Calcium Homeostasis Flashcards

1
Q

What is the role of calcium in the body?

A
Blood clotting 
Apoptosis 
Skeletal strength 
Membrane excitability 
Signalling
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2
Q

What is the effect of hypocalcaemia?

A

Increases neuronal Na+ permeability, hyper excitation of neurons

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3
Q

What is the effect of hypercalcaemia?

A

Decreases neuronal Na+ permeability, reduce excitability and depress neuromuscular activity

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4
Q

Where is calcium mostly distributed in the body?

A

Bones

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5
Q

In what form is calcium stored in the body?

A

Hydroxyapatite

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6
Q

What is calcium bound to in the blood?

A

Albumin

Globulin

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7
Q

What type of conditions is binding capacity of calcium increased?

A

Alkalotic conditions

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8
Q

What is the function of osteoblasts?

A

Bone building cells which lay down a collagen extracellular matrix which they then calcify

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9
Q

What is the function of osteocytes?

A

Regulate the activity of osteoblasts and osteoclasts

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10
Q

What is the function of osteoclasts?

A

Mobilize the bone, secrete H+ ions to dissolve calcium salts

Provide proteolytic enzymes to digest the extracellular matrix

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11
Q

What hormones increase [Ca2+] plasma?

A

Parathyroid hormone

Calcitriol

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12
Q

How many parathyroid glands are there?

A

4

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13
Q

How does parathyroid hormone increase [Ca2+]plasma?

A

Stimulate osteoclasts to increase reabsorption of Ca2+ and phosphate in bone
Inhibits osteoblasts to reduce Ca2+ deposition in bone
Increase reabsorption of Ca2+ from kidneys
Increases renal excretion of phosphate
Stimulates kidneys to synthesise calcitriol

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14
Q

What is calcitriol derived from?

A

Vitamin D

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15
Q

Where can vitamin D be found in diet?

A

Fatty fish (mackerel, tuna)
Fish liver oils
Egg yolks

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16
Q

What is the action of calcitriol?

A

Increases absorption of Ca2+ from gut
Facilitates renal absorption of Ca2+
Mobilises calcium stores in bone by stimulating osteoclast activity

17
Q

What are the consequences of vitamin D deficiency?

A

Rickets in children

Osteomalacia in adults

18
Q

What hormone decreases [Ca2+]plasma?

A

Calcitonin

19
Q

Where is calcitonin secreted from?

A

Thyroid gland