Kaplan Bio Contd. Flashcards
circulatory system:
…
…
…
heart
blood vessels
blood
vasculature
…
…
…
arteries
capillaries
veins
heart has four chambers made predominantly of .. muscle –> …, …, .., …
cardiac right atria left atria right ventricle left ventricle
… deliver deoxygenated blood to the right side of the heart. … bring that blood from right ventricle to the lungs where they are reoxygenated
vena cava; pulmonary arteries
… brings reoxygenated blood from lungs to the left ventricle and then out through the aorta to the rest of the body
pulmonary veins
heart can be through of as two pumps supporting two different circulations:
… + … = … circulation
… + … = .. circulation
right side; pulmonary arteries; pulmonary
left side; pulmonary veins; systemic
… are thin walled structures that contract to move blood into the ventricles
atria
… contract to send blood through rest of circulatory system
ventricles
atria are separated from ventricles by …:
valve between right atrium and right ventricle –> … (…) valve
valve between left atrium and left ventricle –> … (..) valve
atrioventricular valves
tricuspid; three leaflet
mitral; bicuspid
ventricles are separated from vasculature by … valves:
valve between right ventricle and pulmonary circulation –> … valve
valve between left ventricle and aorta –> … valve
these types of valves have ..
semilunar
pulmonary
aortic
three leaflets
left heart is more muscular than right heart because it must …, since blood coming from left ventricle has to circulate through entire body
contract more forcibly
electrical impulses in the heart originate at the … at a rate of ..-… signals per min (which dictates normal adult heartrate), then to … to … and its branches, to …
sinoatrial node; 60-100; atrioventricular node; bundle of His; Purkinje fibers
… from SA node causes atria to contract at the same time
atrial … (contraction) increases … to force . more blood than would passively travel into the ventricles –> … (about ..-…% of cardiac output)
signal at AV node is delayed to allow ventricles to … when signal travels down His to fibers, ventricles can …
depolarization wave
systole; atrial pressure; atrial kick; 5-30%
fill up; contract
bundle of His and branches is imbedded in the … –> the wall between the ventricles
interventricular septum
muscle cells of heart are connected by …, whose cells are connected by … to allow for coordinated ventricular contraction
intercalated discs; gap junctions
circulatory system under … control
sympathetic increases … and …
parasympathetic, by way of …, slows it down
autonomic
rate; contractility
vagus nerve
…: ventricular contraction, closure of AV valves
systole
…: heart is relaxed, semilunar valves are closed, blood from atria fills ventricles
diastole
… of the walls of the large arteries allows for blood pressure to be maintained during diastole. during diastole, these arteries now have a smaller volume (bc they are no longer stretched by blood flowing rapidly through it), and thus pressure …
elasticity; increases
…: total blood volume pumped by a ventricle in a minute –> product of … (…) and … (…)
cardiac output; heart rate (beats per min); stroke volume (volume of blood pumped per beat)
for humans, cardiac output tends to be about … L per min
… increases cardiac output
… decreases cardiac output
5
sympathetic
parasympathetic
major arteries (e.g. coronary, carotid, subclavian, renal) divide bloodflow from .. toward different …
aorta; peripheral tissues
arteries branch into …, then …, which goes into …, then …
arterioles; capillaries; venules; veins
blood vessels are all lined with … cells, which have 3 functions:
…/…
allow … to travel to tissue when a pathogen is present/during inflammatory response
release …
endothelial
vasodilation; vasoconstriction
WBCs
clotting factors
arteries have more .. than veins, capillaries have …
smooth muscle; no smooth muscle
arteries are very muscular and elastic –> much … to blood flow
this is partly why left heart has to generate much higher pressures –> …
resistance; overcome resistance
capillaries allow for … from circulatory system to tissues and vice versa. also allow for exchange of …
exchange of materials; endocrines ignals
veins can … to accommodate larger quantities of blood, and at any given moment may hold … volume of blood. despite this, … between veins and arteries is the same
stretch; 3/4; cardiac output
since blood flow in veins tends to go against gravity, there must be a way to push blood forward
… to prevent back flow –>
back flow can cause … (… veins)
… pushes blood forward as well –> must be mobile for this. being immobile over extended periods of time leads to …
valves; varicose veins; distended
skeletal muscle contraction; blood clots
mostly, blood only travels through … before it returns to the heart. there are three …, though, in which it travels through two:
one capillary bed; portal systems
hepatic portal system: capillary beds in … –> capillary beds in .. –> …
walls of gut; liver; heart
hypophyseal portal system:
capillary beds in … –> beds in … to allow for paracrine secretion –> ..
