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PubH 201:The Biologic Basis 2
Terms
147
Medical
Graduate
10/24/2006

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Term
anencephaly
Definition
a type of neural tube birth defect characterized by absence of covering over and incomplete development of the brain associated with folic acid deficiency during the first third of pregnancy
Term
ataxia
Definition
loss of motor coordination
Term
beriberi
Definition
a neurologic illness characterized by dementia and ataxia caused by deficiency of vitamin B-1 (thiamin)
Term
carbohydrates
Definition
foods primarily made up of carbon atoms and water that are the principle source of dietary energy
Term
complex carbohydrates
Definition
starches that are water-soluble polysaccharides of glucose such as those in grains and potatoes
Term
dental plaque
Definition
organic acids that erode dental enamel mixed with a slime on teeth and gums produced by bacteria that digest simple carbohydrates
Term
disaccharides
Definition
carbohydrates made of two basic units such as sucrose and lactose
Term
essential amino acids
Definition
Nine of the twenty amino acids that are essential nutrients: lysine, methionine, threonine, tryptophan, leucine, isoleucine, valine, phenylalanine, and histidine
Term
essential fatty acids
Definition
two fatty acids, linoleic and linolenic acid, that are essential nutrients
Term
essential nutrients
Definition
more than 40 different nutrients that are essential to maintaining good health but that cannot be synthesized by the body and must be obtained from food or other external sources. The six categories of essential nutrients include proteins, carbohydrates, fats, vitamins, minerals, and water.
Term
fat soluble vitamins
Definition
vitamins A, D, E, and K
Term
fats
Definition
triglycerides
Term
fatty acids
Definition
lipids composed of chains of 18-22 carbon atoms that may be saturated (completely bound with hydrogen atoms) or unsaturated (incompletely bound with hydrogen atoms)
Term
fiber or non-starch
Definition
polysaccharides that cannot be broken down by digestive enzymes and are therefore not available as an energy source
Term
food
Definition
any nourishing substance eaten, drunk, or otherwise taken into the body to sustain life, provide energy, or to promote growth
Term
fructose
Definition
a monosaccharide found in fruits and honey
Term
galactose
Definition
a monosaccharide found in milk sugar
Term
glucose
Definition
a monosaccharide found in fruits and honey
Term
glycolipids
Definition
lipid substances with linked sugar groups that are key structural elements in cell membranes and precursors of other biologically active molecules important in cell signaling
Term
HDL - Cholestrol
Definition
cholesterol carried on high-density lipoproteins that can absorb excess cholesterol in the blood and return it to the liver for recycling. Sometimes called "good cholesterol".
Term
homocysteine
Definition
a sulfur containing amino acid that, when present in elevated levels in blood has been associated with increased risk of coronary heart disease, stroke, and thrombosis even among individuals with normal cholesterol levels
Term
Kwashiorkor
Definition
a form of protein deficiency, most often seen in starving children, characterized by retarded growth and abdominal distention caused by liver enlargement
Term
lactose
Definition
a disaccharide made from glucose and galactose; milk sugar
Term
LDL - cholesterol
Definition
cholesterol carried on low-density lipoproteins that can penetrate arterial walls and, when oxidized, forms atherosclerotic plaque. Sometimes called "bad cholesterol".
