Overview of Science for Medicine Flashcards
What is aetiology?
The cause of the disease
What is pathogenesis?
How the disease develops
What is a sign?
What the doctor sees
What is a symptom?
What the patient experiences and tells you
What is a diagnosis?
Determining the nature and cause of disease or injury
What is a prognosis?
A prediction of the probable outcome of the disease
What are the 6 classifications of disease?
Growth Inflammation Degenerative Developmental Circulatory Unnatural
What percentage of ECF is ISF?
80%
What percentage of ECF is plasma?
20%
What is negative feedback?
When a change to the system is detected and the feedback works to counteract this change and restore the system back to normal
Why is the feed forward system more sophisticated?
Because the changes can be anticipated before the significant changes have happened
What fraction of body water is in the ECF?
1/3
What fraction of body water is in the ICF?
2/3
Can energy be destroyed?
No energy can be converted from one form to another but cannot be created or destroyed
What do all energy transformations lead to?
An increase in disorder in the system
An increase in entropy
Why is it unusual that there is an increase in entropy for cells?
Because cells create order
What do cellular processes release that creates more disorder in the system?
Heat
What is metabolism?
The chemical processes in a living organism that allow food to be used for tissue growth
What is metabolism a mix of?
Summative and degradative reactions
What is another name for degradative reaction?
Catabolism
What is another name for summative reactions?
Anabolism
Do catabolic reactions have a positive or negative ve?
Negative
-ve
Do anabolic reactions have a positive or negative ve?
Positive
+ve
What is the energy obtained from catabolic reactions used for?
It is used up in anabolic reactions to produce more highly ordered compounds
What is the general function of NADP, NAD and FAD?
They are use in redox reactions as electron carriers
What do ATP and ADP act as?
Free energy carriers, that couple anabolic and catabolic reactions
How does ATP/ADP couple anabolic and catabolic reactions together?
Using phosphate group transfers
What are the major elements used to construct human biomolecules?
Oxygen Carbon Hydrogen Nitrogen Sulphur Phosphate Sodium Potassium Chlorine Calcium
What is meant by cis?
Functional groups on the same side
What is meant by trans?
Functional groups on opposite sides
Why are functional groups on molecules so important?
They affect the interactions of that molecule with other molecules
What is the configuration of a molecule?
The fixed arrangement of atoms in a molecule
What is the conformation of a molecule?
The precise arrangement of atoms in a molecules
What are the 5 chemical reactions that occur in living organisms?
Redox Making/breaking C bonds Group transfers Condensation/Hydrolysis Internal Rearrangements
Describe redox reactions
When electrons are gained and lost in reduction and oxidation reactions
Usually how many electrons are gained or lost in redox reactions?
2
What is an internal rearrangement reaction?
When the molecule is rearranged to give it different properties and a different structure
What is a group transfer reaction?
When a functional group is transferred from one molecule to another
What is a condensation reaction?
The joining together or monomers or molecules usually yielding water
What is a hydrolysis reaction?
The breaking down/separation of joined together molecules sing water
What 2 compartments are cells divided into?
Nucleus
Cytoplasm
What is the cytosol?
The organelles and the fluid
What does the nucleus contain?
DNA, nucleoproteins and some RNA
What do the nucleoli serve as sites for?
Ribosomal RNA synthesis and Ribosomal assembly
What is the function of rough ER?
Synthesises and secretes/packages proteins
Why does rough ER have a studded appearance?
Due to the presence of ribosomes
What is smooth ER responsible for?
Lipid biosynthesis
Membrane synthesis and repair
What is the function of ribosomes?
They carry out protein synthesis
What is the function of the golgi apparatus?
To package and process secretory proteins
Also synthesis complex polysaccharides
What does a lysosome contain?
Powerful digestive enzymes
What do lysosomes act as?
Cellular stomachs
What is the folded inner membrane of mitochondria known as?
Cristae
What is mitochondria vital for?
