Topic 1: Lifestyle, Health and Risk Flashcards

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1
Q

1.1 Why do many animals have a heart and circulation system?

A

Substances, such as glucose, oxygen, water and carbon dioxide are required for metabolic reactions. While substances can be transported easily in unicellular organisms (diffusing fast enough across a short distance to meet the organism’s requirements), diffusion would be too slow for the large distances found in multicellular organisms. These organisms rely on a mass transport system to move substances efficiently over long distances by mass flow: all the particles in a liquid move in one direction through tubes due to differences in pressure.

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2
Q

1.1 How does an open circulatory system work?

A

Blood circulates in large open spaces. A simple heart pumps blood out into cavities surrounding the animal’s organs, where substances can diffuse between the blood and cells. When the heart muscle relaxes, blood is drawn back into the heart through small, valved openings.

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3
Q

1.1 Why do larger, more active animals have a closed circulatory system?

A

Blood vessels allow a higher pressure to be generated, as the blood is forced along narrow tubes rather than flowing into large cavities. This allows the blood to travel faster, making it more efficient at delivering substances around the body.

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4
Q

1.1 How does a single circulatory system work?

A

In fish, for example: The heart pumps deoxygenated blood to the gills, where gaseous exchange takes place with the surrounding water. The oxygenated blood leaves the gills and flows around the rest of the body before returning to the heart. So the blood flows through the heart once for each complete circuit of the body.

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5
Q

1.1 How does a double circulatory system work?

A

The right side of the heart pumps deoxygenated blood to the lungs where it receives oxygen, returning to the heart to be pumped a second time by the left side. It goes out to the rest of the body, returning to the right side as deoxygenated blood once again.

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6
Q

1.2 Describe the structure and bonding of water.

A

Because the shared negative hydrogen electrons are pulled towards the oxygen atom, the other side of each hydrogen atom is left with a slight positive charge. The unshared negative electrons on the oxygen atom give it a slight negative charge. Water is therefore a dipolar molecule, and the slightly negatively-charged oxygen atoms attract the slightly positively-charged hydrogen atoms of other water molecules (hydrogen bonding).

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7
Q

1.2 Why is water a good transporting substance?

A

Water is a solvent, allowing substances to dissolve in solution, and thereby enabling biological reactions to occur in solution. Ionic substances dissolve easily in water: the slightly positive end will be attracted to the negative ion and the slightly negative end attracted to a positive ion, resulting in water molecules surrounding each ion.
Cohesion is the attraction between molecules of the same type. Water’s dipole nature, and the hydrogen bonds between molecules allows it to be very cohesive, transporting substances in a continuous column for mass flow.
The specific heat capacity of water is very high because a large amount of energy is required to break the strong hydrogen bonds. Because water warms up and cools down slowly, organism can avoid rapid changes in their internal temperature.

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8
Q

1.3 How does the structure of an artery relate to its function?

A

Arteries carry blood from the heart to the rest of the body. They have a narrow lumen, thick walls with a lot of muscle, collagen and elastic fibres, but no valves. During systole, blood is forced into the arteries and their elastic walls stretch to accommodate the blood. The thick artery walls can withstand the high pressure generated as the blood is forced against the walls. During diastole, the elasticity of the artery wall causes them to recoil behind the blood and help push it forward.

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9
Q

1.3 How does the structure of a capillary relate to its function?

A

Blood flows more slowly in the capillaries due to their narrow lumen and the resulting friction between the blood and capillary wall. This slower steady flow allows gas exchange to take place between the blood and the surrounding cells, with the one-cell-think wall speeding up diffusion. The network of capillaries increase the surface area for exchange, allowing rapid diffusion.

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10
Q

1.3 How does the structure of a vein relate to its function?

A

Veins take blood back to the heart. They have a wide lumen, with little muscle, collagen and elastic fibres as the blood is under relatively low pressure. Blood flow is assisted by the contraction of surrounding body muscles, and backflow is prevented by semilunar valves within the veins.

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11
Q

1.4 i) Describe the first phase in the cardiac cycle?

A

Phase 1: Atrial Systole (and Ventricular Diastole)

The ventricles are relaxed, with the semilunar valves closed and atrioventricular valves open already. The atria contract, decreasing the volume and increasing the pressure inside the chambers. This pushes the blood into the ventricles, where there’s a slight increase in ventricular pressure and chamber volume as they receive the ejected blood from the contracting atria.

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12
Q

1.4 i) Describe the second phase in the cardiac cycle?

