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Foundations Of Medicine > Week 1 > Flashcards

Week 1 Flashcards

1
Q

Where is extracellular fluid?

A

Outside the cell

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2
Q

What is it called when pH is too low?

A

Acidosis

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3
Q

When is MRI used?

A

For soft tissue. MRI is the gold standard for soft tissue imaging

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4
Q

What are the levels of organization in an organism?

A
  • Atom
  • Molecule
  • Macromolecule
  • Organelle
  • Cell
  • Tissue
  • Organ
  • Organ system
  • Organelle
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5
Q

What are the four levels of protein organisation?

A
  • Primary
  • Secondary
  • Tertiary
  • Quaternary
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6
Q

Proximal

A

Closer to the axial body along an appendage

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7
Q

Pathogenesis of Rickets

A
  • Insufficient/no vitamin D3, meaning osteoclasts have the sole responsibility of maintaining calcium levels.
  • Bone breakdown increases
  • Decreased bone density -> rickets
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8
Q

What are the consequences of too much glucose in the bloodstream?

A

Glucotoxicity: osmotic gradient draws water out of cells, causing dehydration and death of cells.

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9
Q

Why are carbohydrates the primary source of energy for the body?

A

They can be rapidly and easily converted into energy for use.

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10
Q

Why is ultrasound not used when air and calcification are involved?

A

Air and calcified structures reflect sound strongly, creating a hyperechogenic line that obscures structures deep to it

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11
Q

Mid-sagittal plane

A

Divides the body into equal left and right halves

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12
Q

Describe blood pressure homeostatic regulation

A

Blood pressure changes -> baroreceptors detect -> sent via afferent neurons to brainstem -> information sent along efferent nerves cause heart rate to adjust

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13
Q

What type of feedback is involved in homeostatic regulation?

A

Negative

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14
Q

Why are pregnant women and children at higher risk from ionising radiation?

A

The effects of ionising radiation unfold over time. Since unborn (and born) children have more of their lives ahead of them, they are at higher risk of experiencing adverse effects from this exposure.

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15
Q

Advantages of MRI

A
  • No ionising radiation exposure
  • Very high image quality
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16
Q

Rostral

A

Superior-anterior tip

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17
Q

What is a polypeptide with less than 50 amino acids called?

A

Peptide

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18
Q

Define Regional anatomy

A

Study of features in a specific anatomical region

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19
Q

State the basic feedback loop of homeostatic regulation

A

Stimulus -> receptor -> control center -> effector -> response -> homeostasis

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20
Q

Describe the quaternary level of protein organisation

A

Multiple 3D polypeptide joined together

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21
Q

Why does it make sense that IV contrast could cause acute renal failure?

A

The kidneys are reponsible for filtering IV contrast out of the blood. Therefore, kidneys are closely related to the processing of IV contrast, and any negative effects of the substance could act upon the kidneys.

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22
Q

What does physiology pertain to?

A

The function of body parts

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23
Q

What elements are in carbohydrates?

A

Carbon, Hydrogen and Oxygen (think: glucose) About 1:2:1 ratio

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24
Q

Describe how the body increases calcium levels

A
  • Calcium decreases
  • Parathyroid cells detect this change
  • This increases the cell’s secretion of Parathyroid Hormone (PTH)
  • PTH acts on bone, kidney and gut cells.
    > Osteoclasts break down bone to get calcium
    With the help of the steroid hormone vitamin D3:
    > More calcium is digested from food
    > More calcium is reabsorbed into blood
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25
Q

Define cytology

A

The study of cells (cyto-plasm)

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26
Q

Para-sagittal plane

A

Divides the body into unequal left and right halves

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27
Q

Why is endocrine signalling slower than nervous signalling?

A

Endocrine communication requires molecules to flow through the bloodstream to target sites, which is much slower than the electrical impulses used in nervous signalling

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28
Q

What are two kinds of extracellular fluid?

