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Physiology
Core I
19
Physiology
Graduate
08/30/2011

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Cards

Term
Liddle's Syndrome
Definition
Constitutive Na+ resorption because mutant epithelial sodium channels (ENaC) cannot be internalized from the apical surface of renal tubular cells --> hypertension
Term
Cholera
Definition
bacterial toxin inhibits Na/H antiporter in intestinal villus cells; activates chloride efflux by stimulating Cl channels in crypt cells. Loss of Cl to lumen and inability to absorb Na from lumen lead to water and electrolyte loss. --> Diarrhea
Term
Pertussis
Definition
Pertussis toxin ADP-ribosylates Giα, which prevents Giα from binding. GTPase activity is blocked, hydrolysis does not occur, and adenylate cyclase stays constitutively active. --> whooping cough
Term
Cholera (again)
Definition
Cholera toxin ADP-ribosylates Gsα, which prevents Gsα. GTPase activity is blocked, hydrolysis does not occur, and adenylate cyclase stays constitutively active. --> diarrhea
Term
McCune-Albright Syndrome
Definition
Endocrine pathway mutation in embryogenesis --> Abnormal bone growth, skin pigmentation, premature puberty, hormone imbalances
Term
Low [Na+] response
Definition
o Sensed by cardiovascular sense receptors & baroreceptors
o Activates nervous signals
o Increases Na+ retaining hormones (Angiotensin II & Aldosterone)
o Increases sympathetic nervous system → increases Na+ reabsorption by kidneys
o Thirst stimulated by brain → restores volume
Term
High [Na+] response
Definition
o Sensed by atrial stretch receptors
o Releases atrial natriuretic peptide from same atrial cells
o Inhibits renal Na+ and volume reabsorption → increases urine output
o GI tract → releases factors that increases Na+ excretion
Term
Low ECF K+ response
Definition
o Increase renal K+ reabsortption
o Transfer K+ out of muscle ICF
Term
High ECF K+ response
Definition
o Increase insulin
o Acute increase in Na+ pump activity in muscle & fat → K+ pumped into ICF from ECF
Term
Chronic high K+ response
Definition
o Increase K+ secretion in urine bc of cellular gradient change
o Increase aldosterone → increases K+ channel activity
Term
High ECF osmolality (sweating)
Definition
o Osmoreceptor in hypothalamus sends action potential
o Increases ADH
o Produces concentrated urine
o Osmoreceptor stimulates thirst
Term
Low ECF osmolality (drank too much water)
Definition
o No release of ADH/vasopressin
o Dilute urine (up to 50 mOsm)
Term
high glucose response
Definition
o Insulin released from beta cells (pancreas)
o Activates cell glucose uptake
o Forms glycogen, protein, triglycerides
Term
Low glucose response
Definition
o Pancreas releases glucagon from alpha cells
o Raises substrate availability by proteolysis, lipolysis, gluconeogenesis
o Glucose transfer from ICF to ECF
Term
furosimide
Definition
Inhibits Na/K/2Cl transport
Term
ouabain
Definition
cardioglycoside - inhibits Na/K ATPase
Term
DIDS
Definition
inhibits Cl/HCO3 antiport
Term
Amiloride
Definition
inhibits Na+ channel
Inhibits Na/H antiport
Term
Blood Volume
Definition
plasma (ECF) + RBC (ICF)
= plasma + (hct)BV
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