calcium physiology Flashcards

1
Q

give some examples of the role calcium plays in the body

A
  • bone and tooth structure
  • mineral store
  • action potentials in cardiac muscle
  • membrane potentials
  • 2nd messengers
  • blood clotting
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2
Q

which 3 substances maintain calcium homeostasis?

A
  • parathyroid hormone
  • calcitonin
  • Vit d
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3
Q

when is parathyroid hormone secreted?

A

when plasma calcium levels are low

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4
Q

how does parathyroid hormone work to increase plasma calcium levels?

A
  • increase bone resorption
  • increase calcium uptake by kidneys (decreased PO4 resorption)
  • increase calcium uptake from intestine (assisted by vii d)
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5
Q

when is calcitonin secreted?

A

in response to high plasma calcium levels

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6
Q

how does calcitonin act to lower blood plasma?

A
  • increase bone formation

- decrees calcium resorption in kidneys

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7
Q

does calcitonin play a major role in calcium homeostasis?

A

no

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8
Q

what role does vit d play in calcium uptake?

A

vit d is needed to absorb calcium

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9
Q

which hormones increase bone formation and bone mass?

A
  • calcitonin
  • growth hormone
  • IGF-1
  • insulin
  • oestrogen
  • testosterone
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10
Q

which hormones increase bone resorption and decrease bone mass?

A
  • cortisol
  • parathyroid hormone
  • thyroid hormone
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11
Q

what role do osteoblasts play in the mineralisation of bone by calcium salts?

A

synthesise and secrete collagen fibres forming matrix later mineralised by calcium salts

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12
Q

raised calcium levels is known as?

A

hypercalceamia

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13
Q

decreased calcium levels is known as?

A

hypocalcaemia

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14
Q

what is tetany?

A

A condition that is due usually to low blood calcium

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15
Q

what may cause hypocalceamic tetany?

A
  • decreased calcium intake
  • excessive calcium loss
  • alkalosis (low calcium)
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16
Q

what effect does low calcium have on nerves?

A

increased nerve excitability - spasms, pins and needles

17
Q

decreased secretion of parathyroid hormone cause what condition?

A

hypoparathyroidism

18
Q

what effect does hypoparathyroidism have on the teeth?

A

defective tooth mineralisation

19
Q

vitamin D defence may cause what ?

A
  • decreased calcium uptake from GI
  • under mineralisation of bone
  • bones lack rigidity
  • rickets in children
  • osteomalacia in adults
20
Q

decreased bone mass and density is known as?

A

osteoporosis

21
Q

increased bone mass and density is known as?

A

osteoporosis

22
Q

does parathyroid hormone work on teeth?

A

no