anatomy and physiology Flashcards

1
Q

Explain the cardiovascular system?

A

Body system that moves blood around the body
Consists of heart and blood vessels
Blood vessels that take blood away from the heart are arteries
Blood vessels that take blood away from the heart are called veins

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2
Q

how many times does the heartbeat a day

A

Heart beats 100,000 times a day

Pumps about 5 litres of blood around the body a day through a network of blood vessels providing nutrients

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3
Q

what is the pericardium

A

thin outlining that protects your heart

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4
Q

what is the myocardium

A

thick muscular layer that contracts and squeezes blood out

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5
Q

what is the endocardium

A

thin inner lining of the heart (4 chambers)

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6
Q

what can smoking do to your heart

A

Damaged lining of your arteries leads to fatty build up.

Carbon monoxide in smoking reduces the amount of oxygen in the blood.

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7
Q

how can weight affect your heart

A

Puts extra strain on heart muscles, and raises blood cholesterol.

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8
Q

how does Cholesterol affect your heart

A

Too much cholesterol building up in the walls of the arteries causes a form of heart disease

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9
Q

how does blood pressure affect your heart

A

Damage your heart by affecting blood flow to the arteries

Increases the elasticity of the walls which increases blood flow which then increases heart rate

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10
Q

what does the Respiratory system do

A

It gets rid of carbon dioxide in the blood and takes in oxygen which the body needs via the lungs
Trachea branches which branches into two bronchi
Pleural membranes surround each lung attaching to the rib cage and diaphragm to stop friction.
Cartilage rings in the walls of the trachea helps to keep it open
Bronchi split into smaller tubes called bronchioles
Alveoli are at the end in microscopic air sacs.
There is a muscular diagram below the lungs which separate the chest from the abdomen

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11
Q

what 3 things play an important role in your ventilation

A

The ribs, intercostal muscles and the diagram play important roles in ventilation.

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12
Q

explain how the body takes in oxygen to the lungs?

A

Gas exchange
Body getting rid of carbon dioxide and taking in oxygen
The trachea branches into two bronchi
Pleural membrane surrounded each lung, they attach the lung to the ribcage and the diaphragm and prevent friction
Cartilage rings hep to keep the trachea open
Bronchi splits into smaller tubes called bronchioles

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13
Q

what is the Larynx?

A

connect the back of the nose and trachea forming an air passage for the lungs

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14
Q

what is the Alveoli?

A

they are sacs found in clusters at the end of the bronchioles, they are all surrounded by capillary network where oxygen and carbon dioxide are exchanged

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15
Q

what is the Diaphragm?

A

this is a muscle anchored to the lower ribs that separate the chest from the abdomen

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16
Q

what is the Intercostal muscles?

A

muscles found between the ribs

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17
Q

what is the Pleural membranes?

A

cover the outside of the lung and line the inside of the chest wall

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18
Q

give some facts about a Erythrocytes cell

A

have a biconcave shape to increase the service area, slows blood flow the enable diffusion of oxygen. Large amounts of haemoglobin for transporting oxygen. No nucleus. Role is to transport oxygen around the body.

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19
Q

give some facts about a Lymphocytes cell

A

There are 2 types: t-cells and b-cells, which are both involved in the immune system. T-cells destroy the body’s own cells that have been infected. B-cells produce antibodies to destroy antigens and fight infection.

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20
Q

give some facts about a Neutrophils cell

A

multi-lobed nucleus, most common white blood cell, very mobile and move quickly to area of infection, they carry out phayoyosis

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21
Q

give some facts about a Monocytes cell

A

largest white blood cell, they have a di-lobed nucleus and formed in the bone marrow, they move to the area of attack and carry out phagocytosis

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22
Q

give some facts about a platlets

A

fragments of larger cells, disc shaped and involved in blood clotting to slow and stop bleeding

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23
Q

give some facts about a plasma

A

clear yellowish colour, carries a means of production for transport for proteins, glucose, lipids, amino acids, hormones, dissolved food molecules, carbon dioxide, oxygen. Helps temperature regulation in the body

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24
Q

What is the function of blood?

A

to transport nutrients around the body
Substances that cannot dissolved in water are carried by blood, proteins called lipoproteins
Blood also transports gases such as oxygen and carbon dioxide between the tissue and the lungs

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25
Q

Explain how fats are transported in the blood?

A

Fats are transported to tissues where they are used for energy or stored
Fats are transported packaged with proteins called lipoproteins

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26
Q

Explain how hormones are transported in the blood?

A

Blood also transport hormones e.g: adrenaline and insulin
Chemicals produced in endocrine gland
Travel into the blood to target organs which trigger a response

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27
Q

Explain how gases are transported in the blood?

A

Blood transports oxygen and carbon dioxide between the lungs and the tissues
Oxygen is required by the tissues for respiration and carbon dioxide is a waste product of respiration that need to be removed
In the tissues oxygen is released, haemoglobin is reformed
Erythrocytes contain an iron-rich protein called haemoglobin which combines with oxygen to produce haemoglobin

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28
Q

give 2 types of lipoprotiens

A

LDL’s and HDL’s

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29
Q

what is a LDl?

A

HDL prevent the deposit left by LDL’s

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30
Q

what is a HDL?

A

LDLs deposit fats and cholesterol in the walls of arteries

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31
Q

what are chemical reactions controlled by ?

A

proteins called enzymes

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32
Q

what happens if temperature gets to high?

A

If the temperature gets too high then enzymes will change shape (denature)

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33
Q

what happens if temperature gets to low?

A

If the temperature is too low then the enzymes (slow down) and will not work well enough for a reaction to occur

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34
Q

what is optimum for the body?

A

Optimum temperature for a good body is 37’c

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35
Q

where is heat produced?

A

Heat is produced in the cells but mostly in the muscles

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36
Q

what does blood do for temperature regulation?

A

Blood removes the heat and circulates this heat around the body

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37
Q

whose role is it i combating infection?

A

Combating infection is the role of the immune system

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38
Q

what happens in the body when fighting infection?

A

Bacteria and parasites will be recognised as threats by cells such as neutrophils and b-lymphocytes , which act as antigens, they form special proteins called antibodies. These lock onto specific chemicals in the walls of the bacteria and parasites, immobilizing them and making them target monocytes that then kill and breakdown.
Special lycophytes remember these particular pathogens and will respond quickly if there is a re-infection

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39
Q

explain blood clotting?

A

When skin is exposed to air foreign material, tiny cell fragments from the bone marrow called platelets, activate a chain reaction called coagulation
They converts the soluble blood protein fibrinogen into insoluble from fibrin creating a net-like structure trapping both platelets and erythrocytes to form a clot
The platelets also activate the immune response minimising the threat of a pathogenic invasion

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40
Q

what does inspiration mean?

A

breathing in

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41
Q

what does expiration mean?

A

breathing out

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42
Q

what is the role of the pleural membrane?

A

Each lung is enclosed with a double membrane
Space between two membranes called pleural cavity and is filled with small amount of pleural fluid
Fluid lubricates the surface so two pleural layers will slide over each other allowing the lungs to move
Also protects the lungs from friction as the move

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43
Q

explain the process of inspiration?

A

Medulla oblongata sends signals to the external intercostal muscles and diaphragm contracts
The ribcage is forced up and out
As the diaphragm contracts it flattens, pressing down on digestive organs
Pleural membrane attach lungs to ribcage and diaphragm
As lung are stretched opens microscopic alveoli for gaseous exchange
Stretching lungs increases the volume decreasing air pressure within the lungs below atmosphere outside the lungs
Results in air rushing into lung to balance air pressure

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44
Q

explain the process of expiration ?