A

Phase 2: Ventricular Systole (and Atrial Diastole)

Before this, the semilunar valves are closed and the atrioventricular valves open. The atria relax, and the ventricles contract, decreasing their volume and increasing their pressure. Because the pressure is lower in the aorta (left) and pulmonary artery (right), the semilunar valves are forced open and blood is pushed into these arteries, leaving the heart. The blood is also lower in the atria then the ventricles, forcing the atrioventricular valves to shut and prevent any backflow.

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13
Q

1.4 i) Describe the last phase in the cardiac cycle?

A

Phase 3: Cardiac Diastole

Before this, the semilunar valves are open and the atrioventricular valves are closed. The atria and ventricles both relax. The higher pressure in the pulmonary artery and aorta closes the semilunar valves to prevent backflow into the ventricles. Blood returns to the heart, with the higher pressure in the vena cava (right) and pulmonary vein (left) allowing the atria to fill again. In turn this starts to increase the pressure of the atria, with a lower pressure in the relaxed ventricles resulting in the atrioventricular valves to open. This allows blood to flow passively into the ventricles, causing a decrease in pressure in the atria and an increase in the ventricles.

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14
Q

1.4 ii) How does the thickness of each heart structure relate to its function?

A

The ventricles have thicker walls than the atria, because they have to push blood out of the heart whereas the atria just need to push blood a short distance into the ventricles. The left ventricle has thicker, more muscular walls than the right, because it needs to contract more powerfully to pump blood all the way round the body, whereas the ride side only to needs to get to the more nearby lungs.

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15
Q

1.5 What is atherosclerosis?

A

Atherosclerosis is a disease process where plaques or atheromas (fatty deposits) can either block an artery and harden it or increase its chance of being blocked by a blood clot.

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16
Q

1.5 What events lead to atherosclerosis?

A

The inner lining of the artery, the endothelium, is usually smooth and unbroken. When it becomes damaged, an inflammatory response is triggered. White blood cells accumulate chemicals in the blood, particularly cholesterol, causing a fatty deposit to build up (an atheroma). Calcium salts and fibrous tissue also build up at the site over time, resulting in a hard plaque. The artery will harden and the lumen will become narrower as results, which can lead to a rise in blood pressure.

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17
Q

1.5 Why do only arteries get atherosclerosis?

A

The fast flowing blood in the arteries is under significant pressure, so there is a higher risk of damage to the endothelium (in comparison to the much lower pressure in the veins).

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18
Q

1.6 How can atherosclerosis and thrombosis play a role in cardiovascular disease?

A

An atheroma can rupture the endothelium of an artery, damaging the wall and leaving a rough surface. This can trigger thrombosis, allowing a blood clot to form at the site. This blood clot can completely block the artery, or it can become dislodged and block a blood vessel elsewhere. The blood flow to tissues supplied bu the blocked artery will be restricted, so less oxygen will reach those tissues. Heart attack, stroke and deep vein thrombosis are three forms of cardiovascular disease that can be caused by blood clots preventing oxygen to be reached to these tissues.

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19
Q

1.6 How does a blood clot form?

A

A protein called thromboplastin is released from the damaged blood vessel. Thromboplastin, along with Vitamin K and calcium ions, triggers the conversion of prothrombin (a soluble protein) into thrombin (an enzyme). Thrombin then catalyses the conversion of fibrinogen (a soluble protein) to fibrin (solid insoluble fibres). The fibrin fibres tangle together and form a mesh in which platelets and red blood cells get trapped - this is the blood clot.

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20
Q

1.7 How can high blood pressure increase the risk of CVD?

A

High blood pressure increases the risk of damage to the artery walls, which increases the risk of atherosclerosis, which increases the risk of blood clot formation - this in turn can lead to CVD.

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21
Q

1.7 How can diet and exercise impact the the risk of CVD?

A
  1. A lack of exercise can increase blood pressure.
  2. A diet high in salt increases the risk of high blood pressure.
  3. A diet high in saturated fat increases blood cholesterol level, which increases atheroma formation. This increases the risk of blood clot formation, which in turn increases the risk of CVD.
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22
Q

1.7 How can smoking increase the risk of CVD?

A
  1. Nicotine makes platelets sticky, which increases the chance of blood clots forming.
  2. Carbon monoxide combines with haemoglobin, which reduces the amount of oxygen transported in the blood. This results in less oxygen reaching tissues.
  3. Smoking decreases the amount of antioxidants in the blood, which serve to protect cells against damage. This increases the rick of cell damage in artery walls, which increases the rick of atheroma formation.
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23
Q

1.7 How can factors beyond your control effect the rick of CVD?

A
  1. Some people inherit certain alleles that make them more susceptible to high blood pressure or high blood cholesterol.
  2. Plaque can build up over time, so the risk of developing CVD increases with age.
  3. Men are more likely to suffer from CVD than pre-menopausal women.
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24
Q

1.8 Define correlation and causation.

A

There is a correlation between two variables when a change in one is accompanied by a change in the other (Two variables are positively correlated when an increase in one is accompanied with an increase in another. If the values of one value decrease while the other increases, there is a negative correlation). Two variables are causally linked when a change in one is responsible for a change in the other (Remember than a correlation between two variables doesn’t necessarily mean that the variables are causally linked).

