Foundation 2023 Flashcards
Positive feedback
amplify an initial change (increasing strength contractions in birth).
Negative feedback eg BP control
Opposes an initial change in a regulated variable
MAP?
MAP= (SV/3)+Diastolic
CO definition
is the volume of blood pumped by each ventricle per minute
CO equation
CO = SV x HR
MAP for SVR
MAP = CO X SVR
higher BP= higher SVR
Baroreceptors are located in the carotid sinus and aortic arch. Which nerves
CN IX (carotid, GLOSSO) and CN X (aortic,VAGUS)
The vagus nerve in heart? Parasympathetic
which Muscarinic receptors does it bind to?
Ach binds to M2. Slows SA node + increase delay to AV node.
Result
decrease in HR, and CO
Sympathetic nerves does what to the heart?
increases rate of firing from SA node, decreases AV node delay
increases force of contraction of myocardium
via noradrenaline acting on B1
ANP -
Atrial natriuretic peptide
released in response to atrial distension.
BNP -
important for heart failure diagnosis. (ventricles)
HF= Pro BNP
Radiation -
Radiation is the emission of heat energy in the form of electromagnetic waves which can transfer heat upon striking another surface.
Conduction -
transfer of heat between objects in direct contact.
Convection -
transfer of heat by air or water currents that help to carry heat away from the body.
Evaporation
Evaporation is the process by which a liquid, changes into a gas or vapor when it is heated or exposed to air.
The posterior hypothalamus
is activated by cold and causes vasoconstriction of skin arterioles, increased muscle tone
anterior hypothalamus
activated by warmth and causes vasodilation of skin arterioles, production of sweat, and decreased muscle tone to dissipate heat.
Fever mechanism
macrophages –> pyrogens–>prostaglandins –>hypothalamus
Prostaglandins raise heat and increase temp.
Saltatory conduction -
AP jumps from one node of Ranvier to another.
Where is ADH stored?
Posterior pituitary
Peptides and proteins have which 3 things?
an amino acid group, side chain and carboxyl group
Glucose, Sucrose, Glycogen
Glucose monosaccharide,
Sucrose is an example of a disaccharide / olygo sach
glycogen polysaccharide.
Van der Waals interaction-
interaction of electrons in non-polar substances.
Strongest to weakest bonds
Covalent→ionic→hydrogen→hydrophobic interaction→van der Waals interaction
OILRIG
loosing electrons = oxidised and is therefore the reducing agent.
What is Oxidised, = reducing agent
gaining electrons = to become more negative so it is being reduced, therefore, it is the oxidising agent.
Reducer= oxidising agent
1st law thermodynamics
energy is neither created nor destroyed- energy may be converted from one form to another but the total energy before and after the conversion is the same
2nd law thermodynamics
when energy is converted from one form to another, some of this energy becomes unavailable to do work. From this we can infer that no energy transformations are 100% efficient
ΔG = ΔH – TΔS (T is the temperature in K)
The most important change is in free energy
- enthalpy (heat content):
*
enthalpy = H and a change in enthalpy is represented by deta H(ΔH)
entropy
is the degree or randomness or disorder entropy is represented by an S and a changed in enthalpy is represented by delta S (ΔS)
An exergonic reaction
1) releases heat to the environment,
2) spontaneously
3) No energy source to proceed.
4)EG glucose breakdown
endergonic reaction,
Needs energy
Not spontaneously
synthesis of glucose in photosynthesis
Metabolism =
catabolism + anabolism
Catabolism-
complex molecules into smaller ones, releases energy e.g. glycolysis
Anabolism-
Small + Small= Big/complex i.e. gluconeogenesis
Dna–>RNA–>Protein
Transcription then translation
DNA polymerase which direction
5’ → 3’
mRNA → ribosome (composed of rRNA) → tRNA.
rRNA is the structural component of ribosomes;
mRNA carries genetic info from DNA to ribosomes for protein synthesis;
tRNA transports amino acids to ribosomes for protein assembly
transfer RNA (tRNA) –
tRNA carries A.M from mRNA
messenger RNA (mRNA) – why does it differ from dna
carries the genetic information for protein synthesis
CONTAINS URACIL (NO THYMINE)
Enzyme without cofactor is called ?
Enzyme with cofactor is called ?
inactive precursor of an enzyme?
Enzyme without cofactor is called apoenzyme
Enzyme with cofactor is called holoenzyme
Zymogen
As you can see allosteric enzymes have a ?
Whereas “simple” non-allosteric enzymes have a ?
allosteric = sigmoidal curve. like S shape
non-allosteric simple=hyperbolic curve.
COPD first line and second
1st LABA(salmeterol) / LAMA (Tio) +
SABA/SAMA(Ipra)
2nd LABA/LAMA/ICS(beclo)
IL-6 & IL-1, what do they do?
induces fever (macrophages)
Immune cells bind to which region?
Fc region of antibody (Immunogoblin)
IgG enhance?
phagocytosis
Cytotoxic T cells do what after surgery?
Organ transplant rejection
Classical pathway activated by which immunoglobulins?
IgM/IgG
IFN-γ- who is it produced by
and what does it do
activated by who
produced by NK, TH1
activated by macrophages
Kill TB virus
anaphylactic shock- which Ig and which white cell
IgE/Mast Cells
where does Adrenaline treat anaphylactic?
alpha adrenergic receptors
IgA where from? what i love
Breast / Tears / Saliva
B cells do what
antibody producing cells
IgA produced by what? think coeliac
Plasma cells/ Specialised B cells (Coeliac question)
IL-8, macon vs bale
Chemotaxi for neutrophils
Helper T cells (CD4+)
MHCII (ANTIGEN PRES. CELLS ONLY IE MACROPHAGES)