review Flashcards

1
Q

One of the most important intracellular process that requires energy

A

Formation of Peptide Linkages

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2
Q

How much energy stored in peptide bond?

A

500-5,000 cal

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3
Q

How much energy required to form 1 peptide linkage?

A

4 high-energy phosphate bonds (48,000 cal)

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4
Q

Ornithine Cycle converts ____ to _____.

A

ammonia to urea

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5
Q

What steps of Ornithine Cycle take place in the mitochondria?

A

CO2 + NH4 –> carbamoyl phosphate

carbamoyl phosphate + ornithine –> citrulline

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6
Q

What happens to fumarate in the ornithine cycle?

A

enters TCA cycle

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7
Q

What forms urea?

A

Arginine + H20 –> UREA + ornithine

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8
Q

Major Rate-Limiting Factor for almost all energy metabolism in the body

A

ADP

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9
Q

Best known stimuli for increasing rate of thyroid stimulating hormone

A

cold

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10
Q

How do thyroid levels affect energy levels?

A
Hypothyroid = Lethargic
Hyperthyroid = energetic
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11
Q

High insulin promotes usage of what for energy?

A

carbohydrates

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12
Q

Low insulin promotes usage of what for energy?

A

fat

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13
Q

Vascular supply of Liver

A

High blood flow & Low vascular resistance

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14
Q

Effect of cirrhosis on blood flow

A

increase resistance

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15
Q

Effect of clot blocking portal vein

A

blockage of return blood from spleen & intestines: increase capillary pressure in intestinal wall –> loss of fluid –> death

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16
Q

Ascites

A

large amount of fluid in abdominal cavity

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17
Q

elevated pressure in hepatic veins causes

A

ascites

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18
Q

How is heme transported in the blood?

A

Transferrin

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19
Q

What happens to bilirubin secreted into the intestine?

A

converted to urobilinogen via bacterial action

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20
Q

Metabolic Syndrome

A
obesity
insulin resistance
fasting hyperglycemia
increased lipid triglycerides
decreased HDL levels
HTN
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21
Q

Heme oxygenase catalyzes ____ to ____

A

heme to biliverdin

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22
Q

biliverdin –> ____ in the reticuloendothelial system

A

free (unconjugated) bilirubin

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23
Q

down-regulation of receptors

A

decreases target tissues responsiveness to hormones

24
Q

up-regulation of receptors

A

increases target tissue responsiveness to hormones

25
Q

calcium binds to ____

A

calmodulin

26
Q

Lipid Soluble Hormones

A

adrenal and steroidal hormones
thyroid hormones
retinoid hormones
Vitamin D

27
Q

Activated hormone receptor complex binds to what sequence of DNA?

A

Hormone Response Element

28
Q

Somatotropes (acidophils)

A

Human Growth Factor

29
Q

Corticotropes

A

ACTH

30
Q

Thyrotropes

A

TSH

31
Q

Gonadotropes

A

FSH & LH

32
Q

Lactotropes

A

prolactin

33
Q

What pump is on the basal membrane of thyroid cell?

A

Sodium Iodide Symporter (2:1)

34
Q

What pump is on the apical membrane of thyroid cell?

A

Pendrin

chloride-iodide counter-transporter

35
Q

Is T3 or T4 more active?

A
T3 (triiodothyronine)
but T4 (thyroxine) is the major hormonal product
36
Q

2 DIT =

A

Thyroxine (T4)

37
Q

DIT + MIT =

A

triiodothyronine (T3)

38
Q

Hyperthyroidism

A
causes: Graves' Disease, Adenoma
Sx: high state of excitability
intolerance to heat
increased sweating
mild to extreme weight loss
varying degrees of diarrhea
muscle weakness
39
Q

Major Mineralocorticoid

A

Aldosterone

40
Q

Effects of Aldosterone

A

increased sodium absorption by principal cells
increased K+ secretion by principal cells
increased H+ secretion by intercalated cells

(Increases ECF/Blood Volume)

41
Q

Aldosterone secreted from

A

zona glomerulosa

outermost adrenal cortex

42
Q

Decreased Blood Volume –> Decreased Renal Perfusion Pressure –>

A

increased renin secretion

43
Q

Renin

A

activates angiotensinogen –> angiotensin I

(ACE converts angiotensin 1 –> angiotensin II

44
Q

Angiotensin II

A

corticosterone –> ALDOSTERONE

45
Q

Major Glucocorticoid

A

Cortisol

46
Q

Glucocorticoids secreted from

A

Zona Fasciulata in adrenal cortex

47
Q

Functions of Glucocorticoids

A

stimulates gluconeogenesis: “Adrenal Diabetes”
increase protein catabolism
mobilizes amino acids from extra hepatic tissues
enhances transfer of amino acids into hepatic cells
increases enzymes required to convert AAs to glucose
decrease glucose utilization by cells
increase Lipolysis

**Resolution of Inflammation & Inhibits Immune Response

48
Q

Hypoadrenalism

A

1˚(Addison’s) due to injury of adrenal cortex
2˚ due to impaired fxn of pituitary gland

mineralocorticoid deficiency
glucocorticoid deficiency
melanin pigmentation

49
Q

Hyperadrenalism

A

Cushing’s Disease

“Buffalo Torso”

50
Q

If calcium intake is 1,000 mg/day - how much excreted in feces?

A

900

51
Q

Hypocalcemia

A

carpopedal spasm ~6mg/dl

lethal ~4mg/dl

52
Q

Active form of Vitamin D

A

1,25-dihydroxycholecalciferol

53
Q

calcium-binding protein in the intestinal epithelium

A

calbindin

54
Q

cholecalciferol (vit D3) where?

A

skin

55
Q

Vit D3 to liver

A

25-hydroxycholecalciferol

56
Q

where is Vitamin D activated?

A

in kidney via PTH

57
Q

What does vitamin D do in the body?

A

promotes intestinal absorption of calcium