A&P Exam #2 Flashcards

(265 cards)

1
Q

How are blood flow, resistance, and pressure related? What is the equation?

A

F= delta P, F=1/R, F= delta P/R

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2
Q

How does exercise change blood flow to specific tissues?

A

SKM= arterioles dilate (metabolic)=Less BP → extrinsic SNS increases→ BV constriction → Decrease BV to guts/ kidneys

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3
Q

Elastic arteries

A

-near heart→aorta And branches
-Pressure reservoir, expand and recoil

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4
Q

Muscular Arteries

A

-Deliver O2 to organs→ distribution
-thickest tunica media= vasoconstriction

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5
Q

Arterioles

A

-Regulate blood flow, most resistant
-Can constrict or dilate from hormones, neural cues, and chemicals

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6
Q

Continues Capillaries

A

least permeable (tight junction), most common: skin, CNS, muscles

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7
Q

Fenestrated Capillaries

A

filtration, absorption(intestines), large pores= greater permeability

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8
Q

Sinusoid Capillary

A

most permeable: liver, marrow, spleen, medulla, v. large pores

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9
Q

Precapillary Sphincter

A

Regulates flow in and out of capillaries

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10
Q

Venules

A

leaky capillaries

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11
Q

Veins Details

A

-65% of blood volume= blood resevoir
-valves= prevent backflow of blood (tunica intima=sl valves)
Venous sinuses

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12
Q

Varicose Veins

A

-Leaky valves
-from genetic, obesity, pregnancy, and hormones

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13
Q

Tunica Intimina

A

-simple squamous
-inner most layer
-Elastic membrane

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14
Q

Tunica Media

A

-Circular smooth muscle
-Elastic membrane
-Controlled by SNS, hormones, chemical,= vasodialation or vasoconstriction

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15
Q

Tunica Externa

A

-layer
-Loose collagen= anchor and protect
-Has elastic fibers,nerves, vaso vasorum

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16
Q

How does Blood flow

A

areas of high pressure to areas of low pressure

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17
Q

Blood Flow (F)

A

Volume of blood per minute

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18
Q

Blood Pressure

A

-Force Exerted on Vessel wall by flowing blood
-pressure gradient is a force that keeps blood moving

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19
Q

Blood Resistance (TPR)

A

-caused by viscosity
-vessel length
-BV diameter

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20
Q

What happens when LV Contracts (Arterial Pressure)

A

-blood stretches aorta
-systolic BP= 120 mmHg
-high pressure from blood in arteries

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21
Q

What happens when LV Relaxes?

A

-caused by aortic SL valve closing
-aorta wall recoils= keeps blood flowing
-Diastolic BP= 80mmHg

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22
Q

How doe elastic arteries keep blood flowing?