A

The reserse happens
The medulla oblongata stops sending signals so diaphragm stop contracting
Diaphragm lifts back into dome shape and intercostal muscles pull ribcage in and down
Decreases volume in the lung so air pressure in lungs is greater
Forced carbon dioxide out of lungs so deflate

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45
Q

what’s the role of the pleural membrane?

A

Process involves exchange of oxygen and carbon dioxide between capillaries and alveoli

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46
Q

what is capillary?

A

smallest blood vessels and carry blood between arteries and veins

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47
Q

what is alveoli?

A

Alveoli- tiny air sacs at the end of the bronchioles

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48
Q

give 3 adaptations of the alveoli and explain them?

A

Walls are thin- minimum distance for gases to pass
Moist walls- gases dissolve in the moisture helping them to pass across exchange surfaces
Large number of air sacs- capillaries making larger surface area

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49
Q

explain the diffusion gradient?

A

Substance will move down a concentration gradient from areas of high to low concentration until the same concentration.
During inspiration air is sucked into the lungs filling the alveoli which means a higher concentration of oxygen in the alveoli than the capillaries.
Capillaries surrounding the alveoli have a lower concentration of oxygen.
Results in a diffusion in oxygen.

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50
Q

what is a Erythrocytes ?

A

Red blood cell
Biconcave shape or large surface area
No nucleus to fit more haemoglobin
Red protein

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51
Q

what is hemoglobin?

A

Red protein
Carry oxygen around the body
Makes oxyhaemoglobin

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52
Q

what is plasma?

A

Component of blood
Liquid
Carries blood cells

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53
Q

explain the process of inspiration?

A

Air suced intoo the lungs
Inflates the alveoli
High concentration of oxygen in the alveoli
Low concentration of oxygen in blood capillaries
Oxygen diffuses from alveoli into the blood through capillaries

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54
Q

explain the diffusion gradient in the alveoli ?

A

Oxygen diffuses into blood and combines with haemoglobin in erythrocytes to form oxyhaemoglobin
Carbon dioxide in blood diffuses in the opposite direction
Plasma transports CO2 which is then passed off to the lungs during expiration

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55
Q

why do we need oxygen?

A

Oxygen diffuses into blood and combines with haemoglobin in erythrocytes to form oxyhaemoglobin
Carbon dioxide in blood diffuses in the opposite direction
Plasma transports CO2 which is then passed off to the lungs during expiration

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56
Q

why do we need a reduce amout of co2?

A

Too much acidic carbon dioxide in our blood is harmful and can stop our body cells from working properly.

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57
Q

explain the pulmonary circulation?

A

Pulmonary artery carries deoxygenated blood from the heart to the capillaries in the lungs
Gaseous exchange happens and the blood becomes oxygenated
The pulmonary vein then carries the oxygenated blood back to the heart to be pumped around the body

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58
Q

give a basic summary of gas exchange?

A

Exchange of oxygen and carbon dioxide between capillaries and alveoli.
Process is aided by three adaptations that include; thin, moist, scas.
Diffusion gradient high to low
Blood then circulates the oxygen to the body while carbon dioxide is exhaled during expiration

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59
Q

what is the aorta?

A

main artery in the body: it leaves from the heart to the left ventricle

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60
Q

what is the pulmonary artery?

A

carries deoxygenated blood from the heart to the lungs

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61
Q

what is the vena cava?

A

largest veins in the body, carries deoxygenated blood from the heart to the lungs (superior and inferior)

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62
Q

what is the pulmonary vein?

A

carries oxygenated blood from the lungs to the left atrium

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63
Q

what is the tricuspid valve?

A

frist valve that blood encounters as it enters the heart from the tissues, allows blood to move only from the right atrium to the left ventricle preventing it from going back

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64
Q

what is bcuspid valve?

A

found on the left hand side of the heart. Found between the left atrium and left ventricle.

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65
Q

what is the pulomanry arterial valve?

A

at the opening from right ventricle into the pulmonary artery, prevents blood moving backwards into right ventricle

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66
Q

what is the aortic valve?

A

found at the exit of the left ventricle where the aorta begins

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67
Q

what provides energy we need?

A

glucose

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68
Q

what is a cell?

A

Cells are the building blocks

Provide structure from the body, taking nutrients into energy and carry out function

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69
Q

explain aerobic respiration?

A

Take place in the mitochondria
Mitochondria use enzymes to convert glucose into ATP
ATP is a high energy molecule found in the cell
Mitochondria have a inner membrane on which enzymes are embedded
This membrane is highly folded to increase the surface are on which respiration takes place

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70
Q

what is ATP?

A

Atp provides immediate source of energy for biological process
ATP is formed when ADP combines with energy released when we break down glucose
ATP can then be quickly broken down back to ADP breakdown releases the main energy source of the cell

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71
Q

explain anaerobic respiration?

A

Takes place without oxygen and releases less energy because glucose molecules are only partially broken down
During exercise, cells are deprived of oxygen but still need energy. The body response by converting glucose into lactic acid and energy into ‘oxygen debt’
Lactic acid causes muscle cramps, when exercises stop oxygen debt and oxidising the lactic acid

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72
Q

explain the process of glycolysis ?

A

Process that occurs in the cytoplasm during aerobic and anaerobic
Process breaks down glucose and forms pyruvate with 2ATP
Pyruvate is a molecules involved in energy generation can be converted into lactic acid or broken to water and carbon dioxide when oxygen is present

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73
Q

explain the kreb cycle?

A

Pyruvic acid supplies energy to cells through the krebs cycle when oxygen is present through aerobic respiration
When oxygen is lacking needs to be oxidised later to form carbon dioxide and water to prevent build up

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74
Q

what can asthma be triggered by?

A
Allergens 
Dust 
Exercise 
Stress
Infection
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75
Q

give a biological explanation for asthma?

A

Cause bronchi to become inflamed and more sensitive
Causes the airways to narrow as the muscles in the bronchi tighten
Tightening causes lining to be swollen produce airways being blocked

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76
Q

give the effects on the individual for having asthma?

A

Results in wheezes, short of breath has a tight and will coughing alot
If symptoms continue they will have an asthma attack
A severe asthma attack will reduce amount of air reaching the lungs lip and fingertips may go blue showing lack of oxygen

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77
Q

explain arties ?

A

Large vessels that carry blood away from the heart, they have thick walls
They outside wall of arteries are thicker than veins of the vein because they have to be able to withstand greater pressure
Larger amounts of elastin in them means they can stretch as the blood is forced out

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78
Q

explain arterioles?

A

Vessels that connect arteries to capillaries, they are smaller versions of arteries with muscular walls
Smaller in diameter than arteries, controlling the flow of blood into capillaries

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79
Q

explain capillaries?

A

Vessels that are one cell thick, which enables nutrients and gases to pass through them
Thinnest vessels
Site where oxygen, carbon dioxide and nutrient pass from the blood to the tissues
Pressure in the capillaries is much lower so that diffusion can occur

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80
Q

explain veins ?

A

Vessels with a large lumen with valves inside to prevent the backflow of blood
Returning the blood back to the heart
Much thinner walls than the arteries and the lumen is larger in veins than arteries
The veins contain pocket valves to prevent backflow to blood

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81
Q

explain venuals ?

A

Venules connect capillaries to veins; they are smaller various of veins without valves
Pressure is much less than in arteries

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82
Q

what is a spironmetry?

A

blow into a machine that measures how fast you can breath out and how much you can hold in your lungs, measures maximum forced expiration, indicates functional ability of lungs

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83
Q

what is a peakfow?

A

monitors how fast you can breathe out compared to ‘normal range’, indicates degree of dilation in airways, readings need to be taken twice a day to see if medication is working.