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25
Q

1.8 How do you analyse and interpret data?

A

When analyzing and interpreting data, describe the results, calculate the change and draw conclusions. Be aware of any conflicting evidence that may require further assessment, and be able to comment of the validity and reliability of the date.

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26
Q

1.9 Define valid.

A

Valid results measure what the study set out to investigate, answering the original question.

27
Q

1.9 Define reliable.

A

A reliable method produces results that are repeatable and reproducible. Repeatable means that the same method will give the same results when repeated by the same person using the same equipment under the same conditions in a short timescale. Reproducible means that if someone different carried our the experiment with a different method or different equipment, then the results will show the same pattern.

28
Q

1.9 Explain how selection bias can occur.

A

A representative sample must selected from the wider population that the study’s conclusion will be applied to. Selection bias occurs when those who participate in a study are not representative of the target population.

29
Q

1.9 Why should other variables be controlled?

A

Controlling variables known to correlate with the variable being studied will ensure that only the factor under investigation is influencing the outcome.

30
Q

1.9 Why must a sample be large?

A

A sample must be large enough to produce results that could not have occurred by chance. The greater the sample, the more reliable the results.

31
Q

1.10 Explain how people’s perception of risk can differ from the reality.

A

Risk can be defined as the chance of something unfavourable happening. People’s perception of risk may be different from the actual risk:

  1. People often overestimate the risk if it is involuntary, unnatural, unfamiliar, dreaded, unfair and very small. This can be heightened by personal experience, as well as constant exposure from the media.
  2. When people underestimate the risk of something, it is often of lack of information that results in this.
32
Q

1.11 How can an energy imbalance cause weight gain?

A

If energy intake is higher than energy output, the excess energy will be turned into fat reserves by the body, so the person will gain weight. If the energy difference is a lot and it’s sustained over a long period of time, the person could become obese.

33
Q

1.11 i) What is energy budget?

A

Energy budget is the amount of energy taken in by an organism and the amount of energy used up by an organism (energy input - energy output = energy budget)

34
Q

1.11 ii) How can an energy imbalance cause weight loss?

A

If energy intake is lower than energy output, the body will have to get more energy from its fat reserves, resulting in a weight loss. If this energy difference is large and sustained over a long period of time, the person is likely to become underweight.

35
Q

1.12 i) Explain the three difference between each saccharide group.

A

Monosaccharides are single sugar units with the general formula (CH2O)n, where n is the number of carbon atoms in the molecule. Disaccharides are formed from two single sugar units, joined in a condensation reaction. The bond that forms between the two sugar units is a glycosidic bond. Polysaccharides are polymers made up from simple sugar monomers, joined by glycosidic bonds, into long chains.

36
Q

1.12 ii) Relate the structure of each saccharide to its role in providing and storing energy.

A

Monosaccharides provide a rapid source of energy. They are readily absorbed and require little or no change before being used in respiration. While monosaccharides can be rapidly absorbed into the blood, causing a sharp increase in blood sugar levels, polysaccharides and disaccharides have to be digested into monosaccharides before being absorbed. This takes time and does not result in rapid blood sugar swings.

37
Q

1.13 Which reaction and bond joins monosaccharides together?

A

Through a condensation reaction, monosaccharides are joined together by a glycosidic bond. A hydrogen atom on one monosaccharides bonds to a hydroxyl (OH) group on the other, releasing a molecule of water.

38
Q

1.13 Which reaction splits apart disaccharides and polysaccharides?

A

Through a hydrolysis reaction, a molecule of water reacts with the glycosidic bond, breaking it apart.

39
Q

1.12 What is the difference between alpha-glucose and beta-glucose?

A

The general formula for glucose is C6H12O6. The carbon on the right side is numbered one, and the rest follow in a clockwise direction. With beta glucose, there is one OH molecule above the first C atom and one H atom below. With alpha-glucose, there is one H atom above the first C atom and one OH molecule below it. (The other atoms are the same for both beta glucose and alpha glucose. The second and fourth C atoms have one H atom above and one OH molecule below. The OH molecule is above the third C atom, with the H atom below. On the fifth carbon atom, the H atom is below, with a CH2OH molecule above. The sixth atom is O in every hexose sugar.)