Term
lipids
Definition
biologic compounds that are soluble only in organic solvents
Term
major or macrominerals
Definition
minerals required in amounts greater than 1-200 milligrams per day including calcium, magnesium, phosphorus, sodium, potassium, and sulfur
Term
marasmus
Definition
a severe form of both protein and energy deficiency often associated with body weight that is 60% less than normal
Term
minerals
Definition
inorganic elements found in both living and non-living things. All minerals are essential nutrients
Term
monosaccharides
Definition
the basic structural units of carbohydrates consisting of a six-carbon ring with six oxygen and twelve hydrogen atoms attached such as glucose, fructose, and galactose
Term
nutrition
Definition
the study and science of the dietary requirements of living things for proper health and development
Term
omega 3 fatty acids
Definition
polyunsaturated fatty acids contained in fish and some vegetable sources that appear to decrease triglyceride levels and the rate of progression of atherosclerosis, lower blood pressure, and reduce the risk of coronary heart disease
Term
osteoporosis
Definition
a condition characterized by decreased mineral bone mass and weakened bones causing a tendency to develop fractures following relatively minor injury that is often, but not always, caused by calcium deficiency
Term
pellegra
Definition
a disease characterized by skin irritation, diarrhea, and permanent dementia caused by deficiency of niacin or nicotinic acid
Term
pernicious anemia
Definition
a disease characterized by anemia and nerve damage caused by vitamin B-12 deficiency
Term
phospholipids
Definition
lipid substances with linked phosphate groups that are key structural elements in cell membranes and precursors of other biologically active molecules important in cell signaling
Term
polysaccharides
Definition
carbohydrates made of long chains of monosaccharide units
Term
proteins
Definition
polymers of amino acids that contain the elements carbon, hydrogen, oxygen, nitrogen, and sulfur
Term
rickets
Definition
a disease of children characterized by malformed bones caused by vitamin D deficiency
Term
satiety
Definition
the subjective sensation of fullness
Term
scurvy
Definition
a disease characterized by decreased wound healing and bleeding, especially of the mouth and gums, caused by vitamin C deficiency
Term
simple carbohydrates
Definition
mono- or disaccharides such as table sugar or candy that are not usually a component of the fibrous structure of foods and are readily digested. They rapidly reach the bloodstream as an available energy source
Term
spina bifida
Definition
a type of neural tube birth defect characterized by absence of covering over and incomplete development of the spinal cord associated with folic acid deficiency during the first third of pregnancy
Term
sterols
Definition
lipids that are composed of three six carbon rings and one five carbon ring fused together forming the basic structure for cholesterol, bile salts and many hormones such as cortisols, estrogens, androgens, and progesterones
Term
sucrose
Definition
a disaccharide made from glucose and fructose; table sugar
Term
superoxide dismutase
Definition
any of a group of antioxidant enzymes that consist of trace elements bound to protein that protect cells from damage caused by free radicals
Term
thrombosis
Definition
blockage of blood flow in veins or arteries caused by blood clots
Term
trace or microminerals
Definition
minerals required in daily quantities less than 20 milligrams per day including chromium, copper, iodine, iron, manganese, selenium, and zinc
Term
triglycerides
Definition
lipids composed of three fatty acids bound to glycerol, a three carbon polyalcohol
Term
vitamins
Definition
organic compounds essential for many metabolic functions. Most are essential nutrients and deficiencies may cause general and specific signs and symptoms of illness
Term
water soluble vitamins
Definition
B vitamins, folic acid, niacin, and vitamin C
Term
aneurysm
Definition
thinning and weakening of the walls of an artery causing bulging of the wall in the shape of a sack
Term
arteriosclerosis
Definition
a chronic disease of the arteries of the circulatory system characterized by thickening and hardening of the arterial walls caused by atherosclerosis
Term
atherosclerosis
Definition
focal thickening of the wall of an artery caused by infiltration of mixtures of fibrous and fatty plaque
Term
classical angina
Definition
stable angina
Term
claudication
Definition
pain or weakness of muscles
Term
dyspnea
Definition
difficulty breathing
Term
embolism
Definition
a sudden obstruction of a blood vessel caused by an insoluble substance in the blood
Term
endogenous lipid transport
Definition
movement of lipid produced by the liver to other parts of the body
Term
exogenous lipid transport
Definition
movement of lipid absorbed from the intestines to the liver
Term
gangrene
Definition
tissue death due to ischemia
Term
heart failure
Definition
failure of the heart to pump blood effectively, resulting in back pressure and congestion of tissues with body fluids
Term
hypertension
Definition
high blood pressure
Term
infarction
Definition
cell death due to loss of blood supply
Term
ischemia
Definition
temporary lack of blood supply that deprives tissues of nutrients and oxygen
Term
myocardial infarction
Definition
irreversible heart muscle damage and cell death usually called a heart attack
Term
peripheral vascular disease
Definition
disorders of the circulatory system including the arteries, veins, or lymph ducts but excluding the heart
Term
stable angina
Definition
reversible ischemic heart disease that produces chest pain
Term
streptokinase
Definition
an enzyme produced by the streptococcus bacterium that dissolves blood clots
Term
tissue plasminogen activator (TPA)
Definition
an enzyme produced by endothelial cells that binds specifically to fibrin and therefore dissolves only clots that are localized rather than throughout the systemic circulation
Term
unstable angina
Definition
sudden more severe angina that lasts longer than stable angina and is associated with either coronary artery vasospasm or a transient thrombosis
