Exam I Flashcards

1
Q

We get ATP through ____ of glucose.

A

Oxidative phosphorylation

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

All of the chemical reactions occur within ____.

A

Cell membrane

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

____ and ____ need to be brought into the cell before they can be utilized.

A

Oxygen

Glucose

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

Total body water ____ % of total body weight.

A

60

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

The ICF consists of ____ % of the total body water.

A

40

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

The ECF consists of ____% of total body water.

A

20

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

Average adult human weighs ____ kg.

A

70

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

1 kg of water occupies ____ L.

A

1

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

60% of 70 kg is ____kg of water.

A

42

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

40% of 70 kg is ____kg of water.

A

28

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

20% of 70kg is ____kg of water.

A

14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

____% of a person’s total body weight is equivalent to blood volume.

A

7

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

What are the 3 different types of cell types found in the blood?

A

Erythrocytes, leukocytes, thrombocytes (platelets)

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

____% of a person’s total body weight will give a pretty a good estimate of plasma volume.

A

5

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

Plasma is not a formed element of blood.

True/False

A

True

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

The higher the lipid content, the ____ the water content.

A

Water

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

Females have ____ total water content despite body weight.

A

Less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Excess alcohol in the body ____ the total body water content.

A

Decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The lipid theory holds up until the adult male reaches about ____ years old.

A

45-50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Adipose tissue is stored as ____ in the body.

A

Triglycerides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Blood loss most effects which type of blood cell?

A

Erythrocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Oxygen is taken from the lungs to the tissues via which blood cells?

A

Erythrocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The first thing someone who loses an excessive amount of blood is ____.

A

Decreased energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Losing excessive blood energy is cycled through anaerobic metabolism producing ____.

A

Lactose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Why would lactate formation cause decreased energy in someone who has lost excessive blood?

A

Lactate formation doesn’t allow for adequate amounts of ATP for cellular use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

If you don’t have adequate ATP, ____ ion stays inside the cell because the sodium-potassium pump cannot function properly.

A

Na+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

ICF volume increases if you have inadequate ATP because ____.

A

Increased Na+ in ICF increases water in ICF.

Water follows Na+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

With increased Na+ in ICF, substrate/enzyme concentration ____ and hydrogen ion concentration ____.

A

Decreases

Increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

ICF pH will ____ with increased Na+ in ICF.

A

Increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Water balance is roughly ____L in and out.

A

2.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Ingesting too much water causes the plasma to become too ____.

A

Dilute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Recommended water intake is ____mL/day.

A

2100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Metabolism uses approximately how much water?

A

200mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Moisture loss via the skin is what type of water loss?

A

Insensible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Moisture loss exhalation from lungs is what type of water loss?

A

Insensible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Water loss via perspiration is what type of water loss?

A

Sensible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Is sweating (sensible) or exhalation moisture (insensible) the larger factor for water loss?

A

Exhalation moisture (insensible)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is the primary means by which we lose water?

A

Urination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Uric acid buildup in the synovial joints

A

Gouty arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Response to any damage to a vascularized tissue

A

Acute inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Gouty arthritis is common with what kind of diet?

A

Lots of red meat intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What in red meats leads to increased uric acid concentrations?

A

Purines (A and G) 9-membered nucleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Avoiding red meat, aspirin, beer, coffee, and cocoa can decrease uric acid concentrations.

True/False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Misdiagnosing gouty arthritis as osteoporosis decreases uric acid disposal when taking ____.

A

Aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Losing weight will increase the sensitivity of the ____ receptors to insulin in the body.

A

Insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

During prolonged exercise, insensible loss via the skin changes.

True/False

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

During prolonged exercise, insensible loss via the lungs increases with respiration rate.

True/False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

During prolonged exercise, water output increases to about ____L.

A

6.5 (5.0 being sweat)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Elderly individuals will need minimal amount of exercise to lose a lot of water via sweat.

True/False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

If the water input is equal to the water output, the plasma volumes will not change.

True/False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

____ and ____ are the biggest variables that would affect plasma levels.

A

Urine excretion

Sweating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

If a 50kg person and 70kg person both lose 1.5L of blood, who is more at risk to die of cardiac arrhythmias?

A

50kg person because percentage of loss is greater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Ratio of the ICF to ECF is ____.

A

2:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

____ which is normally found in the plasma must pass through capillary membrane to equilibrate with the ISF.

A

Oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

The ICF is extremely selective with permeability.