A

auxillary pumps

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23
Q

What is Pulse Pressure

A

Systolic-diastolic= 40mmHg

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24
Q

MAP Formula

A

MAP=DBP+ pulse pressure (PP)/3

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25
What decreases as you move away from the heart?
Pulse pressure, MAP, and elastic recoil
26
Blood Pressure in Capillaries
35-17 mmHg
27
What happens when the capillary pressure is to great
-capillary walls are fragile and permeable -greater pressure creates too much filtration
28
Venous BP
17-10mmHg
29
What helps veins bring blood back towards the heart?
-muscular pump -Respiratory pump -SNS Venoconstriction
30
Muscular Pump
muscle contracts and moves blood
31
Respiratory Pump
-inhale= air into lungs and blood into heart
32
SNS Vasoconstriction
-decrease vol. of blood in the venous system -increase heart flow to the heart
33
What does increase Mean Arterial Pressure (MAP) do?
-increased resistance from increased constriction and thus afterload -increased Cardiac Output= increased stroke volume and HR and SNS
34
What are the 2 ways Blood pressure is controlled?
1. Short Term= Neural and Hormonal 2.Long term= renal
35
What happens if MAP decreases?
1.stretch decreases 2. decrease firing of CN 9 & 10= increase SNS & decreased SNS 3. Increase Stroke Volume 4. Increase Contractility 5. Increase Heart Rate 6. Increase Venous Constriction= more blood return 7. Increase arteriole constriction
36
What brings MAP to set point?
-increase CO -Increase Resistance
37
Baroreceptors
-Found: internal carotid sinus and aortic arch 1. Sends signals of stretch to cardio inhibitory center (solitary nucleus) 2. Sends back PSNS Response -Less HR -Less contractility 3. Send Signals back SNS -Cardiac Center -To sympathetic trunk ganglia→ more heart rate,more contractillity -Vasocconstrict blood vessels Tells kidneys (RAAS)
38
Hypertension
When baroreceptors acclimate to high bp
39
What happens to increase MAP
-turns of SNS -decrease HR -decrease contractility -dilate aerials= decrease resistance -dilates veins for quick venous returns
40
Chemoreceptors
-see if there is low O2, low Ph, or to much CO2 -Increases HR and release of CO2 -Increases vasoconstriction -Increases resistance= greater MAP
41
2 Types of short Term Hormone Control of BP
1. paracrine 2.Endocrine
42
What do short term paracrine hormone do?
-match blood flow to metabolic needs of tissue
43
What are the short term Endocrine hormones?
1.NE & Epinephrine 2.Angiotension II 3.Antidiretic Hormone 4. Atrial natriuretic peptide
44
NE & Epinephrine
-increase HR and vasoconstriction= greater CO -adrenal
45
Angiotension II
-vasoconstriction= increase BP -kidneys
46
Antidiretic Hormone
-Retain H2o= increase Blood vol. And rate -pituitary
47
Atrial Natriuretic Peptide
= decrease BP and volume -heart
48
Long-term Blood Pressure Control (renal)
-Kidney controls BV -Directly filters and reabsorbs water -Indirectly via hormones
49
What does perfusion do?
-necessary for delivering O2/nutrients -remove CO2 and waste
50
Extrinsic Factors that regulate tissue perfusion
-Outside organs -SNS→constriction→less BF and maintains BP (hormones can effect)
51
Intrinsic Factors that Regulate Tissue Perfusion
1.Autoregulation 2.metabolic Factors 3.Endothelial Factors 4.Inflamatory Chemicals 5. Myogenic Control
52
Autoregulation (Intrinsic Factor)
-perfusion matched to tissue requirements -Local conditions change in arterial resistance (diameter)
53
Metabolic Intrinsic Factor
-Decrease in O2, increase K, increase H = decrease pH→ vasodilation
54
Endothelial Intrinsic Factor
2 Things must be in balance: A. Nitric Oxide -Powerful vasodilator B. Endothelians -vasoconstrictor
55
Inflammatory Chemicals (intrinsic Factor)
Chemicals cause Vasodilation of BV’s
56
Myogenic Controls (intrinsic Factor)
-SM stretched= contracts= less BF -SM relaxed= increase BF= maintain BF when dialated
57
How does exercise change blood flow to specific tissues?
-SKM= arterioles dilate (metabolic) -Less BP → extrinsic SNS increases→ BV constriction → Decrease BV to guts/ kidneys -Organs: BRAIN- same heart= increase (BV dilate) sKm= increase ( increase more to slow skin = increase(vasodilation to release heat) kidneys= decrease (SNS) Abdomen= decrease (SNS) other= decrease (SNS)
58
Describe Capillary Exchange
-Blood brings O2, nutrients, removes CO2 and water 1. Solutes: -diffusion= net mvmt hi → low→ co2, O2, fat, glucose, ions, ect. -Active Transport= transcytoses of select lg. -Molecules (proteins) 2. Water: (bulk flow) -Hydrostatic P.= pressure exerted by fluid on wall -Push h2o out, Leaves proteins and cells= filtration -Coloid Osmotic P -Created by proteins and large molecules -Pulls water in
59
Arterial End Pressure Details
-Hydrosti P= 35 mmHg -Coloid Osmotic P= -25 mmHg (negative= moving in opposite direction) -Net filtration P= H-C= NF -NF=10 mmHg= water benign pushed out
60
Venule End Pressure Details
-HP= 17 mm HG -COP= -25 mm HG -NFP= - 88 mm Hg
61
What are the processes of digestion?
1. Ingestion-taking it in 2.Mechanical Breakdown= chewing 3.Propulsion=swallowing and peristalsis 4.Digestion= catabolic enzyme breaks food down 5.Absorption=end products -->blood or lymph 6.Defecation=eliminate indigestible substances
62
Digestive Processes of Oral Cavity