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84
Q

what is osmosis?

A

Net movement of molecules down a concentration gradient
Allows small molecules to cross plasma membrane
Sugars and proteins can freely pass

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85
Q

what is tissue fluid?

A

Tissue fluid is yellowish liquid made from blood plasma
It bathes all cells and acts as transport medium between blood and cells
It supplies nutrients to tissues and returns carbon dioxide and other material from surrounding tissue

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86
Q

what is hydrostatic pressure?

A

As the capillaries are narrower than the arterioles, a pressure builds up which forces water out of the blood plasma=hydrostatic pressure
The pressure is resisted by:
The lower water potential of the blood, caused by plasma proteins that are too large to leave the capillaries. This is called osmotic pressure.

Overall, pressure pushes water and small molecules out of the capillary leaving cells and large proteins behind.

Return of tissue to the circulatory system.
Most water is returned to the blood plasma via the capillaries.
The loss of water from the capillaries at the arteriole and reduces the hydrostatic pressure inside them.
Osmotic forces resulting from the blood pressure in the plasma pull water back into capillaries via osmosis as the water potential in the capillary at the venule end is lower.
Remaining tissue enters the lymph vessels-drain back into the veins close to the heart

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87
Q

what are changeable and unchangeable factors of hypertension?

A
Age 
Family history 
High salt intake 
Lack of exercise
Being overweight 
Smoking,drinking and drugs
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88
Q

what is blood pressure?

A

When the heart pumps blood into your arteries it creates a pressure called blood pressure(bp)
This pressure is at its highest when the heart is contracting lower when relaxing.
The two pressures, called the systolic and diastolic pressures respectively, can be measured using a sphygmomanometer.
The readings are normally taken in the aim using the brachial artery.
Normal blood pressure is difficult for diffrent age groups

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89
Q

explain how to take a blood pressure reading?

A

Blood pressure is recorded as two numbers
The systolic pressure( the higher number) is the force at which your heart pumps blood around the body.
The diastolic pressure ( the lower number ) is the resistance to blood flow in the blood vessels and the pressure when your heart rests between beats
They are both measured in millimeters of mercury.

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90
Q

what is hypertension?

A

Hypertension is a long term medical condition which causes blood pressure in the arteries which is persistently elevated

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91
Q

what problems can hypertension cause?

A

Heart attacks
Strokes
aneurysms
Metabolic syndrome
Weakened and narrowed blood vessels in kidneys- prevents from making them work properly.
Dementia- limit blood flow to the brain narrow or torn blood vessels in the eyes.

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92
Q

what are Monitoring treatment and care needs of patients with hypertension

A

Blood pressure needs to be taken and recorded
Change in diet
Regular exercise
Medications eg ace inhibitors and beta blockers to slow the heart down.

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93
Q

what are respiratory diseases ?

A

Respiratory diseases are one of the biggest causes of death worldwide.
Respiratory disease affects the lungs, bronchi, trachea and throat.
They can be mild such as a cold or life-threatening eg pneumonia or lung cancer.
Chronic obstructive pulmonary disorder(COPD) is a term for a group of diseases that cause a reduction in the airflow in the lungs and which are not fully reversed
Two of the more serious types of COPD are chronic bronchitis and lymphedema and are both caused by smoking.

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94
Q

what is emphysema ?

A

Emphysema is a gradual breakdown of alveolar walls and damage to terminal bronchioles and alveolar capillaries. This can lead to additional infection.
This reduces the efficiency of gas exchange , causing constant breathlessness and hyperventilation.

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95
Q

what are symptoms of emphysema?

A

Shortlessness of breath
Yellow spit
Persistent cough that never goes
Frequent chest infections

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96
Q

what are the causes of emphysema?

A

Main cause is smoking cigarettes. If a person were to smoke for a larger period of time, they are more likely to develop the disease.
Genetics also are likely to play a part.
A person can also get it from second hand smoking.

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97
Q

what are the impact of emphysema of the individual?

A
Sleepness can lead to anxiety and depression 
Isolated 
Can't take part in activities
Might not want to go out
Fatigue 
May have to change lifestyle
Might lead to lose of relationships
Feelings of remorse
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98
Q

how do they diagnose emphysema?

A

There is no single test for emphysema. Diagnosis depends on taking into account a patient’s risk factor(eg weather they smoke, their age) their symptoms and clinical tests
Testing the patient’s lung function using spirometry is essential. It can determine whether there are airway obstructions and can help exclude the possibilities of other respiratory diseases such as asthma or lung cancer.
MRI and CT scans: these are scans that produce high resolution detailed images of the chest and can be repeated over time to monitor changes in condition.
High resolution CT scans is the most sensitive method of detecting emphysema.

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99
Q

explain MRI and CT scans ?

A

Allows doctors to see where in the lungs the disease is located
Can allow for better management of symptoms.

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100
Q

explain spirometry?

A

Diagnosis and monitoring can be carried out by spirometry.
You blow into a machine that measures how fast you can breathe out and how much air you can hold in your lungs.
It can measure maximum forced expiration(expiratory volume)-indicates the functional ability of the lungs

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101
Q

what are the treatment for emphysema?

A
Stopping smoking 
physiotherapy /pulmonary rehabilitation
Oxygen therapy
Medication
surgery
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102
Q

Explain stopping smoking

A

Stopping smoking is the single most important step in showing the decline in lung function in people with COPD.
Medicines commonly prescribed to treat COPD include bronchodilators, which widen the airways by relaxing smooth muscles, and corticosteroids, which act as anti- inflammatories oxygen therapy especially for people with emphysema, may be required for most of each.
The treatment is to stabilize the condition and treat any complications not to cure the disease.

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103
Q

explain pulmonary rehabilitation

A

Also called pulmonary rehabilitation- a specialised programme of exercise and education designed to improve lung function.
It is designed to increase the amount of exercise, the patient can do before they feel out of breath, as well as improve your symptoms, self confidence and emotional well being.
A typical programme includes
Physical activity training tailored to the patients needs and ability
Education about the condition
Dietary advice
Psychological and emotional support

104
Q

explain oxygen therapy

A

Pulmonary rehabilitation therapy can also be included as a form of oxygen therapy
Oxygen therapy is advised if the patients oxygen levels in the blood are too low however, it does not stop the main symptoms of COPD such as breathlessness
There are 2 main types
Ambulatory oxygen therapy- the use of portable oxygen when walking or other activities.
Long term oxygen therapy-the use of oxygen at home from a portable oxygen tank taken through a mask or nasal tubes. Should be used for 16 hours a day.

105
Q

explain medication

A

Steroids can be used in addition to using inhalers. These will relieve symptoms by reducing inflammation
Antibiotics can be given to treat secondary bacterial infections that could lead to death for example pneumonia
Myoclonic agents can be used to help lesson mucous.

106
Q

explain surgery

A

This is only an option for a very small subset of people for whom other treatments have not worked
The damage part of the lung can be removed to help prevent future infections it does not cure emphysema
A lung transplant is another option- but this is dangerous surgery and the patient would have to take anti rejection drugs for the rest of their lives

107
Q

explain what coronary heart disease is ?

A

Coronary heart disease (CHD) is a disease of the arteries supplying the heart, coronary arteries almost one fifth of all deaths in the uk in 2005 were due to CHD.
The major cause of CHD is atherosclerosis which is a thickening arteries caused by buildup of fatty plaques on the inside walls
Atherosclerosis can eventually lead to a reduced blood flow to the tissues with potentially fatal consequences.

108
Q

give symptoms of angina?

