lecture 23- calcium balance Flashcards

1
Q

what does an increase in calcium above normal cause in the nervous system

A

progressive depression of nervous system

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2
Q

what does a decrease in calcium concentration do to the nervous system

A

it becomes more excited

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3
Q

how do large changes in level of phosphate in extracellular fluid effect the body

A

no major immediate effects

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4
Q

how do slight changes in extracellular calcium effect the body

A

cause extreme immediate physiological effects

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5
Q

where does the first sign of tetany with hypo calcium typically occur

A

in the hands

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6
Q

why does the nervous system become progressively more excited during hypocalcemia

A

due to increased neuronal membrane permeability to sodium ions

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7
Q

______ percent of the plasma calcium bound to plasma proteins is not filtered by glomerular capillaries

A

41

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8
Q

what does the precipitation of calcium along the collagen fibers eventually forms _______

A

hydroxyapatite crystals

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9
Q

when do calcium salts precipitate in other tissues

A

when the inhibitor factors that normally prevent deposition of calcium salts disappear from the tissues

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10
Q

what is the active form of vitamin D

A

1,25-dihydroxycholecalciferol

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11
Q

what type of binding domains does the vitamin D receptor have

A

hormone-binding and DNA-binding domains

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12
Q

what is the function of calbindin

A

functions in the brush border of the epithelial cells to transport calcium into the cell cytoplasm

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13
Q

what happens to the effect of PTH when vitamin D is absent

A

effect of PTH is reduced

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14
Q

what does vitamin D in small quantities promote

A

bone calcification

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15
Q

how does vitamin D in small quantities promote bone calcification

A

by increasing calcium and phosphate absorption from the intestines

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16
Q

what does excess activity of the parathyroid gland result in

A

hypercalcemia in extracellular fluid

17
Q

where does the synthesis of PTH occur

A

ER and golgi

18
Q

T/F: osteoclasts of membrane receptor domains for PTH

A

FALSE

19
Q

what are the 2 stages of activation of the osteoclastic system

A
  1. immediate activation of the osteoclasts that are already formed and 2. formation of new osteoclasts
20
Q

what happens when the of effect of PTH on the kidneys to increase calcium reabsorption is lost

A

the urine would eventually deplete both the extracellular fluid and the bones of calcium

21
Q

what is a large share of the effect of PTH on its target organs mediated by

A

cAMP

22
Q

what conditions decrease calcium ion concentration

A

rickets, pregnancy and lactation

23
Q

what is calcitonin secreted by

A

thyroid gland

24
Q

what does calcitonin tend to do to the plasma calcium concentration

A

decreases

25
Q

what happens to osteoclastic activity with paget disease

A

it is greatly accelerated