Q Bank Flashcards
Cystic fibrosis leads to abnormal Cl- and Na+ transport across certain epithelial membranes, leading to thick, viscous mucous. Mucous build-up limits the exocrine function of the pancreas, impairing digestion. Absorption of certain vitamins depends on proper pancreatic function. Which vitamin would likely be deficient in a patient with cystic fibrosis?
Carbohydrate and fat digestion begin in the mouth (fat digestion is minimal) with salivary amylase. Protein digestion begins in the stomach with pepsin. The majority of fat digestion occurs in the duodenum of the small intestine. Without adequate pancreatic function due to cystic fibrosis, the pancreatic lipases are not introduced in sufficient quantity to the duodenum. As a consequence, fat digestion is hindered. With malabsorption of lipids, fat soluble vitamins cannot be effectively absorbed. A, D, E, and K are the fat soluble vitamins and most likely to be deficient in a patient with cystic fibrosis
Acetylsalicylic acid is acidic due to the presence of a carboxyl group. Which of the following probably explains why a patient taking aspirin doesn’t typically suffer from stomach pain?
Excess acid in the stomach will cause stomach pain. Typically, aspirin will not have this effect. The stomach is maintained at a pH of 2 due to the presence of HCl. In this acidic environment, acetylsalicylic acid will remain protonated and is minimally soluble. It is only in the small intestine when the pH becomes basic that the solubility of acetylsalicylic acid dramatically increases.
Patients with severe acetylsalicylic acid poisoning are often given sodium bicarbonate to improve renal clearance. Which of the following could be the molar solubility of 0.1 M acetylsalicylic acid (Ka = 3 x 10-4) after the addition of bicarbonate?
Acetylsalicylic acid reacts with water in the following manner:
HA + H20 → H3O+ + A-
The equilibrium expression for this reaction is the following:
Ka = ([H3O+][A-])/[HA]
An amount ‘x’ is lost by HA (0.1 -x) and gained by H3O+ and A-. Substituting in these values gives the expression:
3 x 10-4 = x2/(0.1-x).
Because the Ka is so small, simplify the expression.
3 x 10-4 = x2/(0.1)
Solving for x (molar solubility), we determine that it is around 5.5 x 10-2.
The addition of bicarbonate will increase the solubility of acetylsalicylic acid (by removing H+ from the product side of the equilibrium reaction).
Gain Loss Theory of Attraction
The “gain-loss theory of attraction” states that if an individual believes that he or she gave a negative first impression to a stranger, but then wins them over, all other things equal, the individual will be more attracted to the stranger
Reliable Study
In order for a study to be very reliable, it must produce consistent results.
Aggression is probably linked to what part of the brain?
Since fear registers in the amygdala, it is likely that aggression does as well. In addition, the amygdala is part of the limbic system of the brain which is heavily involved in emotion.
In- Group Bias
In-Group bias is the tendency to see those in one’s own social group in a more positive light than those in any other group.
What is the most likely psychological justification for prescribing disulfram to an alcoholic patient?
The goal of disulfiram administration, which is described in the first passage as causing hangover like symptoms, is to reduce alcohol consumption. These unpleasant symptoms serve as an aversive effect following administration of alcohol. Adding an unpleasant result when presented with a stimulus is an example of punishment.
The circulatory system is a closed system with two pumps, the left side of the heart and the right side of the heart. Neglecting volume lost to the lymphatic system, which side of the heart pumps a greater volume of blood?
Both sides of the heart pump equal volumes of blood in healthy individuals.
A blood sample undergoes a temperature change such that all of its thermal energy is converted to potential energy. Which of the following best describes its final state?
A substance at absolute zero displays no kinetic (thermal) energy
If plaque buildup decreased an artery’s diameter by half, what effect would this have on the average kinetic energy of blood passing through the vessel, as compared to an identically-sized vessel its normal physiologic state? (Assume cardiac output is 5 L/min in both cases, and that both vessels have negligible compliance.
