaprotein conc.
Term
Isoosmotic loss (hypotonic) example and changes.
Definition
Diarrhea, Burn
-ECF vol
+Hematocrit/plasmaprotein conc.
Term
Hyperosmotic (hypotonic) gain example and changes
Definition
High NaCl intake
+ECF vol, Osmolarity
-ICF vol, Hematocrit, plasma protein conc.
Term
Hyperosmotic (hypotonic) loss example and change
Definition
Sweating, fever, diabetes
+ osmolarity, plasma protein conc.
- ECF/ICF vol
Term
Hypoosmotic (hypotonic) gain example and change
Definition
high H20 intake
+ECF, ICF vol
-Osmolarity, plasma protein
Term
Hypoosmotic (hypotonic) loss example and change
Definition
Aldosterone insufficiency
+ICF, Hematocrit, Plasma protein conc.
-ECF, Osmolarity
Term
Iso/Hyper/Hypo =? in osmolarity of ECF?
Definition
the same
No change/increase/Decrease
Term
What is the charge difference inside/outside the cell? What Ions make the charge?
Definition
Inside=neg (K), outside=pos (Na)
Term
Which ion has easier transport into the cell and why?
Definition
K, there are more channels for passive traffic in than Na. (50x more permeable than to Na)
Term
How can ion channels be selective?
Definition
Based on channel diameter an ion size, they don't have specific binding sites
Term
background channel
Definition
a channel whose gate is open in the absence of stimuli
Term
chemical driving force
Definition
the chemical concentration gradient across the membrane pushes ions through a channel
Term
electrical driving force
Definition
separation of charges create an electrical gradient across the membrane (opposites attract)
Term
electrochemical driving force
Definition
combined forces lead to an electrochemical gradient. they don't have to act in the same direction.
Term
how do diffusion potentials cause measurable changes in the concentration ions in bulk solution?
Definition
you're right, they don't cause measurable changes, the potentials are created by the movement of only a few ions
Term
Electrochemical equilibrium
Definition
when the charge between a ratio of ions offsets the difference in concentrations of ions, and vice versa.
Term
equilibrium potential
Definition
refers tot he diffusion potential that exactly oposes the tendancy for diffusion down the concentration gradient.
Term
K equilibrium potential
Definition
-90mV
Term
Diffusion potential
Definition
Inverse of equilibrium, Q of ions that can diffuse before it reaches equilibrium potential
Term
Na equilibrium potential
Definition
+65mV
Term
The nernst Equation
Definition
E=(60/valence)*log([ion]in/[ion]out)
Term
What does the nernst equation measure?
Definition
calculates Equilibrium Potential, determines electrical force to balance a given diffusion force between ionic concentrations inside/outside the cell
Term
Equilibrium potentials Na, K, Cl, Ca
Definition
+65
-90
-50
+120
Term
Valence charges for Na, K, Cl, Ca
Definition
+1
+1
-1
+2
Term
equilibrium implies that concentration force=
Definition
electrical force
Term
How do you use Ohm's law to predict changes in resting membrane potentials at disturbance?
Definition
Em=(Gk*Ek+GNa*ENa)/Gk+GNa
Easy, may have to determine the equilibrium potentials, though. Practice one or two
Term
Conductance=
what is the eqn?
Definition
permeability (closed channels become open)
G=NPy
Term
What are the two ways membrane permeability is changed?
Definition
Open or close Ion channels
Expression and insertion of channels or removal of channels from the membrane
Term
relate hypertension to membrane permeability
Definition
increased number and opening probability of Ca channels signals SmM contraction
Term
Hypokalemia does what to RMP? this effects muscles how?
Definition
Hyperpolarized, more - than normal
MM cannot contract appropriately, paralysis, asystole, suffocation
Term
Hyponatriamia does what to RMP? this effects the muscles how?
Definition
negegably hyperpolarized, more-than normal.
Term
What is Na contribution to overall mV of RMP?
