Quiz 4 Flashcards

1
Q

____ molecules can pass through capillary walls while _____ cannot.

A

1) Nonpolar (O2, CO2, lipid soluble things)

2) Plasma proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is bulk flow?

A

Movement of water soluble substances (ions, glucose, a.as) through pores/intercellular clefts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or false… The lymph system carries stuff from the interstitial fluid to the venous system in either direction.

A

FALSE. The lymph system only moves things in one direction, towards the venous system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

True or false… The fluid that is not picked up by the venous system in a capillary bed is called lymph.

A

FALSE. It is interstitial fluid. It is called lymph once it is in the lymphatic system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the direction of the colloid osmotic pressure? What causes this force?

A

Plasma proteins (namely albumin) PULLS fluid from the interstitial fluid into the circulatory system. Note that osmotic pressure from the interstitial proteins also exists, however it is a nearly negligible force.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Blood velocity is ____ in arteries and ____ in capillaries.

A

1) Fast

2) Slow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which direction does hydrostatic pressure go?

A

PUSHES out.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where do we see the largest hydrostatic pressure drop?

A

In the arterioles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the role of a precapillary sphincter?

A

It’s a cuff of smooth muscle that surrounds each true capillary (right off of the metarteriole). It helps regulate blood flow. If these sphincter a close, the blood may bypass the capillary bed (vascular shunt)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

True or false… The translocation of macromolecules across the capillary membranes requires ATP.

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which are thicker, blood capillaries or lymphatic capillaries?

A

Lymphatic capillaries. These also have a lower pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Name 4 potential causes for edema

A

1) increased capillary blood pressure (increased plasma volume, increased venous pressure)
2) Decreased plasma colloid osmotic pressure (less albumin)
3) increased capillary permeability
4) obstruction in lymphatic system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which layer of the GI tract contains large vessels and nerve plexuses

A

Submucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Do retroperitoneal organs have serosa or adventitia?

A

BOTH. They have adventitia where attached to another organ and serosa everywhere else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Smooth muscle in the GI tract has a ____ inner layer and a ____ outer layer

A

1) circular

2) longitudinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What layer(s) does the pharynx lack?

A

Muscularis mucosa of mucosa layer and SUBMUCOSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When the bolus passes the pharynx into the esophogus, does the trachealis muscle relax or contract?

A

Relax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the difference between serosa and adventitia?

A

both are connective tissue linings… However the serosa is also covered in MESOTHELIUM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The upper 1/3 of the esophogus is _____ muscle while the lower 1/3 of the esophogus is ____ muscle

A

1) skeletal

2) smooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe the lower esophageal sphincter.

A

It is not anatomically distinct. It is made up of a thickening of the muscularis external. When it relaxes, it allows the passage of the bolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What type of tissue is found in the esophagus and stomach?

A

Stratified squamous in esophagus. Simple columnar in stomach.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Explain the differences in the pits/glands in the different regions of the stomach.

A

Cardia: short pits, long glands

Body/fundus: relatively long glands

Pylorus: long pits, short glands.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Chief cells secrete…

A

Pepsin and lipase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Parietal cells secrete (2 things)…

A

HCl and intrinsic factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Where are the stem cells located in the GI tract?

A

At the top of glands (at the bottom of pits)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

G cells secrete ____ which functions to…

A

Gastrin. This functions to stimulate the parital cells to secrete acid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Describe the differences between surface mucus cells and mucous neck cells.

A

Obviously the surface mucus cells are on the surface… But also…

Surface mucous cells are more columnar, secrete bicarbonate to diffuse the acid.

Mucous neck cells are rounder, less numerous, and have apical granules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What does gastric intrinsic factor do?

A

Aids in the absorption of vitamin B12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

G cells secrete ____, ____, and _____ from the _____ part of the cell into the _____. _____

A

1) Gastrin/histamine
2) Ghrelin (satiation)
3) serotonin
4) basal
5) blood
6) 🤓

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Explain the cephalic phase

A

It’s responsible for 30% of HCl secretion. Stimulated by smell, taste, conditioning.
Strictly due to vagus nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Describe the gastric phase

A

60% of HCl secretion.
Stimuli are DISTENSION, amino acids, and small peptides.
Due to vagus nerve and Gastrin and local reflexes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

True or false… Fats are absorbed into the lymphatic system instead of blood.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What do Microfold (M) cells do?