Energy production
Citric Acid cycle
Electron transport chain
Are mitochondria mobile cells?
Yes
What is the role of the cytoskeleton?
Provides strength and support while also allowing for cell motility
What do microfilaments form that line the small intestine?
Microvilli
What do microtubules form that line the respiratory tract>
Cilia
What structure do microtubules form that are useful during cell division?
Spindle fibres
Why is water a polar molecule?
Due to the difference in E.N between oxygen and hydrogen
The oxygen is particularly E.N
Between what elements does H bonding occur?
H-F
H-O
H-N
Are molecules that form H bonds water soluble?
Yes
When a water soluble compound is added to water what are the water-water bonds replaced by?
Water-solute
Are uncharged molecules soluble?
No
How do uncharged molecules arrange themselves in water?
They form cages
Why do uncharged molecules form cages?
To minimise disruption of the surrounding water molecules
What is meant by the term amphipathic?
The molecules contains both hydrophobic and hydrophilic parts
Give an example of an amphipathic molecule
Phospholipids
Have hydrophilic head
Have hydrophobic tail
What is pH a measure of?
H+ conc.
What equation measures pH?
pH -log(H+)
What is a buffer a solution of?
A weak acid
What happens to strong acids in solution?
They fully dissociate
Why is it that weak acids can only form buffers?
Because they are only partially dissociated meaning they can dissociate more and less to compensate for the disrupted pH
What happens to weak acids in solution?
They do no dissociate very much
What is the cell membrane made up of?
A phospholipid bi-layer
How would you describe the permeability of the cell membrane?
Selectively permeable
Can permeability of the cell membrane vary?
Yes depending on the needs of that cell at that time
Why is the cell membrane very flexible?
Due to fatty acids
What does the membrane provide binding sites for?
Chemical recognition
What are the 2 classes of membrane proteins?
Integral membrane proteins
Peripheral proteins
Why are integral proteins amphipathic?
Because they span the full membrane which is also amphipathic
How do integral proteins act as channels?
They create a passage for which ions can cross the membrane
How do integral proteins act as carriers?
They transport substances across membranes acting like pumps
How do integral enzymes act as carriers?
They create binding sites at the surface which interact with intercellular pathways
How do integral enzymes act as receptors?
They act as recognition sites for chemicals and signals
What % protein content do mitochondria have?
Around 75%
What % protein content do schwann cels have?
18%
What % protein content do most cells have?
Around 50%
Are peripheral proteins amphipathic?
No
From what side do peripheral proteins make contact with the plasma membrane?
From the intercellular side
What is meant by diffusion?
When molecules spread out from an area of high concentration to an area of low concentration - when the membrane is permeable to the molecule
To diffuse through the lipid bilayer what do molecules need to be?
Small
Uncharged
Hydrophobic - lipophilic
What type of membrane channel does water flow through?
Aquaporin
What is a voltage gated channel?
One which will change conformation in response to a change in electrical potential
What is a ligand gated channel?
One which will change conformation in response to a ligand binding
What charge does the inside of the cell have in relation to the outside of the cell?
negative
What is facilitated diffusion?
Transports of solutes down their conc. gradient requires a change in conformation but needs no direct energy source
What is active transport?
When energy is require to move substance against their conc. gradient. The energy comes from ATP
Where does the energy for active transport come from?
ATP
What is osmolarity a measure of?
Solute concentration
What does 1M of glucose have an osmolarity of?
1 osmole/L
What does 1M of NaCl have an osmolarity of?
2 osmole/L
What determines the cell volume?
Tonicity
If the ECT has a higher tonicity than the ICF what happens?
The solution is hypertonic
The cell will shrink as water leaves via osmosis to compensate
If the ECF has a lower tonicity than the ICF what happens?
The solution is hypotonic and the cell will swell as water enters the cell via osmosis to compensate
What is an isosmotic solution?
One in which there is an equal number of both penetrating and non-penetrating solutes on either side of the membrane
What is an isotonic solution?