hypothalamus; anterior pituitary; heart
renal portal system: blood leaves … through … –> capillary network in … –> …
glomerulus; efferent arteriole; vasa recta; heart
plasma: liquid portion of blood, contains …, …, …, …, …
nutrients; salts; respiratory gases; hormones; blood proteins
cellular portion of blood;
…, …, and …
erythrocytes; leukocytes; platelets
…: red blood cell, specialized for oxygen transport, contains about 250 molecules of hemoglobin
erythrocyte
hemoglobin can bind … molecules of oxygen
each RBC can cary about … molecules of oxygen
RBCs are … –> allows them to travel through tiny capillaries and increase surface area for more gas exchange
four; 1 billion; biconcave
mature RBCs lack ..
lack of … in RBCs prevents use of oxygen for …
organelles; mitochondria; oxidative phosphorylation
RBCs rely on … for ATP and produce … –> undergo …
glycolysis; lactic acid; anaerobic fermentation
… measure amount of hemoglobin as grams/deciliter
… - … for males
… - … for females
hemoglobin count
- 5; 17.5
- 0; 16.0
…measures percent of RBCs in a blood sample
…-…% for males
…-…% for females
hematocrit
41; 53
36; 46
…: WBCs, comprise less than 1% of blood volume
leukocytes
(leukocytes) …: the “phils”
…, …, …
granulocytes;
neutrophils; eosinophils; basophils
(leukocytes) granulocytes contain … in their cytoplasm that has chemicals that are toxic to invaders
involved in … rxns, …, … formation, and destruction of … and …
granules
inflammatory; allergies; pus formation; bacteria; parasites
(leukocytes) …: the “cytes”
… and …
agranulocytes
lymphocytes; monocytes
(leukocytes) agranulocytes:
lymphocytes conduct … immune response –> targeted fight against particular pathogens
mature in bone marrow = … cells
mature in thymus = … cells
specific;
B
T
(leukocytes) agranulocytes:
monocytes: …
in organs: known as …
phagocytize foreign matter
macrophages
…/…: cell fragments/shards released from cells in bone marrow known as .. –> assist in blood clotting
thrombocytes; platelets
megakaryocytes
…: production of blood cells and platelets
…: secreted by kidney, stimulates mainly RBC development
…: secreted by liver and kidney and stimulates mainly platelet development
hetaopoiesis
erythropoietin
thrombopoietin
RBCs have surface antigens –> … antigens and ..
ABO; Rh factor
ABO antigens:
A and B are … –> if expressed together yields AB genotype
whole blood is never given in a transfusion –> …, without plasma, so … don’t need to be considered
codominant
packed RBCs; plasma antigens
ABO antigens:
if wrong blood type is given, … may occur
antibodies to other blood types may be developed bc … may have proteins that match A and B alleles –> acts as source of exposure that allows for development of appropriate antibodies
hemolysis
E. coli
Rh-positive or Rh-negative refers to presence or absence of an allele …
… is dominant
D
Rh-positive
for mothers that are Rh-negative and have babies that are Rh+, during birth, … against Rh+ will develop. this isn’t an issue for the first baby, but if second baby is also Rh+, and antibodies against Rh+ travel through the placenta, there may be … of fetal cells –> …
antibodies; hemolysis; erythroblastosis fetalis
erythroblastosis fetalis issue doesn’t really happen with ABO blood types, bc these antibodies are of class …, which don’t really cross the placenta
IgM
… is a measure of force per unit area exerted on the wall of the blood vessels
blood pressure
much like an electromotive force (voltage) drives a current through a given electrical resistance, the pressure gradient across the circulatory system drives … through a given …
cardiac output; vascular resistance
pressure differential across circulation = … * total …
cardiac output; vascular resistance
the … a blood vessel, the more resistance it offers. the larger the … of a blood vessel, the less resistance it offers
longer; cross-sectional area
blood pressure is regulated using … in the walls of the vasculature
baroreceptors
BP increased by stimulation of …, by release of … when blood osmolarity is high, or release of … if there is low perfusion to juxtaglomerular cells (which would indicate that blood isn’t pumping sufficiently to further parts of the body)
sympathetic nervous system; ADH; aldosterone
BP can be decreased by decreasing … impulses, permitting … can also be by release of … by the heart
sympathetic; relaxation of vasculature; atrial natriuretic peptide
oxygen is carried by hemoglobin. hemoglobin has 4 …, each of which has a prosthetic … group that binds to an oxygen molecule
