Unit 4 Flashcards

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1
Q

homeostasis

A

an equilibrium (steady state) between an organism’s various physiological functions, and between the organism and the environment

a balance in repsonse to continually changing conditions in both the internal and external environments

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2
Q

components of control systems

A

monitor - special sensors located in the organs of the body detect changes in homeostasis
coordinating centre - receives message from sensors and relays information to appropriate regulator
regulator/effectors - restores normal balance

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3
Q

the activity of various specialized parts of an animal are coordinated by the two major systems of internal communication:

A

nervous system - involved with high-speed messages

endocrine system - involved in production, release, and movement of chemical messengers

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4
Q

types of chemical signals

A

hormones - produced by endocrine system to convey info between organs of the body
pheromones - chemical signals used to communicate between different individuals
neurotransmitters - chemical signals between cells on a localized scale

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5
Q

negative feedback system

A

most homeostatic control systems are negative feedback systems
prevent small changes from becoming too large
a relationship in which the response is opposite to the stimulus
the body is self correcting by the use of negative feedback
turns off when returns to normal

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6
Q

positive feedback system

A

process by which a small effect is amplified
a relationship in which the response is the same as the stimulus
leads to instability and possibly death
must be turned off by outside event

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7
Q

role of nervous system

A

the human brain is the control centre of the body
the nervous system monitors and controls body processes, from automatic functions (such as breathing) to activities that involve fine motor coordination, learning and thought (ex. playing piano)

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8
Q

two major divisions of the nervous system

A

central nervous system - consists of brain and spinal cord; integrates and processes information sent by nerves
peripheral nervous system - network of nerves that carry sensory messages to CNS and send information from the CNS to muscles and glands; subdivided into afferent and efferent system

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9
Q

subdivisions of peripheral nervous system

A
afferent system (carrying toward) - receives input through receptors and transmits input to CNS by afferent neurons; the afferent/sensory neuron carries impulses from sensory receptors to CNS
efferent system (carrying away) - efferent neuron carries impulses from CNS to effectors (muscles and glands); further subdivided into somatic and autonomic system
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10
Q

subdivisions of efferent system

A

somatic system - composed of efferent (motor) neurons that carry signals to skeletal muscles in response to external stimuli; essentially voluntary
autonomic system - communicates with smooth muscles and glands; controls mainly involuntary processes such as digestion, secretion by sweat glands, blood circulation and contraction of smooth muscles; further subdivided into sympathetic and parasympathetic systems

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11
Q

subdivisions of the autonomic system

A

sympathetic division - increases energy consumption and prepares body for action; dominates in situations that involve stress, danger, excitement or strenous physical activity; signals from sympathetic division increase force and rate of heartbeat, raise blood pressure by vasoconstriction, dilate air passages in lungs, induce sweating, and dilate pupils
parasympathetic division - stimulates body activities that acquire and conserve energy; dominates during quiet, low-stress situations, such as relaxation; effects of sympathetic division are reduced (rapid heartbeat, elevated blood pressure) and maintenance activities such as digestion predominate

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12
Q

neurons

A

nerve cell
structural and functional unit of nervous system
consist of a nucleus, cell body, dendrites, and axons
specialized to respond to physical and chemical stimuli, conduct electrochemical signals, and release chemicals that regulate body processes
neurons are organized into tissues called nerves

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13
Q

dendrites (neurons)

A

highly branched projections which form treelike outgrowth at one end of neuron
receive nerve impulses or signals and transmit them towards cell body

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14
Q

cell body (neurons)

A

contains nucleus and most of the organelles
site of cell’s metabolic reactions
processes input from dendrites - if input large enough, relayed to axon and impulse is initiated

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15
Q

axon (neurons)

A

specialized projection that conducts impuses away from cell body to another neuron or an effector
terminal end branches into many fibres
branching end as small button-like swellings called axon terminals

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16
Q

axon terminal (neurons)

A

releases chemical signals into space between neuron and the receptors or dendrites of neighbouring cells

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17
Q

glial cells

A

support cell of nervous system
do not conduct electrical signals
nourish neurons, remove their wastes, and defend against infection
provides a supporting framework for all nervous system tissue

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18
Q

schwann cells

A

type of glial cell that forms myelin by wrapping themselves around axons
myelin sheaths are the fatty, insulating layer around the axon which protects neurons and speeds up the rate of nerve impulse transmission