A

Breathlessness nausea dizziness
Chest pains
Feeling tight in arm and may spread to arms, neck and jaw

109
Q

give symptoms of heart attack ?

A

Light head, feeling weak, sweating
Shortness of breath
Chest pain can move to chest jaw neck arms and back

110
Q

things that are modifiable ?

A
Diet 
Smoking 
Lack of exercise 
Type 2 diabetes 
High blood pressure 
High cholesterol
111
Q

things that are un- modifiable ?

A
Age 
Gender 
Genetics 
Type 1 diabetes 
Family history
112
Q

what 2 ways are their to diagnose heart disease ?

A

angiogram

ECG

113
Q

explain a angiogram?

A

A type of x-ray used to examine blood vessels
As blood vessels don’t show up in normal x rays
The dye is injected through the catheter and that’s the blood vessels
Usually take 2 hours

114
Q

explain a ECG?

A

Looks at your heart rate and the electrical activity in the brain
Records 12 diffrent views of your electrical activity
Need to relax before to ensure reading is reliable.

115
Q

what is cystic fibrosis ?

A

Inherited condition that causes sticky mucus to build up in lungs and digestive system
Causes lung infections and problems with digesting food

116
Q

what are the symptoms of cystic fibrosis ?

A

Lung problems- recurring chest infections, inflammation of the airways,coughing,wheezing shortness of breath
Digestive system- diarrhea, diabetes and malnutrition, babies may be born with bowel obstruction

117
Q

give the biological reasons for cystic fibrosis ?

A

Present at birth and cause by a defect of the chromosome 7 gene that controls the movement of salt and water
The defective gene is called the CFTR gene
The chromosome of the cell are in the nucleus and carry genetic information
23 pairs one set of chromosomes are inherited from our mum and other from dad
CF is caused by a recessive allele
The affected person will need 2 copies of the mutation this means both parents must be carriers
If the child only inharrites one they will be a carrier but not have CF
Usually the genes is involved in making protein that transports salt and water in and out the cell but in people with CF this protein doesn’t work properly and instead results in a build up of sticky mucus this blooks the bronchioles and prevent efficient movement of gases in and out the lungs
Mucus is also produced in digestive and reproductive system impairing their function and resulting in weight gain, reduce fertility

118
Q

what are the effects on the individual for having cystic fibrosis?

A

No cure over the years the lu7ngs become damaged and may eventually stop working
Symptoms- chest infections, coughing and wheezing, shortness of breath and inflammation
Digestive problems- diarrhea, bowel obstruction
Average life expectancy is reduced

119
Q

what is the buccal cavity

A

The buccal cavity is where we put the food
It is where food is chewed to break it down.
It is also known as the oral cavity

120
Q

what is the salivary glands

A

The salivary glands produce saliva, which helps moisten food and make it easy to swallow.

121
Q

what is the epiglottis

A

The epiglottis is a flap of cartilage behind the root of the tounge which covers the opening of the windpipe when swallowing food

122
Q

what is the oesophagus

A

The esophagus is a muscular tube that connects the throat with the stomach, down through the esophagus to the stomach pelistatus a squeezing action by the muscles helps the food move downwards in the stomach.

123
Q

what is the stomach

A

The stomach is a sac with muscular walls that churn the food to break it up. It produces hydrochloric acid and enzymes to digest the food.

124
Q

what is the small intestine

A

The small intestine is the duodenum, here the food partially digested by the stomach, now called chyme is chemically altered by fluids from the liver and bile from the pancreas, the duodenum is lined with bile, which are finger like projections in the intestinal wall that increase the surface area and help the absorption of nutrients into the bloodstream.

125
Q

what is the large intestine

A

The large intestine or colon reabsorbs fluids and processes waste products in the preparation for elimination from the body.

126
Q

what is the rectum

A

The rectum is the last part of the colon and links it to the anus it stores faeces until they can be expelled from the body

127
Q

what is the anus

A

The anus in the opening in the body through which the faeces are expelled by the process of defection. The anul sphinker muscle controls the opening and closing of the anus

128
Q

what is the liver

A

The liver processes and eliminates toxins. It processes and eliminates metabolic waste. It stores vitamins and minerals, it produces many kinds of proteins

129
Q

what is the gall blader

A

The gallbladder is a small pouch that sits under the liver, the gallbladder stores bile produced by the liver. After meals, the gallbladder is empty and flat like a deflated balloon. Before a meal, the gallbladder may be full of bile and about the size of a small pear

130
Q

what is the bill duct

A

The common bile duct is a small, lube like structure, it physiological role is to carry bile from the gallbladder and empty in the upper part of the small intestine

131
Q

what is the pancreas

A

The pancreas is a six inch long gland located in your abdominal near your liver and part of the small intestine. The pancreas secretes insulin and glucagon that are vital to regulating your glucose level
insulin= lower blood sugar
glucagon= increase blood glucose

132
Q

what is the Cartilage

A

Cartilage- rubber like padding which protects the ends of the long bones, reduces friction

133
Q

what is the Epiphyseal line

A

Epiphyseal line- the part of the long bone which replaces the growth plate once a person reaches adult height

134
Q

what is the Periosteum

A

Periosteum- the membrane which covers the outer surface of the bone below the skin

135
Q

what is the compact/ spongy bone

A

compact/ spongy bone- compact bone is denser to create harder structure in middle of bone/ spongy bones at the end of long bones after softer,weaker and more flexible

136
Q

what is the Medullary cavity

A

Medullary cavity- central cavity of the bone where bone marrow is stored, this is the site of the blood cells

137
Q

what is the Blood vessels

A

Blood vessels- part of the circulatory system and transport blood around the body

138
Q

what is the Osteocytes

A

Osteocytes- matrix of bone cell which maintains the bone

139
Q

what is the Canaliculi

A

Canaliculi- small passages where the exchange of nutrients takes place

140
Q

what is synovial joint

A

Synovial joints are highly mobile joints, like shoulder and knee
Synovial joints contain synovial fluid which is retained inside a pocket called the synovial membrane. This lubricates or ‘oils’ the joints
Smooth covering of cartilage at the ends of the bones stopping them rubbing together and provide some shock absorption

141
Q

what are the 3 types or joints and explain them

A

Immovable or fixed joint (fibrous)
These joints are held together by tough tissue develops during childhood
Examples include: cranium, pelvis and vertebrae
Slightly moveable joints (cartilaginous)
Here movement is needed but only to a certain point
Vertebral column
Freely moveable joints (synovial)
These joints are also called synovial and allow movement to take place

142
Q

explain how do we move?

A

A joint is place where two or more bones meet
Without joints, our skeleton would not be able to move
The bones at joints are bound together by strong flexible fibres called ligaments
Ligaments allow movement but make sure the joint doesn’t move too far to prevent injury
Tendons connect muscle to bone allowing the bones to move

143
Q

give an evaluation of the left realism view

A

Fails to explain the causes of street crime
Cannot explain while collar and corporate crime
Some accuse NLR of racializing crime turning it into a black issue
box - focuses too much on street crime and ignored the fact that police can be selective in areas

144
Q

give the left realism practical soultions to crime

A
Improve policing and control 
Community policing/service 
Cctv
More ethnic minority police 
multi - agency approach 
Dealing with structured issues
145
Q

give an overview of left realism?

