Calcium Physiology Flashcards

1
Q

what are the main functions of calcium

A

bone and tooth structure
mineral store
action potentials
membrane excitability
second messengers
co factor in metabolic pathways
blood clotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

describe the second messenger action of calcium

A

acts in:
muscle for excitation contraction coupling
gland secretion
non steroid hormone action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

describe the concentration of ionised calcium

A

1.2mmol/litre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the concentration of calcium bound to citrate

A

0.2mmol/litre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the forms of diffusible calcium

A

ionised calcium and bound to citrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the forms of non diffisuble calcium

A

bound to protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the concentration of calcium bound to protein

A

1.2mmol/litre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the total calcium concentration

A

2.6 mmol/litre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

which molecules are involved in calcium homeostasis

A

parathyroid hormone
calcitonin
vitamin D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describe parathyroid hormone secretion

A

produced from the parathyroid gland in resopnse to low plasma calcium concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how does parathyroid hormone increase plasma calcium

A
  • increase resorption of bone through osteoclast activity
  • increase calcium resorption in the kidneys with a decrease in phosphate resorption
  • increased uptake of calcium from the intestines, with the assistance of vitamin D
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what happens in the kidneys to increase plasma calcium concentration

A

increased formation of calcitriol (active vitamin D)
increased calcium resorption
increased phosphate excretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is 1.25 hydroxyvitamin D

A

this is the most active form of vitamin D known as calcitriol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

describe calcitonin secretion

A

produced from thyroid glands in resopnse to high plasma calcium concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how does calcitonin act

A

lowers plasma calcium by increases the formation of bone through osteoblastogenesis and a decrease in calcium resorption in the kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

does calcitonin play a role in calcium homeostasis

A

not a major one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the form of vitamin D formed in the skin from UV

A

7-dehydrocholesterol

18
Q

what is vitamin D3

A

cholecalciferol, formed from dietary vitamin D and 7-dehydrocholesterol

19
Q

describe vitamin D production

A
  • diet and skin provide two forms
  • 7-hydrocholesterol in the skin
  • come together to form vitamin D3
  • this goes to liver and is acted upon by 25-hydroxylase
  • to form 25 hydroxy cholecalferol
  • this is acted upon in the kidney by 1alpha hydrolyase
  • this forms calcitriol
20
Q

describe the destination of calcitriol

A

intestines for calcium absorption
kidney for calcium retentin and phosphate retention
bone for calcium and phosphate release

21
Q

which hormones increase bone formation and bone mass

A

calcitonin
growth hormone
IGF
insulin
oestrogen
testosterone

22
Q

which hormones decrease bone mass through increasing bone resorption

A

cortisol
parathyroid homrone
thyroid hormones

23
Q

what do osteoblasts do

A

they synthesis and secrete collagen fibres forming a matrix later mineralised by calcium salts

24
Q

what are osteocytes

A

these are trapped osteoblasts in the bone matrix
they lie within bony lacunae and contact other cells via long cytoplasmic processes

25
what are osteoclasts
large, multinucleated cells derived from macrophages, that resorb bone
26
where do osteoclasts lie in bone
howships lacunae
27
desribe hypocalcaemic tetany
this is a decrease in calcium concentration due to decreased intake, excessive loss, or alkalosis leads to low nerve excitability, causing muscle spasms, pinks and needles and trousseaus sign
28
what is alkalosis
low calcium concentration
29
what is hypocalcaemia
this is caused from hyperventilation, as in panic attacks which can cause alkalosis happens due to blowing off carbon dioxide
30
what is osteitis fibrosa cystica
areas of demineralisation in the skull and leg bones
31
what can hypoparathyroidism do to the teeth
lead to defective mineralisation of teeth due to low blood calcium levels due to undersecretion of parathyroid hormone
32
what can cause vtiamin D deficiency
dietary deficiency, or a failure to synthesise in the body
33
what does vitamin D deficiency do to the body
decreases calcium uptake from the gastrointestinal tract leads to undermineralised bone leads to unmineralised bone lacking rigidity
34
what does vitamin D deficiency cause in children
rickets
35
what does vitamin D deficiency cause in adults
osteomalacia
36
what is osteoporosis
decreased bone mass and density
37
what is osteopetrosis
increased bone mass and density
38
describe osteoporosis in patients
reduced bone dentistry due to a loss of matric and mineral leads to fractures common in the elderly, particularly women
39
what are the causes of osteoporosis
nutritional deficiency and corticosteroids
40
describe osteopetrosis in patients
increased bone density leads to reduced blood supply bones are prone to fracture and chronic infection makes extractions difficult mandible is larger than maxilla