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19
Q

nodes of ranvier

A

regularly occurring gap between sections of myelin sheaths along axon
expose axon membrane directly to extracellular fluids
speeds up the rate at which electrical impulses move along axons

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20
Q

neural signalling

A

reception - detection of stimulus, performed by neurons and by specialized sensory receptors (in eyes and skin)
transmission - movement of message along neuron to either another neuron of muscle or gland
integration - sorting and interpretation of multiple neural messages and determination of appropriate response
response - output or action

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21
Q

three functional classes of neurons involved in neural signalling

A
afferent neurons (sensory neurons) - transmit stimuli collected by their sensory receptors to interneurons in CNS
interneurons - integrate neural message and relay impulses between afferent and efferent neurons, found primarily in brain and spinal cord (CNS)
efferent neurons - carry response signal away from interneurons to effectors, which are muscles or glands; efferent neurons that carry signals to skeletal muscles are called motor neurons
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22
Q

reflex and reflex arc

A

reflex - sudden, involuntary response to certain stimuli (ex. jerking hand away from hot or sharp object)
reflex arc - simple connections of neurons that result in response to a stimulus; neural circuit that travels through spinal cord but does not require coordination of brain

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23
Q

how does the neural arc work

A

ex. receptors in skin sense pressure of cactus
initiate an impulse in afferent (sensory) neuron
impulse activates interneuron in spinal cord
interneuron signals motor neuron to instruct muscle to contract and withdraw hand

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24
Q

three factors maintain resting membrane potential

A
  1. large negatively charged proteins in intracellular fluid too large to pass through cell membrane
  2. plasma membrane has ion-specific channels that allow passive movement of ions across membrane. K+ channels tend to be open at resting potential, move along concentration gradient. Na+ cannot move into cell as easily. interior of cell more negative than exterior.
  3. NA+/K+ active transport pump pumps 3 Na+ out of cell for every 2 K+ pumped in. Net positive charge outside of cell.
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25
Q

how does a nerve impulse travel?

A

nerve is stimulated, an action potential is triggered and the neuron reaches threshold potential. Na+ channels in cell membrane open, Na+ ions rush into the axon. Charges reverse at this point on the neuron. cell becomes depolarized to +40 mV. change in charge opens next Na+ gates down the line. Na+ ions continue to diffuse into the cell like a domino effect through these gates.
As a result of the change in membrane potential, Na+ channels close and K+ channels open. K+ ions rush out of the axon. Membrane becomes hyperpolarized to -90mV before the K+ channels close.
Resting potential is restored and the membrane is repolarized to -70mV by the sodium-potassium pump.
action potential propagates down axon to next neuron

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26
Q

how does the nerve reset itself?

A

Na+ needs to move back out and K+ needs to move back in, both against a concentration gradient
this is accomplished with active transport in a sodium-potassium pump which requires ATP
3 Na+ out, 2 K+ in
resets charge across the membrane

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27
Q

refractory period

A

a result of a temporary inactivation of the Na+ channels

during the refractory period after an action potential, a second action potential cannot be initiated

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28
Q

myelinated nerve impulse

A

in myelinated neurons, action potentials are generated only at the nodes of Ranvier which contain many voltage-gated sodium channels. it is the only area of myelinated axons that have enough sodium channels to depolarize the membrane to cause action potential.

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29
Q

saltatory conduction

A

conduction of an impulse along a myelinated neuron

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30
Q

unmyelinated nerve impulse

A

conduction of nerve impulse is continuous and much slower than saltatory conduction along myelinated axon

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31
Q

synaptic terminal & synapse

A

synaptic terminal - passes information across the synapse in the form of chemical messengers called neurotransmitters
synapse - a junction between an axon and another cell

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32
Q

presynaptic cell vs postsynaptic cell

A

presynaptic cell - a neuron where info is transmitted from

postsynaptic cell - the next neuron, a muscle, or a gland cell

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33
Q

membrane potential & resting membrane potential

A

membrane potential - electrical charge separation across a cell membrane; a form of potential energy

resting membrane potential - potential difference across the membrane in a resting neuron (-70 mV)

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34
Q

action potential

A

the movement of an electrical impulse along the plasma membrane of an axon.
the change in charge that occurs when the gates of the K+ channels close and the gates of the Na+ channels open after a wave of depolarization is triggered

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35
Q

signal transfer across a synapse

A

neurotransmitters carry neural signal. when an action potential arrives at the end of a presynaptic neuron, the impulse causes intracellular sacs that contain neurotransmitters to fuse with the membrane of the axon. these sacs, called synaptic vesicles, release their contents into the synaptic cleft (small gap between neurons) by exocytosis
when the neurotransmitters reach the postsynaptic membrane, they bind to specific receptor proteins which trigger ion-specific channels to open.