A

Develop as a critique of new criminology
Wanted a realistic solution to crime
Accept official stats- we and black male do commit more crime
Evidence w.c are victims as well as offenders
Subculture- develop amongst group who suffer relative deprivation
marginalisation - refers to a group in society who feel more deprived than others. Feel like they have no voice.
Relative deprivation- poor become aware of their low status and the fact they are poor.
State- losing the fight against crime and there is a loss in public confidence
Informal controls- fear of stigmatisation and rejection are more likely to reduce crime.
Victim- concern for the consequences of crime for victims and neighbours
Offenders- avoid romanticising the criminals, but must not excuse the criminals

146
Q

give impacts on lifestyle for arthritis

A
Medication has side effects
Need to attend regular check ups 
Dietary changes
Regular exercise 
Take care to avoid fractures 
Loss of height 
Coping with pain 
May be immobile 
May need to use a wheelchair
Recovery from surgery
Home adaptations
147
Q

give the 3 types of surgery for arthritis and explain them?

A

Arthroscopy- to clean out joints
Arthroplasty- joint replacement
Osteotomy- where bone is cut and re-aligned

148
Q

give the 3 types of physiotherapy for arthritis and explain them?

A

Joint manipulation- to maintain flexibility
Assistance equipment- taking the weight of your joints
Use of tens- electrical impulses that can reduce pain

149
Q

give the 3 types of medication for arthritis and explain them?

A

Steroids and NSAID- reduce swelling and inflammation in joints
Painkillers - paracetamol
Corticosteroid- injections into the joint to reduce swelling
Supplement- to alleviate symptoms

150
Q

give the 2 ways of monitoring arthritis and explain them?

A

Clinical observation- range of tests such as blood pressure, temperature and movement of joint
Blood tests- use to test for RF, group of proteins your body creates when your immune system attacks healthy tissue

151
Q

explain what rheumatoid arthritis is ?

A

Symptoms
Vary from person to person they may come and go and change overtime
Throbbing pain,aching,stiff joints. Joints can swell and become hot and tender to touch
Firm swelling called rheumatoid nodules can also develop under the skin around the affected joint
Biological explanation
The immune system mistakenly attack the cells that line the joints
The synovial membrane that lines and lubricates the joints becomes inflamed and sore. Tnhis inflammation gradually destroys the cartilage
As scar tissue replaces the cartilage the joints becomes misshapen and rigid
Rheumatoid arthritis:causes

The exact cause is yet unknown.one theory is a virus or infection triggers the condition
This causes the autoimmune response in which the body attacks its own tissue by sending antibodies to the lining of the joints where they attack the tissue surrounding the joint
There is some evidence that it could be inherited through this risk is thought to be very low in genes play a very small role in the condition

152
Q

explain osteoarthritis ?

A

Symptoms
Joints become painful and stiff often in the knees, hips and small joint of the hands
Joint tenderness and increased pain if the joint has not been moved in a while
There can be a cracking noise or grating sensation at the joint
Limited range of movement at the joint
Joints can appear more ‘knobbly’ than usual
Biological explanation
Generally wear and tear of the joints is usually repaired by the body unnoticed but with osteoarthritis the cartilage can be lost
Bony growth develop and the area can become inflamed
Cartilage is firm,rubbery material that covers the ends of the bones in normal joints
Its function is to act as a ‘shock absorber’ and allows the joints to move smoothly
With osteoarthritis the cartilage becomes stiff lose elasticity and may wear overtime
As the cartilage deteriorates tendons and ligaments stretch and eventually the bones rub against each other causing pain
Osteoarthritis: causes
Not a normal part of ageing
Risk of developing it does increase as a young get older but mostly it runs in families
Being overweight or obese puts strain on the weight bearing joints ans so osteoarthritis can develop in a joint damage by an injury or ooperation
If joint is not given enough time to heal after surgery or injury it can lead to it in later life

153
Q

Explain Assimilation the role of the liver

A

When the body enter the blood they are not taken off around the body
Assimilation is the movement of digested food molecules into cells of the body where they are used so they become part of the cells
Any excess glucose that is absorbed is transported to the liver. Here it is converted into strong molecule glycon
Glucose can also used by the liver in respiration
The liver is the place where the toxins are broken down

154
Q

explain Absorption in the small intestine

A

Sugars,amino acids,minerals and water soluble vitamins enter the body via diffusion
This can either be simple diffusion or facilitated diffusion. This means the movement from an area of high to low concentration
Fatty acids and glycerol recombine as fats once absorbed by the villus and move into the lacteal along with fats
When the products enter the blood they are not taken off around the body. They move fast to the liver via the hepatic portal vein

155
Q

3 adaptations of villi

A

Each cell in the villi has microvilli these finger like extension of the cell membrane and increases the surface area of the cells to increase absorption
Each villi has a large network of capillaries close to the wall to reduce the distance nutrients have to travel to get to the blood
Each villi also has a lacteal, these lymphatic vessels which transport the product of fats absorption

156
Q

explain Adaptations of the small intestine

A

absorption refers to how the nutrients extracted from food are absorbed in the bloodstream
Almost all the nutrients are absorbed into the blood in the small intestine, which have many adaptations that allow them to carry out their functions

157
Q

what is villi?

A

The small intestine have villi-projection made up of a large number of cells
These increase surface area of the small intestine and allow more space for absorption

158
Q

what is osteoporosis?

A

Health condition that weakens bones making them fragile and more likely to break. Develops over several years and is often only diagnosed when fall

159
Q

explain symptoms of osteoporosis?

A

Often there are no obvious symptoms until after a minor fall or sudden impact causes a fracture
The most common features are the ones of the wrist, hip and vertebra (spinal bones). For someone with very advanced osteoporosis, ecen minor activity, such as a sneeze or a cough, can be enough to cause a fracture.

160
Q

what is protein matrix?

A

honeycomb structure which provides strength so bone can have support our weight

161
Q

what is bone density ?

A

measurement of the amount of calcium and other minerals in a segment of bone

162
Q

what is the menopause?

A

menopause is when a women stop having periods and is no longer able to get pregnant

163
Q

give the biological factors for osteoporosis ?

A

Osteoporosis is due to the loss of protein matrix from the bone resulting in a loss of bone density. The condition weakness bones so they become brittle, more porous( lower bone mass) with more holes.
Bones naturally become thinner with age, particularly in women, who lose bone rapidly in the first few years after menopause. This is because the hormone oestrogen( which promotes bone formation) declines in production after menopause.

164
Q

list some causes for osteoporosis ?

A

Losing bone is a normal part of the ageing process, but sometimes can lead to osteoporosis
Risk factors include
Family history of the condition, or of hip fracture
Heavy drinking and smoking
Having an eating disorder such as anorexia
Long term use of medications that affect bones strength such as corticosteroids used for asthma or arthritis
Having other conditions such as rectinol arthritis
Lifestyle factors such as diet and exercise can determine how healthy the bones are.

165
Q

give the methods for monoitoring osteoporosis

A

Bone density scans E.g DEXA scan which measures calcium levels in the bone. This produces a T score which can be compared to a healthy person of the same age
Blood tests determine the progression of the malfunction.
Fracture of an unusual bone, for example the wrist, shoulder or vertebrae

166
Q

give possible treatments for osteoporosis ?

A

Taking calcium and vitamin D
Taking HRT( hormone replacement therapy)- the hormones estrogen and or progesterone prescribed to post menopausal women
Taking bisphosphonates, which slow the rate at which bone is broken down in the body so as to maintain bone density and reduce the risk of fracture. They are given as an injection or tablet form, and can have side effects
Having physiotherapy

167
Q

give impact of lifestyle of patients with osteoporosis?

A
Medication has side effects
Need to attend regular check ups
Delay changes 
Regular exercise needed
Take care to avoid fractures
Loss of height
Coping with pain( lack of sleep)
May be immobilie
May need to use a walking aid 
Recovery surgery
Home adaptations
168
Q

give the symptoms of IBS?

