Exam 3 reveiw Flashcards

(68 cards)

1
Q

regulation of fluid balance is through ___ and ___

A

salt, water

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2
Q

regualtion of acid-base balance is through ___

A

hydrogen ions

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3
Q

what are the body fluid compartments and what is proportion of fluid in the compartments

A

total body water
1. intracellular fluid- 2/3
2. extracellular fluid- 1/3
– interstitial fluid- 80%
– plasma- 20%

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4
Q

what is the composition of anions and cations found in
1. plama
2. interstitial fluid
3. intracellular fluid

A
  1. Na, Cl, HCO3, protein ions
  2. Na, Cl, HCO3
  3. K, Po4, anionic proteins
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5
Q

what are the short term controls for BP

A
  1. baroreceptor reflex
  2. fluid shifts
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6
Q

what are the long term controls for BP

A

kidneys- urine output
thirst mechanism- fluid intake

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7
Q

what causes ECF to be hypertonic
what happens to the cell

A
  • dehydration - high osmolarity
  • insufficient water intake
  • excessive water loss
    – cell shrinks
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8
Q

what causes ECF to be hypotonic
what happens to the cell

A

-over hydration - low osmolarity
- renal failure - fluid retention
- increased water ingestion
– cells swells

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9
Q

what causes ECF to be isotonic
what happens to the cell

A
  • “normal”
  • IV normal saline- gain
  • hemorrhage- loss
    – no net change
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10
Q

describe the 4 chemical buffer systems

A
  1. carbonic acid: bicarbonate buffer- primary ECF buffer
  2. protein buffer- primary ICF buffer
  3. hemoglobin buffer- H+ ions generated from CO2
  4. phosphate buffer- urinary buffer
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11
Q

describe the 2nd line of defense against hydrogen ion changes

A

respiratory system- CO2 retention or removal

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12
Q

describe the 3rd line of defense against hydrogen ion changes

A

renal system- H+ excretion or conservation; HCO3 excretion or conservation; ammonia secretion

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13
Q

respiratory acidosis

A
  • abnormal CO2 retention
  • hypoventilation
  • lung disease
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14
Q

respiratory alkalosis

A
  • hyperventilation
  • aspirin poisoning
  • excessive CO2 loss
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15
Q

metabolic acidosis

A
  • diarrhea
  • diabetes mellitus
  • decrease in bicarbonate
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16
Q

metabolic alkalosis

A
  • increase in bicarbonate
  • vomiting
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17
Q

thyroid hormone

A

influences BMR

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18
Q

conduction

A

direct contact transfer

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19
Q

fever

A

pyrogen-induced

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20
Q

brown fat

A

found in newborns

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21
Q

anorexia

A

distorted body image

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22
Q

CCK

A

satiety signal

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23
Q

leptin

A

appetite suppressant released by adipose tissue

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24
Q

obese

A

BMI>30

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25
hyperthermia
exercise-induced
26
evaporation
liquid to vapor
27
gherlin
appetite stimulator
28
what hormones do the anterior pituitary produce
GH, ACTH, LH, FSH, prolactin, TSH
29
what hormones do the posterior pituitary produce
vasopressin/ADH, oxytocin
30
GH function
liver release IGF- allows for growth of bones, cell growth; increase protein synthesis
31
ACTH function
adrenal cortex releases cortisol
32
LH and FSH function
ovary/testes release estrogen and progesterone/ testosterone
33
prolactin function
mammary glands release milk
34
TSH function
thyroid releases thyroid hormone (T3/T4)
35
oxytocin function
uterine contractions; mammary glands milk letdown
36
ADH function
renal water retention; blood vessels constrict
37
aldosterone os secreted by the ___ ___and which functions to ___ ___
adrenal cortex, retain salt
38
addisons disease
adrenal gland insufficiency
39
dwarfism
growth hormone deficiency
40
rickets
vitamin d deficiency
41
gigantism
growth hormone excess
42
graves disease
thyroid hormone excess
43
cushings syndrome
excessive glucocorticoids
44
hypothyroidism
iodine deficiency
45
hirsutism
androgen excess in females
46
insulin effects on carbohydrates
- glucose transport into cells - stimulates glycogenesis - inhibits glycogenolysis and gluconeogenisis
47
insulin effects on fats
- fat transport into cells - stimulates lipogenesis - inhibits lipolysis
48
insulin effects on proteins
- protein transport into cells - stimulates protein synthesis - inhibits protein degradation
49
glucagon effect on carbohydrates
- reduces glucose transport into cells - inhibits glycogenesis - stimulates glycogenolysis and gluconeogenisis
50
glucagon effect on fats
- reduces fat transport into cells - inhibits lipogenesis - stimulates lipolysis
51
glucagon effect on proteins
- reduces protein transport into cells - inhibits protein synthesis - stimulates protein degradation
52
true or false- type 2 diabetes is autoimmune
false- type 1 is autoimmune
53
how many chromosomes are found in egg and sperm
egg- 23 sperm- 23
54
the process of making sperm is called ___ and process of making ova is called ___
spermatogenesis, oogenesis
55
the SRY gene is found on ___ chromosome and makes ___ protein which causes the differentiation of the reproductive tract into ___ ducts
Y, TDF, wolffian
56
testosterone is produces by ___ cells
interstitial
57
sperm production begins at ___ in the ___ and egg production begins at ___ in the ___ ___
puberty, testes, gestation, fetal ovaries
58
semen consists of secretions from what 3 glands
1. bulbourethral glands 2. seminal vesicles 3. prostate gland
59
ovarian cycle
- corpus luteum - follicular phase - ovulation - luteal phase
60
uterine cycle
- secretory phase - menstrual phase - endometrial lining production - proliferative phase
61
what 3 hormones are critical in maintaining pregnancy
1. estrogen 2. progesterone 3. HCG
62
hypothalamus- CRH anterior pituitary- effector organ- effector hormone- action- disorders-
-ACTH -adrenal cortex -cortisol -increase glucose, stress adaptation and metabolic effects -cushings and addisons
63
hypothalamus- TRH anterior pituitary- effector organ- effector hormone- action- disorders-
-TSH -thyroid gland -T3/T4 - increase BMR, increase HR, increase CO and increase GH secretion - hypothyroidism and hyperthyroidism
64
hypothalamus- GHRH anterior pituitary- effector organ- effector hormone- action- disorders-
-GH -liver -IGF-1 - increase bone, increase muscle and increase protein synthesis -increase GH= gigantism and acromegaly decrease GH= dwarfism
65
hypothalamus- PRP anterior pituitary- effector organ- effector hormone- action- disorders-
-PRL -mammary glands -milk - breast development and milk secretion - none
66
hypothalamus- GnRH anterior pituitary- effector organ- effector hormone- action- disorders-
-LH/FSH -ovary/testes -estrogen and progesterone/ testosterone -ovulation, menstruation, gestation and sperm development - none
67
hypothalamus- oxytocin posterior pituitary- effector organ- action- disorders-
-oxytocin -uterus and mammary glands - contractions and milk ejection - none
68
hypothalamus- ADH/vasopressin anterior pituitary- effector organ- action- disorders-
- ADH/vasopressin - kidneys and blood vessels - water retention and vasoconstriction - DI and syndrome of inappropriate vasopressin