IASM 43 44: Thermoregulation, Fever, Heat Stroke, Body Fluid Flashcards

1
Q

3 Types of Endocrine Glands, What are they? What are their mode of secretions/ activations?

A

Endocrine: Hormones discharged to blood
Paracrine: Activating neighbouring cells
Autocrine: Activating the cell itself

(EPA)

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2
Q

What is the unit for gases

Like oxygen and carbon dioxide

A

mmHg

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3
Q

What is the unit for ions

Like Potassium ion and Sodium ion

A

mmol/L

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4
Q

Total body water takes up about ____% of body weight

A

60%

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5
Q

Among total body fluid,
About ___ is intracellular fluid and ___ is extracellular fluid
Among extracellular fluid, ___ is intravascular fluid (what is intravascular fluid?) and ___ is interstitial fluid.

A

Among total body fluid,
About 2/3 is intracellular fluid and 1/3 is extracellular fluid
Among extracellular fluid, 1/4 is intravascular fluid (plasma) and 3/4 is interstitial fluid.

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6
Q

Positive Feedback

Increase _______ release when during labour will cause ________ in order for the foetus to be delivered smoothly

A

Positive Feedback
Increase oxytocin release when during labour will cause further contraction in uterine muscles to increase the frequency and vigour of contraction in order for the foetus to be delivered smoothly

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7
Q

Name 4 occasions where positive feedback is utilized

A

Labour
Blood clot formation
Ovulation triggering (Increase oestrogen will increase LH)
Nerve signal generation

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8
Q

Human’s core body temperature follows a _____ rhythm, with temperature lowest in _____ and rises during the _______

A

Human’s core body temperature follows a diurnal rhythm, with temperature lowest in predawn and rises during the afternoon

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9
Q

Name 2 routes for heat gain, 4 routes for heat loss

A

Gain: Basal Metabolic rate, Muscle contraction
Loss: Radiation, Conduction, Convection, Evaporation

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10
Q

The thermoregulatory centre is at the

A

Posterior Hypothalamus

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11
Q

Name 2 responses to combat the increased heat production in body

A

Vasodilation of cutaneous arterioles (Inhibition of sympathetic vasoconstrictor centres)
Sweating

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12
Q

Name 4 responses to colder body environment

A

Vasoconstriction of cutaneous arterioles (Stimulation of sympathetic vasoconstrictor centres)
Piloerection: Contraction of arrector pili muscles, improves insulation
Thermogenesis (Shivering)
Thermogenesis (non-shivering): Increase epinephrine secretion

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13
Q

What is the difference between Hyperthermia and Fever

A

Hyperthermia: Core body temperature is raised above the thermal set point
Fever: Core body temperature is raised because of elevated thermal set point

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14
Q

Biochemistry behind fever

  1. Infection by ________
  2. _______ are triggered to produce ____________
  3. Namely ________, _________ and ____________
  4. Synthesis of Prostaglandin _______ in __________
  5. Elevation of Thermal Set Point
A

Biochemistry behind fever

  1. Infection by pyrogens
  2. Monocytes and Macrophages are triggered to produce pyrogenic cytokines
  3. Namely Interleukin 1, Interleukin 6 and Tumour Necrosis Factor
  4. Synthesis of Prostaglandin PGE2 in hypothalamus
  5. Elevation of Thermal Set Point
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15
Q

Heat Exhaustion

  • ________ core body temperature
  • Increased _______
  • Leads to _______

Treatment: __________

A

Heat Exhaustion

  • Increased core body temperature
  • Increased sweating
  • Leads to dehydration

Treatment: Increase the fluid intake

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16
Q

Heat Stroke

  • Core body temperature above (___ degrees)
  • Depressed ________
  • Reduced _______
  • _______ core body temperature
A

Heat Stroke

  • Core body temperature above limit (41 degrees)
  • Depressed thermoregulatory centre
  • Reduced sweating
  • Increased core body temperature
17
Q

What are the features for the skin for a heat stroke patient?

A

Hot
Dry
(due to reduced sweating)

18
Q

Hypothermia means core body temperature is below _____. It is lethal when core body temperature is below _____.

A

Hypothermia means core body temperature is below 35C. It is lethal when core body temperature is below 32C.

19
Q

If there’s excess heat in body, blood pressure will ___

A

Decrease

Due to increased sweating

20
Q

Excess heat/ Excess cold will lead to what neurological symptoms?

A

Fatigue
Confusion
Unconsciousness
Coma (for cold)

Due to reduced cerebral blood flow to the brain

21
Q

How does Aspirin and Antipyretic Drugs reduce the severity of fever?

A

Inhibit the PGE2 formation