True/False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Of the capillary and cell membranes, the cell membrane is most selectively permeable.

True/False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

The concentration of glucose in the plasma is ____ to the concentration of glucose in the ICF.

A

Identical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What hormone allows the glucose to be able to move from the ISF to the inside of the cells?

A

Insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Cell membrane insulin receptors activate allowing ____ to move into the cell through it’s transport channels.

A

Glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

What prevents glucose from moving freely through the transport channels?

A

Phosphorylation (G-6-P)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Medical condition where glucose cannot get into the ICF because the insulin did not open the channels.

A

Diabetes mellitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

The only membrane int he body that is referred to as a semi-permeable membrane.

A

Cell membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Which cation is most commonly found in the ECF?

A

Na+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

How does Na+ diffuse across the cell membrane?

A

The membrane needs a specific signal to open Na+ channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

What cation is most common in the ICF?

A

K+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Membrane which has pores so that everything that is found in the plasma is likely to also be found in the ISF.

A

Capillary membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

Which components of blood are normally restricted to the lumen side of the capillary membrane?

A

Plasma proteins and blood cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

The most important subcategory of the plasma is ____.

A

Albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

About ____ of the total plasma protein content is in the form of albumin molecules.

A

50–60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

All plasma proteins except ____ are synthesized in the liver.

A

Gamma globulins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

Gamma globulins are synthesized by ____.

A

Immune cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

____ help maintain blood volume by their osmotic activity (drawing water).

A

Plasma proteins

73
Q

Transport mechanism where the driving force is due to the differences in concentration gradients.

A

Simple diffusion

74
Q

Solute particles move from an area of high solute concentration to an area of low solute concentration (until concentrations are equal) is considered ____ diffusion.

A

Simple

75
Q

Needing something to open the channels to allow molecules to pass through is considered ____ diffusion.

A

Facilitated

76
Q

____ transport involves the use of ATP (moves against concentration gradient).

A

Active

77
Q

Glucose moves from the GI tract into the hepatic portal blood via ____.

A

Active transport

78
Q

Liquid droplet is brought into a cell with ____.

A

Pinocytosis

79
Q

Solid particulate is brought into a cell with ____.

A

Phagocytosis

80
Q

Normal blood glucose concentration is 100mg per ____mL plasma.

A

100

81
Q

A person who does not secrete adequate amounts of insulin (insensitive receptors to insulin) has ____.

A

Diabetes Mellitus

82
Q

Capillary membranes have ____ layer(s) of epithelial cells laid out on a basement membrane.

A

1

83
Q

The gap between the adjacent epithelial cells are called ____.

A

Capillary pools

84
Q

The pressure of the fluid in the capillaries (blood) is ____ than the pressure of the fluid in the ISF.

A

Greater

85
Q

The pressure in the capillary membrane is subjected to the ____ pressure.

A

Cardiovascular

86
Q

Osmotically active proteins (solutes) can affect ____.

A

Blood volume

87
Q

Glucose is not osmotically active (referring to the cell membrane) in a diabetic patient because it cannot enter the cell.

True/False

A

True

88
Q

What is the common characteristic of substances that will exert osmotic activity across any membrane?

A

It should not be able to pass through

89
Q

Histamine is released from which cells?

A

Basophils

Mast cells

90
Q

Pre-capillary arterioles dilate and epithelial cells shrink toward their basement membrane when what hormone is released?

A

Histamine

91
Q

____ is the immediate chemical that causes the capillary pool diameters to increase (facilitates plasma proteins to leak out).

A

Histamine

92
Q

____ causes the after (late) effects of an injury.

A

Phospholipids

93
Q

The conversion of membrane phospholipids of the damaged region will be converted into ____ by the arachidonic acid cascade.

A

Prostaglandins

94
Q

____ enzyme responsible for the arachidonic acid formation (from the lipid portion of the membrane phospholipids).

A

Phospholipase A

95
Q

Prostaglandins mimic ____ decreasing vasodilation and membrane permeability.

A

Histamine

96
Q

____ block the formation of prostaglandins which inhibits inflammation.

A

Cox inhibitors

97
Q

Omega-3 fatty acids should be weighted ____ than omega-6 fatty acids in diet.

A

Heavier

98
Q

If you increase the fluid in the ISF, the materials passing from the cell to the capillary will ____ due to the pressure.

A

Decrease

99
Q

____ is hydrostatic pressure of the arteriolar blood inside the capillary.

A

Pc

100
Q

At the ____ end, Pc is much greater than Pi.

