I'm stupid Flashcards
What type of hormone does the pituitary gland release?
Peptide hormones
Are peptide hormones lipid soluble?
Yes peptide hormones are lipid soluble
What type of cell secretes insulin?
beta cells
What type of cell secretes glucagon?
alpha cells
What is PTH released in response to?
Low serum calcium levels
What stimulates calcitonin release?
High plasma calcium levels
What is the difference between the endocrine and exocrine system?
Endocrine - secrete into the blood, produces hormones
Exocrine - secretes into ductal system, does not produce hormones
Are steroid hormones lipid soluble?
Yes steroid hormones are lipid soluble
What type of hormone does the hypothalamus produce?
Peptide hormones
What type of cells produce calcitonin?
Parafollicular cells - found in the thyroid gland
Are amino acid based hormones lipid soluble?
No amino acid based hormones are not lipid soluble
What is the likely relationship between parents of an affected child in autosomal recessive patterns?
Consanguineous
Describe the structure of type IV collagen
Non-fibrillar
Which part of the GI tract normally absorbs the most fluid?
Jejunum
Is glucose freely filtered by the glomerulus?
Yes
What embryological structure gives rise to the aortic root?
Truncus arteriosus
Is endothelin-1 a vasodilator or vasoconstrictor?
Vasoconstriction
What is the purpose of coughing?
To move materials from the vocal cords to the pharynx
Are type 1 pneumocytes joined by tight junctions?
Yes
What is the main driver to breathing?
Central carbon dioxide
What is the main driver of exhalation?
Elastic recoil of the lungs
What is the action of pepsin?
Hydrolyses bonds between aromatic amino acids
Give an example of a trace metal
Manganese
Are neurone plasma membranes excitable?
Yes
Awareness of pain is associated with activity in which region of the brain?
Prefrontal cortex
How is glucose absorbed from the GI tract?
It is passively absorbed through a membrane transporter
Which part of the GI tract absorbs the most water?
Jejunum
How is uric acid formed?
Breakdown of purines
In which part of the mediastinum is the arch of the aorta located?
Superior mediastinum
Where is the transverse pericardial sinus located?
Posterior to the aorta and pulmonary artery and anterior to the superior vena cava
Which aortic sinus gives rise to no coronary artery?
Right posterior
What does the T wave represent on an ECG?
Ventricular repolarisation
What are the unpaired cartilages of the larynx?
Epiglottis
Thyroid
Cricoid
What are the paired cartilages of the larynx?
Cuneiform
Corniculate
Arytenoid
What are the borders of the nasopharynx?
Nasal choanae anteriorly and the soft palate inferiorly
What does the frontal sinus drain into?
Middle meatus
What are the borders of Calot’s triangle?
Inferior surface of the liver
Cystic duct
Common hepatic duct
Where are plicae circulares found?
SMALL intestine
What histological change occurs in Barrett’s oesophagus?
Stratified squamous -> Columnar
At what vertebral level does the spinal cord normally end to form the conus medullaris?
L2
What is the most common position of the uterus?
Anteverted (and anteflexed)
What forms the anterior (superior) border of the femoral triangle?
Inguinal ligmant
What type of joint is the sternum articulating with the clavicle?
Saddle joint
What is the innervation of the pericardium?
Phrenic nerve
What is the serous pericardium made up of?
Mesothelium
What are the differences between cardiac and skeletal muscle?
Cardiac - contains intercalated discs, branched, central nuclei, single nucleus
Skeletal - no intercalated discs, not branching, multinucleated
What is a similarity between skeletal and cardiac muscle?
They are both striated
What cell type makes up the majority of the surface area of the alveoli?
Type 1 pneumocytes
Where is cholesterol produced?
Liver
What are the branches of the internal carotid?
Anterior cerebral
Middle cerebral
Posterior communicating cerebral
Ophthalmic
What is perimysium?
Sheath of connective tissue surrounding a bundle of muscle fibres
What is epimysium?
Sheath of fibrous elastic tissue surrounding an entire muscle
What is biliverdin converted into? What enzyme catalyses this reaction?
Unconjugated bilirubin
Biliverdin reductase
What is unconjugated bilirubin converted into? Where does this occur? What enzyme catalyses this reaction? What is the purpose of this reaction?