1.Ingestion 2. Mechanical Breakdown - mastication - tongue mixing -control voluntary and stretch receptors 3.Chemical Digestion -salivary amylase - lingual lipase 4. propulsion (deglutition) -tongue compacts bolus and goes into oropharynx - nasopharynx blocked by soft palate -larynx rises, epiglottis covers glottis, and breathing stops -upper esophagus relaxes - bolus moved by peristalsis contractions (8 sec.) -
63
Esophagus Histology
-Stratified squamous epithelium -Muscular Externa→skeletal→smooth muscle
64
Esophagus Role
moves food
65
Esophagus Digestive Process
1. Propulsion- - moves food from oral cavity in the stomach - Lubrication from glands in submucosa 2. Gastroesophageal Sphincter: -Open when contracts 3.Pyloric Sphincter -Controls stomach emptying into duodenum
66
Layers of the Stomach Layers top to bottom
1. Fundus 2. Body 3.Cardia
67
Chemical Portion of Stomach Digestion
From Gastric Glands: 1.Parietal Cells 2.Chief Cells 3.Enteroendocrine Cells
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Parietal Cells in Stomach
-pumps H+ into lumen -H+ joins with calcium and HCL -HCL= 1.35-3.5 -HCL denatures proteins, kills bacteria, activates pepsin -intrinsic factor and regulates b12 absorption
69
Chief Cells in Stomach
- lipase -15% lipolysis -pepsinogen activated to pepsin by HCL -protease --> cleave protons into polypeptides
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Endocrine Cells in Stomach
-release gastrin -increase stomach activity
71
Digestive Process
1.Chyme- -partially digested carbs, proteins and fats -In 2-3 hours in pylons 2.Empty w/in 4-6 hours -Faster=larger meals, liquids, carbs -Slower=fatty
72
Histology of the Small Intestines
1. Circular Lumen 2. Villi 3. Microvilli 4. Intestinal Crypts
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Circular Folds (Small Intestines)
-1 cm tall and focus chyme to spiral thru. Lumen
74
Villi (Small Intestines)
-1mm projections of mucosa -Enterocytes→ absorbs nutrients -Goblet Cells: Secrete Mucus and in epithelial layer
75
Microvilli (small Intestines)
-Plasma membranes projections= brush border
76
Intestinal Crypt Types (small Intestines)
1.Enterocytes 2. Enteroendocrine cells 3. Paneth Cells 4. Stem Cells
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Enterocytes(small intestines)
Secrete intestinal juices, watery mucos 1-2 L a day pH: 7.5
78
Enteroendocrine Cells(small intestines)
-cholecystokinin (CEK) secretion
79
Paneth Cells(small intestines)
Secrete defensins, lysozyme
80
Stem Cells(small intestines)
-Divide rapidly, differentiat, and migrate to willis
81
What causes gastric ulcers?
-Stomach normally protected by a bicarbonate and mucus blanket -If mucus is broken down→ digest wall is exposed -H. Pylori can destroy mucus layer
82
Gastric Ulcer Treatment
1. antacids → raise pH and allow time for healing 2. Proton Pump-->Inhibits parietal cells from pumping H+
83
How does vomiting occur?
-AKA Emesis -Irritation→ message to emeteric center in medulla Pale, nauseated, salivate, -Process: Deep breath contracting abdominal and diaphragm GES Relaxes Soft Palate rises Stomach content forced up
84
Mechanical Digestion of Small Intestines
-Propulsion -segmentation
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Chemical Digestion of Small Intestines
-Chyme broken down -enzyme=Pancreas and bush border - bile from liver
86
Absorption Digestion in Small Intestines
-absorbs most nutrient sand water
87
How long does small intestine digestion take?
3-6 hours
88
Ileocecal Valve
-of small intestines -Sphincter→flap -Closes with pressure -Prevents backflow -Normally closed -Relaxed by gastrolienal reflex
89
What happens if Chyme is acidic or hypertonic when entering the small intestines?
Acidic- normally Hypertonic- diahrea
90
bacteria in Large Intestines Details
1.Lots of goblet cells - Crypts, no villi 2. Bacteria ⅓ of stool 3.Metabolic Rate -Fermentation- breakdown undigested food and mucosa -carbs= gas(CO2, Methane, Hydrogen, Dimethylsulfide [odor] -500ml/ day -makes vitamins -B’s and K -Keeps bad bacteria in check -maintains Overall health
91
Describe haustra contractions and mass movement in Small Intestines
*takes 12-24 hours 1.Haustra Contractions -Segmentation -Slow 1-30min -SM -As haustra fills and stretch then contract and mixes contents -Allows for more H2O extraction -Mass Movement 2. Peristalsis -Long, slow, powerful → force contents towards rectum -3-4 times a day -Gastrolic reflex= food in stomach 3. Absorption -500ml chyme → 150 ml feces
92
Pre-defication
1. Mass movement→ feces into rectum 2.Feces stretches wall= defecation reflex (PSNS) 3.Rectum contracts; in response and the internal sphincter relaxes 4. Message to the brain→ decide what to do with the external sphincter 5.Keep external sphincter closed until mass movement
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Defecation
1.Rectal wall contracts 2.Contract levator ani -Lifts anal canal and leave feces outside the body
94
Metabolic Functions of the Liver
-Process nutrients -Stores glucose as glycogen -Amino acids→ makes plasma proteins, Clotting factors, albumin, angiokensiogen -store fat soluable vitamins -Makes cholesteral and triglyceriddes
95
Detoxification Function of the Liver
-Makes molecules inactive→ changes to H2O soluble form - changes Ammonia →urea -Drugs and hormones
96
What does the liver filter
blood= old RBC and bacteria
97
How does the liver aid in digestion
makes bile salts
98
Bile Salts
Emulsifies Fats
99
How is Bile Recycled?
Enterohepatic Circulation: 1. Duodenum 2.Reabs, in ileum 3. Transported to liver by portal blood 4.Re-secreted bile