Definition
5-20mv
Term
What are the two mechanisms in membrane potential, what % of total RMP do the provide?
Definition
NaK ATPase ~20
Background channel diffusion~ 80
Term
Polarization
Definition
when the membrane potential is other than 0mv
Term
depolarization
Definition
membrane becomes less polarized than at resting potential (Towards 0)
Term
Hyperpolarization
Definition
membranes becomesmore polarized than at resting potential
Term
Mechanosensitive channels
Definition
stretch-activated, generate graded potentials
Term
What two channels produce graded potentials?
Definition
Ligand gated, mechanosensitive
Term
Change in this potential is proportional to the stimulus
Definition
graded potentials, (very diff from action)
Term
What are the molecules and effect on an Excitatory synapse? Inhibatory?
Definition
GLutamate, Espartate (depolarization)
Glycine, GABA (hyperpolarization)
Term
The Q of current that flows between 2 areas depends on 1,2.
Definition
1-difference in potential between the areas
2-resistance
Term
4 good examples of graded potentials
Definition
Postsynaptic potentials
EndPlate potentials
Pacemaker potentials
Slow-wave potentials
Term
Grand Postsynaptic Potential
Definition
summation of all EPSPs and IPSPs occuring at approximately the same time
Term
Temporal summation
Definition
summation of several ESPS occuring very close together in time by successive firing of a single presynaptic neuron
Term
Spatial summation
Definition
summation of several ESPS occuring simultaneously from different presynaptic outputs
Term
What are the 4 terms for events in an action potential?
Definition
Depolarization
Overshoot
Repolarization
After-hyperpolarization (undershoot)
Term
What are the two gatess on the Na channel?
Definition
activation gate, inactivation gate
Term
Draw the change from resting to inactivated gates of the sodium channel
Definition
Slide 28 Neuron Lecture
Term
Where does the threshold measurement and propogation initiate? Why?
Definition
Axon hillock, b/c it contrains the highest concentration of voltage gated Na channels, if triggered it is positive feedback
Term
When are sodium channels open?
Definition
At threshold and during depolarization by positive feedback
Term
What is the change in membrane potential as Na flows into the ICF?
Definition
reverses from -70 to +30 (overshoot peak)
Term
When do potassium channels open? What is the result?
Definition
When the sodium channels become inactive,this repolarizes the membrane to resting state
Term
What point on the curve is the switch from Na to K channels open
Definition
the peak
Term
When do the Na channels open? When does the K channel open?
Definition
They both are triggered at the same time. Na's gate closes at the peak, the same time that the K channels are fully open
Term
What are the effects of Tetrodotoxin, Saxitoxin and Topical lidocaine on membranes?
Definition
Both inhibit the voltage gated Na channels prevent the occurenc of action potentials
Term
What is Absolute refractive period
What is Relative refracory period?
Definition
-interval when NO stimulus will elicit a response
-interval when a crazy stiumuls will elicit an action potential. Why? elevated Gk combined with the residual inactivation of voltage gated Na channels
Term
What is inactivation?
Definition
a change in threshold b/c of prolonged depolarization
-some of the voltage gated na channels become inactivated (slow gates closed), so generally too little gates to initiate action potential
Term
How do elevated K levels cause Primary Hyperkalemic Paralysis?
Definition
elevated plasma K depolarizes muscles (brings RMP closer to threshold), causing muscle contractions, eventually the voltage gated Na channels inactivate (slow gates closed)=paralysis
Term
Conduction velocity
Definition
the speed at which graded and action potentials are conducted along a nerve or muscle fiber
Term
What is the Time Constant in conduction velocity? What is the formula?
Definition
how quickly a membrane will depolarize or hyperpolarize in response to a curent. It is a measurement of the time it takes for the change in potential to reach 63% of its final value. The smaller, the quicker. t=membrane resistance*membrane capacitance
Term
What is the Length constant in conduction velocity? What is the formula?
Definition
indicates how far a depolarizing current will spread along the membrane. The longer the lenght constant the further the current will spread along the membrane.