cooperative subunit; heme
some oxygen diffuses into the blood and dissolves into the …, but this amount is negligible compared to the amount bound to hemoglobin
plasma
…: percent of hemoglobin molecules carrying oxygen
oxygen saturation
when oxygen binds to one subunit of hemoglobin, hgb goes from … to … state and induces this change in the other subunits to increase their affinity to oxygen –> … binding
… regulation that results in classic … oxyhemoglobin dissociation curve
tense; relaxed; cooperative
allosteric; sigmoidal
most of CO2 exists in blood as the …, not really dissolved in plasma or transported by hemoglobin
bicarbonate ion
when CO2 enters a RBC, … catalyzes the formation of …, which then dissociates
carbonic anhydrase; carbonic acid
pH can have allosteric effects on oxyhemoglobin dissociation curve –> lower pH means … hemoglobin affinity for oxygen
lower
lower hemoglobin affinity shows … in oxyhemoglobin curve –> … effect
shift to right; Bohr
causes of a right shift of the oxyhemoglobin curve: exercise is the right thing to do (mnemonic). the following occurs during exercise:
increased …
increased … concentration
increased …
also increased .., side product of glycolysis
partial pressure of CO2
proton
temperature
2,3-BPG
carbs and amino acids are absorbed into the capillaries of the small intestine and enter systemic circulation via the
hepatic portal system
fats are absorbed into … in the small intestine and enter systemic circulation via the …
lacteals; thoracic duct
wastes travel to … and are filtered or secreted for elimination
kidney
…: cells surrounding the blood vessels
interstitium
…: force per unit area that the blood exerts against the vessel walls (blood pressure)
pushes fluid … and …
hydrostatic pressure
out of the bloodstream; into the interstitium
…/…: pressure generated by solutes as they attempt to draw water into the bloodstream
most of it is attributable to …
pulls fluid …
osmotic/oncotic pressure
plasma proteins
into vessels
at arteriole end of capillary bed, … pressure is greater than …
at venule end, … pressure is greater than …
hydrostatic; oncotic
oncotic; hydrostatic
hydrostatic pressure pushes fluid … of vessels and is dependent on … driven by the heart and the elastic arteries. osmotic pressure pulls fluid … and is dependent on the …
out; blood pressure; back into the vessels; number of particles dissolved in the plasma
…: hydrostatic and oncotic pressure
starling forces
…: accumulation of excess fluid in the interstitial fluid
edema
…: lymphatic fluid
returned to central circulatory system by the …
lymph; thoracic duct
movement of solutes and fluid at the capillary level is governed by …, just like movement of CO2 and O2 in the lungs
pressure differentials
…: coagulation factors and platelets; prevent/minimize blood loss
clots
damaged endothelium exposes underlying … tissue, which contains … and … –> when platelets come into contact with .. they begin to aggregate
connective; collagen; tissue factor; collagen
coagulation factors sense … and initiate an …
tissue factor; activation cascade
coagulation:
… is activated to form … by … this converts … to … which forms small fibers that aggregate and cross slink into a woven structure that captures … and … to form a clot
prothrombin; thrombin; thromboplastin; fibrinogen; fibrin; red blood cells; platelets
a clot is broken down by …, which derives from …
plasmin; plasminogen
… immunity: defenses that are always active against infection –> … immunity
innate; nonspecific
innate immunity includes … molecules and … which can activate an … response, secreting … that trigger an influx of immune cells from the blood. some of these recruits are more …
antimicrobial; phagocytes; inflammatory; cytokines; phagocytes
… immunity/… immunity –> target a specific pathogen, … to act, but maintains … of an infection to mount faster attack upon subsequent exposure
adaptive; specific
slower; memory
adaptive immunity:
… and … cells. activated B-cells secrete … that bind to … T-cells recognize .. and can help activate … cells and other … cells or can directly …
B; T; antibodies; antigens; antigens; B cells; T cells; attack infected cells
… produces all of the leukocytes
bone marrow
… is location of B-cell storage and activation. B-cells turn into … to produce antibodies. when they leave spleen, they are … but …, since they haven’t been exposed to antigen yet –> .. immunity
spleen; plasma cells; mature; naive; humoral