Conjugated bilirubin
Liver
UGT
To increase water solubility
What is conjugated bilirubin converted into? Where does this occur? Under what does this reaction occur?
Urobilinogen
Large intestine
Intestinal bacteria
What is urobilinogen converted into?
Stercobilin (faeces)
Taken to the liver to be converted into urobilin -> urine OR recycled into bile
Order the different molecules involved in bilirubin metabolism.
Haem Biliverdin Unconjugated bilirubin Conjugated bilirubin Urobilinogen Stercobilin/Urobilin
What is the BMI range for:
a) underweight
b) normal
c) overweight
a) <18.5
b) 18.5 - 25
c) 25 - 30
What is a stroma?
Connective tissue at the base of an organ or tumour
What is another term for parietal cells?
Oxyntic cells
Where is the pacemaker of the stomach located?
Greater curvature
What stimulates bile secretion from the liver?
Vagus stimulation, secretin, presence of bile salts
What cartilage is responsible for altering the tension on the vocal cords
Arytenoid
What is the costodiaphragmatic recess?
Part of the pleural cavity not occupied by the lungs
What type of molecule is the blood brain barrier permeable to?
Non-ionised molecules
How is CO2 transported in the blood?
Dissolved in plasma
HCO3-
Carboaminohaemoglobin
What is the chloride shift?
As CO2 enters a RBC it is converted into HCO3- and diffuses out the cell leaving H+, Cl- diffuses in to keep it neutral
What is the dermatome for the:
a) thumb
b) nipple
c) umbilicus
d) knee
a) C6
b) T4
c) T10
d) L3
What is the normal blood pH range?
7.35 - 7.45
What is the last rib to directly link to the sternum?
7th
What level is the sternal angle (Angle of Louis)?
T4
What level is the xiphoid process located?
T10
What is the surface marking for the upper oesophageal sphincter?
C6
What is the surface marking for the coeliac axis?
T12
What is the surface marking for the superior mesenteric artery?
L1
What is the surface marking for the inferior mesenteric artery?
L3
What level are the thyroid and cricoid cartilages?
C4 and C6 respectively
Between which muscles are the intercostal neurovascular bundles located?
Internal and innermost intercostal
What are the effects of stimulating arterial baroreceptors?
Decreased sympathetic stimulation
Decreased arteriolar vasoconstriction
Decreased blood pressure
Define ischaemia
Reversible damage to tissues as a result of impairment to perfusion
Define infarction
Irreversible death of tissue due to ischaemia
State features of the structure and components of an atheromatous fibrolipid plaque
Smooth muscle cells Macrophages Lymphocytes Cholesterol crystals Lipid core
Define carcinoma
Malignant neoplasm of epithelial cells
What structures lie anterior to the oesophagus in the thoracic cage
Trachea
Heart
Left main bronchus
What cells myelinate axons in the brain (CNS)?
Oligodendrocytes
What cells myelinate axons in the rest of the body (PNS)?
Schwann cells
What is the function of keratinising squamous epithelium?
Waterproofing
Protection from mechanical stress
Protection from chemical damage
Name 3 types of cell junctions
Occluding junction
Gap junction
Desmosomes
What is PEF?
Peak expiratory flow
Single measurement of highest flow during expiration
What does the eustachian tube connect and what is its function?
Connects middle ear to the throat
Prevent pressure from building up in the middle ear
What cells produce melanin?
Melanocytes
Where in the oesophagus is pseudostratified columnar epithelium found?
Gastric end - below the thoracic diaphragm
Where in the abdomen would you find pseudostratified epithelium?
Cardiac region of the stomach
Define compliance
How easily a chamber of the heart expands when its filled with blood (C = ^V/^P)
Define diastolic distensibility
Pressure required to fill the ventricles to the same diastolic volume
What is the equation for blood pressure (mean arterial pressure)?
BP (MAP) = CO x TPR
What is the innervation of the liver?
Celiac plexus (sympathetic and parasympathetic) Anterior vagal trunk
Where is HDL produced?
Liver
Where is LDL produced?
Plasma
Where is VLDL produced?
Hepatocytes