A
Stomach pain and cramping 
Changes in bowel
Bloating and swelling in the stomach 
Excessive wind known as flatulence 
Sudden need to go to the toilet 
Feeling that the bowel has not fully emptied 
Mucus passing the anus
169
Q

what is the biological explanation for IBS

A

Move through the digestive system to slowly or too fast
Too slowly- results in constipated because too much water is absorbed by the small intestine making it hard
Too quickly- results in diarrhea because not enough water is absorbed by the small intestine
Problems with the absorption of bile during the digestive process may be the cause

170
Q

what are the causes for IBS

A

Believed to be an increase in sensitivity of the gut to certain foods
Related with problems digesting the food
Tend to be triggered by something they have eaten of drunk

171
Q

what are the two ways for monitoring IBS

A

ultrasound

gastroscopy

172
Q

explain an ultrasound?

A

Can be used to examine the liver and other organs in the abdomen and pelvis
A lubricating gel is used on the skin to allow smooth movement of a small hand-held probe which is moved over the body part that is being examined

173
Q

explain a gastroscopy?

A

Exams oesophagus,stomach and duodenum
This uses a long flexible tube called an endoscope
Has a video camera at one end
Can be inserted in a natural opening in the mouth or anus
It can be uncomfortable so a local anaesthetic spray is used
It takes around an hour

174
Q

give the treatment for IBS

A

To avoid diarrhea-
Cut down on all fibre foods like whole foods
Avoid products that contain a sweetener sorbitol
To avoid bloating -
Avoid foods that are hard to digest
Eat up to 1 tablespoon of linseeds a day

175
Q

what are the impact on lifestyle for ibs

A

Abdominal pain and discomfort from bloating may estric sleep leading to tiredness
May be restricted on trips by needing the toilet and socialising
Flatulence may be embarrassing and reduce confidence
Can restrict diet
Coffee and fizzy drinks can cause irritation in the gut so need to be avoided
May need to avoid stressful situations
Need to keep a food diary to identify foods
Take regular exercise

176
Q

what is the nervous system ?

A

The nervous system receives and transmits and responses to information from the external environment and from the body’s internal environment through a collection of nerve cells
Nerves are specialised cells that carry messages from one part of the body to another as ting electrical signals
These messages are known as nerve impulses

177
Q

what is the CNS?

A

Refers to the body’s control centre
It consists of the brain and the spinal cord
The spinal cord connects the brain to every area in the body by nerve cells

178
Q

explain the spinal cord?

A

The spinal cord is a bundle of nerve fibres and tissue that connect nearly all parts of the body to the brain
It is protected by specialised bones called the vertebrae
They have a hollow centre so fibres can run through

179
Q

what is the peripheral nervous system?

A

CNS consists of the brain and the spinal cord and the peripheral nervous system is any other nerve outside the CNS
They relay information from the brain and the spinal cord to the rest of the body and visa versa
They include autonomic,sensory and motor nerves

180
Q

what is the autonomic system and what do the control?

A

Involutory or unconscious
You don’t control this system, happen naturally without thinking
This system controls and regulates: heart rate, breathing and gut movement

181
Q

what are the sensory neutrons ?

A

Relating to sensation or physical senses
Transmit information from the senses to the brain
Anything that stimulates your senses will be relayed to the brain via the sensory neurons

182
Q

what are the motor neutrons ?

A

Relating to motion or physical activity

Motor neurons transmit information from the muscles from the brain resulting in movement

183
Q

what is the somatic nervous system?

A

Made up of sensory and motor neurons

The sensory and motor pathways have to work together, voluntary or involuntary

184
Q

what are the symptoms for gallstones?

A
Upper abdominal or back pain 
Indigestion vomiting yellow skin or eyes
Symptoms 
Abdominal pain which can be sudden and severe
Jaundice-yellowing of the skin and eyes 
Itchy skin diarrhea 
Loss of appetite
185
Q

what is the biological explanation for gallstones

A

There unusual high levels of cholesterol inside the gallbladder
There an unusually high levels of a waste product called bilirubin inside the gallbladder
These chemical imbalances cause tiny crystals to develop in the bile. These can gradually grow into solid stones that can be as small as a grain of sand or as large as a pebble
Sometimes only one stone will from but often several develop at the same time

186
Q

what are the causes for gallstones ?

A

Through the to be caused by an imbalance in the chemical makeup of bile inside the gallbladder
Gallstones are more common if an individual is overweight or obese is aged over 40 years old has a condition that affects the flow of bile such as liver cirrhosis has Crohn’s disease or IBS or has a close family member who has had gall stones

187
Q

what is an ultrasound?

A

Can be used to examine the liver and other organs in the abdomen and the pelvis
A lubricating gel is used on the skin to allow smooth movement of a small hand held probe, which will move over the body part that is being examined.

188
Q

what is an cholangraphy?

A

Gives further information about the condition of the gallbladder
Uses a dye which shows up in x rays
The dye may be injected into the bloodstream or directly into the bile ducts during surgery or using an endoscope passed through the mouth
After the dye has been introduced the x ray imGes are taken, which will reveal any abnormalities in the bile or pancreatic systems.

189
Q

what is the treatment for gallstones?

A

Treatment depends on how the symptoms of gallstones are affecting the individuals daily life. For someone that Doesn’t have symptoms acute monitoring is recommended. This means that the individual does not receive treatment but should let their gp know if they experience any symptoms this is because if the gallstones block the gallbladder they will cause pain and nausea and treatment will be needed

190
Q

what medication is given for gallstones?

A

It is sometimes possible to take tablets to remove gallstones. They are not prescribed very often because
They are not always effective
They need to be taken for a long time-up to 2 years
Gallstones can reoccur once treatment has stopped

191
Q

what are the symptoms of celiac disease

A

Indigestion stomach pain, bloating, flatulence, diarrhoea or constipation anaemia and loss of appetite
Feeling tired all of the time as a result of malnutrition
Children not growing at an expected rate and adults experiencing unexpected weight loss

192
Q

what is the biological explanation to celiac disease

A

Coeliac disease is an autoimmune disease, meaning that the immune system and mistakes a part of the body as forgein and attach it
The immune system mistakes glodan a substance found in gluten a threat to the body and attacks it.
This causes damage to the immune system and small intestine
Antibodies produced by the immune system cause the surface of the intestine to become inflamed and the villi are flattened meaning the body cannot absorb as many nutrients
Villi normally help nutrients from the food to be absorbed through the wall of the small intestine into the blood
It is an autoimmune disease

193
Q

what are the causes to celiac disease

A

Often runs in the family if someone who is close to the relative with the condition then their chance of developing it is so much stronger.
Research as shown is strongly associated with a amember of genetic mutation that affects a group of genes HLA-DQ that are responsible for the development of the immune system.
These mutated genes however are very common and so it is thought that environmental factors must trigger the condition in the person with the condition
This is evidence that introducing gluten into a baby’s diet before 6 months may increase their risk of developing the condition.

194
Q

what is a gastrography ?

A

A gastroscopy exams the oespohis stomach and duodenum
The procedure uses a ling, flexible tube called an endoscopy
The tube has a light and a video camera at the end
Endoscopes are inserted into the body through a natural opening such as the mouth or anus
It can be uncomfortable so a local anesthetic spray is used to numb the throat
It takes around an hour to carry out is used to investigate symptoms such as difficulty swallowing and persistent abdominal pain.

195
Q

what are the treatments for celiac disease ?