A

Arteriolar

101
Q

When the blood fluid volume decreases, the concentration of the plasma proteins will ____.

A

Increase

102
Q

Pc ____ as you get closer to the venular end.

A

Decreases

103
Q

____ is hydrostatic pressure of the interstitial fluid space.

A

Pi

104
Q

Pi is kept constant because the ____ end, fluid is pulled back into the capillaries.

A

Venular

105
Q

The osmotic activity due to the plasma proteins.

A

Oncotic activity

106
Q

Oncotic pressure exerted by plasma proteins in the capillary is ____ at the venular end.

A

Huge

107
Q

True/False

Fluid leaves at the arteriolar end and causes the concentration of plasma proteins to increase —> increases osmotic activity —> increases oncotic acitivty

A

True

108
Q

The high concentration of plasma proteins draws almost all the fluid that left at the arteriolar end back from the ISF into the capillary at the venular end keeping ____ constant

A

Hydrostatic pressure of the interstitial fluid space

109
Q

Hydrostatic pressure of the arteriolar blood inside the capillary is greater than the hydrostatic pressure of the interstitial fluid space.

True/False

A

True

110
Q

Oncotic pressure exerted by plasma proteins in the capillary is greater than oncotic pressure exerted by hydrostatic pressure of the interstitial fluid space.

True/False

A

True

111
Q

Predicting the exchange of fluid and materials across the capillary membrane.

A

Starling forces

112
Q

What are the 2 basic starling forces?

A

Hydrostatic forces

Oncotic forces

113
Q

There are how many forces that govern the movement of fluid across the capillary membrane?

A

4

114
Q

The interplay of starling forces causes the fluid to ____ between the plasma and ISF.

A

Equilibrate

115
Q

Any factor that increases permeability of a membrane (histamine will allow more fluid to ____.

A

Leave

116
Q

Increasing the permeability of a membrane (histamine) will ____ the hydrostatic pressure differential in the arteriolar end.

A

Decrease

117
Q

Increasing the permeability of a membrane (histamine) will ____ the oncotic activty of the plasma.

A

Increase

118
Q

Histamine reacts with receptors located on the ____.

A

Arterioles (pre-capillary)

119
Q

The 1st effects of histamine is on the ____ causing capillary dilation.

A

Pre-capillary

120
Q

The size of the gaps in the capillary increase with histamine because of the ____ contraction.

A

Endothelial

121
Q

Hypertension state is anyone over ____.

A

140/90

122
Q

Why is there a high frequency of urination with hypertension?

A

Hydrostatic pressure of blood capillary will increase causing the pressure of the fluid entering the capillary to increase.

123
Q

Hydrostatic pressure of capillary is the same as the ____ blood pressure.

A

Systolic

124
Q

Hypertension causes other capillaries throughout the body to lose fluid to the ISF and cause bloating in other areas of the body.

True/False

A

True

125
Q

Increased volume of fluid in the ISF throughout the body which allows less nutrients to get to the cells- cell function disrupted.

True/False

A

True

126
Q

The volume of blood that is ejected from the heart in a one minute time period is known as ____.

A

Cardiac output

127
Q

What are the 2 factors that influence cardiac output?

A

Frequency

Strength

128
Q

The more histamine released, the greater the number of capillary segments that will be affected, leading to increased _____ leaking out.

A

Plasma proteins

129
Q

With histamine activation, cardiovascular system adjusts and increases heart rate and force at which the heart contracts. This is done by stimulating the ____ nervous system.

A

Sympathetic

130
Q

With histamine active, ____ is possible if there is not enough epinephrine/norepinephrine to reverse the effects.

A

Cardiac arrhythmia

131
Q

Long-term alcoholism leads to not being able to pull back water at the ____ end of the capillaries.

A

Venular

132
Q

Long-term alcoholism causes blood pressure to go up increasing the amount of fluid leaving the capillaries into ISF.

True/False

A

True

133
Q

Primary force in long-term alcoholism is the reduction in the onocity activity of the ____.

A

Plasma

134
Q

In long-term alcoholism, capillary membrane permeability changes.

True/False

A

False

135
Q

Marker used to determine total body water by the indicator-dilution method.

A

Antipyrin

136
Q

Antipyrin is able to move freely between ____.

A

ISF and ICF

137
Q

There is no marker for the ICF in the indicator-dilution method because ____.

