TERM EXAM - PRELIM Flashcards
Zonal classification of hepatocytes, important for
general detoxification mechanism and
biotransformation of drugs:
zone 3
FAB fragment
binds to antigen
Which is NOT a characteristic of an antibody
activates T-cell
Hepatocyte for drug detoxification?
pericentral
Increasing gastric acid secretion results to: A. Increase h, decrease na B. Increase h, normal na C. Increase h, increase k D. Increase h, increase na
A. Increase h, decrease na
During the next few days at high al+tude,
acclima+za+on occurs. the following are the
mechanisms that can cause a slow in increase in
ven+la+on. which is not occur?
a. pH of CSF decreases
b. spillage of bicarbonate to urine leading to
ACIDIC urine
b. spillage of bicarbonate to urine leading to
ACIDIC urine
What mechanism is caused by vagal s+mula+on
due to the smell of food?
Neural Mechanism
HCO3 secre+on by secre+n in pancrea+c duct —
via cAMP (Ach = Ca)
Specific protein uptake by hepatocyte @ BLM??
A fluid phase endocytosis (nonspecific)
B. absorp+ve endocytosis (nonspecific)
C receptor mediated endocytosis
D. cytoplasmic endocytosis
C receptor mediated endocytosis
Mechanisms of fluid and electrolytes secre+on in
Traveler’s Diarrhea
Ac+vated chloride channels
Which of the ff is true on the effect of aging on
the pulmonary system?
A. Decrease in collagen and elas+n support
causing atelectasis.
B. No failure in gas exchange
C. Dec in strength and endurance of respiratory
type 1 fibers
D. B and C
E. AOTA
??
Male pa+ent contracted Hepatitis B through
salivary chuchu. Hepatocellular dysfunction will
result to:
A. Low serum albumin
B. Low cholesterol
C. Low prothrombin +me
D. Low serum globulin
A. Low serum albumin
What cell produces IMMUNOGLOBULIN/
Antibody?
plasma cells
Which among the following reactive oxygen
species is the most reactive?
A. Hydrogen Peroxide
B. Superoxide Anion Radical
C. Hydroxyl radical
D. AOTA
C. Hydroxyl radical
emptying (solids) of stomach
A. Smooth muscle of proximal part
B. Smooth muscle of antral part
C. Smooth muscle of corpus
D. AOTA
B. Smooth muscle of antral part
emptying of solids- antral
emptying of liquids- proximal
True of defecation?
Hip flexure…
Migrating Motor Complex?
Fasting state
Major determinants of risk of DCS
A. Depth B. Time at depth C. Ascent rate D. Mul+ple dives E. AOTA
E. AOTA
Central inhibitor of acid secretion
Somatostatin
The ff substances are exclusively absorbed in the
duodenum.
a. Folate
b. Bile Acid
c. Iron
d. Calcium
c. Iron
Aganglionic-
hirschsprung
High altitude acclimatization
A. Higher pH B. Higher red cell count C. Increased Cardiac output at rest D. Higher pH and higher red cell count E. AOTA
E. AOTA
True of H/oligopeptide cotransport, except:
A. Also found in the renal proximal tubule
B. Also known as PepT1
C. Responsible for uptake of dipeptide-like amino
acids
D. No exceptions
D. No exceptions
PteGlu1 -
medicinal form of folate
UES -
highest pressure…..
Clonal proliferation occurs when receptor binds
to ..
T cells
Colon absorb:
a. Na Cl
b. K HCO3 (colon secrete)
c. HCO3 Na
d. Cl K
a. Na Cl
Cholelistasis
a. Disturbance of bile acid
b. Disturbance of cholesterol elimination
c. Both
c. Both
Gallbladder mainly composed of
Cholesterol
This accounts for 5% to 10% of gastric acid
secretion?
A. Intestinal phase
B. Gastric phase
C. Cephalic phase
D. All of the above
A. Intestinal phase
Astronaut first sign of loss of consciousness
Loss of color perception
Long term for climbers in high altitude
A. Rbc mass increase due to hypoxemia B. Volume C. Vascularity D. Express oxidative enzymes E. No exception
D. Express oxidative enzymes
Climbing the mountain
Inc pH, dec CO2
Secondary antibodies is better because
Stronger and faster
All but one except on the Flow of bile duct from
the common hepatic duct into gallbladder or into
upper duodenum?