100
Bile Qualities
-yellow/green -alkaline
101
What does bile Contain?
1.Bile Salts 2.Bile Pigments 3.Cholesteral/Triglycerides
102
Bile Pigmentation
-from Bilubrin= Hb breakdown
103
Gall Bladder
-Stores bile in concentration of 20x -when walls contract-->bile moves into cystic duct -
104
Gall Stones
-too much cholesterol or to little bile salts
105
Pancreatic Digestive Process
-secretes 1500 ml of pancreatic Juice (mostly water) -Bicarbonate (pH8) is made by duct cells -Bicarbonate: -neutralizes chyme -HCL-->HCO3=blood pH unchanged -Enzymes made by Acinar Cells
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Active form of Enzymes made by Acinar Cells
Trypsin becomes lipase, amylase, and nuclease, but need ions and bile to function properly
107
Inactive form of Enzymes made by Acinar Cells
-Trypsinogen-->trypsin in duodenum
108
Main Steps of Digestion Control
1.Cephalic Phase 2.Gastic Phase 3.Intestinal Phase
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Cephalic Phase of digestion Steps
1. Sense(see, smell, taste) 2.message goes to cortex 3.message to hypothalamus 4.Message to medulla 5.Message from medulla activates PSNS 6.PSNS activation sends an excitatory impulse through the vagus nerve (AKA long reflex)
110
Gastric Phase of Digestion
(AKA short reflex) * increase distending and pH b/c of chyme and body senses peptides (starts the process) 1.Gastrin is released--> relaxes ileocecal calve (gastroileal reflex) & mass movement (gastrocolic reflex)
111
Intestinal Phase of Digestion
* chyme in duodenum (acidic, causes distension, hypertonic) Fat and Peptides of Chyme is Digested: -cholecystokinin is released 1.tells gallbladder to contract (digests fat) 2. Pancreas Secretes Enzyme (digests proteins) 3. Relax Hepatic Sphincter (bile gets to chyme) 4.Inhibits stomach activity Acidity of Chyme in Digestion Causes: 1.activates secretin release 2.release of bicarbonate from the pancreatic duct cells 3. Increase bile production 4.Inhibits stomach activity
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Chyme qualities
-made of peptides and fat -hypertonic -acidic
113
What Inhibits the Stomach Digestion and why?
1.Cholecystokinin and Seretin -protects small intestines from acid -allows time for digestion and absorption (food would move way to fast) 2. Stress, Fear, and Anxiety -SNS Response
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Catabolic Process in Digestion
-large molecules become monomers via hydrolysis and are also broken down with pancreatic enzymes
115
How does absorption occur in digestion?
-enterocytes have tight junctions so things don't easily come through -molecules are picked up by ATPase carriers and brought through
116
List Polysaccharides
-glycogen, starch, and cellulose
117
How do Polysaccharides (carbs) turn into disaccharides
-Salivary and pancreatic amylase
118
What are some disaccharides?
-sucrose -lactose -maltose
119
How do disaccharides b/cm monosaccharides?
-via brush border enzyme
120
How are Monosaccharides absorbed?
-they are actively transported across enterocyte cell membrane -then absorbed by capillary blood stream via diffusion
121
What are some monosaccharides?
-glucose, galactose, and fructose
122
How is Protein digested?
-amino acids are sloughed off and disintegrated by mucosal cells and GI Enzymes -In the Stomach: 1. HCL denatures protein= unfold 2. Pepsinogen b/cms pepsin and cleaves proteins into polypeptides -In Small Intestine: 1.Protease= breaks polypeptides into smaller polypeptides 2.Brush Border Enzymes Carboxypeptidase and Amino Peptidase= cleave amino acids 3.Active Transport across Enterocytes 4.Absorbed into capillaries via diffusion
123
How is Nucleic Acids Digested?
1. Pancrease secretes nuclease and breaks them down into nucleotides 2. Brush border Enzymes in SI breaks the nucelotides into: nitrogenous base, pentose sugar, phosphate ions 3. Actively transported across enterocytes and enters capillaries via diffusion
124
How are lipids digested?
1.Lingual lipase breaks down lipids in oral cavity and stomach 2. Chyme: -have a tryglercide exterioir -bile salts have a polar and nonpolar end -the polar end repels bile salts and sttracts the water -the nonpolar end binds with the fats - this turns big blobs into little blobs 3.Pancreas -releases lipase and break triglyceride down into a micelle (1 Monoglyceride and 2 fatty acids) 4.Enterocyte -micelles transport into enterocytes -Smooth ER converts micelles into triglycerides with a protein skin = chylomicron 5. Lymphatic System - chylomicrons enter lacteal ducts of the lymphatic system -travel to thoracic duct and empties into the left subclavian where it is broken down into lipoprotein lipase breaks it down so it can be absorbed by tissues
125
How much of everything do we secrete a day?
Consume 9 L. of this Secretions are: Saliva= 1L Gastric Juices= 3L small intestine=2 L
126
What does the Jejunum Absorb?
Na,K,Ca,Cl,Fe, Vitamins, H2O
127
What does the Ileum Absorb?
Bile salts, B12, H2O and salts
128
How does 500ml of chyme become 150ml of stool
-extraction of salt, H20, and vit. K
129
What happens to our digestion as we age?
-Decrease PSNS Activity -Poor absorption -decrease smell and taste
130
Why do we need nutrients?
Build cell structure Replace old and worn out structures Synthesizes functional molecules ATP
131
macronutrients
carbs, fats, and proteins
132
micronutrients
vits, and minerals