A

They are located over peyer’s patches (so they are in the ileum). They endocytose antigens and dump them into the peyer’s patches (where lymphocytes and dendritic cells reside)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What are Enterocytes?
What are Paneth Cells?
What are Enteroendocrine Cells?

A

1) columnar cells that absorb water
2) secrete anti microbial molecules (lysozyme, defining, phospholipase A) (also are progenitor cells) located at the bottom of crypts
3) Local and systemic signals relating to digestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

In the stomach, the chemical digestion of what begins?

A

Lipids (by lipases)
Proteins (by pepsin)

Although carbohydrate digestion occurs, carb digestion begins in mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Explain the absorption of lipids

A

1) Bile EMULSIFIES lipids into micelles.
2) gastric lipase digests the lipids into FAs and glycerol
3) diffuse into cells
4) resynthesized in the SER
5) pass through the RER to the Golgi where they are packaged into CHYLOMICRONS
6) enter the lymphatic circulation, thus bypassing the liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

How are amino acids and carbohydrates absorbed?

A

Through active co-transport with sodium. (Fructose freely diffuses.. For whatever reason)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What things do the Enteroendocrine cells secrete and what do they do? (4 things)

A

Secretin: stimulates bicarbonate and water secretion of pancreas and bile ducts, inhibits secretion of H+ by parietal cells of stomach. (This neurualizes pH in duodenum
Cholecystokinin: signals immediate satiety to brain. Also causes contraction of gall bladder.
Gastri inhibitory peptide: stimulates insulin secretion by B cells in pancreas
Peptide YY: signals long term satiety.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What is the myenteric plexus?

A

Collection of symp. And parasympathetic nerves that regulate GI function and sense distension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Describe the mucosa of the large intestine

A

No Villi
Tubular columnar intestinal glands (so no pits?)
Goblet and absorptive cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Name the five types of common biochemical reactions. Which is the way electrons are transferred in a biological system?

A

1) making/breaking carbon bonds
2) molecular re-arrangements
3) free radical reactions
4) group transfers
5) REDOX reactions

Redox is most common in bio systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Name 5 common group transfers and the enzymes that accomplish them.

A
Phosphorylation - Kinase
Ubiquitination- ubiquitin ligase
Acetylation - acetyltransferase
Methylation - methyltransferase 
Hydroxylation- hydroxylase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

ATP can provide free energy via two different methods. What are these methods?

A

Group transfer and hydrolysis of itself (magnesium stabilizes this and allows it to occur)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

As the concentration of ATP increases, the amount of energy released per ATP increases. True or false?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Oxidation involves the ____ of electrons from a molecule. Does this release energy or require it?

A

1) removal

2) this releases energy

46
Q

Name four ways to transfer electrons.

A

1) direct electron transfer
2) hydride ions
3) hydrogen atom transfer
4) combination with oxygen

47
Q

Reduced carbon chains are energy poor. True or false?

A

False, they are energy rich.

48
Q

Do double bonds in a fatty acid decrease or increase the amount of potential energy? Why?

A

It lowers the amount of energy because there is less hydrogen to store electrons… Basically

49
Q

The cervix contains glands that secrete mucus… What is the function of this?

A

The mucus serves to block sperm entry except for the mid cycle

50
Q

Where are the ovarian vessels located?

A

Within the suspensory ligament

51
Q

The ovarian ligament is a remnant of the ___

A

Gubernaculum

52
Q

True or false… The Infundibulum is responsible for creating currents to move the oocyte into the uterine tube.

A

False. The fimbrae is responsible for this

53
Q

The broad ligament is similar to mesentary in that it forms a double layer. What layer of peritoneum forms the broad ligament?

A

Parietal peritoneum

54
Q

Name the arterial supply of the following… Ovary, uterus, vagina

A

Ovary: ovarian arteries (from aorta)
Uterus: uterine arteries (from internal iliac artery)
Vagina: vaginal arteries (from internal iliac artery).

