Final exam- physiology Flashcards

1
Q

What are exercise effects on glucose mobilization?

A
  1. Plasma insulin decreases and plasma glucagon increases (don’t want insulin in the blood that you are not using)
  2. FFA mobilized from adipose and glucose mobilized from the liver for gluconeogenesis which maintains plasma glucose concentrations
  3. Endurance training: Increases mitochondria and decreases lactate concentration so more FA can be used for energy and limited carbs stores can be spared (improves performance)
  4. Glucose uptake: blood flow increases which creates a concentration gradient for glucose to diffuse across the membrane and therefore insulin sensitivity increases
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2
Q

What are moderate effects of exercise on the immune and endocrine system

A

Moderate
- Increase in natural killer cells, neutrophils and antibodies
- Improves psych well-being
- As intensity of exercise increases insulin decreases until 80% VO2 max where it starts to increase, while epi, norepi, GH, cortisol and glucagon increase

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3
Q

what are vigorous effects of exercise on the immune and endocrine system

A

Vigorous effects:
- Decrease B, T, and Natural killer cells
- Decrease natural killer cell and T-cell function
- Decrease in nasal neutrophil phagocytosis
- Decrease in salivary IgA levels (1st line of defense/found in the mucus membrane)
- Increase in pro-inflam cytokines
- During prolonged exercise epi,norepi, GH, cortisol and glucagon increase while insulin decreases

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4
Q

What are the E-stim current

A

direct
alternating
pulsed

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5
Q

What is direct current e-stim?

A

continuous, unidirectional flow
Iontophoresis and denervated muscle contraction

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6
Q

What are the types of alternaing e-stime

A
  • IFC
  • premodulated
  • russian
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7
Q

what is IFC e-stim

A

Interference of 2 medium frequency AC’s
Electrode placement allows the two frequencies to intersect
Produces higher amplitude when in phase and lower when in opposite phases
More comfortable

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8
Q

what is pre-modulated e-stim

A

AC with medium frequency
Single circuit
2 electrodes

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9
Q

what is russian protocol

A

Specific parameters for quads
Medium-frequency burst AC

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10
Q

what is pulsed current e-stim

A
  • Interrupted flow of current
  • Monophasic pulse: Common for tissue healing and edema
  • Biphasic pulsed: Symmetrical and asymmetrical-balanced or unbalanced
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11
Q

what are uses of e-stim

A
  • Muscle contraction for strengthening, re-reduction, muscle spasm reduction and prevent atrophy DVT or pressure ulcers
  • Pain control
  • Tissue healing
  • Transdermal drug delivery
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12
Q

describe the innate immune system

A
  • Natural barriers such as skin, salvia, stomach acid, gut flora
  • Blood - circulating neutrophils, macrophages, lysozymes, complement system, natural killer cells, interferons
  • Lymphatic system
  • Alternate pathway of the complement system; Self cells prevent binding of C3; Antigen cells allow binding of C3 and cascade continues
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13
Q

describe the adaptive immune system

A
  • kicks in when you are exposed to something
  • Acquired through exposure to organisms or toxins
  • Humoral immunity - antibody production from B-cells; System responds to circulating antigen and produce antibody and memory cells - Naive b-cells bind to an antigen than plasma cells secrete the specific IgM antibodies, then after 2-3 weeks IgM secretion decreases and IgG is produced until it peaks around 3 weeks
  • Cellular immunity - T- lymphocytes destroy the antigens; Responds to APCs; Elimination of pathogen by cytotoxic T-cells
    There are also T-helper cells, T-memory cells and regulatory T-cells
  • classical pathway of the complementary cascade
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14
Q

what occurs during heat Acclimation: in a lab

A
  • Increase plasma volume
  • sweating - sooner higher rate with less salt loss
  • Decreased skin blood flow
  • Increase in heat shock proteins
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15
Q

what occurs during heat Acclimatization:

A

Heart rate decrease
Plasma volume expansion
Perceived exertion decrease
Sweat rate

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16
Q

what occurs during cold acclimation

A
  • Shiver begins at lower temperature/non-shivering thermogenesis stimulated by increase of NE
  • Maintain higher mean hand and foot temp during cold exposure/improved intermittent peripheral vasodilation
  • Better able to sleep in cold environment/elevated level of non-shivering thermogenesis
17
Q

GI layer: mucusa

A
  • most intimate with the food
  • Single cells epithelial layer
  • Runs from lumen of stomach to the anus
  • Endocrine and exocrine functions
18
Q

GI layer: submucosa

A
  • Layer of CT with major blood and lymph vessels
  • Submucosal nerve plexus
19
Q

GI layer: Muscularis externa:

A
  • peristalsis
  • 2 major smooth muscle layers that mix and move food along the GI tract
  • Myenteric nerve plexus
20
Q

GI layer: Serosa:

A
  • blood vessels have to come through this layer
  • Thin CT layer
  • outermost layer
21
Q

Saliva:

A

produced by the salivary glands, mostly water but also contains enzymes to lubricate oral cavity and break down carbs/fats

22
Q

Gastric juices:

A

produced by gastric glands in the stomach
Contains hydrochloric acid and enzymes that digest food into chyme

23
Q

Bile:

A

contains bile salts that emulsify fats
Produced by the liver and stored in the gallbladder

24
Q

Pancreatic juice:

A

Contains enzymes and ions that aid digestion in the small intestines

25
Q

Gastrin:

A

Stimulates: amino acids in stomach, distension of stomach, vagus nerve
Target organ: stomach
Increase H+ secretion

26
Q

CCK:

A

Stimulated: Fat and protein digestion products in the small intestine
Target organ: Gallbladder, prancreas
Action: increases contraction and enzyme secretion and decreases gastric emptying

27
Q

Secretin:

A

Stimulated: H+ in the duodenum
Targets: pancreas and stomach
Increases pancreatic HCO3 secretion and decreases GAstric H+ secretion

28
Q

Ghrelin

A

Stimulated: hypoglycemia
Targets: CNS
Increase food intake and GH secretion

29
Q

Motilin

A

Stimulated: ENS clock
Targets: stomach and duodenum
Increase contraction

30
Q

GIP

A

Glucose and fats in small intestin stimulate secretion
Targets:pancreas
Increases insulin secretion

31
Q

GLLP-1

A

Glucose in the small intestine stimulates is
Targets pancreas
Increases insulin secretion