A

Give up all the foods containing gluten fore life to avoid long term damage to health
Vaccination as individuals with coeliac disease are more susceptible to infection
Vitamins and mineral supplements can also help correct any dietary deficiencies

196
Q

what are the impact of celiac disease

A

Removes gluten from the diet by excluding wheat product, otherwise villi, will be damaged
Take additional supplements there may be a deficiency until the villi regrows due to imparied absorption
Read food label very carefully when shopping as flour is often used as a thickening agent
Take care when eating out- look for gluten free products, most items on menu are likely to contain gluten
Avoid using oil that has been used to fry gluten- there may be traces of products containing gluten egg batter

197
Q

what is a neuron

A

An action potential is the electrical signal being sent through the neurons
Neurons are specialised nerve cell which transmits electrical impulses from one part of the body to another

198
Q

what is a dendrites

A

Dendrites- short branch structure that receives dedinical impulses from other neurons and carry them towards the body cell

199
Q

what is an axon

A

Axon- are long thread-like part of the neurons cell along with impulses are conducted away from cell body

200
Q

what is an axon terminal

A

Axon terminal- end branches of the axon they pass the message to another neuron triggered an impulse at the neurons dominical releases chemical call neurotransmitters

201
Q

what is a myelin sheath

A

Myelin sheath- fatty white substance that surrounds the axon. It forms a protective insulating layer to prevent any electricity from leaking out

202
Q

what is a nodes of ranvier

A

Nodes of ranvier- action potential will start to lose charge as it travels down the axon

203
Q

what is the cell body and neculs

A

Cell body and nucleus- each neuron has a cell body with a nucleus this controls the activity

204
Q

what is a synapse

A

The function of the synapse is to transfer electrical activity from one cell to another.
The synapse has a small gap separating neurons
A synapse consists of 3 elements:
The presynaptic membrane
The postsynaptic membrane
The gap between the two membranes

205
Q

what is Transmission of an action potential between neurons

A

Electrical impulses travel along axons
Trigger nerve endings if the neuron to release a chemical messenger called neurotransmitter
These chemical diffuse across the synapse
Neurotransmitter bond with receptors molecules of the membrane of next Neuton
Triggers electrical impulses to next neuron
Enzymes break down the neurotransmitter so can be reabsorbed

206
Q

what are hormones

A

Hormones are chemical messengers that are secreted directly into the blood which carries them to organs and tissue of the body to exert their functions
There are many types of hormones that act of diffrent aspects of their bodily functions and processes

207
Q

give examples of hormones

A

Development and growth
Metabolism of food items
Sexual functions and reproductive growth
Maintenance of body temperature

208
Q

where are hormones secreted from?

A

Hormones are secreted from the endocrine gland in the body
The glands are ductless so hormones are secreted directly into the bloodstream rather than by way of ducts
These organs secrete hormone in microscopic amounts and it takes only very small amount to bring about major changed in the body

209
Q

give examples of endocrine glands

A
Pituitary gland 
Pineal gland 
Thymus 
Thyroid 
Adrenal glands 
Pancreas 
Testes 
Ovaires
210
Q

what is a stroke

A

A stroke is a serious, life threatening medical condition that happens when the blood supply to part of the brain is cut off
This can cause damage to the area of the brain
The sooner a person receives treatment for a stroke, the less damage is likely to happen
Brain damage can significantly impact day to day function depending on which areas of the brain are damaged

211
Q

give symptoms of a stroke

A

face - may drop on one side may not be able to smile
Arm- cant lift both arms and keep them their due to numbness and weakness
Speech- may be slurred or garbled problems understand what your saying to them
Blurred vision
Loss of hearing
Balance and coordination
Difficulty swallowing
Blinding pain

212
Q

what is the biological explanation for a stroke?

A

A stroke occurs when the supply of blood in the brain is blocked by either a clogged artery or a burst artery
This deprives brain cells of oxygen and leads to brain damage as those cells start to die

213
Q

what is a ischemic stroke ?

A

Ischemic strokes- blood clot blocks the flow of blood and oxygen to the brain which prevents blood flow causing the cells to die

214
Q

what is a hemorrhagic stroke?

A

Haemorrhagic- known as cerebral hemorrhages. Occurs when weakened blood results in cortex burst and bleeding

215
Q

what are the impacts of functioning from a stroke?

A

The cerebral cortex consists of areas given over to precise sensory input or motos responses
If this area die it effects may be loss of vision, speech, hearing,paralysis, difficulty swallowing among many others
The impact the individuals experiences will depend on cerebral cortex damage

216
Q

what are the causes of a stroke?

A
The main cause of hemorrhagic stroke is high blood pressure as this can weaken the arteries in the brain  
Other risk factors include: coronary heart disease and stress 
High fat diet
High sugar diet 
Obesity
Lack of exercise 
Smoking 
Excess alcohol 
Age 60 
Family history
217
Q

how do they monitor a stroke?

A

Due to a sudden nature of the condition, monitoring usually done after the individuals has had a stroke
By monitoring the individual after they have a had a stroke, they can see how much damage is in the brain and where
They can also check weather the individual is at risk of another stroke
1 in 4 stroke survivors experience a second stroke in 5 years

218
Q

what are the impacts of a stroke on a lifestyle?

A

Treatments and lifestyle changes can help manage the symptoms and reduce the chances of problems
A stroke can have lasting impact on daily living due to mobility issues
They can also have emotional and social impacts due to feeling incompetence
Emotional support- counselling/charities and support groups
Living support- home help/ residential care and family support

219
Q

what are the medication for a stroke?

and explain them?

A

alteplase - can prevent long term disability and stop clots
Aspirin- medication used to treat pain
Warfarin- anticoagulants for blood which prevent clots from forming
Beta-blockers - medication to treat high blood pressure
Statins- medicines that can lower the LDL in the cholesterol

220
Q

what other treatments are their for a stroke ?

A

Feeding tube- difficulty eating and this enables them to eat
Mobility aids- walking sticks, wheelchair or dressing aids
physiotherapy - therapy to strengthen muscles and bones, specialised advice on daily routine

221
Q

what are the surgical options for a stroke?

A

Thrombectomy- remove the blood clot and resorts blood flow to brain
Surgical stents- deflated balloon inserted into narrow arteries and inflamed to open

222
Q

what is Deamination ?

A

Liver cells create surplus amino acids, resulting in the production of urine. When it breaks down the amino acids it releases the chemical ammonia. Amino is a very poisonous chemical and can denature proteins in the cytoplasm of cells. It is therefore quickly turned into another chemical called urea. This chemical is much less toxic. The urea is released from the liver, cells and travels through the circulatory system to the kidneys which removes it. This process is called deamination. The remaining amino acid is fed into cellular respiration within the mitochondria of the liver cells, resulting in the production of ATP and heat energy.

223
Q

what is detoxifiaction?

A

Liver cells also remove poison like alcohol by breaking them into harmless components. This is a process known as detoxification. Drugs such as paracetamol are also broken down and if overused will result in liver failure

224
Q

what is the production of bile?

A

Liver cells breakdown and recycle red blood cells. As these cells lack a nucleus they have a limited life span of about three months after which the liver breaks them down. As the hemoglobin from red blood cells is recycled, two poisonous colored chemicals are produced billverlish and billibin that pass into the bile and out of the body. They give the characteristics colour to ur traces, which would otherwise be bile. With some forms of liver disease or with obstructures such as gallstones these chemicals cannot pass out in the bile and so pass into the blood instead. This results in a yellow tinge to the skin and the white of the eyes know as giudice

225
Q

what are the 2 functions of the kidneys?

A

The removal of urea
The maintenance of the balance of water levels
The kidneys maintain the body’s water balance controlling the water concentration of blood plasma. This keeps water input from drinking fluids and water loss constant

226
Q

explain the removal of urea?