A

Interstitial: Between cells and vessels
Intravascular: Within vessels

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29
Q

What does physiology pertain to?

A

The function of body parts

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30
Q

How does CT differ from x-rays?

A

CT scans involve taking multiple images from varying angles, which are then reconstructed into multi-slice sections that can be reformatted into multiple planes

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31
Q

What are the disadvantages of x-ray?

A
  • Radiation exposure
  • Limited detail of images
  • Static image
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32
Q

List some factors that are homeostatically regulated

A
  • Blood pressure
  • Blood pH
  • Blood glucose
  • Blood volume
  • Core body temp (not peripheral)
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33
Q

List some physiological responses that occur when core body temperature is too low

A
  • Shivering
  • Lack of sweating
  • Vasoconstriction (smooth muscles contract; less flow to superficial arterioles)
  • Increased brown fat metabolism (therefore increased heat generation)
  • Piloerection (leads to goosebumps)
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34
Q

Where is the appendicular body?

A

Appendages and girdles (e.g. connections to the axial body)

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35
Q

True or false: homeostasis always tends toward the same internal conditions

A

False. Homeostasis is a dynamic steady state, meaning it can adapt to determine the ideal environment for the body depending on external stimuli

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36
Q

What is the natural pH of the human body?

A

7.4

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37
Q

Where is intracellular fluid?

A

Inside the cell

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38
Q

When is CT used?

A
  • Diagnostic tool
  • Ongoing monitoring in oncology
  • Preoperative planning
  • When detail of lung, bone, and soft tissue is needed
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39
Q

What are the advantages of computed tomography scans?

A
  • Relatively accessible
  • Relatively cheap
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40
Q

What are the risks of x-rays?

A

Ionising radiation associated with increased cancer risk (lower exposure than CT)

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41
Q

Posterior (dorsal)

A

The “back” surface of the body

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42
Q

What is the basic definition of lipids?

A

Organic molecules that cannot readily dissolve in water

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43
Q

Distal

A

Further from the axial body along an appendage

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44
Q

What fluid-balancing hormone is made in the hypothalamus? What are its names?

A
  • ADH
  • Vasopressin
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45
Q

What elements are in lipids (+ ratio)

A

Carbon, hydrogen and oxygen, at about ~1:2:<1

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46
Q

Define embyrology

A

The science of the development of the embryo from fertilization to the foetal stage

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47
Q

Structure and function of the lymphatic system

A

Structure: lymph, lymph vessels and lymph organs
Function: Fluid balance, defense and immunity

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48
Q

Caudal

A

Inferior-posterior tip

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49
Q

What are the three types of RNA and their functions?

A
  • mRNA: formed during transcription during protein synthesis
  • tRNA: has corresponding anticodons to mRNA that deliver amino acids to ribosome
  • rRNA: structural unit of ribosomes
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50
Q

Disadvantages of MRI

A
  • Claustrophobia
  • Limited accessibility (expensive, immobile, large machines)
  • Loud
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51
Q

Is access to nuclear medicine limited or abundant?

A

Limited

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52
Q

What are the three levels of organisation of matter?

A
  • Atoms
  • Elements
  • Compounds
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53
Q

What are the risks of CT scans?

A

Ionising radiation exposure

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54
Q

Transverse plane

A

Divides the body into superior and inferior components

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55
Q

How does MRI work?

A
  1. Body is placed in magnetic field that aligns all the protons in the body
  2. Radio waves are projected through the body, disturbing proton alignment
  3. Protons return to alignment differently according to various tissues
  4. Therefore, proton alignment can be processed into an image
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56
Q

What is positive feedback?

A

Any feedback loop that amplifies an initial stimulus (e.g. blood clotting -> platelet coagulation)

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57
Q

Is body fat proportional or inversely proportional to water content? Why does this make sense?

A

Inversely proportional. Lipids are insoluble in water.