T-cells mature in … and are agents of … immunity –> coordinate immune system and directly kill infected cells
thymus; cell-mediated
…: place for immune cells to communicate and mount an attack –> B-cells can be activated here too
lymph nodes
… tissue: immune tissue close to digestive system
… and … in the head, … in the small intestine, lymphoid aggregates in the …
gut-associated lymphoid
tonsils; adenoids; Peyer’s patches; appendix
granulocytes and agranulocytes both derive from …
hematopoietic stem cells
first line of defense is the .. (…)
acts as a physical barrier
also contains … –> antibacterial enzymes
… has antimicrobial properties
skin; integument
defensins
sweat
… involved in nonspecific/innate immunity:
stomach produces … that kills most pathogens
beneficial bacteria in the gut act as … of other pathogenic bacteria
GI tract;
acid; competitive excluders
… system: nonspecific defense against bacteria:
… pathway –> binding of an antibody to a pathogen
… pathway –> does not require antibodies
complement
classical
alternative
complements … in … of bacteria so that they are …
punch holes; cell wall; osmotically unstable
…: prevent viral replication and dispersion –> decrease production of viral and cellular proteins in nearby cells and decrease … of these cells
interferons; permeability
interferons also upregulate … and …
they are produced by …
… system that a cell has been infected –> interferes with ability of virus to …
MHC I; MHC II; infected cells; warning; further infect
…: derive from monocytes and become a permanent, resident population in a tissue
… invaders, … invader, presents …of the invader using …
release …: stimulate inflammation and recruit additional immune cells
macrophages
phagocytizes; enzymatically digests; peptide antigens; MHC II
cytokines
…: binds to a pathogenic peptide and presents it on the cell surface
major histocompatibility complex (MHC)
MHC class I: presented by all … cells
any protein produced within a cell can be loaded onto these and presented on the cell surface for immune system to be able to monitor cellular health
… pathway –> binds antigens from inside the cell
invaded cells can be killed by …
nucleated;
endogenous
cytotoxic T-lymphocytes
MHC class II: presented by … cells such as …, … cells in the skin, some … cells and some activated … cells
antigen-presenting; macrophages; dendritic; B; epithelial
MHC class II: ... pathway --> antigens originated outside the cell
exogenous
marophages and dendritic cells have … receptors –> can recognize category of invader to elicit production of the correct … to recruit the right type of immune cells
best described of these is the … receptor
pattern recognition receptors (PRR)
toll-like
… cells: nonspecific lymphocyte that recognizes downregulation of MHC caused by a virus and induces … in infected cells
can also protect against …, since these cells may downregulate MHC
natural killer; apoptosis; cancer
…: most abundant leukocyte and short-lived
phagocytes that can track bacteria via … and can detect … bacteria – bacteria that have been marked with an … from a B-cell
stalk and kill
neutrophils
chemotaxis; opsonized; antibody
dead neutrophil collections = …
pus
…: bright orange granules, involved in allergic rxns and parasitic infections
release large amount of … –> increased … and … of blood vessels, allowing additional immune cells to move into tissue
eosinophils; histamine; vasodilation; leakiness
eosinophils:
inflammation is effective against extracellular pathogens such as .., …, and …
bacteria; fungi; parasites
… and … cells are involved in allergic reaction and release large amounts of histamines in response to allergens, leading to …
basophils; mast; inflammation
antibodies =
immunoglobulins
… = lymphatic fluid
chyle
antibodies can be present on the … or …
cell surface; secreted into body fluids
for antibodies secreted into body fluids, there are three main responses:
can attract leukocytes to phagocytize the antigens –> …
can cause pathogens to clump together such that the clump can be phagocytized –> …
can … the pathogen
opsonization
agglutination
neutralize
for cell-surface antibodies, a B-cell will … and …, … and forming … and … cells
bind; activate; proliferating; plasma; memory
…: exocytosis of granule contents that occurs when an antigen binds to antibodies on the surface of a mast cell
degranulation
antibodies are Y-shaped and have two identical … domains and two identical … domains. they have … sites on the tips of the Y, at the end of the .. region