Determined by the square root of the ratio of membrane resistance to internal resistance sqrt(Rm/Ri)
Term
What is internal resistance?
Definition
Resistance is inversely related to how easily current flows through the cytoplasm of a cell and the cross sectional diameter (bigger=less Ri)
Term
What is the internal resistance and length constant of a large diameter fiber?
Definition
Lower internal resistance, larger lenght constang
Term
What are examples of large rapid fibers?
Definition
Motorneurons
Term
What are examples of fine slow fibers?
Definition
Internal organs, ie gut/glands
Term
How does myelination INC the length constant and RED the time constant of a N?
Definition
decreaces the capacitance of the axon and restricts the action potential generation to the Nodes of Ranvier
Term
When considering Rm and Ri levels, when does current travel further?
Definition
Rm is high
Ri is low
Term
What are the two types of action potential propagation?
Definition
Contiguous
Saltatory
Term
What forms myelin in the CNS? in the PNS?
Definition
Oligodendrocytes
Schwann Cells
Term
Myelinated fibers conduct impulses how many times faster than unmyelinated fibers of comparable size?
Definition
50!!!!!!!!!!!!!!!!!!!!!
Term
What is the physiological action Multiple Sclerosis has on nerves?
Definition
It demyelinates them, which causes a disturbance in the force (action potential that is)because the action potential can now become redundant within a nurve (signal loss)
Term
Gun analogy for action potentials
Definition
It either fires or it doesn't and each neuron can only use one type of ammo
Term
What is the effect that a strong stimulus has on an action potential?
Definition
can increase AP frequency, no change to magnitude, the frequency is controlled by CNS and is correlated with Intensity
Term
Hyponatremia,
Describe changes on a Action potential
Definition
Reduces the conc. gradient and driving force for sodium, decreases the magnitude of overshoot and the rate or rise of the upstroke (sluggish)
Term
What is the effect of high ionized (free) calcium on action potentials?
Definition
Ca binds to phospholipids, stabilizing the membranes
large threshold needs bigger stimulus
Can lead to M weakness
Term
What is the effect of low ionized (free) calcium on action potentials?
Definition
Threshold potential becomes more negative (the neruon becomes more excitable)
Causes M twitches
Term
What is the plasma [Ca]?
What % free/bound?
Definition
10mg/dl or 2.5mmoles
50 free
50 bound (10 to plasma proteins, 40 to small anions:citrate, phosphate, bicarb)
Term
Hypo/Hyperparathyroidism on phosphate levels/results.
Definition
Hypo-increased phosphate (counterintuitive) dec free Ca, increase neuron excitability
Hyper- increase free cacium, dec phosphate levels, reduce neuron exictabilyt
Term
What do H and Ca compete for?
Definition
negative sites on plasma membranes.
Term
Explain Acidemia's effect on excitability
Definition
More H attaches to albumin, leaving free ca, which reduces excitability (binds to membrane)
Term
Explain Alkalemias effect on excitability
Definition
less H means Ca binds to albumin, decreasing free Ca, Increases neuron excitability (not bound to membrane)
Term
synapse
Definition
junction b/t pre and post synaptic neuron
Term
what are the two types of synapses? What are the two types of transmission?
Definition
Excitatory and Inhibitory synapses
Electrical (gap junctions) and Chemical
Term
what innervates what?
Definition
when a neuron terminates ina muscle or gland the neuron is said to innervate it
Term
The signal in an electrical synapse between two cells travels through what?
Definition
the gap junctions
Term
what is synaptic delay
Definition
the .5 to 1 msec that signal transmission takes. it is the conversion of the electrical signal, release of signal molecule, response to molecule
Term
synaptic cleft
Definition
space between the pre and post synaptic neurons
Term
Write out the 7 steps on slide 11 of Chemical message transmission b/t synapses
Definition
Term
What is EPP? what is the receptor? what type of potential?