Note that the ovarian arteries and uterine arteries can anastomose

55
Q

Name the muscles of the perineum (6)

A

Ischiocavernousus
Bulbospongiosus
Superficial trans perineal
External anal sphincter

Deep trans perineal
Levator and

56
Q

The greater vestibular glands are homologous to the _____ gland in males

A

Bulbourethral

57
Q

The inferior portion of the vagina is innervated by the ___ nerve while the superior portion is ____

A

1) pudendal nerve (somatic)

2) visceral

58
Q

The pudendal nerve arises from ventral rami of…

A

S2-S4

59
Q

Pelvic splanchnic nerves (parasympathetic) arise from where?

A

S2-S4

60
Q

Explain clitoris INNERVATION

A

Somatic sensation - pudendal nerve
Parasympathetics are responsible for erection of clitoris
Pudendal nerve is responsible for orgasm (motor)

61
Q

Since parasympathetics preganglionic neurons meet their postganglionic neuron in intramural ganglia.. Where do the parasympathetics of S2-S4 meet?

A

Uterovaginal plexus

62
Q

An indirect hernia in a male occurs where? What about direct hernia?

A

The deep inguinal ring, (possible to inguinal canal, to superficial inguinal ring… Umm yikes!)

Direct hernia… Enters through a weak point in the fascia of the abdominal wall (hesselbach triangle)

63
Q

Describe the difference between the right and left gonadal veins

A

Right goes to IVC. Left goes to left renal vein

64
Q

What are some of the functions of the prostate gland?

A

Secretions contribute to sperm motility.
Smooth muscle contractions expel semen into urethra.
Neutralizes pH of vagina

65
Q

What are some functions of the bulbouretrhal gland?

A

Secretes fluid to neutralize pH of urethra for spam

66
Q

The urethra is located within what structure in the penis?

A

The corpus spongiosum

67
Q

Competitive Inhibiton.

A

Inhibitor competes with substrate.

Km shifts to right
Vmax unchanged

68
Q

Uncompetitive inhibition

A

Inhibitor binds to ES complex but not enzyme alone.

Km shifts left (due to less functional enzyme)
Vmax shifts down

69
Q

Noncompetitive inhibition

A

Inhibitor binds to enzyme or ES complex

Km no change
Vmax shifts down

70
Q

Mixed inhibiton

A

Inhibitor binds enzyme or ES complex. Affects substrate binding

Km shifts right
Vmax shifts down

71
Q

Name 6 different types of receptor families and what they do

A

G-protein coupled receptor - G protein splits off to activate other stuff
Receptor tyrosine - receptor becomes enzymatically active
Receptor guanylyl cyclase- enzymatically active and turns GTP to cGMP.
Gated ion channel - ions go in
Adhesion receptor - binds to extra cellular structures and regulates cell organization
Nuclear receptor - hormone binding allows direct transcription regulation

72
Q

What is the Kd?

A

Concentration of ligand in which 50% of the receptors are binding ligand

73
Q

How does the plasma membrane play an active role in signaling?

A

Receptor localization
Ligand exposure
Signaling complex formation
Enocytosis

74
Q

What are the two different types of lipid rafts?

A

Caveolar and planar

75
Q

What are the “traffic control” proteins in the endocytic pathway?

A

The Rab GTPase proteins

76
Q

In what ways do chemical reactions transfer information in a signaling pathway?

A

Complex formation or dissociation

Structural changes (ATP to cAMP)

Post-translational modifications (phosphorylation)

77
Q

Explain the Mitogen activated protein kinase pathway

A

Activated RAS will activate MAPKKK which activates MAPKK which activates MAPK which activates stuff

78
Q

Explain the Janus Kinase signaling pathway

A

Upon ligand activation of the receptor. The protein dimerizes and recruits JAK. JAK phosphorylates receptor. Receptor recruits STAT. JAK phosphorylates STAT. Two phosphorylated STATs dimerize. The dimer regulates transcription.

79
Q

Explain the PI3K pathway.

A

Receptor dimerizes. Receptor phosphorylates the membrane bound lipid PIP2 (which becomes PIP3). PIP3 activates PDK1 and AKT. This functions to reduce the level of cell survival.

80
Q

Explain the phospholipase C pathway.

A

G protein coupled receptor. G protein activates PLC. PLC cleaves PIP2 into IP3 and DAG. IP3 opens calcium channels in ER. Calcium aids in the activation of PKC.
DAG binds to PKC and membrane. PKC activated, then phosphorylates substrates.