133
What percent of food volume is water?
60%
134
Carb Sources
-Sugars →Fruit and milk -Polysaccharides= starch
135
Carb Uses
Uses → all converted to glucose and becomes ATP, Glycogen, and Fat
136
Carb Requirements
-100g aka 50% -complex carbs are best -300g in a 2000 cal diet
137
Sources of Fat
saturated= animals, unsaturated=plants
138
Fat Uses
cushion, insulates, calorie storage, absorb fat soluble vitamins, plasma membrane stabilization
139
Fat Requirements
-65 g/day -30% of diet (excess is stored as fat)
140
Protein Sources
incomplete= nuts, legumes, cereal complete= eggs, fish, meat (animal)
141
Protein Uses
-Structural & functional proteins Not stored, need all amino acids or can’t make protein
142
Protein Requirements
50g/day 20% of calories a day
143
Water Soluable Vitamin Info
B, C Some stored, excess in urine B function as coenzyme in glucose oxidation antioxidants= A,C,E
144
Fat Soluable Vitamins
Ingested with lipids Stored in liver Toxic if accumulated Vit. D= calcium metabolism Vit K=blood clotting
145
Minerals Needed in moderate amount
-ca,mg,phos for bone health -K, Na, Cl= electrolytes -sulfur=to make some amino acids
146
Minerals Needed in Trace Amts.
Iron for hemoglobin Iodine for Thyroid hormone
147
Sources of Minerals
Sources; Vegies, legumes, milk
148
Metabolism
sum of all biochemical reactions in the body
149
Anabolism
make bigger molecules from smaller ones
150
Catabolism
breaks down complex molecules into smaller ones
151
Cellular Respiration
take energy in chemical bonds for food and store as ATP for cell use
152
gluconeogenesis
creation of glucose from non carbs
153
All we need to know about Cellular Respiration
-Makes 2 CO2 molecules =exhale -Makes 8 hydrogen ions combine with oxygen we inhale to make water= oxidative phosphorylation -Oxidative phosphorylation= 28 molecules of ATP -1 molecule of glucose= 30 molecules of ATP -686 kcal= 262kcal of heat -38% efficient
154
3 metabolic state
1.Steady State 2.Absorbative State 3. Post absorptive State
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Steady State of Metabolism
-dynamic breakdown and rebuilding of molecules -Nutrient Pools: 1.Amino Acids-short term energy b/cms ATP or Fat 2.Carbs- ATP, excess in liver and muscles 3.Fat-ATp, excess stored in adipose cells and muscles
156
Absorptive State
eating +3 hours→ food absorbed and burned or stored/ controlled by insulin
157
Post Absorptive
-GI empty, using body reserves -Fasting state -need to maintain blood glucose levels: A. Break down glycogen for the brain B. Triglyceride → glycerol → glucose and into Fatty acids → ATP C. Break down cell protein → glucose -Prolonged fast catabolizes muscles -->Dies when heart is to weak -Controlled by glucagon
158
How is food intake regulated?
Brain: -Hypotahlamus = hunger center -GI Stretch = decrease appetite -Glucose in blood= decrease -Fat in blood=decrease -Increase hunger=Glucagen, epinephrine -Junk Food → depress -Stress→ increase or decrease -Temp increase= appetite decrease -Lack of Sleep= increase or decrease appetite -Leptin(tells how much fat is stored)=
159
What does lymph system do?
-returns leaked fluid to vascular system
160
What is the Lymph System Made of?
1.Lymph Vessels=Transport 2.Lymph=fluid in vessels 3.Lymph Nodes=cleanses lymph
161
What are lymph cells
-lymphocytes and macrophages
162
What is in Lymph Tissue?
houses lymph cells
163
What are the lymph organs?
1.Spleen 2.Thymus 3.Tonsil 4.Nodes
164
Lymph Capillaries
-Capillaries everywhere, but teeth and bone tissue -Blind end, very permeable -Made of endothelial cells that overlap slightly= mini valves -Anchored by collagen (can’t collapse) -Open w/ pressure→ picks up: fluid, protein, lymphocytes, pathogen, debris, and cancer cells -Fluid goes into lymph nodes
165
Where is lymph fluid picked up?
Subclavian
166
What do lymph nodes do?
-cleanse debris -examined by immune system
167
GI Tract Lymph???
168
Describe Lymph Flow
1. Lymph Capillaries 2. collecting vessels 3.Lymphoid Trunks 4.Lymphoid Ducts Right Lymph Duct-->flow of right upper half up to right subclavian duct Thoracic Duct --> rest of the body including left subclavian
169
Lymphocytes
-Main immune system warriors -Originate in bone marrow -exists in reticular CT Types: -T cells -B Cells
170
T Cells
Attack infected cells, manage immune responses
171
B Cells
-protect body from an antigen -Become plasma cell and make antibodies
172
Macrophages
-Everywhere -Phagolytic cell (activates T cell)
173
Dendritic Cells
Barriers: skin, Gi, Resperiratory tract Phagolytic Cell
174
How is lymph moved?
1.Valves 2.Muscle Pumps 3.Respiratory Pumps 4.Artery Pumps -vessels in CT sheath w/ artery pulse 5.smooth muscle of tunica media
175
Reticular Cells
make reticular CT
176
Lymphatic Cells
1.Lymphocytes 2.Macrophages 3.Dendritic Cells 4.Reticular Cells
177
2 Types of Lymphoid Tissue
1.Diffuse 2.Lymphoid Follicles
178
Diffuse Lymphoid Tissue Location
almost everywhere
179
Lymphoid Follicles
-sphere of tightly packed lymphocytes -germinal center=b cells dividing -T cells in transit
180
2 Main Types of Lymph Organs
1.Primary -Where B and T cells Mature -B= Bone marrow -T=Thymus 2.Secondary -where lymphocytes encounter antigen and are activated
181
Lymph Nodes
-Cleanse lymph→debris microorganisms, filtered several times -Immune system surveillance -Lymphocytes monitor for antigen= mount attack -Dendritic cells use Antigen and activated T cells -100’s of clusters