Definition
the postsynaptic poteinatil induced and the neuromuscular junction by the opening of nicotinic acetylcholine receptors.
Graded potential that partilly depolarizes the membrane and can initiate AP
Term
Dense cores secretary granules
Definition
vessicles that are in the nerve terminal, contain neuropeptides (not ach)
Term
Synaptic vesicles neurotransmitter synthesis
Definition
arrive in the nerve terminal w/o transmitter, they take up the transmitter that was made in the nerve terminal (Ach example)
Term
What are the tyrosine derivatives that are neurotransmitters?
Definition
Norepi
Epi
Dopamine
Term
What is the neurotransmitter in the neuromuscular junction?
Definition
Acetylcholine
Term
What is the major excitatory neurotransmitter in the CNS? Inhibitory?
Definition
Glutamate/ Glycine and NO
Term
Neuropeptide synthesis/release mech/effect
Definition
Mede in cell body, packaged in dense core vessicles, released via Ca++ exocytosis, exhibit a slow prolonged response,act as neuromodulators
Term
What is a neuromodulator
Definition
chemical messengers that do not cause the formaiton of EPSPs or IPSPs but bring long term changes that modulate the action of the synapse
Term
What is the process of formin the ternary complex in synaptic vssicle fusion and exocytosis
Definition
N-Sec-1 dissociates from syntaxin, allows syntaxin free end to coil with Synaptobrevin and SNAP-25. Makes a-helices, as they tighten it pulls the vissicle closer to the membrane
Term
What is the sensor of the Ca message that triggers the final stage and release of the neurotransmitter in the synaptic cleft?
Definition
synaptic vessicle protein synaptotagmin
Term
What dissociates the tightly coiled SNAREs?
Definition
SNAP, which actually just sticks on a NSF to the bunch, which will hydrolyze the bonds, they then turn inward
Term
What neuronal receptors are ion channels? what is the response generated?
Definition
Ionotropic receptors, these control rapid ionic flow to perpetuate or reduce hyperpolarization (nerve signals)
Term
What neuronal receptors are G Protein coupled receptors? what is the response generated?
Definition
Metabotropic receptors, these mediate slow, biochemically mediated synaptic responses. Activation results in the production of a and b subunits. RXN= few seconds to minutes
Term
What is the most common type of Physiological modulation of synaptic transmission?
Definition
Presynaoptic modulation, Facilitation or inhibition
Term
What are the three types of Synaptic transmission modulations?
Definition
Physiological
Drug
Disease
Term
Presynaptic faciliation
Definition
an excitatory synapse impinging on presynaptic terminal or axon cna increase the amout of neurotransmitter released from the presynaptic terminal
Term
Presynaptic inhibition
Definition
an inhibitory neuron impinging on presynaptic terminal or axon can decrease the amount of neruotransmitter released from the presynaptic terminal
Term
What is the effect of Tetanus and Botulinum toxin on nerves/signal transmission/
Definition
Bacterial toxins cleave SNAP, syntaxin proteins involved in exocytosis at NM junction and Cholinergic N endings in CNS preventing fusion of synaptic vessicles, prevents the relase of GABA, affecting skeletal muscles
Term
What are effects of cocaine on NS?
Definition
blocks reptake of dopamine at presynaptic terminals
downregulates dopamine receptors
Blocks voltage gated Na channels acting as a local anesthetic
vasoconstriction
Term
Strychnine
Definition
Competes with glycine, causes muscular convulsions and eventually death through asphyxia or sheer exhaustion
Term
What is lamber eaton?
Definition
Autoimmuned isorder
antibodies attack the pre-synaptic voltage gated CA channels, seen in Pt with small cell lung carcinoma
Term
Motor End Plate
Definition
the sarcolemma directly across fom the synaptic terminal,
Ion channels are chemically gated (bind ACh)
capable of EPP, not AP
Term
Active Zone
Definition
Presynaptic storage and release site for vesicles, keeps a constant supply ready for use
Term
Nicotinic ACh receptors: how many molecules have to bind? how often can they open? how long do they stay open?