A. Intraluminal __ of splenic flexure
B. Phasic contraction of sphincter of Oddi
C. 5-10 mmHg pressure of sphincter of Oddi &
pressure of duodenum over 0 mmHg…
D. Tone of gallbladder…?
C. 5-10 mmHg pressure of sphincter of Oddi &
pressure of duodenum over 0 mmHg…
Pathway of enzyme secretion, when Connie ate
her snacks: Chocolate, water, apple?
Chocolate has longer effect than apple and water
Sodium absorption by salivary duct cell?
- Parasympathetic stimulation
- Aldosterone
A. (1) decrease while (2) increase
B. (2) decrease while (1) increase
C. (1) & (2) increase
D. (1) and (2) decrease
A. (1) decrease while (2) increase
Regarding pancreatic acid secretion?
- Acinar cell
- Duct cell
2 IS GREATER THAN 1
Phase I enzyme:
Cytochrome P450
Boyle’s Law regarding diving,
doubling the pressure reduces the volume by half
Precursor of Nitric oxide
ARGININE
Nerves involved that are found in parotid glands? 1. Facial nerve 2. Lingual branch of Trigeminal nerve 3. Buccal branch of Trigeminal nerve 4. Glossopharyngeal nerve 5. Otic ganglia
3, 4, 5
Regarding pancreatic duct cell secretion
- Isotonic fluid
- Hypotonic fluid
1 only
Regarding salivary acinar cell
1. 1st major function
2. parasympathetic neural pathway uses M3
receptor
3. sympathetic neural pathway uses __ & aadrenergic
2 and 3 (ata? basta mali ang 1)
Detoxification of drugs?
a. Pericentral hepatocytes
b. intermediate Zone 2 cells
c. Zone 3 cells
d. AOTA
d. AOTA
Fluid electrolyte salivary acinar cells?
- Major function of salivary acinar cells
- Isotonic primary secretion
- Aquaporin channels, Cl channels
- Cholinergic, alpha adrenergic stimulation
2,3,4
Salivary secretion … in?
- NaCl
- K+
- HCO3-
- Water
Poor in 1 but rich in 2,3,4
Cleaning up of the blood?
Macrophagic function
Q: nakalimot ko sa question. hehe
K is greater than Na and Cl
Complete hemoglobin synthesis?
Orthochromatic erythroblast
Case where erythropoiesis is stimulated. Why?
decrease O2
Steps in primary hemostasis?
vasoconstriction - increased tissue pressure -
adhesion -activation - aggregation
surface contact activation?
intrinsic pathway
The 1st immunoglobulin heavy chain class to be
expressed on the surface of a newly produced Bcell
is?
IgM
Female patient with 12g/dL hemoglobin?
Normal
(ans- 12-14 g/dL- Normal sa Female.
14-16g/dL- Normal sa Male)
Common pathway in the coagulation cascade
begins with?
stuart factor
About of Fahreus-Lindqvist phenomenon?
a. …
b. In large vessels, blood viscosity is independent
of vessel radius
c. The small the vessel radius, blood viscosity
decreases steeply
d. Whole blood has an anomalous viscosity
???
Primary aging –
intrinsic changes occurring with age, unrelated to
disease or environmental influences
Secondary aging –
changes caused by the interactin of primary
aging with environmental influences or disease
processes
Most active reactive oxygen species?
a. hydrogen peroxide
b. hydroxyl radical
c. superoxide radical
d. none
b. hydroxyl radical
Features of aging in skin?
a. decreased melanocytes
b. decreased Langerhan’s cells
c. Elastin and collagen decreases
d. stiffer dermis
e. AOTA
e. AOTA
High incidence of fall among the elderly?
a. less flexible knee and ankle joints
b. decrease muscle strength
c. Deterioration of vision
d. AOTA
d. AOTA
Basolateral efflux of monosaccharides?
a. GLUT 2
b. GLUT 5
c. SGLT 1
d. SGLT 2
a. GLUT 2
False about PteGlu1?
a. Medicinal folate
b. Food folate
c. Oxidized form
d. Biologically inactive
b. Food folate
Calcium absorption in small intestine that is not
under control by Vitamin D?
a. transcellular pathway
b. paracellular pathway
b. paracellular pathway
Addition of bile salts leads to formation of a
mixed micelle, in which hydrophobic lipid tails
face __ and polar head groups face __.
inward, outward
Considered as Activity of Daily Living (ADL)?
a. Shopping
b. Cooking
c. Taking medications
d. Bathing self completely
d. Bathing self completely
True or false. There is a typical elderly.
