Final Exam Flashcards
(274 cards)
1
Q
At what sperm count is a male considered sterile?
Why?
A
Sperm count less than 20 Million/ml
-Many are lost as they travel through the female reproductive tract and many are required to dissolve the outer covering of the ovum.
2
Q
Function of Prostate
A
Produces secretions that are important in the transport of sperm cells.
3
Q
Function of Scrotum
A
The sac that holds the testes
- the cremaster muscle and dartos muscle elevate the testes inside the sac if it is too cold. If the temp is too high, they will lower the testes
4
Q
Function of Epididymis
A
- place where cells mature
- a collection of tubules that help transport sperm from the testes to the Vas Deferens.
- place where sperm gain ability to swim, takes 20 days
5
Q
Seminiferous Tubules
A
Small tubes that make up the testes
- where sperm production occurs
- they are surrounded by interstitial cells of Leydig that produce testosterone
6
Q
Testosterone
A
Primary male steroid hormone and is produced in the testes.
-levels tend to decline as men age
7
Q
Function of Vas Deferens
A
tubes that carry sperm from Epididymis to the Urethra
-Sperm is produced in the testes, and pass through the Vas Deferens where they mix with seminal fluid to form semen.
8
Q
Cryptorchidism
Treatment
A
A condition is which testicles have not descended.
Usually they descend within the first 2 years.
If they do not, it requires surgery; because temperature is too high and sperm cannot survive in abdominal cavity.
If not corrected, will result in sterility
9
Q
Cryptorchidism
Treatment
A
A condition is which testicles have not descended.
Usually they descend within the first 2 years.
If they do not, it requires surgery; because temperature is too high and sperm cannot survive in abdominal cavity.
If not corrected, will result in sterility
10
Q
Unilateral Cryptorchidism
A
One testicles has descended into the scrotal sac, but the other has not.
11
Q
Cryptorchidism
Treatment
A
A condition is which testicles have not descended.
Usually they descend within the first 2 years.
If they do not, it requires surgery; because temperature is too high and sperm cannot survive in abdominal cavity.
If not corrected, will result in sterility
12
Q
Factors that affect sperm production
A
- Cryptorchidism
- Tight Pants
- Long distance running
13
Q
Factors that affect sperm production
And why?
A
- Cryptorchidism
- Tight Pants
- Long distance running
All 3 raise the temperature of the sperm cell making it nonviable.
14
Q
Testicular Cancer
A
Affects 1 in 20,000 males,
Most common cancer of men age 15- 35
Mumps can increase risk
Most important risk factor is Cryptorchidism
15
Q
Most common sign of testicular cancer:
A
A painless, solid mass in the testis, 90% detected early can be cured.
16
Q
Survival rate for men w test. cancer that has not spread beyond the testicles:
Survival rate for men w test. cancer that has spread to the lymph nodes in the back of the abdomen:
A
99%; 96%
17
Q
The cremaster muscle and dartos muscle
A
- elevate the testes inside the sac if it is too cold. If the temp is too high, they will lower the testes
- regulate temp in the testes and be sure that the temp is not too high or too low.
- Cremaster muscle also helps to retract testes to guard against injury
18
Q
epididymitis
A
- Inflammation of the epididymis, very painful condition.
- usually a result of trauma or infection
19
Q
Epididymitis
A
- Inflammation of the epididymis, very painful condition.
- usually a result of trauma or infection
20
Q
What is semen?
A
The fluid containing sperm cells and male secretions
- Sticky
- Provides a medium for transport and nutrients
21
Q
What is semen?
A
The fluid containing sperm cells and male secretions
- Sticky, bc it contains a sugar
- Provides a medium for transport and nutrients
22
Q
Accessory glands of Male reproductive system
A
-Contributes to reproduction but the sperm cell does not pass through it.
23
Q
Where are male secretions produced?
A
The Accessory glands:
- Seminal Vesicles
- Cowper’s Glands
- Prostate Glands
24
Q
Vasectomy
A
Blocks the Vas Deferens and keeps sperm out of the seminal fluid.
- Testicles continue to produce sperm.
- Sperm are reabsorbed by the body.
- Permanent method of birth control
25
Parts of the Sperm Cell and their Function:
1. Head - Contains the DNA
2. Acrosome - Covers the head and contains digestive enzymes that will penetrate coatings around the ovum.
3. Midpiece - Contains the mitochondria (for energy.)
4. Tail - Locomotion
26
Sperm, how many are produced, and in how many ml of semen.
Men produce 200-300 million sperm/day
| Sperm are carried in about 3 ml of semen.
27
Functions of Fimbriae
- fingerlike projection at the end of the fallopian tube near the ovary
- sweep ovum into fallopian tube
28
Functions of Uterus
-Hollow and thick walled organ
-Receives the fertilized egg
(where implantation occurs)
-Neck of the uterus is called the cervix
29
Functions of Fallopian Tube
- Also called Uterine tubes (2 tubes)
- Carry an egg from the ovary to the uterus (receive oocyte from the ovary)
- They are the site of fertilization (fertilized egg cell then moves onto uterus for implantation)
- They are about 10 cm long
- Have no direct contact with ovary which puts women at risk for an ectopic pregnancy and PID
30
Functions of Ovary
- Almond shaped organ
- Most impt organ in reproductive system bc they play a role in the production of both female sex hormones that control reproduction and the female gametes (or eggs) that are fertilized to form embryos.
