Physiology Flashcards
In the cell cycle, when does a new nuclear membrane develop?
Telophase
In the cell cycle, when do spindle fibers form?
Prophase
What do you call division of the cytoplasm into two cells?
Cytokinesis
Ca that demonstrates a nucleus with no nucleolus
Papillary thyroid Ca - Orphan Annie
Smooth ER is involved mostly in detoxication and synthesis of lipids. Where is it commonly found?
Liver
“Protein factory” of the cell that is found in the liver, neurons, pancreas and thyroid
Rough ER
Rough ER in the neurons
Nissl substance
What wear and tear pigment accumulates in the lysosome?
Lipofuscin
A microtubule motor protein causing transport from the center of the cell to the periphery
Kinesin
A microtubule motor protein causing transport from the periphery of the cell to the center
Dynein
Disease with dynein missing in cilia and flagella
Kartagener’s syndrome
What is the functional unit of a gap junction
Connexon
Disc shaped junctional complex that allows firm intercellular adhesions
Macula adherens/desmosomes
What are the 3 components of a glycocalyx?
Glycoprotein, Glycolipids, Proteoglycans
Which disease involves a mutation in a gene of Chromosome 7 that encodes for an ABC transporter called CFTR
Cystic fibrosis
Mediate secretion of hormones, neurotransmitters from intracellular vesicles during exocytosis
SNARE proteins
Which effective osmole is used in the treatment of brain edema?
Mannitol
What are the 2 important functions of the Na-K pump?
Maintains electrical potential across the membrane and prevents cellular swelling
What is the functional subunit of the Na-K-ATPase pump that is inhibited by cardiac glycosides?
Alpha subunit
What is the earliest sign of ASA toxicity?
Tinnitus
What cells cause myelination in your CNS? PNS?
CNS - oligodendrocytes. PNS - Schwann cells.
What kind of conduction happens in your nodes of ranvier?
Saltatory or jumping
Enzyme that degrades Ach to acetate and choline
Acetylcholinesterase
Where is dopamine found?
Substantia nigra pars compacta and ventral tegmental area
Where is the “happy hormone” secreted?
Serotonin - median raphe of the brainstem
The number 1 inhibitory neurotransmitter in the brain
GABA
What are the functions of GABA?
GABA - A is chloride influx, GABA - B is potassium efflux
What is the number 1 excitatory neurotransmitter in the brain?
Glutamate
Which neurotransmitter is deficient in Alzheimer’s Disease?
Acetylcholine
Site of decussation of the corticospinal tract
Medulla
What connects your 2 cerebral hemispheres?
Corpus callosum
Loss of accommodation due to paralysis of ciliary muscle
Cycloplegia
What produces the aqueous humor and where does it exit?
Produces by ciliary body and exits into the canal of schlemm
What is the difference between rods and cones in the eye?
Rods - nighttime vision, Cones - daytime vision
Depression in macula lutea with the highest cone density
Fovea
Deterioration of pigment epithelium in the eye
Macular degeneration
Night blindness due to Vit A deficiency
Nyctopia
Genetic defect in Type I procollagen, sclera appears blue
Osteogenesis imperfecta
Hexosaminidase A deficiency where patients have a characteristic macular “cherry red spot” appearance
Tay - Sach’s Disease
Define occupational hearing loss
More than 10yrs exposure to daily 8 hour sound levels of >85dB
Part of the outer ear that functions to amplify and localize sound
Pinna
What is the content of the Endolymph? Perilymph?
Endolymph - potassium, Perilymph - sodium.
True or false: low frequency sounds are more damaging to the Organ of Corti
TRUE
Fibers used by the sense of smell
Unmyelinated C fibers
Components of a fast twitch muscle
Type II, fast, large, more active, high myosin ATPase
Components of unitary smooth muscles
Muscle units act together as one, (+) gap junctions, (+) spike and plateau potentials, may exhibit spontaneous contractions, found in intestines/bile ducts/ureters
Plasma membrane that surrounds the muscle fiber
Sarcolemma
Functional unit of the muscle with thick and thin filaments
Sarcomere
Largest protein in the body, tethers myosin to Z lines
Titin
Stabilizes plasmalemma and prevents contraction induced rupture
Dystrophin
Effect that states each contraction occurs after complete relaxation
Staircase (Treppe) Effect
Components of an isometric contraction
Length is held constant, no muscle shortening or lengthening
True or false: muscle fatigue occurs earlier in slow twitch fibers
FALSE
Type of calcium channels in the cardiac muscle
Voltage gated L type slow calcium channel
Rope like structures of the cytoskeleton that may act as tumor markers
Intermediate filaments
Spinal cord neuron that facilitates lateral inhibition
Renshaw cell
True or false: muscle spindle detects length while golgi tendon organ detects tension
TRUE
Components of dynamic change and static change in a muscle spindle
Dynamic change - sudden stretch, mediated by NUCLEAR BAG (group Ia afferents), Static change - slow stretch, mediated by NUCLEAR CHAIN (group II afferents).
