MD2001 Week 4 Flashcards
3 constituents of blood
- plasma
- leukocytes and platelets
- erythrocytes
reticulocyte
newly formed erythrocyte
types of leukocytes
- granulocytes (neutrophils, eosinophils, basophils)
- monocytes
- lymphocytes
what leukocytes performs chemotaxis?
neutrophils do this to cross membranes
what vasoactive amines do basophils secrete?
these cells secrete heparin (prevent clotting) and histamine (allergic reactions)
what 2 special mediators are released by basophils?
- eosinophil chemotactic factor of anaphylaxis (ECF)
2. slow reactive substance of anaphylaxis (SRS)
what cell type differentiates into macrophages?
monocytes differentiate into this
what happens when lymphocytes are exposed to mitogen phytohemagglutinin (PHA)?
lymphocytes transform into lymphoblasts when exposed to this
2 types of lymphocytes and their type of response
- plasma cells (humeral response)
2. cytotoxic T cells (cell mediated response)
haematocrit
packed cell volume synonym
average [haemoglobin]
average: 15g/dl
average RBC count
average: 5 x 10^12/L
average haematocrit/PCV
average 0.45L/L
what MCV does one w/ macrositic anemia have?
someone w/ this condition would have an MCV >90fl
signs of anemia (4)
- pallor
- glossitis (inflamed tongue)
- angular stomatitis
- koilonychia
how are old platelets destroyed?
they are destroyed by phagocytosis in the spleen and Kupffer cells in liver
haemostasis
blood clotting
what, along with platelets, forms blood clots?
fibrinogen -> fibrin forms this
embolism
obstruction of artery by blood clot
describe respiratory epithelium
pseudo stratified columnar, ciliated epithelium w/ goblet cells that secret mucus
vomer
bone separating L and R nasal cavities
boundaries of the nasal cavity
medial: septum
lateral: conchae
floor: hard/soft palate
roof: bone (ethmoid, frontonasal, sphenoid)
sinusitis
inflammation of nasal sinus
what structure drains tears?
nasolacrimal ducts
4 main sinuses
- frontal
- ethmoidal
- sphenoidal
- maxillary
which vessels anastomose in the nasal cavity
the external carotid and internal carotids anastomose here
where do you puncture a tube for emergency airway access?
cricothyroid membrane is clinically essential for this
what is the opening of the larynx called?
laryngeal inlet
outline the main structures of the larynx
- aryepiglottic fold
- laryngeal inlet
- quadrangular membrane
- vestibular fold
- saccule
- vocal fold
opening of the vocal folds
rima glottidis
main actions of laryngeal muscles (3)
- close/open ary-epliglottic folds
- close/open rima glottidis
- shorten/lengthen vocal folds
what muscle opens the rima glottidis
posterior crico-artenoid does this
what nerves supply the larynx above and below the vocal cords respectively
the superior laryngeal nerve and the recurrent laryngeal nerve respectively
layers of the tunica intima (3)
- simple squamous epithelium
- sub-endothelial layer (smooth muscle w/ connective tissue properties)
- internal elastic lamina
constituents of tunica media (3)
- elastic sheets (laminae)
- layers of smooth muscle
- external elastic lamina
constituents of tunica adventitia
- collagen and elastic fibres
- vasa vasorum
- lymphatics and nerve fibres
capillaries w/ holes in endothelium
fenestrated endothelium
vessel like fenestrated capillaries but have also incomplete basal lamina
blood sinusoids
rate enhancement
catalyses rate/uncatalysed rate
Michaelis-Menten constant
Km
significance of Km w/ how hexokinase and glucokinase works
Hexokinase has lower Km so ensures glucose used for energy even at low [ ]. Glucokinase has high Km so glucose only removed from blood for storage at high [ ].
how does organophosphate diisopropyl fluorophosphate (DIPF) work as a pesticide?
it irreversibly inhibits acetylcholinesterase, preventing acetylcholine from degrading into choline and acetic acid.
how does aspirin work as an irreversible inhibitor?
it irreversibly inhibits cyclooxygenase-1, preventing conversion of arachidonic acid into prostaglandin