Definition
2 molecules/receptor
they can open as fast as ACh can find them
they stay open for 1ms
Term
What causes an AP in M at NM junction?
Definition
MiniEPP sum =EPP, if big enough can create action potential
Term
What is the margin of safety
Definition
The excess ACh released to make sure that the action potential is created, this helps prevent catastrophic failure. Usually the signal is 1:1 EPP/AP
Term
What degrades ACh in the junctional gap and post-synaptic folds? How long does it take/How many?
Definition
Acetylcholinesterase
degrades within 1msec of release
10k/second (1 quantum or 1 vessicle)
Term
Explain acetylcholine recycling and enzymes
Definition
ACh exocytosed and degraded (by acetylcholinesterase) into Choline and Acetate, it is then re-uptaken into the N terminal and converted (via choline acetyltransferase) into Acetylcholine agian
Term
What do non-depolarizing drugs do/ what are they used for?
Definition
competitively bloc the binding of ACh to receptors causing reversible paralysis
Tubocurarine
Used in adjucnt to anesthesia
Term
What do depolarizing drugs do/what are they used for?
Definition
depolarize the sarcollemma and desensitize the receptors via an influx of ACh
Succinylcholine helps w/ intubation
Term
What is the mechanism for anticholinesterase poisoning?
Definition
Inhibits Acholinesterase (pesticides or N gases)
ACh accumulates in the synaptic cleft, depolorizes M, shakes, weakness, death
Term
What is Myasthenia Gravis?
Definition
Antibodies block ACH receptors,
EPP down
Margin of safety down, not enough signal to propagate AP
Treated with Nestigmine
Term
What are the two myofilaments? What are they composed of?
Definition
Myosin-two proteins twisted together makes tail and two heads
Actin- G-actin molecules form F actin 2 stranded helical structure
Term
What does tropomyosin do?
Definition
Inhibits the binding of myosin and actin
Term
What are the three complees of Troponin?
Definition
TNC-calcium sensor, binding promotes movement of TM
TnT: links Tn to TM
Tll: binds to actin and inhibits myosin ATPase
Term
What two other protiens were discussed in class that stabilize myofilaments. what do they do?
Definition
Titan- stabilizes on longitudinal axis
Nebulin- "ruler" that regulates the lenght of the actin filaments
Term
be able to draw slide 41 from memory (in Muscle lecture) with the IZMbands, etc
Definition
Term
What are the 6 steps in Excitation-Contraction coupling?
Definition
1 AP at NM junction
2 Ca release
3 Myosin and Actin interxn
4 M contraction
5 Ca removal
6 Relaxation
Term
Calsequestrin
Definition
A protien that binds calcium in the SR, allows to stare a large Q of calcium, keeps free Ca concentration low, prevents leakage
Term
What is malignant hyperthermia?
Definition
Anesthetics exacerbate a defect in calsequestrin or DHPR
Ca channel is abnormally sensitive to anesthetic, muscles contract forcefully b/c calcium is released freely, generates tremendous heat,
Dantrolene Sodium (abolishes E-C coupling)
Term
What does the Sliding Filament Theory predict?
Definition
The contractile force produced by the M figber is proportional to the N of myosin cross bridge- interactions
Term
What happens to the Sarcomere during contraction? A band? I band? H zone?
Definition
Sarcomere shortens
A band doesn't change
I band shortens
H band shortens
Term
What are the 4 characteristics of the Energized state during Cross bridge cycling?
Definition
Ca++ low
Myosin and Actin are dissociated
ADP, P on Myosin head
Trm/trp complex blocs actin
Term
What are the five steps in myosin binding to actin?
Definition
Ca binds trp C
Conformation shift in Trm/trp complex
exposure of myosin binding site on actin
myosin binds
Pi releases and initiates the powerstroke
Term
What are the details fo the powerstroke to release?