light; heavy; antigen-binding; variable
B-cells undergo … of the antigen-binding region to match the antigen –> the ones that have the highest affinity for the antigen survive –> …
hypermutation; clonal selection
… region of the antibody is what immune cells have receptors for, and consequently initiate … when recognized
constant; complement cascades
antibodies have five different isotopes: .., …, …, …, … –> …: cells change which isotope of an antibody they produce when stimulated by specific cytokines
IgM; IgD; IgG: IgE; IgA; isotope switching
plasma cells produce large amounts of … but memory B-cells remain in the … until reexposure
initial activation = … response, takes about …-… days
upon reexposure, when memory cells are activated –> … response
immune memory is basis for vaccinations
antibodies; lymph node
primary; 7-10
secondary
T-cells mature in thymus and undergo … and …. selection
…: maturing only cells that can respond to presentation of antigen on MHC
…: apoptosis in cells that are self-reactive (activated by proteins produced by organism itself)
maturation induced by …
positive; negative
positive
negative
thymosin
T-cells also undergo …, such that those with highest affinity for antigen proliferate
clonal selection
(three types of T-cells)
helper-T cells –> … T cells
secrete … to recruit other immune cells and increase their activity
respond to antigens presented on … molecules, bc these are attached to immune cells that are antigen-presenting –> allows for amplification of immune response
CD4+
lymphokines
MHC II
(three types of T-cells) cytotoxic T-cells –> … T-cells
directly kill virally infected cells by inducing …
respond to antigens presented on …, bc these are attached to infected cells
CD8+;
apoptosis
MHC I
(three types of T-cells) …/… T-cells –> also CD4
different from helper, because they have …
… once infection has been contained
turn off … to prevent autoimmune disease –> …
suppressor; regulatory
Foxp3
suppress immune response
self-reactive lymphocytes; self-tolerance
… are also generated during an immune response
memory T-cells
five types of infectious pathogens: ... ... ... ... ... (no immune defense for this one)
bacteria virus fungi parasites prions
bacterial (extracellular pathogen) infections:
macrophages engulf bacteria and release … also present antigens via .. –> attract more inflammatory cells
… cells are activated and released histamine, resulting in increased leakiness of capillaries which augments immune cells’ ability to …
inflammatory mediators; MHC II
mast cells; travel to affected tissue
bacterial (extracellular pathogen) infections:
dendritic cells leave affected tissue and present antigens to … and … to initiate their responses
mainly … response is activated for T-cells –> … and …
… is helper cell that releases interferon gamma to activate macrophages and increase their ability to kill bacteria
… is helper cell that activates B-cells –> more common in parasitic infections
B-cells; T-cells
CD4+; Th1; Th2
Th1
Th2
viral (intracellular pathogen) infections:
infected cell produces … and present antigens via …
… T-cells will induce apoptosis in infected cells, or, if MHC has been downregulated, … will induce apoptosis
interferons; MHC-I
CD8+; natural killer cells
…: proteins and carbs present on the cell surface that indicate to the immune system that the cell is non-threatening and shouldn’t be attacked
…: cases where self is recognized as foreign
self-antigens
autoimmunity
… reactions: immune system recognizes foreign antigen as dangerous when it isn’t (allergies) as well as autoimmune rxns
negative selection for T-cells kills T-cells that respond to self-antigens
hypersensitivity
B-cells that respond to self-antigens are also eliminated before they can
leave bone marrow
… can have immunosuppressive qualities and can be used to treat autoimmune diseases
glucocorticoids
… immunity: immune system is stimulated to produce antibodies against a specific pathogen
natural/artificial
artificial = …
active
vaccines
… immunity: transfer of antibodies to an individual
temporary, bc the … that produce the antibodies are not being transferred
this occurs during pregnancy as antibodies are transferred across the placenta
can be done artificially too
passive; plasma cells
lymphatic system is a type of … system –> made of one way vessels that grow larger as they move toward … of the body
vessels contain … and most join to comprise the … which delivers lymph into the …
circulatory center lymph thoracic duct left subclavian vein