In major arteries, it is reasonable to assume that there will be no significant leakage through the endothelium. Therefore the continuity equation (V1A1= V2A2) which states that the velocity of the fluid is inversely proportional to the cross sectional area holds true. This means the velocity is inversely proportional to the square of the radius (πr2 is the cross sectional area for a circular pipe). This gives v ∝ 1/r2. If the diameter is halved, then so is the radius, v ∝ 1/(1/2r)2 which simplifies to v ∝ 4r. Therefore the velocity of the fluid in the narrowed region is four times that of the fluid before the narrowed region. To get kinetic energy use KE = 1/2(ρVv2) where ρ is the density of the fluid and V is the volume and v is the velocity. This equation shows that the kinetic energy is proportional to v2. Thus, KE ∝ (4v)2 or KE ∝ 16v2. So the kinetic energy of the fluid within the narrowed region is 16 times greater than that of the fluid just before the narrowed region
possible explanation for why vascular flutter occurs?
The continuity equation shows that the velocity of a fluid in inversely proportional to the cross sectional area. So as the artery narrows the velocity of the fluid increases. Bernoulli’s equation states that when the velocity of a fluid increases, the pressure it exerts on its surroundings decreases. When the blood reaches a certain velocity due to the narrowing of the artery, the pressure on the outside of the artery becomes greater than the pressure exerted by the blood inside the artery and the walls of the artery collapse in on themselves. This stops the blood flow and then the walls snap back open. The blood then reenters the region and when it reaches the same velocity as before the walls close once again and the cycle repeats
What is the average combined mass of cellular structures, proteins, and other solutes in a 20 ml sample of human blood if the specific gravity of human blood is 1.06?
Specific gravity is the ratio of the density of the fluid of interest to pure water. SG = ρfluid/ρwater. The density of water is 1 g/ml. Since 1.06 = ρblood/ 1g/ml this means that ρblood = 1.06 g/ml. Comparing the density of pure water to that of whole blood shows that 0.06 g/ml or 60 mg/ml of the blood is not from water. This must be from the cells, proteins and other solutes. To solve for the combined mass of these solutes in 20 ml of blood use 60 mg/ml x 20 ml = 1200 mg or 1.2 g. Alternatively, calculate the mass of 20 ml of pure water, 1 g/ml x 20 ml = 20 g and compare it to the mass of 20 ml of whole blood, 1.06 g/ml x 20 ml = 21.2 g; 21.2 g – 20 g = 1.2 g.
The amount of work the heart does in one minute if the cardiac output is 6 L/min and the mean arterial pressure is 1.24 x 104 N/m2 is
Work = ΔV x P, where V is volume and P is pressure. Thus, work (joules) can have the units of volume x pressure. Power is work (joules)/time so power can have the units of (volume x pressure)/time. Looking back to the question stem, multiplying the cardiac output by the mean arterial pressure will give an answer that has the units of (volume x pressure)/time.
6 L/min x 1000 mL/L x 1 min/60s = 100 mL/s
Which is the same as 100 cm3/s. Looking at the unit of pressure, we see we need to change cm3 to m3.
100 cm3/s x 1 m3/106 cm3 = 1x 10-4 m3/s.
Now multiply this form of the cardiac output by the pressure.
1.0 x 10-4 m3/s x (1.24 x 104 N/m2) = 1.24 (N x m)/s = 1.24 J/s = 1.24 W
The question now asks for the work done in one minute so we get:
1.24 W x 60 s = 74.4 J.
What range of frequencies is most likely to be used for ultrasound investigation of a pregnancy?
Ultrasound uses frequencies higher than human hearing. Humans can perceive sounds in the range of 20 to 20,000 Hz. This means that ultrasound should be above these values
The learning theory
posits that attitudes and behaviors are developed through learning, which can be controlled through exposure and conditioning.
The functional attitudes theory
functional attitudes theory states that there are four functional areas of attitudes that serve individuals in life: knowledge, ego expression, adaptability, and ego defense.
social cognitive theory
states that attitudes are formed through observation of behavior, personal factors, and environment.