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Lymph Organs Listed
1.Lymph Nodules (MALT) 2.Tonsils 3.Thymus 4.Spleen 5.Peters Patch 6.Appenix
183
Lymph Nodules (MALT)
-(Mucosa Associated Lymphoid Tissue) -in mucous membrane - no capsule surrounding
184
Tonsils
-protecting ring around pharynx removes and responds to pathogen -Types: 1.Palatine-the tonsils 2.Lingual- base of the tongue 3.Pharyngeal- nasopharynx 4.Tubal-Opening of pharyngotympanic tubes
185
Thymus
-Important in early life -part of endocrine and lymphatic system -t lymphocytes mature and become immunocompetent
186
Peyer Patch
-in ileum -deal w/ intestinal bacteria
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Appendix
-lots of lymph follicles -prevents bacteria from breeching wall
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Spleen
-function=lymphocyte proliferation -immune surveillance of blood - removes old RBCs, platelets, debris pathogens -stores iron from RBCs -stores platelets and monocytes -has white and red pulp
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White Pulp
-clusters of lymphocytes -immune surveillance
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Red Pulp
-lots of macrophages -worn out RBCs destroyed -Dispose of Pathogens
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List Main Components of the Innate Defense
1.Skin barriers -skin -mucous membrane 2.Internal Defenses -Phagocytes -NK Cells -Inflammation -antimicrobial proteins -Fever
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How does Skin act as an innate defense?
-Stratified squamous keratinized epithelium -Resists: 1. Weak acids and bases 2. Bacteria and their enzymes 3. toxins
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How does mucous membrane act as an innate defense?
-Line body cavities that open to exterior of body -Cilia hair
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How do Phagocytes act as an innate internal defense?
-ID enemy and adhere to it -Opsonization=Pathogen coated with complement or antibodies -Engulf and form phagosomes -Lysosome fuses → phagylosysome -Kills prey w/ : 1.Acids, enzymes 2.Free radicals 3.Oxidizing chemicals 4.Pierce membranes w/ defensins
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How do NK Cells act as innate internal defense?
-Large granular lymphocytes -Detect lack of “self” surface proteins on cells -Then kill non-self cells by inducing apoptosis ex. Cancer cells and virus infected cells -Secrete chemicals that enhance inflammation
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How does inflammation act as an innate internal defense?
-Responds to tissue injury (Trauma, heat, chemicals, infection) -Prevents spread of damaging agents -Dispose of pathogens and debris -Alert adaptive immune system -Sets stage for repair
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What are the inflammation chemicals and what do they do?
Types: 1. Histamine=mast cells 2. Kinins= neutrophils 3.Prostaglandins= leukocytes Causes: 1. Dilation of arterioles for increased blood flow 2. Increased capillary permeability by: -by leaking exudate (protein rich fluid) - by clotting proteins that wall off area, creates and repair scaffolding -attracting leukocytes
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How do Antimicrobial Protein act as an innate internal defense?
-Virus Infects a cell →makes interferons -Interferons: 1. Stop protein synthesis 2. Degrade viral RNA
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How does a fever act as an innate internal defense?
1.Systemic response to microorganism invasion -Pyrogen increase hypothalamic temperature set point -->Endogenous: from WBCs -->Exogenous: from microorganisms 2.High temperature is dangerous -Denatures Proteins 3. Mild-moderate fever -Inhibits bacterial multiplication -Increases metabolic rate to speed repair
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What is the role of adaptive defense?
-Protect from invaders and abnormal body cells: A. Amplify inflammation and activate complement B. If fail= cancer, aids
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What are the two arms of adaptive defense?
1.Humoral 2.Cellular Immunity
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Details about Humoral arm of adaptive defense
-B lymphocytes activated → plasma cells →secrete antibody -In blood= lymph =Bind to and inactivate intruder and mark it for destruction -Also has extracellullar targets: Toxins viruses bacteria
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Details of Cellular Immunity
-Target infected cells, cancer, foreign cells -T-Lymphocytes -Kill directly or indirectly by enhancing inflammation
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What are the four characteristics of adaptive defense?
1.Involves B & T Lymphocytes 2.Specific → recognizes and targets and identified invader 3.Systemic→ not at site of infection 4.Memory→second response is faster
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What is an Antigen?
-stands for antibody generating -Anything that triggers our adaptive defense -Antibodys bind to specific antigens -Large/ complex molecules= complete
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Hapten
-antibody incomplete link w/ body protein -both combined= antigen -Ex. poison oak →oil links w/ collagen
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Self Antigens