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36
Q

types of neurotransmitters

A

excitatory - speed up impulses by causing depolarization of postsynaptic membrane
inhibitory - slow impulses by causing hyperpolarization of postsynaptic membrane

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37
Q

acetylcholine

A

common neurotransmitter in vertebrates and invertebrates
involved in muscle stimulation, memory formation, and learning
acetylcholine-releasing neurons in brain degenerate in people who develop Alzheimer’s disease

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38
Q

acetylcholinesterase

A

enzyme which breaks down acetylcholine neurotransmitter

acetylcholinesterase inhibitors such as snake venom and insecticides are neurotoxins

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39
Q

common neurotransmitters

A

epinephrine (adrenaline) & norepinephrine - fight or flight response
dopamine - widespread in brain; affects sleep, mood, attention & learning; lack of dopamine in brain associated with Parkinson’s disease; excessive dopamine linked to schizophrenia
serotonin - widespread in brain; affects sleep, mood, attention & learning; inadequate amounts of serotonin linked to depression
endorphins - affect our perception of pain / natural pain killers; create a sense of euphoria; opiates bind to the same receptors as endorphins and can be used as painkillers

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40
Q

gray matter vs white matter

A

consists of neuron cell bodies, dendrites, unmyelinated axons
consists of bundles of myelinated axons

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41
Q

cerebrospinal fluid

A

filtered from blood and functions to cushion the brain and spinal cord
fills the central canal of the spinal cord and the ventricles of the brain

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42
Q

blood-brain barrier

A

supplies brain with nutrients (glucose and oxygen)
protects brain by blocking potentially harmful substances such as toxins and infectious agents
caffeine, nicotine, alcohol and anesthetics cross barrier - have rapid effects on brain function

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43
Q

spinal cord

A

column of nerve tissue that extends out of the skull from the brain, and downward through a canal within the backbone

through the spinal cord afferent nerves carry messages from body to brain for interpretation and efferent nerves relay messages from the brain to effectors

primary reflex centre - contains interneuron circuits that control motor reflexes

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44
Q

what protects the spinal cord

A

cerebrospinal fluid
the spinal column (vertebrae)
meninges - 3 layers of tough, elastic tissue within skull and apinal column that directly enclose brain and spinal cord

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45
Q

3 membrane of the meninges

A

dura mater - tough outer membrane that adheres to skull
arachnoid - web-like middle layer that reabsorbs cerebrospinal fluid
pia mater - the innermost layer that contains many blood vessels and closely covers the brain and spinal cord

46
Q

functional divisions of the brain

A

hindbrain - evolutionary older structures of the brain; regulate essential autonomic & integrative functions, coordination & homeostasis; composed of the brainstem (pons, medulla oblongata), cerebellum

midbrain - found above pons in brainstem, directly below cerebral cortex; involved in the integration of sensory info, regulation of visual and auditory reflexes

forebrain - controls thought, learning, and emotion; composed of the thalamus, hypothalamus, and cerebrum

47
Q

medulla oblongata

A

controls autonomic homeostatic functions such as heart & blood vessel activity, breathing, swallowing, vomiting, digestion

48
Q

pons

A

serves as a bridge between neurons of rights and left halves of the cerebrum, cerebellum, and the rest of the brain
relays info to & from higher brain centers

49
Q

cerebellum

A

“little brain”
important for unconcious coordination, fine voluntary motor skills and error checking during motor, perceptual and cognitive functions
involved in learning and remembering motor skills

50
Q

thalamus

A

relay system
main input center for sensory information to the cerebrum and the main output center for motor information leaving the cerebrum

51
Q

hypothalamus

A

regulates homeostasis (body temp, blood pressure, heart rate, thirst, hunger, sleep, and water balance), emotions (fear, rage and pleasure), and coordinates hormone production

