Endo 6 - Calcium Flashcards

(53 cards)

1
Q

Is there more Ca in ICF or ECF

A

ICF

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2
Q

can Ca and PO4 be regulated separately

A

NO

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3
Q

Ca x PO4 = ?

A

constant

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4
Q

where does most calcium come from

A

our bones

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5
Q

what % of ca do we absorb in diet

A

15-35%

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6
Q

what type of hormone is vitamin D

A

steroid

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7
Q

what is stimulated when vitD binds receptor

A

calcium binding protein synthesis

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8
Q

what is the function of calcium binding protein

A

allows ca to cross intestines and enter blood

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9
Q

how does vitD binding affect differentiation

A

increases diff and maturation

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10
Q

how is PO4 affected by vitD active

A

increase intestinal absorption

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11
Q

how are kidneys affected by vitD

A

increase ca reabsorption

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12
Q

how are osteoclasts affected by vitD

A

increase # of osteoclasts

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13
Q

how are muscles affeted by vitD

A

more strength

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14
Q

why are younger people better at making vitD

A

thicker skin = more vitD precursor = more rxn

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15
Q

what is storage form of vitD

A

25-vitD

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16
Q

what enzyme makes vitD active

A

1a-hydroxylase

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17
Q

what are 4 ca-regulating hormones

A

PTH, PTHrP, calcitonin, vitD

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18
Q

T/F PTH is constantly made and stored in parathyroid

A

TRUE

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19
Q

what causes increase in PTH secretion

A

low serum Ca => activate Ca sensor in parathy => PTH secretion

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20
Q

what is the mechanism of PTH action

A

GPCR => AC => cAMP

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21
Q

how does PTH affect immature osteoblasts

A

binds to young osteob to stim and form osteocl

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22
Q

where are PTH receptors in the kidney

A

distal tubule

23
Q

what happens to PO4 in response to PTH

A

PO4 is kicked out

24
Q

T/F high PO4 can stimulate PTH

25
what is the main difference between PTH and PTHrP
no activation of vitD
26
what are PTH levels when PTHrP is present
low - high calcium neg feedback
27
where are receptors for calcitonin
osteoclasts
28
osteoclast + calcitonin =
shriveled up osteoclast
29
what does calcitonin do
decreases osteoclast activity, briefly lowers serum ca
30
what are 2 reasons for hypercalcemia
too much PTH/vitD or too much PTHrP
31
2 reasons for hypoca
too little PTH/VitD or resistance to Ca/vitD
32
how does hyperca affect axons
decreases AP firing/neuromusc excitability
33
signs/symptoms of hyperca
stones, groans, moans, overtones, bones, HTN
34
what causes high PTH
parathy adenoma parathy hyperplasia MEN
35
what causes high vitD
ingestion granulomatous disease
36
what are 2 general causes of hypercalcemia
tumor secreting PTHrP lymphoma/leukemia causing active vitD
37
high vitD = what for ca, phos, 1,25vitD, PTH
high high low low
38
PTHrP = ca, phos, 1,25, PTH
high low normal low
39
HPT = serum values
high low high high
40
how does hypoca affect neurons
increase excitability
41
cvostek's sign =
facial muscle contraction
42
trousseau sign =
carpal spasm
43
how does hypoca affect QT interval
prolongs QT
44
3 causes of PTH deficiency
surgery autoimmune congenital abnormality
45
low PTH =
low Ca, high phos, low vitDactive
46
childhood vitD deficiency =
rickets
47
what happens to cartilage and bone in rickets
excess cartilage and unmineralized bone
48
what is damaged to preserve serum Ca in mild adult vitD deficiency
bones
49
severe adult vitD def =
osteomalacia
50
what bone path is found in osteomalacia
osteoids (unmin protein matrix)
51
primary hyperparathy =
high PTH => high ca
52
secondary hyperparathy =
low Ca => high PTH (vitD def or kidney fail)
53
kidney failure affects PO4 and ca how?
raises serum PO4 and drops serum ca => high PTH