A

We digest proteins which means they become amino acids used to build our own proteins
We cant store excess, they are taken to the liver
The liver converts it into a less toxic chemical called urea
This passes into the blood and travels to the kidneys
One of the vital function of the kidneys is the removal of urea from the blood and the body
Parts of each kidney nephron called the glomerulus is very narrow
Blood enters the glomerulus at high pressure leading to the plasma being forced out through capillary walls, into the bowman’s capsule
This is known as ultracalion

227
Q

what is the cortex?

A

Outer layer of the kidneys

228
Q

what is the medulla?

A

Inner region, contains thousands of nephrons

229
Q

what is the renal arteries?

A

Supplies kidneys with blood

230
Q

what is the renal vein?

A

Blood filled by the kidneys

231
Q

what is the calyx?

A

Chambers through which urine passes

232
Q

what is the ureters?

A

Tubes that carry urine from the kidney to the bladder

233
Q

what is the bladder?

A

Stores urine

234
Q

explain symptoms of MS

A
Fatigue 
Difficulty walking 
Numbness and tingling 
Muscle stiffness 
Balance and coordination 
Problems with bladder control 
Mobility problems 
Blurred vision
235
Q

what is multiple sclerosis ?

A

It is a condition that affects the brain and the spinal cord causing a wide range of potential symptoms and disabilities
In MS, the coating that protects your nervous, myelin sheath is damaged this causes interference with nerve impulses and damage nervous cells
More than 100,000 people in the uk have MS and commonly diagnosed between 20-40

236
Q

what is biological explanation for multiple sclerosis ?

A

Autoimmune diseases
This is because the immune system attacks the myelin sheath in the brain and spinal cord
This causes the myelin sheath to become inflamed in patches which disrupts messages traveling along the neuron
When the inflammation clears, scarring is left behind on the myelin sheath. This scarring is known as sclera
This leads to permanent damage to the underlying nervous

237
Q

explaining in simple terms the process of Ms

A

Blood brain barriers are breaking down in places allowing immune cells into the brain
Immune cells start attacking the myelin sheath
This myelin sheath becomes inflamed
Inflammation causes scarring on the myelin sheath
Scarring lead to permanent damage to underlying nervous
This damage disrupts messages traveling along the nerve fibres

238
Q

what are the causes of MS?

A

genetics - 2-3% chance of developing it
low vitamin D levels - essential for immune system regulation
Viral infection- created by an epstein-barr virus such as glandular fever
Smoking- twice as likely because smoking reduces the absorption of vitamin D

239
Q

what are the impacts on movement of MS

A

Deterioration of motor neurons in brain so affect walking and a loss of coordination
Deterioration of fibres in cerebellum may impact balance
Disorder is progressive so mobility will decrease overtime
Muscle become stiff and resistant to movement
Can suffer from dizziness and vertigo
Musculoskeletal pain indirectly caused poor posture
Slowing of impulse transmission reflex speed

240
Q

what are the impacts on lifestyle of MS

A

Eyesights may deteriorate- unable to drive
Cognitive problems- may need to stop working
Mobility issues- may need a wheelchair
Unable to grip or carry- home help
May become bed bound- home help
May lose bladder or bowel control- embarrassed to go out

241
Q

what are the care needs of MS?

A

Individuals will need specialised support
Including physiotherapist, speech and language therapist and a neurological specialist
Individuals may require mobility aids such as wheelchair and walking sticks

242
Q

what are the treatments of MS

A

There is no cure for ms so treatment focus of relaxing the symptoms
Medication- can help speed up recovering from a relapse but don’t do not prevent further realspe, anti-inflammatory steroids
Physiotherapy- it will help with mobility issues, exercises designed to help with balance and walking as well as building muscle strength

243
Q

what things can monitor MS?

A

Brain scans- MRI’S can show whether there is any damage of scarring to the brain of the myelin sheath
Blood tests- can be used to rule out other conditions that may cause the symptoms
Neurological examinations- asses changing or weakness in individuals which can help diagnose MS

244
Q

how do the kidneys regulate water?

A

A specialist blood supply keeps the medulla region of the kidney salt by removing salt from the unni in the loop of henle. The collecting ducts are also located in this salty medulla. In the presence of ADH water can pass through the walls of the collecting ducts so water in the urine diffuses out of ducts into the salty medulla and from there back into the blood. The result is a rectum to the correct blood concentration and the production of a concentrated urine.

245
Q

what happens if we drink to much water?

A

If we drink lots of water and it is a cool day our blood can become too diluted, this risks our blood and cells taking up water by osmosis, swelling and possibly bursting, this means the hypothalamus is not stimulated, the pituitary does not produce ADH and water remains in the urine and is passed to the bladder making us urinate more

246
Q

what is homeostasis?

A

It is the maintenance of the constant internal environment.
The conditions in the body must be carefully controlled if the body is to function effectively and is vital for life
The nervous system responsible for this

247
Q

what is the receptor?

A

The receptor- sense environmental stimuli, sending the information to the integrating centre

248
Q

what is the integrating centre?

A

The integrating centre- generally region of brain called hypothalamus signals an effect to respond to stimuli

249
Q

what is an effector?

A

An effector- is any organ or tissue that receives information from the integrating centre and acts to bring about the changes need to maintain homeostasis

250
Q

give an example of negative feedback?

A

The concentration of carbon dioxide in the blood
Body temperature maintained bat 37, enzymes work best at this temperature
Blood sugar levels, controlled by the release and storage of glucose which in turn is controlled by insulin
Water content to protect cells by preventing much water entering or leaving

251
Q

what is negative feedback?

A

A feedback loop in which the output of an system reduces the activity causing an output
If the levels rises control systems reduces it again
If level full control system raised it again

252
Q

what is positive feedback?

A

A loop in which the output of a system is increased by mechanisms own influence on the system that creates an output
Positive feedback mechanisms are designed to push levels out the normal range
To achieve this a series of events initiates a cascading process that builds to increase the effect of the stimulus
This process can be beneficial but is rarely used because it may become uncontrollable

253
Q

what is the Islets of langerhans

A

Within the pancreas and the cells that produce the pancreatic fluid are specialised group of cells
These contain two types of hormones insulin and glucagon

254
Q

what is a nephrotic syndrome

A

It is a condition that causes the kidneys to leak large amounts of proteins into the urine leading to a range of problems including swelling of body tissue and greater chances of infection.

255
Q

what are the symptoms of nephrotic syndrome

A

Swelling- the low level of proteins in the blood reduces the flow of water from the body back into the blood vessels, leading to swelling. Swelling is usually first noticed around the eyes, then around the lower legs and the rest of the body.
Infections- a greater chance of infections due to the loss of protein antibodies.
Urine changes- higher levels of urine may be passed. occasionally , the high levels of protein being passed into the urine can cause it to become frothy.
Blood clots- important proteins that help prevent the blood clotting can be passed out in the urine. This can increase their risk of potential serious blood clots. During the relapse, the blood also becomes more concentrated, which can lead to clotting

256
Q

what is the biological explanation for nephrotic syndrome

A

The kidneys do not work properly causing large amounts of proteins to leak into the urine
Loss of protein through the kidneys is due to an increase in permeability of the filtering membrane of the kidney due to the kidney disease.
This leads to low protein levels in the blood, which causes water to be drawn into the soft tissue, resulting in xdemia.

257
Q

what are the causes for nephrotic syndrome

A

Nephrotic syndrome happens when there is a problem with your kidneys filters. When your kidneys filters are not working in the right way, this can lead to the symptoms of nephrotic syndrome.
Result of kidney damage caused by a condition such as diabetes/sickle cell anemia and infections such as HIV, hepatitis or syphilis
A result of certain types of cancer
Congenital nephrotic syndrome is usually caused by an inherited faulty gene