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58
Q

Blood pressure/volume regulation (too high)

A

Detected -> stimulate Atrial Natriuretic Peptide -> inhibits aldosterone production -> less water and salt are reabsorbed, decreasing BP and volume back to regular levels

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59
Q

Anterior (ventral)

A

Closer to the “front” surface of the body

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60
Q

Why is thermoregulation important?

A

Critical enzymes in the body will become inactive or denatured if allowed outside of a narrow temperature range, thus impairing bodily functions.

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61
Q

What are the four kinds of cellular signalling used in homeostasis?

A
  • Juxtacrine: Between two touching cells
  • Paracrine: Between two cells that are separated by a short distance
  • Endocrine: Where a message is relayed through vessels from one cell to another
  • Autocrine: A cell sends a message to itself
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62
Q

True of false: the same IV contrast is used in CT and MRI?

A

False

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63
Q

Which imaging techniques involve the use of ionising radiation?

A

CT and X-ray

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64
Q

Where are osmoreceptors located?

A

The hypothalamus

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65
Q

Why can hypoglycemia cause neural dysfunction?

A
  • CNS and PNS almost exclusively use glucose for cellular respiration
  • Therefore, when less glucose is present, neurons have insufficient energy, and so neural dysfunction occurs
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66
Q

What is the main function of carbohydrates?

A

Primary source of energy for the body

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67
Q

Pathogenesis of Type 2 Diabetes

A
  • Body develops a resistance to insulin
  • Blood sugar levels cannot be monitored as easily
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68
Q

What are the risks of MRI?

A
  • Metal cannot be in the body
  • Risk in pregnancy
  • IV contrast can be used
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69
Q

Inferior

A

Closer to the plantar surface of the foot

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70
Q

Define systematic anatomy

A

The study of structures that make up an organ system

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71
Q

Structure and function of the cardiovascular system

A

Structure: Blood, blood vessels, heart
Function: Transport and exchange of nutrients, waste, and gases around the body

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72
Q

Describe the tertiary level of protein organisation

A

3D polypeptide structure

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73
Q

What is homeostasis?

A

Homeostasis is the self-regulatory process of the maintaining stable internal conditions within the body such that cells, tissues and organs can function optimally.

74
Q

What is negative feedback?

A

Any feedback loop that negates an initial stimulus (e.g. thermoregulation)

75
Q

Define anatomical pathology

A

Study of the structural changes that are brought about as a result of (and during) disease

76
Q

Structure and function of the integumentary system

A

Structure: Skin and accessory structures
Function: Sense and protect. Unique in its exposure to the external environment

77
Q

Why do carbohydrates only contribute to ~2% of the body’s mass?

A

They are the body’s primary energy source, and are burned quickly, meaning most of their mass is converted to energy relatively quickly

78
Q

What are the risks of IV contrast?

A
  • Potential allergic reaction
  • Possible acute renal failure
79
Q

When are X-rays used?

A
  • Dense structures such as bones (things with calcification)
  • When tissues of differing density are present
80
Q

What are the three classifications of carbohydrates?

A

Monosaccharide: One saccharide ring
Disaccharide: Two saccharide rings
Polysaccharide: More than two saccharide rings

81
Q

Describe the primary level of protein organisation

A

Sequence of amino acids joined by peptide/amide bonds

82
Q

What are some consequences of diabetes

A
  • Cardiovascular disease
  • Liver disease
  • Nervous damage
83
Q

Draw the basic structure of an amino acid

A
  • Central carbon
  • Hydrogen
  • R Group
  • Carboxy group
  • Amine group
84
Q

Why is IV contrast used in CT scans

A

To assess the vascularity of structures

85
Q

Structure and function of the musculoskeletal system

A

Structure: muscles, bones, and joints
Function: Mechanical protection, support, movement

86
Q

What is unique about carbon atoms in terms of biomolecules?