81
Q

Epinephrine signaling. What does it do and what signaling pathways are involved?

A

Affects vascular tone

G-protein and PLC pathway

82
Q

Insulin signaling. What does it do and what signaling pathways are involved?

A

Regulates cell division and metabolic processes

Transports glucose into cells, alters blood sugar

MAPK, PI3K, and RTK

83
Q

The Alpha adrenergic receptor in the epinephrine G protein coupled receptor signaling pathway activates what pathway? What about the Beta adrenergic receptor?

A

PLC pathway

Beta affects the cAMP levels

84
Q

What does the Qt interval represent?

A

Ventricular action potential (total)

85
Q

What does the PR interval represent?

A

Atrioventricular conduction. (Signal going from atria to ventricles.

86
Q

What does the QRS wave represent?

A

Duration of ventricular depolarization.

87
Q

What does the ST segment represent?

A

The duration of the ventricular plateau

88
Q

What is the quiescent phase?

A

Isovolumetric relaxation of the ventricles.

89
Q

What is phase 0, 1, and 2?

A

Rapid depolarization. Phase 1 is rapid repolarization followed by phase 2 which is the plateau.

90
Q

What causes the rapid depolarization in the working cells and pacemaker cells?

A

Na for working cells

Ca for pacemaker cells

91
Q

How is the plateau phase sustained?

A

Sustained increase in Ca permeability while decrease in K permeability

92
Q

Baroreceptor reflex vs bainbridge reflex.

A

Baroreceptor - increases/decreases heart rate due to changes in arterial pressure.

Bainbridge - increases rate in response to increase of volume in atria. (Protective)

93
Q

Each large box on an ECG represents….

A

.5mV and 0.2 seconds

94
Q

How do you calculate HR?

A

R-R interval. (Each large box is .2 seconds, so each small box is .04seconds)

60/R-R interval.

95
Q

What do brunners glands do?

A

Secrete mucus

96
Q

What is long QT syndrome and why is it bad?

A

The qt interval is longer than normal. This can lead to ventricular tachyarrythmias

97
Q

What is hyaluronate?

A

It is a glycosaminoglycan, found on proteoglycans. It is found in corneal structures of the eye and gives viscoelastic properties.

98
Q

What is the type of bond in sucrose? What is unique about sucrose?

A

Glucose 1 alpha
Sucrose 2 beta

Sucrose is a non reducing sugar (as well as trehalose)

99
Q

True or false…. Monosaccharides are reducing sugars

A

True

100
Q

Fructose is a ketose, thus it will give rise to ____. Glucose is an aldose and will give rise to ____.

A

1) acetal

2) hemiacetal

101
Q

What is a reducing sugar?

A

It has a hydroxyl group on its anomeric carbon available. They will reduce other things to become oxidized. They will react with copper for form a reddish precipitate.

102
Q

How many carbons are in Xylose? What about Threose?

A
Xylose = 5
Threose = 4
103
Q

What type of tissue is found in the submucosa?

A

Dense irregular

104
Q

What layer is the lamina propria found?

A

In the mucosa

105
Q

What is mesothelium? What type of tissue?

A

It is a lining of simple squamous internal lining epithelium that can overlay the adventitia

106
Q

True or false… The epithelium in the pharynx is non-keratinized stratified squamous. Has a lamina propria containing longitudinal elastic fibers

A

True

107
Q

Where do the greater, lesser, and least splanchnic nerves of sympathetics synapse?

A

Pre aortic ganglia

108
Q

The sympathetics of T5-T12 innervate what?

A

Foregut and midgut

109
Q

Where do the lumbar splanchnic nerves arise from, where do they synapse, what do they innervate?

A

From L1 and L2. Synapse in the preaortic ganglia, innervate the hind gut.

110
Q

What does the vagus nerve innervate, where does it synapse?

A

It innervates the foregut and midgut. Synapses close to target

111
Q

What is the sacral portion of parasympathetics, what does it innervate, where does it synapse?

A

S2-S4
innervates the hindgut
Synapses close to the target

112
Q

True or false… Parasympathetics follow the same path as sympathetics

A

True