Where is the micturition center located?
Pons
Functional unit of the cerebellum
Purkinje and Deep Nuclear Cell
Functional unit of the cerebellum for planning and initiation of movement
Cerebrocerebellum
Circuit in the basal ganglia that helps plan learned, complex movements
Putamen Circuit
Lesions of the globus pallidus resulting to snake like or writhing movements
Athetosis
Where is the lesion in hemiballismus?
Subthalamic nucleus of Luys
Where is the lesion in chorea?
Corpus striatum
Autosomal genetic disorder caused by CAG trinucleotide repeats
Huntington’s Disease - depletion of GABA and acetylcholine
Regulation of body temperature is mediated by the ?
Hypothalamus
Majority of heat loss happens through?
Radiation (60%), evaporation (22%)
Most important effect of decreased oxygenation at high altitude
Decreased mental proficiency
Changes in natural acclimitization
Increase chest size, decrease body mass, larger hearts, better oxygen delivery
Caused by sudden ascent during diving
Decompression sickness - nitrogen bubble blocks blood vessels
Part of the kidney that is vascular
Cortex
True or false: proteinuria is always abnormal
TRUE
What is the capacity of the urinary bladder?
500-600mL
What muscle empties the bladder
Detrusor muscle
What innervates the external urethral sphincter?
Pudendal nerve
What does the capillary epithelium of the nephron secrete?
Nitric oxide, endothelin 1
Normal GFR?
180L/ day
What happens to your GFR if you constrict your efferent arteriole?
Increase
What happens your GFR if you constrict your afferent arteriole
Decrease
True or false: glucocorticoids increases GFR
False - glucocorticoids increase both GFR and RBF
True or false: histamine increases GFR
False - histamine increases RBF only
What 3 hormones decrease GFR?
Norepinephrine, epinephrine and endothelin
Massive sympathetic stimulation that results in massive vasoconstriction of the kidneys?
CNS ischemic response
Part of the glomerulus that senses changes in Na
Macula densa
Effect of Adenosine and Nitric oxide on the afferent arteriole
Adenosine - vasoconstricts, nitric oxide - vasodilates
Workhorse of the nephron, where most reabsorption and secretion occurs
Proximal Tubule
Epithelial lining of proximal tubule
Low columnar with extensive brush border
What segment of the Loop of Henle is permeable to water
Descending limb
What is the role of Principal cells on the distal tubule?
Secrete K, absorb sodium and water
Site for regulation of final urine volume and concentration
Medullary collecting tubules and collecting ducts
Gold standard to diagnose left sided heart failure
BNP
Hormone secreted by the DT and CD that acts in a manner similar to ANP
Urodilatin
Used to estimate GFR
Clearance of Inulin and Creatinine
Used to estimate Renal Plasma Flow, Renal Blood Flow
Clearance of Para-Amino Hippuric Acid (PAH)
Threshold of glucose in the renal system
200mg/100mL. Maximum of 376mg/100mL.
True or false: Sodium is actively transported in all parts of the renal tubule
False - sodium is actively transported in all parts of the renal tubule except the descending limb of the Loop of Henle
Factors that shift Potassium into the cells
Insulin, Aldosterone, B adrenergic stimulation, Alkalosis
Normal serum Potassium level
4.2 mEq/L
Calcium reabsorption in the kidneys is controlled by?
Vitamin D and PTH
Phosphate throwing hormone
PTH - decrease phosphate reabsorption in proximal tubule
65% of magnesium is reabsorbed where?
Loop of Henle
Countercurrent multipliers that create graded osmolarity
Loops of Henle
Countercurrent exchangers that preserve and maintain osmolarity (prevents dissipation of gradient)
Vasa recta
This hormone stimulates Urea receptors
ADH
Where is the thirst center?
Anteroventral wall of 3rd ventricle and preoptic nuclei
What pH is compatible with life?
pH = 6.8 - 8
Abnormality which increases RR will cause:
Reapiratory alkalosis
In metabolic acidosis, what is the normal serum anion gap?
12 mEq/L, + or - 4
Protein responsible for the biconcave shape of RBCs
Spectrin
Where is erythropoietin produced?
90% in the interstitial cells of peritubular capillaries (kidneys), 10% in the liver
Why is EPO produced and what is its effect?
Produced in response to decreased oxygenation, stimulates proerythroblast production
What is the active form of iron?
Ferrous - Fe 2+
Main storage center of iron
Ferritin, found in liver
Where is Transferrin produced and secreted?
Produced in liver, secreted into the bile and duodenum
Where do you see hemosiderin laden macrophages?
Heart failure cells - left heart failure
Graveyard of RBCs
Spleen