Physiology Flashcards

1
Q

Roles of the Pulmonary (Respiratory) system?

A

Roles of the Pulmonary (Respiratory) system

  • *1) Regulate plasma levels of oxygen and carbon dioxide** (most important)
  • *2) Regulate plasma pH**
    3) Protect against inhaled pathogens
    4) Provide an adequate surface for gas exchange with the external environment
    5) Assure adequate alveolar air movement by alterations in rate and depth of ventilation
    6) Support vocalization of sound
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2
Q

Why makes the interpleurral space?

A

Lungs have tendancy to collapse, ribs have tendancy to expand.

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3
Q

At rest, diaphragm is__________

A

relaxed

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4
Q

When inhaling, the diaphragm _________ and thoracic volume ________.

A

diaphragm contracts, thoracic volume increases

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5
Q

When exhaling, the diaphragm _______, and thoracic volume ________

A

relaxes, volume decreases

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6
Q

Does length of trachea, etc affect air resistance?

A

yes, but it’s a constant; unaffected by other things

[higher pressure gradient, higher flow

higher resistance, lower the flow]

read others on picture

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7
Q

what mediates bronchoconstriction?

A

parasympathetic neurons

histamines

leukotriens

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8
Q

what factors affect bronchodilation?

A

carbon dioside

epinephrine

(want to dilate lungs in fear rxn…)

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9
Q

what happens if intrapleural space is invaded? (pneumothorax)

A

lung collapses

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10
Q

VT=

A

tidal volume

normal volume of air displaced when breathing normally

about the same in men and women

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11
Q

What is ERV?

A

expiratory reserve volume

amount of air that can be expired from the lungs by deterined effort after normal expiration

greater in men than in women

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12
Q

IRV =

A

inspiratory reserve volume

additional amount of air you can breath in

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13
Q

What is inspiratory capacity?

A

IRV + VT

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14
Q

RV?

A

residual volume - can’t move it out of lungs

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15
Q

What is the difference between capacities and volumes?

A

capacities are sums of 2 or more volumes

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16
Q

What is eupnea?

A

normal quiet breathing

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17
Q

What is hypernea?

A

increases respiratory rate and/or vol. in response to increase metabolism

(like exercise)

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18
Q

What is hyperventilation?

A

increased respiratory rate and/or vol. without increased metabolism

(panic attack, blowing up a balloon)

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19
Q

What is Hypoventilation?

A

decreased alveolar ventilation

shallow breathing, asthma

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20
Q

what is Tachypnea

A

rapid breathing; usually increased respiratory rate with decreased depth

ie panting

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21
Q

what is dyspnea

A

difficulty breathing

various pathologies or hard exercise

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22
Q

what is apnea?

A

cessation of breathing

voluntary breath-holding, depression of CNS control centers

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23
Q

Define Hypoxic hypoxia

A

low arterial PO2

high altitude; alveolar hypoventilation, decreased lung diffusion capacity; abnormal ventilation-perfusion ratio

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24
Q

define anemic hypoxia

A

decreased total amount of O2 bound to hemoglobin

blood loss, anemia (low {Hb] or altered HbO2 binding); carbon monoxide poisoning

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25
Q

Define ISchemic hypoxia

A

reduced blood flow

heart failure (whole-bpdy hypoxia); shock (peripheral hypoxia) thrombosis (hypoxia in a single organ)

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26
Q

define histoxic hypoxia

A

failure of cells to use O2 because cells have been poisioned

cyanice and other metabolic poisons

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27
Q

What regulates ventilation?

A

**peripheral chemoreceptors **

located in carotid and aortic arteries
specilzed glomus cells
sense changes in PO2, pH, and PCO2

centeral chemoreceptors
changes in CO2

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28
Q

What happens when PO2 decreases?

A

carotid body oxygen sensor releases neurotransmitter

(K+ channels close, cell depolarizes, voltage-gated Ca2+ channel opens, Ca2+ enters, neurotransmitters undergo exocytosis, reach receptor on sensry neuron, cause aciton potential)

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29
Q

What monitors CO2 in cerebrospinal fluid?

A

central chemoreceptors

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30
Q

What are the “controlled variables” that influence pulmonary function?

A

plasma levels of oxygen, carbon dioxide, and pH - it responds to increases plasma PCO2 and decrease PO2

Negative feedback essential for homeostatic regulation

change in co2 or o2 invfluence

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31
Q

What are the roles of the Renal system?

A

Kidneys:

1) Regulate extracellular fluid volume and blood pressure
2) Regulate osmolarity
3) Maintain ion balance
4) Regulate pH
5) Excrete waste
6) Produce hormones

32
Q

histology of the kidney:

list outside to inside?