Definition
Myosin head shifts causing filament to slide
ADP released
Myosin remainds bound to actin until a new ATP binds (rigor mo0rtis)
ATP hydrolyzed to ADP-P
Head released and returns to origianl pos.
Term
What causes Ca++ to be pumped from M cytoplasm?
Definition
high Ca++ trigers Ca-ATPase pump (SeRCA) in sarcoplasm that pumps Ca back in.
Term
Compare Passive and Active Tension
Definition
Passive: due to stretching muscle
Active: force due to M working (cross bridge cycling)
Term
Explain the force relationship between passive and active tension
Definition
The force of the M acting continually decreases as the M is stretched, b/c of the decreasing overlap of actin/myosin
The passive tension force goes up at the same time as the M fascia begin to resist stretching
At maximums tretch there is no work tension, just passive tension
Term
What is the force velocity relationship?
Definition
The higher the force needed, the slower the velocity of the lift.
Slower allows more time for M/A crossbridge interaction. Force is proportional to crossbridges bound
Term
A single threshold stimulus causes what?
Definition
a twitch
Term
Motor Unit
Definition
one Motor neuron and all the fibers it innervates
Term
What sets M Force generation? Frequency of operation? ATP synthesis rate?
Definition
Myofibrillar volume
SRvolume
Mito volume
Term
SNS pre/post ganglionic lenghts and origins
Definition
Short pre
Long post
T1-L3
Term
PNS pre/post ganglionic lenghts and origins
Definition
Long Pre
Short Post
Cranial sacral
Term
What neurons are myelinated?
Definition
Symp. Pre
Parasymp. Pre
Term
What is teh differing primary neurotransmitter from acetylcholine? Which neurons use it?
Definition
Norepi,
Sympathetic Post
Term
Which Neurons have nicotinic receptors?
Definition
Pre both
Term
What are the primary postsynaptic receptors for Postganglionic in both symp and parasyp?
Definition
symp- adrinergic
para-muscarinic
Term
Epinephrine works on which nervous system?
Definition
Sympathetic
Term
Acetylcholinesterase inhibitors are used to treat what 3 things discussed in lecture?
Definition
Glaucoma, Increase GI motility, Treat Myasthenia gravis
Term
the path from tyrosine to NEpi
Definition
tyrosine-DOPA-dopamine-NE
Term
What are the elements of presynaptic and target cell disposition of NE?
Definition
Pre- uptake1, then metabolized by MAO
Post- Uptake 2, then metabolized by COMT
Term
What letters do all Cholinergic receptors begin with?
Definition
M or N
Term
What letters are all Adrenergic receptors?
Definition
alpha or beta
Term
What letters do all Dopaminergic receptors begin with?
Definition
D
Term
Know fight or flight
Definition
know rest and digest
Term
What determines the net effect of neuronal input on an organ?
Definition
the ration of PNS/SNS
Term
What is reflex activity?
Definition
response to a change in environment, many basic autonomic reflexes can be modulated by other inputs to CNS or by higher brain centers
Term
What NS predominates when filling the bladder? During Micturition?
Definition
Sympathetic
Parasympathetic
Term
Reciprocal vs Cooperative effects
Definition
-inhibit or promote= fine control
-both promote the same goal
Term
What are the three exceptions to the general rule of dual reciprocal innervation?
Definition
A&V only sympathetic
Sweat Glands ony sympathetic
Salivary Glands Both ANS/but cooperative
Term
Hypothalamus' role in Autonomics?
Definition
integrates autonomic, somatic and endocrine responsis that automatically accompany various emotional and behavioral states
Term
What autonomic reflexes can be integrated at the spinal cord?
Definition
Urination, defication, erection
Term
What region inthebrain is direction responsible for autonomic output
Definition
Medulla
Term
Agonist vs Antagonist
Definition
Both bind receptor
Agonist elicits the same effect
Antagonist blocks any response
Term
what is a second messenger, what is an example
Definition
after the first messenger's "message" the cell synthesis of a second messenger amplifies the original, and tells the cell to get things going. cAPM, cGMP, DAG IP3
Term
What are the 3 functions of Sm M?