40
Q

1.13 How is maltose formed?

A

Maltose is formed from two alpha-glucose sugars, joined with a 1-4 glycosidic bond.

41
Q

1.13 How is lactose formed?

A

Lactose is formed from beta-glucose and galactose, joined with a 1-4 glycosidic bond. With galactose, the OH group is above the first and fourth C atom, and the H atom is below it. The rest is the same as glucose.

42
Q

1.13 How is sucrose formed?

A

Sucrose is formed from alpha-glucose and fructose, joined with a 1-2 glycosidic bond. Fructose has the same formula as glucose, but with 5 member in the ring: with oxygen at the top, the first C atom has OH above and CH2OH below. The second has OH above and the third has OH below, with H opposite each group. The fourth carbon has CH2OH above and HO below.

43
Q

1.12 Relate the structure of starch to its function.

A

Starch acts as an energy storage molecule for plants. It is a mixture of two polysaccharides:
1. Amylose is a long, unbranched chain make from alpha-glucose monomers, joined with 1-4 glycosidic bonds. The position and angles of these bonds cause a coiled structure, making it compact and therefore good as a storage molecule.
2. Amylopectin is a long, branched chain made from alpha-glucose molecules, joined with both 1-4 and 1-6 glycosidic bonds. These side branches enable to enzymes to access and break down the glycosidic bonds easily, releasing glucose quickly when needed.
Starch is also insoluble in water, preventing it from effecting the concentration of water in the cell and the osmotic balance.

44
Q

1.12 Relate the structure of glycogen to its function.

A

Glycogen is the main energy storage material in animals. It is a branched polysaccharide of alpha-glucose monomers, joined with 1-4 and 1-6 glycosidic bonds. While it has a similar structure to amylopectic, it has many more side branches. This allows the enzymes to break the glycosidic bonds much more quickly for energy release. Glycogen is also insoluble in water, preventing it from effecting the concentration of water in the cell and the osmotic balance. It is also a large molecule, so can store a lot of energy.

45
Q

1.14 i) Describe the properties of a triglyceride.

A

Triglycerides are a type of lipids. The fatty acid chains that form a part of this molecule are hydrophobic. This means that triglycerides are insoluble in water (though soluble in organic solvents such as ethanol). They act as energy stores in plants and animals.

46
Q

1.14 ii) How is a triglyceride formed?

A

All fatty acids consist of the same basic structure, though the hydrocarbon tail varies: the carbon has an OH group, an O atom with a double bond, and the variable ‘R’ group. A glycerol molecule is CH2OH-CHOH-CH2OH. A triglyceride is made up of one glycerol molecule and three fatty acids. The bond that link each fatty acid to the glycerol is an ester bond, with each one formed in a condensation reaction. The H atom from each OH group on the glycerol molecule bonds with the OH group on each fatty acid, releasing a molecule of water. The reverse happens in hydrolysis, where a molecule of water is added to each ester bond to break it apart, and the triglyceride splits apart into three fatty acids and one glycerol molecule.

47
Q

1.14 ii) Explain the difference between saturated and unsaturated fats.

A

In a saturated fat, the maximum number of hydrogen atoms is apparent, keeping the chain long and straight, with no carbon to carbon double bonds. Monosaturated fats have one double bond between two of the carbon atoms in each fatty acid chain. Polyunsaturated fats have more than one double bond. A double bond causes a kink in the hydrocarbon chain.

48
Q

1.14 ii) Explain why unsaturated lipids melt at lower temperature than saturated ones.

A

Straight, saturated hydrocarbon chains can pack together closely. The strong intermolecular bonds between saturated lipids results in them being solid at room temperature. However, kink prevent the unsaturated hydrocarbon chains packing closely together. This increased distance between molecules weakens the intermolecular forces between the unsaturated lipids results in oils that are liquid at room temperature.

49
Q

1.15 Explain how LDL’s can impact the risk of CVD.

A

Cholesterol is not soluble in water. In order to be transported in the bloodstream, insoluble cholesterol is combined with proteins to form soluble lipoproteins. High total blood cholesterol level and high LDL level have both been linked to an increased risk of CVD. This is because an increased cholesterol level is thought to increase atheroma formation.

50
Q

1.15 Explain what LDL’s do.

A

Low density lipoproteins are mainly lipid. LDL’s transport cholesterol from the liver to the blood, where they circulate and then bind to receptor sites on cell membranes, before the cholesterol is needed by the cell. Excess LDL’s overload cell membrane receptors, resulting in high blood cholesterol levels. This LDL may be deposited in the artery walls, forming atheromas.