A

capsule

then cortex

then medulla where the filtering part extend through medulla and cortex before filtering out thru ureters

33
Q

What are the critical parts of the kidney?

A

Nephrons:

short loops, long loops…filtrate passes through and is altered in various ways. After comes up into cortex, the tubule goes all the way thru the medulla and dumps nuron into renal pelvis

34
Q

Bowman’s capsule is characterized by:

A

an inflow arteriole called the affarent arteriole. Remember they have ability to change their diameter (site of resistance). (If it constricts, less gets through, less filtration)

also has outflow arteriole - the efferent arteriole (if that constricts, forces more filtration.)

blood then goes into another capillary bed near the medulla - a portal where it particpates in absorbing the fluid that comes through the lopps and ducts.

180 L filtered a day.

35
Q

What is the relationship between the urine production rate, the glomerular filtration rate, and the tubular reabsorption rate?

A

Urine Production Rate =

Glomerular Filtration Rate - Tubular Reabsorption Rate

Normal GFR = ~180 L/day

Normal Urine Rate = ~1-2 L/day
(highly variable depending on fluid intake)

36
Q

What does the urinary excretion of a substance depend on?

A

on its filtration, reabsorption, and secretion

“clearance” = how much blood is cleared of a substance

37
Q

What is special about glucose filtration?

A

it has special transporters to bring it back to blood - it’s reabsorbed, not gotten rid of

transporters can be overwhelmed (at 300 mg/100mL plasma) and sugar will spill over into urine - at the renal threshold

38
Q

how does kidney control blood volume and blood pressure?

A

through sodium and water excretion

39
Q

what are the Roles of the Gastro-Intestinal (Digestive) System?

A

1) Provide a connection with the external environment for ingesting nutrients and eliminating wastes
2) Regulate the secretory and motility processes involved in normal gut function
3) Assure that ingested nutrients are digested to absorbable forms
4) Provide an absorptive surface for nutrients (etc.) uptake
5) Protect against ingested pathogens

40
Q

What must the volume of fluid entering the GI tract equal?

A

must equal the volume leaving

41
Q

what are layers of the GI tract?

A

mucosa

submucose

muscles

42
Q

What do the secretory cells of the gastic mucosa do?

A

read all

43
Q

What do parietal cells secrete?

A

gastric acid (HCL into the lumen of the stomach) and intrinsic factor

44
Q

what stimulates parietal cell to release HCL and intrinsic factor?

A

acetylcholine

gastrin

histamines

45
Q

What do parietal secretions do?

A

HCL activates pepsin, kills bacteria

Intrinsic factor complexes with vitamin B12 to permit absorption

46
Q

more on secretion of hydrochloric acid

A

Water is dissociated using carbonate anhydrase; bicarbonate goes out back end of cell, H H is actively pumped (using K+) out front end of cell into stomach.

proton pump inhibitors stop this from happen
(will also affect bone remodeling)

47
Q

Where are nerves in the GI?

A

in the submucosal plexus and the myenteric plexus

48
Q

How are long and short reflexes in the digestive system integrated?

A

it’s controlled by autonomic nervous system, but affected by somatic nervous system

49
Q

Reflexes invovlving GI Peptides

A
50
Q

Summarize motility, secretion, digestion, and absorption in different regions of the digestive system

A

*note: some absorption DOES happen in oral cavity

51
Q

What are the 3 cells we’re interested in in the gut?

A

gastrin (stimulates acid secreation by acting on parietal cells; also act on D cellls - stimulate acid secretion by actin through histamine)

secretin (slows down gastric motiltiy and acid/enzyme secretion - turns off the gastric stage when acid reaches the intestines)

cholosytrokinin (?)

could treat hyperacidity by cutting the vegas nerve (it affects acidity; don’t do it any more)

GASTRIC STAGE BEGINS AS SOON AS FOOD ENTERS STOMACH

52
Q

can small intestine handle the acid?

A

no, so chyme (mixed up food) inhibits gastric motility and secretion

INTESTINAL PHASE

gastric stage turned off when acid reached intestine.

53
Q

Primary homeostatic roles of the CV system:

A

CV provides a mass transit system to move materials around body

total blood volume ~ 5L

54
Q

Q =

A

deltaP/R

ie. flow = pressure difference/resistance

units of each = mL/time; mmHg1; mmHg x time/volume

bigger the delta P, the greater the flow.

radius of vessel determines resistance - smaller the vessel, higher the resistance to flow.

but with so many capillaries, the collective cross-sectional area is huge, and the collective resistance is low

55
Q

What allows blood flow to individual systemic organs to be independently controlled?