52
Q

cerebrum

A

most highly evolved structure of mammalian brain
left hemisphere - right side of body
right hemisphere - left side of body
centres for intellect, learning and memory, consciousness, and language; interprets and controls the response to sensory info

53
Q

corpus callosum

A

major connection between 2 hemispheres

54
Q

left hemisphere of cerebrum

A

linked to segmental, sequential, and logical ways of thinking, and to linguistic and mathematical skills

55
Q

right hemisphere of cerebrum

A

associated with holistic and intuitive thinking, visual-spatial skills, and artistic abilities

56
Q

frontal lobe

A

located at the front of the cerebrum
controls reasoning, critical thinking, memory, language and personality
primary motor area - coordinates motor responses

57
Q

parietal lobe

A

receive and process sensory information from skin
tough, temperature, and taste, and association areas for emotions, reading and interpreting speech
hep process info about body’s position and orientation

58
Q

temporal lobe

A

auditory reception
helps process visual info
linked to understanding speech and accessing verbal and visual memories

59
Q

occipital lobe

A

receives and analyzes visual information

needed for object recognition

60
Q

broca’s area and wernicke’s area

A

broca’s area - found in the frontal lobe; active when speech is generated
wernicke’s area - found in the temporal lobe; active when speech is heard

61
Q

prefrontal cortex

A

helps plan actions and movements

62
Q

limbic system

A

functions in motivation, olfaction, behavior, memory, and emotions
mediates basic emotions (fear, anger), involved in emotional bonding, establishes emotional memory
composed of the amygdala, hippocampus, and parts of the thalamus

63
Q

amygdala and hippocampus

A

amygdala - involved in recognizing emotional content of facial expression
hippocampus - short and long term memory

64
Q

examples of waste products being removed from the body

A

lungs remove CO2
large intestine removes toxic wastes
liver transforms toxins such as alcohol and heavy metals into soluble compounds and transforms products of protein metabolism into metabolites
kidneys remove waste, balance blood pH, and maintain water balance

65
Q

deamination

A

occurs in the liver
ammonia group which is water soluble and extremely toxic, is removed from protein
ammonia combines with CO2 to form urea which is 100 000x less toxic
uric acid is formed by the breakdown of nucleic acids
ammonia, urea, and uric acid are all removed by the kidneys

66
Q

excretory system

A

regulates the volume and composition of body fluids by excreting metabolic wastes and recycling some substances for reuse
main organs include kidneys, ureters, bladder, and urethra
associated blood vessels are renal artery/vein, afferent/efferent arterioles, glomerulus, and peritubular capillaries

67
Q

kidney functions that contribute to homeostasis

A

1) excretion of metabolic wastes - ammonia, urea, uric acid
2) maintenance of water-salt balance - also regulates blood pressure, and levels of potassium, bicarbonate, and calcium in the bloog
3) maintenance of acid-base balance - excreting H+ and reabsorbing bicarbonate HCO3
4) secretion of hormones - calcitriol (promotes Ca absorption) and erythropoietin (stimulates production of RBCs in response to oxygen level)

68
Q

3 regions of the kidney

A

cortex - outer layer
medulla - inner layer, beneath the cortex, consists of renal pyramids which are cone-shaped tissue masses
renal pelvis - hollow chamber where collecting ducts join and empty into ureter

69
Q

nephrons

A

microscopic tube-like filtration units of kidneys that have their own blood supply
role is to filter wastes while retaining/reabsorbing water and other vital materials

70
Q

bowman’s capsule

A

cap-like formation at the top of each nephron that serves as a filtration structure
surrounds the glomerulus
found in the renal cortex

71
Q

glomerulus

A

knot of capillaries inside the bowman’s capsule
waste products of metabolism (water, small molecules, ions and urea) pass through the walls and into nephron
walls are impermeable to proteins, other large molecules and red blood cells remain in blood
filtered fluid is called filtrate

72
Q

afferent vs afferent arteriole

A

afferent carries blood to the glomerulus

efferent carries blood away from the glomerulus

73
Q

proximal convuluted tubule

A

narrow regions of the nephron after the bowman’s capsule, joins the bowman’s capsule to loop of henle, found in the renal cortex
main function is reabsorption of water and solutes
involves both active and passive transport mechanisms

