Topic 1 Flashcards
How does smoking increase the chance of coronary heart disease? (4)
1) Carbon monoxide bonds to haemoglobin instead of oxygen, resulting in cell receiving less oxygen. To compensate the heart rate increases.
2) Nicotine causes adrenalin to be produced. This increases heart rate and causes vasoconstriction of the arteries. Overall blood pressure rises.
3) Chemicals in smoke damage the lining of the artery which triggers atherosclerosis
4) HDL levels reduce
How does exercise decrease the chance of CHD?
It prevents and reduces high blood pressure and raises HDL
What does exercise also decrease?
It reduces the chance of, and controls, Type II diabetes
How can jeans increase the risk of CHD
Some disorders such as (FH) causes mutations in the LDL receptors. These mutations results in LDL not being removed in the blood.
What is APOA? What happens when it’s faulty?
Protein in HDL that takes Cholesterol to the liver. Cholesterol isn’t removed, low HDL
What is APOB? What happens when it is faulty?
It moves cholesterol to cells. High LDL
What is APOE? What happens when it is faulty?
Remove excess cholesterol. Slower cholesterol reduction
How to reduce the risk of CVD?
Stop smoking, maintain blood pressure, low cholesterol, average BMI, exercise, no alcohol.
What are the three drugs taken for blood pressure?
ACE inhibitors, calcium channel blockers, diuretics.
What do ACE inhibitors do?
Reduces the levels of the hormone that causes vasoconstriction. This causes more dilation which decreases blood pressure.
What do calcium channel blockers do?
Block the calcium channels in the muscle of the artery. This prevents constriction so blood pressure reduces.
What do diuretics do?
Cause the user to urinate more, this removes excess fluids and salts. This causes the blood plasma volume and cardiac output to decrease. This results in a lower blood pressure.
What does a statin do? Side effects?
Stops the enzyme that produces LDL. Tiredness, vomiting, diarrhoea, weakness.
What does aspirin do?
Reduce the stickiness of platelets, resulting in a lower chance of a blood clot forming.
What’s an alternative to aspirin?
Clopidogrel
How does warfarin work?
Lowers the levels of vitamin K. Vitamin K is needed for the clothing cascade to be completed.
What reaction joins monosaccharides?
Condensation
What is a saccharide?
A sugar unit
What are the values for mono, di and poly
1,2,many
What breaks up do saccharides and polysaccharides?
Hydrolysis
In a condensation reaction H2O is released. What molecules out of OH,OH,H,H does it come from?
OH-OH=H2O+O
What is the general formula of monosaccharides?
(CH20)n. Where n=number of carbons.
How fast are monosaccharides absorbed?
Very fast.
What is the structure of a saccharide?
Hexagon with 1 oxygen 5 carbon.From the far right carbon it goes H+OH,H+OH,OH+H,H+HO,H+CH2OH
In a saccharide are the carbons labelled clockwise or anti-clockwise?
Clockwise
In the long chain structure of a saccharide name the bonds on the right hand side. What is the top bond? What is the bottom bond? Which is the bond that changes side if it is beta?
OH,H,H,OH. H-C=O. CH2OH. Second hydrogen chain from the bottom.
Difference between alpha and beta glucose structure?
Alpha=OH below, Beta=OH above.
What is a glycosidic bond?
The oxygen bond between two monosaccharides. -O-
What saccharide said are released slow/fast and why?
Mono=fast, di/poly=slow. This is due to the di/poly having to be digested down into mono which takes time.
What are three examples of polysaccharides? Why are they used for storage?
Glycogen, cellulose, starch. They are all compact. Furthermore, they are all insoluble so will not effect the water concentration and therefore not effect osmosis.
Where is glycogen stored in humans?
Liver/muscles.
How is cholesterol made soluble?
It is combined with proteins.
What is the good type of cholesterol called?
HDL
What are the roles of LDL and HDL?
HDL transports cholesterol from the body tissue to the liver where is it broken down so cholesterol levels reduce. LDL cholesterol travels to the membrane where it overloads the receptors and causes high cholesterol levels. This can cause athleromas In the artery wall.
What are the features of a good study?
Clear aim, relevant sample, valid/reliable results by using the correct equipment, people able to consent as then it is less likely lies will be told, use the same equipment each time, large sample size to ensure the extremes are discounted,control variables.
What increases your risk of having CVD?
High blood pressure, obesity, high blood cholesterol levels, smoking, inactivity, genetics.
What is blood pressure?
The hydrostatic force of blood against the walls of a blood vessel.
What does it mean when blood pressure is systolic and diastolic?
Systolic is when the ventricles contract and blood is forced into the arteries. Diastolic is when the ventricles are relaxed.
What is the process of using a traditional blood pressure machine?
The inflatable cuff cuts the blood flow in the artery of the arm. The pressure is slowly released and blood flows back in. The pressure is still released until a noise is heard on the stethoscope placed on the artery. This is systolic.
For diastolic the pressure is continually dropped until no noise can be heard, this reading is the diastolic pressure.
What is blood pressure measured in?
Is unit is Kilopascal, traditionally it was measured in mmHg.
What are the normal pressures of blood?
100-140 systolic, 60-90 diastolic.
What is peripheral resistance?
Resistance caused by the contact between blood and the walls.
What can cause high blood pressure (example)? What happens?
Age, hormones such as adrenalin, high salt levels. The smooth muscle contracts which narrows the lumen causing a higher pressure.
What is oedema?
The condition is swelling caused by a fluid build up.
What is Oedema a sign of?
High blood pressure.
How are small molecules and fluid removed from the blood?
When arterioles transition to capillaries there is a high pressure of blood. This high pressure forces these molecules through gaps between the cells of the capillary wall. These molecules then form the tissue flood outside the capillary.
What is another name for tissue fluid?
Interstitial fluid.
What happens to used tissue fluid?
20% goes to the lymph vessels which returns it to the vena cava via the thoracic duct. The rest is reabsorbed into the capillaries.
What are the symptoms of coronary heart disease?
Shortness of breath, angina, left arm pain, arrhythmia.
What is arrhythmia?
An irregular heart beat.
What are the symptoms of a stroke?
Numbness, dizziness, confusion, slurred speech, blurred vision in one eye(the side will be opposite to where the clot is).
What is an aneurism?
A blood filled bulge behind the narrowing of an artery.
What happens if an aneurism bursts?
Mass blood loss and fatal shock.
How can an Aneurism be detected and treated?
Felt as a lump, or by using ultrasound. It is treated with an artificial artery replacement.
When measuring risk what must you do?
Put a timeframe on it.
What factors cause people to overestimate risk?
Involuntary, not natural, unfamiliar, dreaded, unfair, very small.
What are some health factors that contribute to risk?
Age, heredity, physical environment, social environment, lifestyle, behaviour.
What is correlation?
One factor changes as the other changes.
What is causation?
When the changing of one factor causes the increase or decrease of the other.
What is a cohort study? 2 examples
A population of people are followed with regular detailed check ups. If one of these people contract the disease they review what risk factors they were exposed to.
Secondly another type is where people are split into two groups, one is exposed to the risk factor, the other not. It is then seen if one group develops the disease.
What is a case control study?
Two groups are made; one with a disease, the other are healthy. Each individual is analysed to see what risk factors they were exposed to in their past. All risks are then compared to see if there is any correlation.
When talking about people what does the term ‘case’ mean?
A person with the disease.
Why do only arteries get atherosclerosis?
The blood is flowing very fast at a high pressure which increases the chance of damage, the veins are low pressure.
What do blood clots do? Why?
Seals breaks in blood vessels to reduce blood loss and prevent pathogens entering the body.