Definition
Produce Motility
Maintain Pressure
Regulate internal flow
Term
Know contents of Sm M
Definition
no striations, No t-tubes, caviolae, spindle shaped, sheets of M, Contain gap junctions, single vs Multi unit
Term
What do gap junctions in smooth M conduct as a signal?
Definition
Ca and Na
Term
Syncytium?
Definition
when cells function via anatomical and electrically connexns thru gap junctions
Term
Sm M actin contains ? but is missing ?
Definition
Contains Tropomyosin but lacks troponin
Term
Dense bodies
Definition
attachment for Actin
Same role as z disks in skeletal M
Some attached to cell membrane
Term
What are the three types of smooth M?
Definition
Multiunit, Single unit, vascular (combination of the two)
Term
Do Smooth M have end plates?
Definition
No they have vericosities
Term
What type of Sm M is neurogenic?
Definition
(innervated) Multiunit, in eye, piloerector M, vas deferens
Term
What Sm M is myogenic?
Definition
(Self excitable) visceral sm M, functional syncytium, slow contraction, E efficient, GI, bladder, uterus, ureter
Term
describe pacemaker potential
Definition
membrane potential gradually depolarizes until it reaches threshold for firing a single action potential
Term
describe Slow wave potential
Definition
membrane potential alternately depolarizes and hyperpolarizes (oscillates) when the threshold is reache dthe cell fires a burst of action potentials
Term
Sm M action potential uses what anion?
Definition
Ca++
Term
Spike Potential
Definition
Typical action potential of unitary sm M cells. Depolarization phase is due to voltage gated Ca channels
Term
Slow wave potentials
Definition
Spontaneous depolarization of the resting membrane potential in unitary Sm M cells
typically slow wave
Term
Action P with plateau
Definition
Repolarization is delayed allowing for prolonged contraction (ureter, uterus, certain vascular sm M cells)
Term
Describe Cross bridge cycling of Sm M
Definition
rgulation occurs on teht thick filament by light-weight proteins attached to the myosin molecules called Myosin Light Chains
Term
describe the process of contraction in sm M
Definition
Ca up
Ca binds to calmodulin
Ca-Calmodulin activates myosin light chain kinase (MLCK)
MLCK phosphorylates the Light chain (MLC)
interacts w/actin and contracts
Ca down
myosin ligh chain phosphatase (MLCP) removes phosphate from MLC
Term
What are latch bridge contractions, how are they achieved?
Definition
Sm M tonic contraction, tension w/less ATP
Dephosphorylation of MLC immediately after myosin/actin interxn result in lower atpase activity
Term
Phasic contractions
Definition
rapid production of force and subsequent relaxation of sm M as ca concentration returns to basal levels
Term
Tonic contractions sm M
Definition
continuous production of force int he face of falling ca, cross bridge cycling continues at low levels (vessels, GI)
Term
What are the three mechanisms for increaseing intracellular Ca in smooth M?
Definition
Voltage Gated Ca channels
Ligand gated ca channels
IP3 gated SR ca channels
Term
What two mechanisms decrease intracellular Ca in smooth M?
Definition
Sarcolemmal Na/Ca exchanger
Sarcolemmal CaATPase
Term
Calcium antagonist drugs
Definition
block voltage gated Ca channels, reduce ca influx, vasodilators
Term
Potassium channel openers Sm M drugs mechanism
Definition
cause hyperpolarization promote relaxation, vasodilators
Term
how doe cAMP decrease sm M tone?
Definition
inhibits MLCK even in the presence of increased intracellular Ca,
Albuterol, stiumlated by B2 adrenergic receptors
Term
how doe cGMP decrease sm M tone?
Definition
avtivates myosin phosphatase, resulting in myosin dephosphorylation
Term
How does nitroglycerin reduce high coronary blood flow?
Definition
works on endothelial cells to produce nitric oxide with stimulates cGMP production in sm M,
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