Term
angiotensins
Definition
a group of peptides activated by renin that elevate blood pressure through a variety of mechanisms including increasing arteriolar smooth muscle tone
Term
cerebral
Definition
pertaining to the brain
Term
cerebrovascular accident (CVA)
Definition
a sudden neurologic deficit without seizure lasting longer than one day, commonly called a stroke
Term
cerebrovascular disease
Definition
any disease of the brain caused by a pathologic process that affects the cerebral blood vessels
Term
computerized tomography
Definition
a special form of x-ray imaging that produces serial images of the body cut into adjacent planes or sections
Term
CT scan
Definition
computerized tomography
Term
edema
Definition
swelling of tissue
Term
embolic stroke
Definition
a CVA associated with cerebral infarction caused by clot fragments that break off thrombi situated in sites outside the brain such as the left side of the heart, aorta, or carotid arteries
Term
essential hypertension
Definition
primary hypertension
Term
hemorrhagic stroke
Definition
a CVA associated with rupture of an artery within the brain
Term
hypertension
Definition
consistently abnormally high blood pressure
Term
hypertrophy
Definition
cellular enlargement
Term
primary hypertension
Definition
idiopathic hypertension
Term
renin
Definition
a protein produced by the kidneys that converts angiotensin precursors into biologically-active peptides
Term
secondary hypertension
Definition
hypertension caused by a specific disease or process
Term
thrombotic stroke
Definition
the most common form of CVA that results when parts of clots, often associated with atherosclerosis, within major blood vessels of the brain break off and suddenly interrupt blood supply to portions of the brain
Term
transient ischemic attack (TIA)
Definition
a temporary episode of neurologic dysfunction lasting less than one day caused by cerebral ischemia
Term
adult-onset diabetes
Definition
type II diabetes
Term
advanced glycosylation end products (AGE)
Definition
abnormally-shaped, dysfunctional structural molecules of the body formed when glucose irreversibly binds to fat, protein, or nucleic acids as a result of chronic hyperglycemia
Term
concordance
Definition
phenotypic similarity in twins
Term
creatinine
Definition
a metabolic waste product produced by the breakdown of muscle protein
Term
diabetes
Definition
a group of metabolic diseases characterized by persistently elevated blood glucose levels and associated abnormalities in lipid and protein metabolism
Term
euglycemia
Definition
normal blood glucose levels
Term
glomeruli
Definition
the filtering tissue of the kidneys composed of loops of capillaries that lie adjacent to the excretory ducts that connect to the ureters and bladder
Term
glycosylation
Definition
nonenzymatic binding of glucose to other molecules such as proteins, fats, or nucleic acids
Term
hyperglycemia
Definition
elevated level of blood glucose
Term
hypoalbuminemia
Definition
abnormally low levels of albumin in blood
Term
insulin
Definition
a protein hormone produced by the beta cells of the pancreas that regulates glucose levels in the body
Term
insulin dependent diabetes mellitus (IDDM)
Definition
Type I diabetes
Term
insulin resistance
Definition
unresponsiveness of cells to the effect of insulin, reducing their ability to absorb glucose, resulting in hyperglycemia
Term
juvenile diabetes
Definition
Type I diabetes
Term
lipidurea
Definition
excretion of lipid in urine
Term
MAP (mitogen-activated protein) kinase pathway
Definition
a cell signaling system that phosphorylates molecules and is associated with tissue remodeling
Term
metabolic syndrome
Definition
a cluster of metabolic abnormalities defined as any combination of three of the following: abdominal obesity, glucose intolerance, hypertension, and abnormal blood lipid levels
Term
microalbuminurea
Definition
the excretion of small but abnormal amounts of albumin, the primary protein within the serum of the circulatory system, into the urine often associated with early kidney damage
Term
nephrotic syndrome
Definition
a combination of abnormal conditions associated with advanced renal disease consisting of hypoalbuminemia, proteinurea, edema, hyperlipidemia, and lipidurea
Term
nephropathy
Definition
kidney disease
Term
Non-insulin dependent diabetes mellitus (NIDDM)
Definition
Type II diabetes
Term
pancreatic beta cells
Definition
the cells of the pancreas that produce, store, and release insulin into the bloodstream, thereby regulating blood glucose levels
Term
peroxisome proliferator-activated receptors (PPARs)
Definition
a group of receptor molecules within the cell nucleus that activate transcription of genes that regulate the breakdown and storage of fat
Term
polydipsia
Definition
excessive thirst
Term
polyphagia
Definition
excessive appetite
Term
polyurea
Definition
frequent urination
Term
proteinurea
Definition
excretion of large amounts of protein in the urine, often, but not always associated with established kidney disease
Term
thiazoladinediones
Definition
a group of pharmacological agents that increase sensitivity of peripheral tissues to insulin-mediated glucose uptake
Term
Type I diabetes
Definition
diabetes that results from destruction of the pancreatic beta cells causing inability to produce insulin
Term
Type II diabetes
Definition
diabetes caused by either insufficient insulin production by pancreatic beta cells or peripheral insulin resistance
Term
urea
Definition
a metabolic waste product produced by the breakdown of protein
Term
alpha-1 antitrypsin
Definition
an enzyme inhibitor produced by the liver that blocks the destructive effects of elastase, an enzyme produced by neutrophils, and other proteolytic enzymes that may damage the lungs and greatly increase the risk for developing emphysema
Term
asthma
Definition
chronic hyper-responsiveness of the airways in response to allergens and irritants mediated by cells of the immune system, principally mast cells and eosinophils Signs and symptoms are acute and intermittent and respond to treatment with pharmaceuticals.