A

Carbon atoms can form covalent bonds with four other atoms, enabling them to create a wide variety of molecules of all shapes and sizes

87
Q

Methods of body fluid movement (with corresponding pressures)

A

Hydrostatic > Osmotic: Filtration
Hydrostatic < Osmotic: Reabsorption

88
Q

Superior

A

Closer to the top of the head

89
Q

What are some important functions of calcium in the body?

A
  • Necessary for muscle contraction
  • Bone density
  • Neurotransmitter release
90
Q

Coronal plane

A

Divides the body into anterior and posterior components

91
Q

Are any groups more at risk from ionising radiation?

A

Pregnant women and children

92
Q

Define Surface/Superficial Anatomy

A

Study of anatomical features on the surface of the body (think: deep, intermediate, superficial)

93
Q

What is a polypeptide with more than 50 amino acids called?

A

Protein

94
Q

Classifications of fluids

A

Solutions: clear, particles stay in solution
Colloids: Larger molecules remain dispersed but are not chemically combined
Suspensions: Large particles that eventually precipitate out of solution

95
Q

Structure and function of the nervous system

A

Structure: CNS (brain and spinal cord) and PNS (all other neurons outside these areas)
Function: Detect external stimuli, integrate sensory input, issue corresponding responses and coordinate the involvement of other body systems in homeostatic regulation

96
Q

What is CT not good at imaging?

A

Soft tissue structures of similar density

97
Q

What are the four types of macromolecules?

A
  • Proteins
  • Carbohydrates
  • Lipids
  • Nucleic Acids
98
Q

Disadvantages of ultrasound

A
  • Limited range of depths and tissues can be tested
  • Some scans benefit from patient cooperation
99
Q

Define comparative anatomy

A

The comparison of anatomical features between species

100
Q

Blood pressure/volume regulation (too high)

A

Detected -> stimulate Atrial Natriuretic Peptide -> inhibits aldosterone production -> less water and salt are reabsorbed, decreasing BP and volume back to regular levels

101
Q

What is nuclear medicine?

A

Using radioisotopes to assess function, diagnose and treat disease

102
Q

Describe the secondary level of protein organisation

A

Alpha helices and beta sheets. Held together by hydrogen bonds between amide bonds

103
Q

Where is the axial body?

A

Anything connected to the midline (trunk, head, torso, neck)

104
Q

Blood glucose feedback loop (too low)

A
  • Blood glucose decreases
  • Beta cells in pancreas detect
  • Alpha cells in pancreas secrete glucagon
  • Glucagon prompts glycogen breakdown in liver cells
  • Blood glucose increases
105
Q

Composition of blood

A

Plasma: 55%
Buffy Coat
Formed Elements: 45% (leukocytes, erythrocytes, platelets)

106
Q

What is the function of nucleic acids

A

To store and transfer information

107
Q

Radiographic anatomy

A

Study of the anatomical structures of the body using radiographic films (e.g. x-rays, CT, MRI)

108
Q

What are the advantages of x-ray?

A
  • Quick
  • Cheap
  • Accessible/mobile
109
Q

What proportion of body fluids are intracellular and extracellular?

A

Intra: 66%
Extra: 33%

110
Q

What are the two kinds of feedback?

A

Positive and negative

111
Q

What is pathology

A

The study of structural and functional changes that occur in an organism due to (or during) disease

112
Q

What is biology?

A

The study of life

113
Q

Structure and function of the urinary system

A

Structure: kidneys, ureters, bladder, urethra
Function: Fluid balance and waste excretion

114
Q

Pathogenesis of Type 1 Diabetes

A
  • Body develops antibodies to attack beta cells in pancreas
  • Insulin secretion is impaired
  • Blood glucose level cannot be regulated as well as normally
115
Q

What is the basic mechanism of ultrasound?

A

A transducer emits a sound wave and records the echo, which is processed into a 2D image (since various tissues reflect sound differently)

116
Q

Advantages of ultrasound

A
  • No ionising radiation
  • Dynamic imaging
  • Cheap
  • Quick
  • Mobile/accessible
117
Q

What are the two types of nucleic acids?