lymph nodes contain a …, an …, and a …
function as space for cells of immune system to be exposed to possible pathogens
act like a .. for immune cells
lymphatic channel; artery; vein
classroom
at arterial end of capillary beds, hydrostatic pressure is higher than oncotic, so some fluid remains in tissues. … drain these tissues and return the fluid to the bloodstream. these vessels function for …
lymphatic vessels; equalization of fluid distribution
…: key plasma protein
albumin
lymphatic system transports … from digestive system into the bloodstream
…: small lymphatic vessels located in the center of each villus in the small intestine. fats enter these for transport as …
fats
lacteals
chylomicrons
lymphatic fluid carrying chylomicrons is …
chyle
lymph nodes act as a location for antigen presenting cells and … to interact
…: collections of mature B-cells in the lymph nodes
lymphocytes
germinal centers
…: oxidation of glucose and fatty acids for energy
intracellular digestion
…: process by which nutrients are obtained from food
extracellular digestion
…: runs from the mouth to the anus and is sectioned off by sphincters
alimentary canal
…: circular smooth muscles around the canal that can contract to allow compartmentalization of function
sphincters
…: breakdown of food into its substituent components
…: physical breakdown of larger food particles into smaller food particles –> no breaking of chemical bonds
…: enzymatic cleavage of chemical bonds
digestion
mechanical digestion
chemical digestion
…: transport of products of digestion into the circulatory system for distribution to cells and tissues
absorption
digestive tract begins with …, to .., to .., to .., to …, to …, to …
oral cavity pharynx esophagus stomach small intestine large intestine rectum
…, …, …, and … help provide enzymes and lubrication to assist digestion
salivary glands
pancreas
live
gallbladder
… nervous system: 100 million neurons that govern function of GI system
present in walls of digestive tract and trigger …
can function independently of … and …
regulated by …
… stimulates digestive activities
enteric peristalsis spinal cord; brain autonomic NS parasympathetic NS
all of the glands of the body except the sweat glands are innervated by the …
parasympathetic NS
ADH and aldosterone trigger sensation of …, leading to …
thirst; fluid consumption
… and … (secreted by stomach and pancreas) trigger sensation of hunger
glucagon; ghrelin
… and … stimulate feelings of satiety
leptin; cholecystokinin
…: breaking up of large food particles by using the teeth, tongue, and lips
increases .. ratio, creating more .. for enzymatic digestion
also ensures that there won’t be any … risk from large food particles by breaking these down
mechanical
mastication;
surface area: volume; surface area
obstructive
… produce saliva:
aid mechanical digestion by … and … food
presence of food in oral cavity increases … stimulation of these glands such that salivation occurs. can also be triggered by … and … of food
salivary glands
moistening; lubricating
parasympathetic
sight; scent
salivary glands contain … (…) and …
… hydrolyzes starch
… hydrolyzes lipids
salivary amylase; ptyalin; lipase
salivary amylase
lipase
muscular tongue in mouth forms food into a … that is forced back into the pharynx and is swallowed
bolus
pharynx can be divided into three parts:
…: behind nasal cavity
…: at the back of the mouth
…: above the vocal cords
… prevents food from entering larynx during swallowing
no mechanical/chemical digestion in pharynx
nasopharynx
oropharynx
laryngopharynx
top third of esophagus is composed of …, bottom third is composed of …, middle third is mix –> top of esophagus is under … control (…), the bottom is under …. control (…)
skeletal muscle; smooth muscle; somatic motor; voluntary; autonomic; involuntary
… (…) occurs when peristalsis occurs in the reverse direction
emesis; vomiting
upper esophageal sphincter between … and …
pharynx; esophagus
lower esophageal sphincter/ … sphincter: between … and …
cardiac; esophagus; stomach
3 main energy sources: …, …, …
carbs; fats; proteins
no mechanical/chemical digestion in esophagus besides continued … initiated in mouth by salivary enzymes
enzymatic activity
stomach has a capacity of about …
2 L
stomach has thick … to prevent autodigestion from acids/enzymes in the stomach
mucous layer
stomach has four main anatomical divisions
… and … –> contain gastric glands
… and … –> contain pyloric glands
fundus; body
antrum; pylorus