Term
atopy
Definition
hereditary sensitivity to allergens without apparent prior antigenic exposure associated with asthma, eczema, and hay fever
Term
chronic bronchitis
Definition
chronic hypersecretion of mucus and chronic cough for more than three months per year for at least two consecutive years
Term
chronic obstructive pulmonary disease (COPD)
Definition
irreversible lung damage associated with abnormal pulmonary function tests of expiratory air flow that do not respond to treatment with pharmacological agents
Term
dyspnea
Definition
difficulty breathing
Term
emphysema
Definition
a disease characterized by abnormally enlarged and damaged alveoli of the lungs that leads to progressive hypoventilation and, ultimately, respiratory failure
Term
leukotrienes
Definition
potent biological substances produced from unsaturated fatty acids by mast cells that cause bronchospasm, attract inflammatory cells, and induce excessive mucus secretion
Term
status asthmaticus
Definition
potentially life-threatening acute respiratory decompensation associated with severe bronchospasm of asthma
Term
agnosia
Definition
difficulty recognizing people and objects
Term
alogia
Definition
impoverished speech and mental creativity
Term
Alzheimer's disease
Definition
a common neurodegenerative disease causing apoptosis of the hippocampal and cortical neurons associated with neurofibrillary tangles and amyloid plaque
Term
amnesia
Definition
loss of memory
Term
amyloid plaque
Definition
accumulations of amyloid peptide in the cerebral cortex that are associated with the pathologic diagnosis of Alzheimer’s disease
Term
anhedonia
Definition
loss of the ability to experience pleasure
Term
aphasia
Definition
difficulty understanding and using words
Term
apraxia
Definition
difficulty carrying out familiar movements and tasks
Term
atypical antipsychotic drugs
Definition
drugs used to treat schizophrenia that cause fewer neurologic side effects involving movement
Term
avolition
Definition
loss of initiation of goal-directed activity
Term
beta amyloid
Definition
a neurotoxic form of the peptide, amyloid, that is 42 amino acids long and is associated with familial forms of Alzheimer’s disease
Term
caspases
Definition
a family of cysteine-dependent, aspartate-specific proteases that are associated with apoptosis in neurodegenerative diseases
Term
delusions
Definition
abnormalities in inferential thinking
Term
early onset Alzheimer's disease
Definition
familial Alzheimer’s disease associated with single amino acid mutations in any of three autosomal genes causing 6-7% of all cases
Term
flattened affect
Definition
blunting of emotional expression
Term
hallucinations
Definition
abnormalities in perception
Term
late onset Alzheimer's disease
Definition
non familial Alzheimer’s disease associated with an abnormal allele of the gene for apolipoprotein E
Term
neurofibrillary tangles
Definition
hyperphosphorylated form of tau microtubular protein that, along with amyloid plaques, is associated with the pathologic diagnosis of Alzheimer’s disease
Term
schizophrenia
Definition
a major psychotic disorder characterized by loss of reality testing, delusions, hallucinations, disorganized thinking and behavior with inappropriate affect
Term
tau protein
Definition
a microtubular protein that when present in an abnormal form is associated with pathologic findings of Alzheimer’s disease
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