A

RNA (ribonucleic acid) and DNA (Deoxyribonucleic acid)

118
Q

Define histology

A

Study of the organization and details of biological tissues

119
Q

ADH/Vasopressin Mechanism

A

Increase in plasma osmolality/decrease in blood pressure -> vasopressin travels from hypothalamus along nerves to pituitary and enters circulation -> vasopressin receptors are activated in the kidneys -> water reabsorption increases as aquaporins are added to collecting ducts in the nephron

120
Q

Define microanatomy

A

Study of anatomical structures on a microscopic scale

121
Q

How many types of amino acid are there?

A

20

122
Q

Blood pressure/volume regulation (too low)

A

Blood pressure decreases -> kidneys detect this, and increase renin production -> this indirectly increases angiotensin II production -> this indirectly increases aldosterone production in the adrenal cortex -> more sodium is reabsorbed -> water follows to increase blood pressure & volume [RAAS]

123
Q

What is it called when pH is too high?

A

Alkalosis

124
Q

What is the maximum safe dose of ionising radiation?

A

None. All doses of radiation must be justified!

125
Q

Which two control systems regulate organ systems to maintain homeostasis?

A
  • Nervous System
  • Endocrine System
126
Q

Structure and function of the reproductive system

A

Structure: Sex organs, cells, and tissues
Function: production of sex cells and hormones, and support of embryonic development

127
Q

Blood glucose feedback loop (too high)

A
  • Blood glucose increases (e.g. after eating)
  • Beta cells in pancreas detect
  • Beta cells secrete insulin
  • Insulin prompts skeletal, liver and fat cells to take up more glucose, increases rate of respiration, and increases glycogen formation
  • Blood glucose decreases
128
Q

Disadvantages of CT scans?

A
  • Far higher dose of ionising radiation than x-ray
  • Bad at imaging soft tissue of similar density
  • Patient needs to be stable enough to get to the radiology department (not mobile)
  • Mostly static images
129
Q

What elements are biomolecules made of?

A

Carbon, Hydrogen, Oxygen, Nitrogen, Phosphorous (CHONP)

130
Q

Structure and function of the digestive system

A

Structure: Gastrointestinal tract and accessory organs (liver, gall bladder, pancreas)
Function: Nutrient absorption and waste excretion

131
Q

What are functional groups?

A

Groupings of atoms that influence the properties of an overall molecule

132
Q

List some physiological responses that occur when core body temperature is too high

A
  • Sweating
  • Vasodilation: smooth muscles relax, increasing flow to superficial capillaries
  • Hair follicles relax
133
Q

Which elements do nucleic acids contain?

A

CHONP

134
Q

What does anatomy pertain to?

A

The structure of body parts and their interaction to form a whole

135
Q

What are some secondary functions of lipids in the body?

A
  • Cell membrane (phospholipid bilayer)
  • Chemical messengers
136
Q

Name the process of maintaining a stable core temperature?

A

Thermoregulation

137
Q

What are the risks of nuclear medicine?

A

Ionising radiation is inherent in the process

138
Q

Define gross anatomy

A

Study of anatomical features that can be seen with the naked eye

139
Q

Structure and function of the endocrine system

A

Structure: endocrine glands
Function: Work alongside the nervous system in the maintenance of homeostasis via various forms of chemical communication

140
Q

How many cell types are there

A

~200

141
Q

How many cells in the average human?

A

~30 trillion

142
Q

What is the function of the nucleus?

A

Mastermind of the cell. Houses DNA.

143
Q

What is in the chromatin of the nucleus?

A

DNA and histones

144
Q

What is the nucleus surrounded by?

A

The nuclear envelope

145
Q

What is the nuclear envelope continuous with?

A

The rough endoplasmic reticulum

146
Q

What does the nucleus contain for the sake of communication?

A

Nuclear pores

147
Q

What is a gene?

A

A section of DNA that codes for a protein

148
Q

True or false: all DNA is made up of exclusively genes

A

False

149
Q

What is the role of the nucleolus?