A

arrangement of systemic organs individual circulations iin parallel

while that of pulmonary circulation and systemic circulation are arranged in series

56
Q

What two factors control mean arterial pressure?

A

MAP = CO x TPR

MAP Imean arterial pressure) is the controlled variable, and it equals cardiac output times total peripheral resistance.

if either of those two goes up, MAP will go up

57
Q

blood flow pathway:

A

inferior vena cava & superior vena cava
right atrium
tricuspid valve
right venticle
pulmonary valve
pulmonary artery
lungs
pulmonary veins
left atrium
mitral valve
left ventricle
aortic valve
aorta
body

58
Q

What are the 2 determinants of cardiac output?

A

CO = HR x SV

cardiac output = heart rate (beats per minute) time stroke volume (volume per beat)

59
Q

Which vascular segment has the greatest effect on total peripheral vascular resistance?

A

ARTERIOLES

60
Q

What happens during ventricular systole?

ventricular diastole?

A

systole pumps;

diastole fills

61
Q

what makes hearts beat…

A

pacemaker cells in SA node set heart rate (spontaneous firing)

action potential slow down going throu AV node…

62
Q

smooth muscle contractions in arterioles can change their diamter - what effect does that have on pressure?

what nerves control this?

A

if increases diameter, TPR goes down

sympathetic nerves - when bear comes in, start running, arterioles dialete, TPR goes down

63
Q

What controls arterolie pressure?

A

Arterial baroreceptor
(stretch receptors) signal medulla, resulting in alertion of sypathetic and parasympathetic nerves

pressure in arteries is determined by CO and TPR - sympathetic activity works to increase arterial pressure

when bp goes down, receptors fire less, telling medulla that bp is low

64
Q

Where is the MAP established?

A

in the medullary cardiovascular center.

Increases or decreases in MAP from set point start compensatory resopnses

65
Q

What happens when you stand up?

A

venous pressure in lower legs goes up

this decreases central veouns pressure

decrease blood returning to heart

makes CO fall

drops MAP

causes decreased firing of arterial baroreceptors

Medullary Cardiovascular Center - sees blood pressure drop: slows down the heart by removing parasympathetic and adding sympathetic, Increase contractice force of heart (contracting veins and arteries), increase stroke volume, all counteract fall in BP and return it to normal

66
Q

Define physiology:

A

study of how the various parts of the body work together to achieve optimal functiono capacity of the body

67
Q

What is homeostasis?

A

we have an open system, need constancy, mechanisms are required to maintain this constancy

regulating systems that determine homeostatic state consist of a # of cooperating mechanisms acting simultaneously or successively.

68
Q

Name the major physiological roles of the organ systems
Integumentary
Musculoskeletal
Respiratory
Digestive
Urinary
Reproductive
Circulatory
Nervous and Endocrine
Immune

A

they’re all aimed at controlling certain variables

Integumentary (defends/protects/holds/together/heat exchange)

Musculoskeletal

Respiratory (gas exchange)

Digestive (take in and break down nutrients)

Urinary (control salt/water in body)

Reproductive

Circulatory (mass transport system)

Nervous and Endocrine (allow to interact with environment, though do not specifically condition blood itself)

Immune (protects from outside environment)

69
Q

What is the difference between teleological and mechanistic approaches to understanding physiological processes?

A

Teleological asks WHY

Mechanistic asks HOW

70
Q

what is a controlled variable?

A

must be kept in a very narrow range

like arterial blood pressure, blood glucose…

71
Q

What is a set point?

A

point the controlled variable needs to be at

72
Q

What is steady state?

A

may be change, but no net change

73
Q

What is a negative feedback system?

A

acts to maintain control variable at set value…

like MAP: if it goes DOWN, detected by detector, contacts medulla, medula sends out signals thru nersoi st that tel heart and blood vessels to bring it back up

74
Q

What is a positive feedback system?

A

acts to reinforce a change in a variable, accelerates the change, leads to an explosion and breakdown of homeostatic system

75
Q

What are the essential components for a neural reflex?

A

signal, sensory receptor, afferent neurons, integrating center, efferent neurons, effector organs (like a muscle or a gland)

76
Q

What are the essential components for a hormonal reflex?

A

same as neural, but it is humoral signals being carried by chemicals in the blood instead of neural connections

77
Q

What is the difference between endocrine
neurocrine
paracrine
autocrine?

A
  • endocrines (hormones), carried in the blood to distant target cells
    • neurocrine (neurotransmitters), released from nerves acting on neighboring cells
    • paracrines (local chemical messengers) that acting on neighboring cells
  • autocrines (locally secreted chemical messengers that act on the secreting cell)