Thermoregulation Flashcards

1
Q

What are the main processes responsible for heat production in the body? 7

A

Metabolism (glycolysis), voluntary actions (physical activity), shivering, brown fat metabolism, vasoconstriction, piloerection, and neuroendocrine regulation.

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2
Q

How does the body lose heat through sweating?

A

Eccrine sweat glands secrete sweat, which evaporates from the skin surface, causing heat loss.

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3
Q

What are the primary methods of heat loss in the body?

A

Conduction/convection (60%), radiation (25%), and evaporation (15%).

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4
Q

What is the role of the hypothalamus in temperature regulation?

A

The hypothalamus maintains core temperature by adjusting metabolic and autonomic responses.

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5
Q

What is core temperature, and why is it important?

A

Core temperature is the internal body temperature, essential for enzymatic reactions and bodily functions.

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6
Q

How does fever (pyrexia) develop in response to an infection?

A

Pyrogens induce PGE2 release in the hypothalamus, raising the body’s set temperature.

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7
Q

What is the difference between fever and hyperthermia?

A

Fever results from an altered hypothalamic set point, while hyperthermia occurs due to excessive heat production or environmental exposure.

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8
Q

What are common treatments for fever?

A

Paracetamol, NSAIDs, aspirin, cooling methods, and exposure to fans.

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9
Q

What are the classifications of body temperature?

A

Hypothermia (<35°C), normal (36.5-37.5°C), fever (>37.5 or 38.3°C), hyperpyrexia (>40 or 41.5°C).

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10
Q

What are the primary causes of hyperthermia?

A

Exertion, situational factors, drugs, and pyrexia.

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11
Q

What is the most significant method of heat loss in the human body?

A

Conduction/convection

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12
Q

Which of the following processes is responsible for heat production in neonates?

A

Brown fat metabolism

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13
Q

Where is the primary temperature control center in the brain?

A

Hypothalamus

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14
Q

Which of the following is NOT a cause of hypothermia?

A

Increased metabolic rate

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15
Q

How do pyrogens induce fever?

A

By stimulating the release of PGE2 in the hypothalamus

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16
Q

What physiological response is responsible for increasing heat loss when the body is overheating?

A

Vasodilation

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17
Q

Which of the following treatments is NOT typically used to reduce fever?

A

Beta-blockers

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18
Q

What happens to enzymatic activity when temperature increases by 10°C?

A

It increases by 2.5 times

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19
Q

What is a life-threatening level of hyperthermia?

A

41.5°C

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20
Q

What is the primary mechanism by which antipyretic drugs like aspirin reduce fever?

A

Blocking the production of PGE2

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21
Q

Why do biological systems operate under a tight range of conditions?

A

Enzymes and metabolic processes require a stable environment for optimal function.

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22
Q

How does a 10°C increase affect enzymatic activity?

A

It increases enzymatic activity by approximately 2.5 times.

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23
Q

At what temperature does protein denaturation occur?

A

Above 45°C.

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24
Q

What is the functional temperature range for “conscious intelligence”?

A

Between 35 – 40°C.

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25
Q

How does core temperature compare to skin temperature?

A

Core temperature is approximately 0.5°C higher than skin temperature.

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26
Q

How does core temperature change throughout the day?

A

It is lowest just before waking up and rises as the day progresses.

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27
Q

How does the menstrual cycle affect core temperature?

A

It increases by about 0.5°C at ovulation.

28
Q

Why is temperature relevant in fertility investigations?

A

Tracking ovulation temperature changes can help assess fertility.

29
Q

What are the different types of temperature measurement methods?

A

Thermometer, skin temperature thermometer, tympanic (ear) thermometer, oesophageal thermometer, and rectal temperature.

30
Q

Which temperature measurement is commonly used in children?

A

Skin temperature thermometer, often on the scalp.

31
Q

How does a tympanic thermometer work?

A

It uses infrared technology to measure temperature in the ear.

32
Q

Where are temperature receptors found in the body?

A

Skin, GI tract, great veins, and hypothalamus.

33
Q

What type of neurons are temperature receptors?

A

Specialized outgrowths of neurons.

34
Q

Are there more hot or cold receptors in the skin?

A

There are 10 times more cold receptors than hot receptors.

35
Q

Which nerve fibers are involved in temperature sensation?

A

Aδ and C fibers.

36
Q

Which part of the brain predominantly controls body temperature?

A

The anterior hypothalamus.

37
Q

What is the function of the “set point” thermostat in the hypothalamus?

A

It regulates the body’s core temperature to maintain homeostasis.

38
Q

What are the two main systems involved in temperature regulation?

A

Heat-increasing mechanisms and heat-loss mechanisms.

39
Q

hy are extreme ages more prone to hypo/hyperthermia?

A

They may lack the ability to regulate clothing or move to adjust temperature.

40
Q

How do incubators help newborns?

A

They maintain a controlled temperature environment.

41
Q

How does metabolism contribute to heat production?

A

The respiratory cycle generates heat as a byproduct.

42
Q

How much can shivering increase heat production?

A

Up to 5 times the normal rate.

43
Q

Where does shivering predominantly occur?

A

The trunk.

44
Q

Why is shivering metabolically expensive?

A

It requires significant energy and oxygen consumption.

45
Q

What is the function of brown fat in heat production?

A

It generates heat through ß3 receptor-mediated metabolism.

46
Q

In which populations is brown fat most relevant?

A

Neonates and some animals.

47
Q

What paradoxical effect can prolonged cold exposure cause?

A

: Increased blood flow to the skin.

48
Q

What controls piloerection?

A

Sympathetic nervous system.

49
Q

What hormones are involved in neuroendocrine thermoregulation?

A

Catecholamines (adrenaline/noradrenaline) and potentially thyroxine.

50
Q

What are the three main methods of heat loss?

A

Conduction/convection (60%), radiation (25%), and evaporation (15%).

51
Q

How does sweating help in heat loss?

A

It evaporates from the skin, carrying heat away.

52
Q

What is the normal daily sweat production?

A

Up to 1000 ml/day

53
Q

How does acclimatization affect sweating?

A

It increases sweat production to 2000 ml/day.

54
Q

Why does urea concentration increase near the skin surface?

A

It contributes to body odor.

55
Q

How do animals lose heat without sweating?

A

By panting and ventilating their dead space.

56
Q

What is hypothermia?

A

A core temperature below 35°C.

57
Q

When is hypothermia considered severe?

A

When core temperature falls below 28°C.

58
Q

What are common causes of hypothermia?

A

Behavioral factors, hypothyroidism, dermatological conditions, and sepsis.

59
Q

What are clinical features of hypothermia?

A

Confusion, coma, and cardiovascular collapse

60
Q

How is hypothermia managed?

A

ABC assessment, controlled warming (Bear hugger, tin foil, cardiopulmonary bypass).

61
Q

What is the temperature threshold for hyperthermia?

62
Q

When is hyperthermia life-threatening?

A

When core temperature exceeds 40°C.

63
Q

What are the clinical signs of hyperthermia?

A

Confusion, seizures, coma, and cardiovascular collapse.

64
Q

What causes pyrexia?

A

An altered hypothalamic set point.

65
Q

What are common causes of fever of unknown origin?

A

Infection, blood transfusion reactions, inflammation, malignancy, and hypothalamic damage.

66
Q

What physical methods can reduce fever?

A

Tepid sponging, cooling packs, ice, exposure, and fans.