A

Produces rRNA

150
Q

Why might a cell have multiple nuclei?

A

It may need to produce many types of proteins compared to a regular cell

151
Q

There are four types of histone; what are their structural differences?

A

The variants wrap DNA with varying tightness and alter stability of chromosomes/nucleosomes

152
Q

Word origin of “chromatin”

A

Greek word “chroma” meaning colour

153
Q

How stained is euchromatin and what does it signify?

A

Lightly stained, signifies active cell

154
Q

How stained is heterochromatin and what does it signify?

A

Highly stained, signifies inactive cell

155
Q

What is the difference between cytosol and cytoplasm

A

Cytosol: fluid in cell (intracellular)
Cytoplasm: contents of cell (including non-fluid)

156
Q

What are the two subunits of ribosomes

A
  • Large subunit
  • Small subunit
    Both made of rRNA and protein
157
Q

What is the function of ribosomes?

A

Produce proteins

158
Q

Which endoplasmic reticulum do ribosomes attach to?

A

Rough ER

159
Q

What is the function of free ribosomes?

A

To make proteins that are used in the cell

160
Q

What is the role of the endoplasmic reticulum?

A

To fold proteins into their 3D polypeptide shape

161
Q

What is the role of the smooth endoplasmic reticulum?

A

To produce fatty acids and steroid hormones (+ detoxification)

162
Q

Where might the smooth ER be abundant?

A

Liver (detoxification)

163
Q

Which organelle transports newly-folded proteins from the ER?

A

Golgi body

164
Q

How do proteins get to the golgi body?

A

Transport vesicle -> fuses with entry phase of the golgi body

165
Q

How do proteins exit the golgi body?

A

Through a secretory vesicle

166
Q

How do proteins know where to be transported?

A

The golgi body “tags” them on their way through, giving them a location

167
Q

What is the function of vacuoles?

A

Store water and waste materials

168
Q

What are lysosomes?

A
  • Garbage disposal of the cell
  • Digest and break down toxic products (w/ specific enzymes)
169
Q

What is the pH of lysosomes?

A

5

170
Q

What is autophagy?

A

Lysosomes break down parts of their own cell that are malfunctioning, or when the body is starving.

171
Q

What are mitochondria

A

Powerhouse of the cell. Site of aerobic respiration. Produces ATP

172
Q

How do mitochondria affect gene expression?

A

They produce cofactors that enzymes use during gene expression. Therefore, mitochondrial inhibition can alter the gene expression of a cell.

173
Q

What is the function of the cytoskeleton?

A

Provides strength, shape, flexibility and structural support to the cell

174
Q

What is the cytoskeleton made of?

A

Filamentous proteins

175
Q

What is the centrosome?

A
  • Component of the cytoskeleton
  • Organisation structure of microtubules
  • Important in cell division (anaphase, pulling apart sister chromatids)
176
Q

What are microvilli and where can they be found?

A
  • Small protrusions that increase SA:V ratio
  • Can be found in small intestine, to maximise rate of nutrient absorption
177
Q

What are cilia and where can they be found?

A
  • Small, hair-like extensions (longer than microvilli) that also maximise SA:V ratio
  • Can be found in the bronchus where they filter mucus out of airways
178
Q

What are flagella and where can they be found?

A
  • Used primarily for cell mobility
  • Can be found on sperm cells
179
Q

What is the function of the cell membrane?

A
  • Protects the contents of the cell
  • Allows for communication with other cells (e.g. surface proteins)
  • Maintains composition of cytoplasm and extracellular fluid
180
Q

True or false: Gases can freely cross the cell membrane

A

True

181
Q

In terms of polarity and size, what types of molecules can and cannot cross the cell membrane?

A

Large polar molecules cannot enter the cell, but lipids and small polar molecules (e.g. water) can. This makes sense in terms of chemistry.

Foundations Of Medicine (98 decks)

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