FALSE
67: how does vibrio cholerae toxin affect
electrolyte and fluid absorption in the intestine?
CAMP chuchu
Is a primary function of liver except
Storage and production of bile
Something about factors affecting aging (pero
tanang choices kay factors affecting aging)?
a. Physiology
b. Genetics
c. Socio-economic
d. Lifestyle
d. Lifestyle
A person in orbiting satellite experience zero
gravity?
Microgravity and weightlessness
Immediate exposure to low PO2 stimulates
______ chemoreceptors, which ______
ventilation?
Peripheral , Increase
Chokes and Staggers?
Type II DCS
Parasympathetic stomach impulse causes all of
the following, EXCEPT?
A. Inhibiton of somatostatin
B. Secretion of somatostatin
C. Secretion of gastrin
D. Promotes histamine
B. Secretion of somatostatin
Better indicator for health of older people?
A. Physical B. Mental C. Presence/Absence of Disease D. A and B E. B and C
D. A and B
Which of the following changes is/are involved
aver a person is acclimatized to a high altitude?
A. Blood pH is lower than normal
B. There is an increase in RBC production
C. Cardiac output is higher at rest than sea level
D. Blood pH is lower than normal and there is an
increase in RBC producFon
E. AOTA
D. Blood pH is lower than normal and there is an
increase in RBC production
pacheck if pwede possible answer AOTA
According to Boyle’s Law, if the chest wall were
perfectly compliant, a breath-holding dive to
10m below the surface would _______ the
pressure and compress the air held in the lungs
to _______ its original volume?
double, half
Enteric hormones that inhibits gastric acid
secretion?
A. CCK B. Somatostatin C. VIP D. Neurotensin E. AOTA
E. AOTA
T helper cells are:
A. Release IL-2 and other cytokines B. Most are CD4+ C. Recognize an+gens that are associated with MHC D. AOTA
D. AOTA
What will happen if the cotransporter Cl-HCO3
exchanger is genetically absent in the apical
membrane?
Manifested by diarrhea with increased Cl
secretion
29 yo female malnourished w/ lung infaction. hb
9mg/dL. will trigger release of epo bc of
a. dec O2
b. dec rbc
c. dec hgb
d inc plasma volume
e. iron deficiency
a. dec O2
Precursor amino acid of nitric oxide
arginine
Boyle’s Law –
volume of gas is inversely proportional to
pressure
Receptor that activates cyclic amp (camp):
H2 receptor
- inhibit gastrin
- downregulate parietal H release
- stimulate somtosta+n
Secretin:
inactive at pH >4 (inactive at neutral pH sa book)
Lipase:
Active absorption in duodenum
a. Folate
b. Iron
c. Bile acids/bile salts
d. Calcium
???
True of FABP2
a. highest in regions that absorbs fats, namely, the
villi of the proximal jejunal enterocytes
b. Preferetially binds long chain rather than
medium or short chain
c. Transfers fatty acid to the enterocyte’s
endoplasmic reticulum for re-esterification
d. AOTA
d. AOTA
Bile is secreted by
Gallbladder endothelium
Hepa b salivary transmission from glass.
hepatocellular dysfunction causes
low serum albumin
nag gawas ni nga table
Table 43-6
Changes caused by intrinsic changes by age and
environment refers to?
Primary
The small intestine absorbs Ca via two
mechanisms. Which is the one that
predominates but is not controlled by vit. D?
A. Paracellular transport
B. Transcellular transport
??
Histamine released from ECL cells in the body of
the stomach induces H+ release by stimulating
neighboring cells. What mechanism?
PARACRINE
first Ig in B cell surface…
IgM
Source of enteric neurons
A. Substance p
Hepatocytes take up protein across their
Basolateral membrane spefic??
A. Fluid endocytosis
B. Absorptive endocytosis?
C. Receptor mediated endocytosis?
D. Cytoplasmic endocytosis
???