-Major Histocompatibility Complex -Protein on Surface of Cells -Tells WBC self vs. nonself -Millions of combinations
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What are antibodies?
When a B cells sees an antigen and makes antibody
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Antibody structure
-Immunoglobulin (Ig) (5classes -2 identical heavy chains -2 identical light chains -Variable region =bind to antibody -Constant Region=determines class and function
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What is an antigen presenting cell?
-Engulf the antigen and present the fragments to T cells -T cells activate T Lymphocytes -Several Types of APC Cells: 1.Dendritic 2.Macrophages 3.B Lymphocytes
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Dendritic APC Cells
-Skin, CT -Catch antigens and move to node to prevent it
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macrophage APC Cells
-Present to T cells to activate macrophages
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B Lymphocytes
-Only present to T helper cells in order to be activated
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5 Antibody Classes:
IG: 1.M 2. A 3.D 4.G 5.E
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IgM
-Monomer or pentamer -Serum: 10% -Largest -Location: Mode 1 on B cell surface -Function: 1. Agglutination 2. Activate compliment
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IgA
-Dimer -Serum: 10% -Location: Body Secretions -Function: 1.Stop pathogens from attaching to epithelium
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IgD
Monomer Serum: Trace Location: On B cell surface Function: B cell antigen receptor
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IgG
-Monomer -Serum: 80% -Smallest -Location: -2nd cross placenta -Function: 1. activates , compliments, and protects from bacteria and toxins 2. Provides immunity for fetus
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IgE
-Monomer -Serum: Trace -Location: secreted by skin and GI tract -Functions: 1. Basophils and mast cells 2. Release histamine → allergies
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How do Antigens Destroy Intruders?
1. Neutralization 2.Agglutination 3.Precipitation 4.Lysis
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Neutralization
Simplest Bind antigen, block sites, inactivates viruses, toxins phagocytized
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Agglutination
-Cross-linked w/cells clumps -RBC -phagocytized
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Precipitation
Cross linked w/ soluble molecules phagocytized
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Lysis
By activation of compliment
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Cells of adaptive Immune system
-Lymphocytes -B cells=humoral -T cells=cell mediated -Origens: Bone Marrow -T matures in thymus and B in bone marrow
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What do B and T cells need in thymus and bone marrow to graduate?
1.Need to be able to recognize self MHC(protein) 2.Tolerate self antigen 3.Recognize specific antigens -2% graduate→apoptosis -Genes determine their receptors and there are billions of receptor kinds and lymphocytes can only have 1 receptor
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What is an antigen presenting cell?
Engulf the antigen and present the fragments to T cells
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What are the types of Antigen Presenting cells? (APC)
1.Dendritic -Skin, CT -Catch antigens and move to node to prevent it 2.Macrophages -Present to T cells to activate macrophages 3.B Lymphocytes -Only present to T helper cells in order to be activated
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Humoral Immune Response
-Antigen binds to B cell IgD receptor and activates it -It proliferates and forms clone, cells that differentiate into Plasma cells and memory cells
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Plasma cells (in humoral response)
-Make antibodies -Make 2000 molecules per second -Does this over 4-5 days
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memory Cells (in humoral response)
A. 1st exposure -Lag of 3-6 days in antibody production -Peak antibody response @ 10 days -Plasma secrete antibody B. 2nd exposure -Re Exposed to same antigen -Makes a faster, longer, and more effective response -Increases antibody levels in 2-3 days -More plasma cells secrete antibody
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Active Humoral Immunity
-B cell encounters the antigen and has to make antibody stored in memory cell -Allows for long term protection -Natural= viral or bacteria infection -Artificial= vaccine →weakened of deadened pathogen
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Passive Humoral Immunity
-Given antibody, B cells are not challenged= no memory -Natural: From Mom 1. Fetis gets IgG across placenta 2. Baby gets Antibodies from mom’s milk -Artificial 1. Gamma Globulin shot 2. antivenom= snake 3. antitoxins= rabies, tetanus, botulism 4. Hepatitis protection
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Describe the cellular immune response
-Infected cells, cancer cells, foreign cells -T cells respond -2 Types of T Cells: 1.CD4 2.CD8 -Also, involves Major Histocompatibility (MHC) Proteins which have 2 classes
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CD4 T cell