74
Q

loop of henle

A

consists of a descending limb that allows water to leave filtrate (reabsorbed) and an ascending limb where ions (Na+, Cl-, K+) leave filtrate (reabsorbed)
found in the renal medulla

75
Q

distal convoluted tubule

A

last tubule region following the loop of Henle
main function is reabsorption of water and solutes
found in the renal cortex

76
Q

collecting duct

A

functions as a water conservation device, reabsorbing water from filtrate
filtrate is now referred to as urine
area where urine is collected in the kidney, found in the renal medulla, carries urine to the renal pelvis

77
Q

formation of urine steps

A

glomerular filtration of the blood
tubular reabsorption into the blood
tubular secretion from the blood
water reabsorption from filtrate

78
Q

glomerular filtration

A

blood moves from the afferent arteriole into the glomerulus
dissolved solutes such as H2), NaCl and H+ pass into the Bowman’s capsule
large molecules such as proteins, blood cells and platelets cannot pass through the glomerulus

79
Q

tubular reabsorption

A

selective reabsorption occurs by both active (Na+ ions and glucose) and passive transport (Cl-, negative ions)
excess salt remains in the nephron and is excreted with the urine

interstitial fluid outside the loop of Henle is very salty.
thin descending limb diffuses water out (osmosis)
thick ascending limb actively transports sodium ions out

80
Q

tubular secretion

A

wastes (drugs, toxins) are secreted from the blood and move into the nephron
nitrogen-containing wastes, excess H+ (to maintain pH) and K+ are secreted
reabsorption of ions due to needs of the body

81
Q

water reabsorption

A

water leaves collecting duct by osmosis into surrounding capillaries
filtrate is more concentrated and now called urine

82
Q

osmotic pressure

A

force generated as water moves by osmosis

affected many cellular activities, especially the exchange of materials between cells and blood

83
Q

osmoreceptors & water balance

A

cells that are sensitive to osmotic pressure, located in the hypothalamus
when blood plasma is too concentrated (hypertonic), osmotic pressure increases. osmoreceptors send an impulse to pituitary gland that causes the release of antidiuretic hormone (ADH) which increases the permeability of the distal tubule and collecting duct, allowing more water to be reabsorbed from the filtrate into the blood. this dilutes the blood and lowers osmotic pressure to normal. this produces a more concentrated urine.

84
Q

high osmotic pressure vs low osmotic pressure

A

high osmotic pressure - when there is little water in blood (dehydrated), body fluids too concentrated, ADH is released into the bloodstream
low osmotic pressure - blood plasma has a lot of water and is dilute, osmoreceptors stop or prevent the release of ADH which makes distal tubule and collecting duct less permeable to water, allows more water to remain in filtrate making urine dilute as well

85
Q

adjusting blood pressure and volume

A

a hormone aldosterone produced in the adrenal glands (located above kidneys) acts on the nephrons to increase Na+ reabsorption which lowers blood pressure because it lowers the voume of water
receptors near the glomerulus detect blood pressure change and release an enzyme called renin which converts plasma protein angiotensinogen into angiotensin, an enzyme that can constrict blood vessels and also stimulate the release of aldosterone
blood pressure is increased

86
Q

adjusting pH balance

A

cellular respiration releases H+ ions into blood which decreases pH

buffer system
H+ + HCO3- –> H2CO3 –> H2O + CO2

if the blood is too acidic, H+ is excreted and HCO3- is reabsorbed. if the blood is too basic, H+ is not excreted and HCO3- is not reabsorbed

87
Q

diabetes insipidus

A

condition in which the kidneys don’t concentrate urine very well
symptoms are frequent urination and strong thirst response
causes are inadequate production of ADH, head or brain injury, brain tumours
treated by drinking large volumes of water

88
Q

diabetes mellitus

A

chronic condition in which the islet cells in the pancreas produce little or no insulin - the hormone that controls the amount of glucose absorbed in the blood
symptoms are frequent urination, extreme thirst, lack of energy, vision problems
treatment includes insulin replacement therapy or oral hypoglycemic medication

89
Q

endocrine system

A

system that works with nervous system to maintain homeostasis by releasing chemical hormones from various glands
composed of endocrine glands and hormones

90
Q

endocrine glands

A

secrete chemical messengers called hormones directly into the bloodstream

91
Q

hormones

A

chemical regulators produced by cells in one part of the body that effect cells in another part of the body
can speed up or slow down certain bodily processes