One which there is an equal number of non-penetrating solutes on either side of the cell membrane
What happens in endocytosis?
When there is an invagination of the membrane to form a vesicle around the target substance to engulf it into the cell
What happens in exocytosis?
When a vesicle containing the substance is released from the cell
What is the function of epithelial tissue?
To cover surfaces and separate compartments
What do tight junctions do?
Seal intracellular space
Make waterproof
What do gap-junctions do?
Allow passage from cytoplasm to cytoplasm
Allowing cell to cell communication
What is a desosome?
An adhering junction
Cell to cell junction
That provides firm anchorage
What is a hemidesmosomes?
A cell to ECM junction
What does the function of epithelial tissue depend on the cell or ECF?
Cell
What function do cilia have?
Movement
What function do microvilli have?
Absorption
What cells are found in the liver?
Hepatocytes
Give an example of a function of hepatocytes?
Secretion
How are kidney cells arranged?
Into nephrons
Give some examples of functions of nephrons
Filtration of blood
Partial absorption of filtrate
Where do endocrine glands secrete to?
The blood
Where do exocrine glands secrete to?
The surface
Give an example of a exocrine gland
Sweat glands
What shape does a tubular glands have?
Tube
What shape does a acinar gland have?
Rounder
What is the consequence of abnormal over production of glandular function?
Pituitary giantism
What is the consequence of abnormal under production of glandular function?
Pituitary dwarfism
What percentage of body weight does collagen make up?
30%
How much can elastic fibres stretch?
1.5 times their length
Why is the skin an organ?
Because it contains all 4 types of tissue
What is the largest organ in the body?
The skin
What 3 layers is the skin composed of?
Epidermis
Dermis
Hypodermis
What is the epidermis composed of (tissue wise)?
Epithelium
What is the dermis composed of?
Connective tissue
What is the hypodermis composed of?
Fat
What is the function of the epidermis?
To form the boundary between internal and external environments
What is the function of the dermis?
To give structural strength
How many layers are there in the epidermis?
5
What are the 4 layers of the epidermis?
Stratum germinativum
Stratum Spinosum
Stratum granulosum
Stratum Corneum
What is the stratum germinativum bound to the basement membrane by?
hemidesmosomes
What is the stratum germinativum bound to other cells by?
Desosome
What is the stratum granuosum defined by the presence of?
Keratohyalin granules
Which layer of the epidermis is hard to identify?
Stratum corneum
Does the stratum corneum have cell organelles?
No
Does the stratum germinativum have cell organelles?
Yes - regular assortment of cell organelles
What 2 layers is the dermis composed of?
Papillary layer
Reticular layer
What type of connective tissue is the papillary layer composed of?
Loose connective tissue
What type of connective tissue if the reticular layer composed of?
Dense irregular connective tissue
Where is the stretch reflex found?
In all muscles
What is the simplest reflex?
Stretch reflex
What is an example of a stretch reflex?
The knee jerk reflex
What is the stretch reflex elicited by?
A sharp tap to the tendon
Why do tendons not contract?
Because they are inelastic
Where is the force from a sharp tap to the tendon transferred to?
Muscle fibres
What are the functions of bones in the body?
Mechanical
Protective
Metabolic
Haematopoies
What do bones provide support and attachment for?
Muscles
Tendones
Ligaments
Joints
What do bones protect?
Internal organs
What metabolic functions do bones have?
Mineral reservoir for calcium and phosphate homeostasis
In endochondral ossification where do bones form?
As cartilage
In intramembranous ossification what do bones form as?
A fibrous plate
Is there a cartilaginous phase in intramembranous ossification?
No
What invade the cartilage framework in Endochondral ossification?
Blood vessels
Osteogenic cells
What % of bone is composed of water?
20%
What % of bone is protein?
35%
What are the epiphyses of long bones composed of?
Trabecular (spongy) bone
How is cortical (hard) bone arranged?
In haversian systems