-T helper cells -Activate B cells, T cells, macrophages -(T4,Th) direct immune response -T regulatory= moderate immune system
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CD8 T Cell
-Cytotoxic T cells (T8,Tc) -Destroy cells displaying its antigen
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Class 1 of Histocompatibility Proteins
-Endogenous, a cells except RBC -8-9 aa bits of protein →if abnormal→ infected, cancerous→ sounds alarm -Needed to activate CD8 cells
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Class 2 of histocompatibility Proteins
-Only on APC surface -Display debris of phagosomes -Activate CD4 cells
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Types of T Cell Activation
-Can’t see antigen -Need antigen processed and presented by APC 1. T cells Bind and recognizes -Self MHC -I belong to me or absent= attack me -Antigen= Foreign invader → attack anything w/ Ag help me attack this 2.Activates and Divides -b/cm Memory cells -Clone Active cells→ release cytokines→ die 7-30 days 3. Cytokines -aka Interlukins -WBCs used to talk to other WBCs -Proliferate -Activate -Come down
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The first step of immune response war plan
-exposed to antigen -adaptive and innate branch off
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Adaptive Immune Response's to branches in war plan
1. Cellular 2. Humoral
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Cellular adaptive response in war plan
-dendritic cells engulf antigen -APC presents it’s MHC antigen complex -APC branches into 2 types: 1. CD8 -Clone and make memory cells and a cytotoxic T cells -Cytotoxic T Cell attack and destroy cells w/ antigen 2.CD4 -Clones and make memory cells and T helper Cells -T Helper cells can: A. Activate CD8 Cells B. Activate B Cells C. Turn on macrophages D.Turn on NK Cells T Cells activates other cells by stimulating Cytokins Also has T Regulatory Cells Has inhibitory cytokines Turn of Cytotoxic T Cells T Helper Cells B Cells
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What do T helper cells do?
-they can A. Activate CD8 Cells B. Activate B Cells C. Turn on macrophages D. Turn on NK Cells -T Cells activates other cells by stimulating Cytokins -Also has T Regulatory Cells A. Has inhibitory cytokines B. Turn of Cytotoxic T Cells C. T Helper Cells D. B Cells
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Humoral branch of adaptive immunity
-B cell IgD receptors bind to antigen and activates -B Cell then clones itself and makes a memory cell for next time and a plasma cell -Plasma cells secrete antibody P=precipitate L-Lysis by activation of the complement A= agglutination N=neutralization
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Innate Immunity in war plan
2 branches: 1. External Defense -Surface barrier, skin, muscles 2.Internal defense -Inflammation -NK -Fever -Phagocytes -Lysozyme -Proteins-interferon -Complement
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What does the Pyloric Atrium do?
anatomic region of the stomach that pummels and mixses food with juices to form chyme
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Some causes of Edema
-increased hydrostatic pressure -decreased coloid pressure -blocked lymphatic drainage
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What happens to MAP when end diastolic volume decreases?
-Decreases -BV SV= EDV-ESV
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The teeth that tear food are what?
canine
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Some roles of the liver
-filters blood to remove bacteria -detoxify toxic chemicals -processes nutrients you eat
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What do Parietal cells do in the gastric gland?
-pump protons (hydrogen ions) into lumen -make intrinsic factor
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Gastrocolic reflex
-when food enters stomach, mass movements begin in the colon in response
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Endothelians do what?
-vasoconstrict
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what leads to diahrea?
-hypertonic or alkaline chyme
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What do pancreatic duct cells do?
-secrete bicarbonate to neutralize chyme
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Eneric bacteria in the large intestines synthesize what?
vitamin K
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cholecystokinine (CEK)
-causes gall bladder contractions
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what are plasma membrane projections?
microvilli
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an enzyme released from brush border
lactase
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Characteristics of adaptive immunity
-has memory -systemic -specific
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Some defensive mechanisms used by antibodies
1.agglutination 2.precipitation 3.Neutralization
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Histamine is release when antibodies by with this antigen
IgM
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Diapedesis
process of neutrophil squeezing through capillary wall
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What organ does immune surveillance of the blood?
-spleen
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Some parts of the innate body defense?
-phagocytosis -antibodies -inflammation -lysozyme