A

There is nothing that is exclusive to the ICF

138
Q

Erythrocytes can be labeled with ____.

A

Isotropic chromium

139
Q

A substance that can easily pass through the capillary membrane can be used as a marker for the ____.

A

ECF

140
Q

The movement of water across the cell membrane is governed by ____.

A

Osmolality difference between ECF and ICF.

141
Q

Normal osmolality of body fluids is approximately 300 milliosmoles per liter of fluid volume.

True/False

A

True

142
Q

Changes in the osmolality and volume of the ICF is always preceded by ____.

A

Initial changes of the ECF

143
Q

With diarrhea, volume is lost from the ____.

A

ECF

144
Q

Losing volume to the ECF decreases ____ volume.

A

Blood

145
Q

In diarrhea, ECF osmolality _____.

A

Remains constant

146
Q

A change in the ECF osmolality is the only way there will be a change in ICF osmolality.

True/False

A

True

147
Q

In diarrhea, volume and osmolality of the ICF ____.

A

Remains constant

148
Q

Why would you need to give a person with diarrhea iso-osmolar fluid?

A

The person is losing fluid not water

149
Q

Initially, when you start to workout, the composition of the sweat that you end up losing is ____.

A

Iso-osmolar to the body fluids

150
Q

Massive loss of fluid with a dramatic reduction in the osmolality of the ECF leads to ____.

A

Heat exhaustion

151
Q

During heat exhaustion, water moves from the ICF to the ECF to establish iso-osmolality and the ICF also becomes ____.

A

Hyperosmolar

152
Q

Is dehydration in the ECF or ICF more dangerous?

A

ICF, the higher concentration of solutes thus altering pH and affecting the protein structures.

153
Q

When you deprive yourself of water, concentration of the solutes in the ____ will increase

A

ECF

154
Q

Osmolality of the ECF ____ during water deprivation.

A

Increases (hyperosmolar relative to the ICF)

155
Q

During water deprivation, water will continue to move out out of the ICF to the ECF up until the osmolalities of the 2 compartments balance.

True/False

A

True

156
Q

During water deprivation, water has been lost from the ICF, therefore you have ICF ____.

A

Volume contraction

157
Q

How do you treat water deprivation?

A

Treat patient with D5W (5% dextrose in water)

158
Q

Establishing ____ will reestablish volume of the ECF.

A

Iso-osmolarity

159
Q

D5W acts as a ____ solution decreasing hyperosmolar condition of the ECF to an extent that it will become hypoosmolar allowing water to move into the ICF.

A

Hypotonic

160
Q

Headaches with water deprivation are common because _____.

A

Of the decreased volume of ECF

161
Q

The concentration of particles present in a fluid (particles/liter)

A

Osmolality

162
Q

The influence of a solution to either change the volume of an erythrocyte or not change the volume.

A

Tonicity

163
Q

Refers to the ability of a solution to pull water out of a cell.

A

Hypertonic

164
Q

Refers tot he ability of a solution to move water into a cell.

A

Hypotonic

165
Q

Refers to no change in the volume of a cell.

A

Isotonic

166
Q

If you place an erythrocyte into a hypertonic solution, the cell ____.

A

Shrinks

Crenation

167
Q

If you place an erythrocyte into a hypotonic solution, the cell ____.

A

Enlarges

Turgidity

168
Q

If you place an erythrocyte into an isotonic solution, the cell ____

A

Volume remains constant

169
Q

Infusion of isotonic NaCl is a ____ volume contraction.

A

Hypoosmotic

170
Q

with infusion of isotonic NaCl, ____ volume increases because of the intravenous infusion of a solution (adding water to the system).

A

ECF

171
Q

Giving someone water when they lack Na+ will cause ____ in ECF volume.

A

An even bigger increase

172
Q

High NaCl intake causes the body to try and correct the high ____ osmolality by secreting a peptide hormone (ANP/ANH).

A

ECF

173
Q

Addison’s and Conn’s disease are common adrenal insufficiency.

True/False

A

True

174
Q

An adrenocortical steroid that regulates mineral balance between Na and K ions in the ECF

A

Aldosterone

175
Q

Aldosterone primarily acts to prevent ____.

A

Hyperkalemia

176
Q

____ will result form an increase of aldosterone.

A

Hypertension

177
Q

With aldosterone deficiency, ____ osmolality decreases.

A

ECF

178
Q

SIADH causes a ____ solution.

A

Hypo-osmolar