51
Q

1.15 Explain what HDL’s do.

A

High density lipoproteins are mainly protein. HDL’s transport cholesterol from the body tissues to the liver where it is broken down. This lowers blood cholesterol levels and helps remove the fatty plaques of atherosclerosis.

52
Q

1.16 How can people use scientific knowledge to reduce their risk of coronary heart disease?

A

The results from scientific studies that investigate the impact of risk factors for CVD are published in scientific journals. Government organisations and the media report the findings to the general public. People can use this information to make choices about their lifestyle, so they can reduce their chance of developing CVD.

53
Q

1.16 How can people use obesity indicators to reduce their risk of coronary heart disease?

A

Scientific studies have shown that obese people are more likely to develop CVD. Obesity indicators such as BMI or waist-to-hip ratio can be used to assess if people are overweight of obese. The results of these obesity indicators are compared to ‘normal’ values in a published table, which can then encourage lifestyle changes. These obesity indicators can then be used to monitor the effects of any changes in a person’s lifestyle.

54
Q

1.16 Explain what obesity indicators are.

A

Body mass index is used to classify body weight relative to a person’s height (BMI = body mass (kg)/height2(m2) ). However BMI does not have a correlation with fat levels in the body, so might not be accurate for athletes, children, people over 60, or those with long-term health conditions ( <18.5 = underweight, 18.5 - 24.9 = Normal, 25 - 29.9 = Overweight, >30 = Obese). Waist-to-hip ratio is often a better measure for obesity (waist (cm)/hips (cm) ). Ideally men should not have a waist-to-hip ratio above 0.9 and women should not have one above 0.85.

55
Q

1.17 Discuss the potential ethical issues regarding the use of invertebrates in research.

A

Many people believe that it is unethical to cause distress or suffering to any living organism. Animals can’t consent and may be subjected to painful procedures.
However, some believe that it is more acceptable to perform experiments on invertebrates than on vertebrates, because they are simpler organisms. For example, they have a much less sophisticated nervous system, which could mean that they feel less pain. They are also more distantly related to humans than other vertebrates.

56
Q

1.18 How do antihypertensives work?

A

They work by reducing blood pressure, so there’s less chance of damage occurring to the walls of arteries and reducing the risk of atheromas forming and blood clots developing.

  1. Beta-blocker: reduce the strength of the heartbeat.
  2. Vasodilators: widen the blood vessels
  3. . Diuretics: reduce the amount of sodium reabsorbed by the blood in the kidneys, which results in less water being reabsorbed, which reduces blood volume.
57
Q

1.18 Describe the benefits and risks of antihypertensives.

A

+ The different types of antihypertensives work in different ways, and so can be given in combination.
+ Blood pressure is something that you can monitor at home, so the patient can see if the drugs are working.
- Too low blood pressure can result in: palpitations, fainting, headaches and drowsiness.
- Allergic reactions and depression are other side effects.

58
Q

1.18 How do statins work?

A

They reduce blood cholesterol by reducing the amount of LDL’s produced in the liver. This reduces atheroma formation, which reduces the risk of blood clotting and CVD.

59
Q

1.18 Describe the benefits and risks of statins.

A

+ They reduce the risk of developing CVD.

  • Muscle and joint pain
  • Digestive system problems
  • Increased risk of diabetes
  • Nosebleeds, headaches and nausea
60
Q

1.18 How do anticoagulants work?

A

These reduce blood clotting, so it is like likely for blood clots to form at sites of damage to artery walls. Therefore, there’s less chance of a blood vessel becoming blocked by a blood clot, reducing the risk of CVD.

61
Q

1.18 1.18 Describe the benefits and risks of anticoagulants.

A

+ They prevent any existing blood clots from growing larger and prevent any new blood clots from forming.

  • The reduction is blood clotting can cause excessive bleeding is a person is injured, which can lead to fainting and even death.
  • Allergic reactions, weakened bones and swelling of the tissues are also side effects.
  • They can also damage a fetus if taken during pregnancy.
62
Q

1.18 How do platelet inhibitors work?

A

Platelet inhibitory drugs are a type of anticoagulant, which work by preventing platelets clumping together to form a blood clot, reducing the risk of CVD.

63
Q

1.18 Describe the benefits and risks of platelets inhibitors.

A

+ They prevent any existing blood clots from growing larger and prevent any new blood clots from forming.

  • Rashes
  • Diarrhoea
  • Nausea
  • Liver function problem
  • The reduction is blood clotting can cause excessive bleeding is a person is injured, which can lead to fainting and even death.