92
Q

endocrine hormones

A

chemicals that are produced by endocrine glands and secreted directly into the blood

93
Q

non-target vs target hormones

A

non-target - affect many cells throughout the body; ex. insulin, epinephrine
target - affect specific cells or target tissues; ex. parathyroid hormone

94
Q

hypothalamus and pituitary gland in endocrine system

A

hypothalamus regulates the pituitary gland through nerve stimulation
the pituitary gland stimulates the glands of the endocrine system to release hormones

95
Q

how do hormones signal cells

A

hormones can only affect the cells that contain the right type of receptor capable of recognizing and interacting with the hormone

96
Q

steroid hormones

A

made from cholesterol
complex rings of C, H, and O
soluble in fat, can easily diffuse through lipid bilayer of cell membrane
ex. sex hormones
these hormones act by diffusing directly into the target cell and activating specific genes to illicit response

97
Q

peptide hormones

A

made from amino acid chains of varying length
water soluble, cannot diffuse across cell membrane
ex. epinephrine, insulin, hGH (human growth hormone)
these hormones act by binding to receptor on surface of cell membrane which then causes a chain reaction inside the target cell called a signal transudction pathway

98
Q

pituitary gland

A

“master gland”
a pea sized gland located in a bony cavity attached by a thin stalk to the hypothalamus at the base of the brain
controls other endocrine glands and regulates body growth
functions as a control centre, coordinating the endocrine and nervous systems
composed of the posterior and anterior lobe

99
Q

posterior pituitary

A

considered part of the nervous system

does not produce any hormones but stores and releases hormones ADH and oxytocin which are produced in the hypothalamus

100
Q

anterior pituitary

A

true hormone-synthesizing gland
hypothalamus controls the secretions of the anterior pituitary
hormones are secreted into the bloodstream

101
Q

thyroid gland

A

a butterfly shaped gland in the front of the neck that secretes a hormone that controls the speed at which the body cells work
secretion of thyroid hormone is under negative feedback from the hypothalamus via TSH (thyroid-stimulating hormone)

102
Q

parathyroid glands

A

4 small glands located behind (in) the thyroid gland that regulate the Ca2+ content in the blood

103
Q

adrenal glands

A

located above each kidney
regulate the use of carbs and salts and prepare the body for emergency by producing adrenaline (epinephrine)
consists of the adrenal cortex and the adrenal medulla

104
Q

adrenal medulla

A
produces epinephrine (adrenaline) and norepinephrine (noradrenaline)
regulates the short-term stress response (fight or flight)
105
Q

adrenal cortex

A

involved in long-term stress response

produces glucocorticoids & mineralocorticoids

106
Q

cortisol

A

a glucocorticoid produced by the adrenal cortex
raises blood glucose in the blood by promoting breakdown of muscles to amino acids and prompting breakdown of fat cells
natural anti-inflammatory & suppresses immune system & inhibits regeneration of connection tissue

107
Q

aldosterone

A

mineralocorticoid produced by adrenal cortex
increases the absorption of sodium into the blood
increases ion concentration in blood, more osmosis, increases blood pressure

108
Q

hormones of the pancreas

A

clusters of endocrine cells throughout the pancreas called the islets of Langerhans secrete 2 hormones: insulin & glucagon
2 types of cells in the islets of Langerhans - Beta cells secrete insulin hormone which decreases the level of blood glucose. alpha cells secrete glucagon hormone which increases level of blood glucose

109
Q

blood glucose homeostasis

A

when blood glucose levels rise, beta cells secrete insulin which makes cells more permeable to glucose. therefore, blood glucose decreases.
low blood sugar causes by exercise or fasting stimulates alpha cells to release glucagon. glucagon stimulates the liver to convert glycogen back into glucose, which is released into blood

110
Q

diabetes mellitus type 1 vs type 2

A

type 1 - immune system produces antibodies that attack and destroy beta cells in the islets of Langerhans. beta cells degenerate and are unable to produce insulin. patients must have daily injections of insulin
type 2 - body cells stop responding to insulin. can be controlled with diet, exercise, and oral drugs that stimulate the islets of Langerhans

111
Q

glucocorticoid vs mineralocorticoid

A

glucocorticoid stimulates tissues to raise blood glucose and break down protein
mineralocorticoid promotes reabsorption of sodium and water by the kidneys