- At birth, ovaries contain all the eggs a woman will ever have.
- Produce hormones estrogen and progesterone that trigger menstruation and also release one egg each month for possible fertilization.
31
Hormone injections: advantages and disadvantages
Advantages: safe, convenient, long acting, reversible, can use after childbirth, works for three months
Disadvantages: Irregular or no periods, Weight gain, hair loss, bone thinning, loss of interest in sex, no protection from STDs
32
Birth control effectiveness relates to human error generally the ________You have to do the__________effective the option
Less; more
33
Functions of Ovary
- Almond shaped organ
- Most impt organ in reproductive system bc they play a role in the production of both female sex hormones that control reproduction and the female gametes (or eggs) that are fertilized to form embryos.
- At birth, ovaries contain all the eggs a woman will ever have.
- Produce hormones estrogen and progesterone.
34
Ovary composition
- composed of a cortex (outer portion) and the medulla (inner portion)
- As cells mature they move from the outside of the cortex down through the cortex and into the medulla.
- Most immature cell is a primordial follicle: from there it forms a secondary follicle and then moves on through the medulla, eventually forming a mature Graafian follicle which forms the egg.
35
Most important organs of the reproductive system:
Ovaries
36
Ovarian pain can be caused by
cysts, tumors,
37
Ovary composotion
- composed of a cortex (outer portion) and the medulla (inner portion)
- As cells mature they move from the outside of the cortex down through the cortex and into the medulla.
- Most immature cell is a primordial follicle: from there it forms a secondary follicle and then moves on through the medulla, eventually forming a mature Graafian follicle which forms the egg.
38
4 Parts of a Mature Graafian Follicle
1. Zona Pellucida
2. Antrum
3. Corona Radiata
4. Oocyte (egg)
39
Ectopic Pregnancy
- Implantation of zygote occurs in some place besides the uterus.
- Can occur in the fallopian tubes and also the peritoneal cavity
- Usually spontaneously abort (in most cases)
40
Pap smear
- Simple test for cervical cancer
- Scraping of the cervical cells which are then viewed under a microscope to check for pre-cancerous and cancerous changes
- painless, although there might be slight bleeding
- recommended that a woman have a pap smear ever three years ages 21-65
41
The Ovarian Cycle
The monthly series of events associated with the maturation of the egg.
- 2 Ovaries alternate releasing an egg
- Avg Cycle is 28 Days, ranges from 21-40 days
- The Ovarian cycle is closely tied to the Uterine Cycle
42
Cancer of the Cervix
| Ages, risk factors
- Women ages 30-50 most common
- Risk Factors: STD's, Frequent cervical inflammations
- Multiple pregnancies
43
Pap smear
- Simple test for cervical cancer
- Scraping of the cervical cells which are then viewed under a microscope to check for pre-cancerous and cancerous changes
- painless, although there might be slight bleeding
- recommended that a woman have a pap smear ever three years ages 31-65
44
The Ovarian Cycle
The monthly series of events associated with the maturation of the egg.
45
How do you determine the day of ovulation?
Subtract 14 from the length of the cycle:
| ex. 40 day cycle, 40-14=day 26
46
Ovarian Cycle 2 Phases
variance in length
1. Follicular phase (days 1-13)
Day 14 Ovulation Occurs!
2. Luteal phase (days 15-28)
**the length of the follicular phase changes but the luteal phase is always 14 days.
47
Uterine Cycle 3 phases
- Also known as the menstrual cycle
- 1. Days 1-5, The menstrual phase: Uterus shed endometrium (your period), ovarian hormones are at their lowest
- 2. Days 6-13, The proliferative phase: endometrium rebuilds as blood levels of estrogen rise, ovulation (release of egg) occurs on day 14
- 3. Days 15-28, the secretory phase: endometrium prepares for implantation of embryo, progesterone levels are rising
48
Ovulation
Day 14
| LH spike occurs
49
Luteal Phase
(Days 15-28)
- LH secretion continues
- Corpus luteum forms
- Progesterone secretion is prominent
50
Uterine Cycle 3 phases
- Also known as the menstrual cycle
- 1. Days 1-5, The menstrual phase: Uterus shed endometrium, ovarian hormones are at their lowest
- 2. Days 6-13, The proliferative phase: endometrium rebuilds as blood levels of estrogen rise, ovulation (release of egg) occurs on day 14
- 3. Days 15-28, the secretory phase: endometrium prepares for implantation of embryo, progesterone levels are rising
51
When does the Uterine Cycle typically begin and for how long, what can delay the onset
- Usually occurs ages 12-55, age of onset continues to get younger
- Strenuous exercise and dieting can delay the onset
52
Amenorrhea
The cessation of menses
| happens during pregnancy
53
Fertilization
The process in which a sperm cell unites with an egg cell
| -usually occurs in the ampulla of the uterine tube
54
Human Zygote
Result of an ovum (egg cell) and a sperm cell.
-remains a zygote (one cell organism) until it begins to divide; at that point, the zygote then becomes an embryo.
Contains the genetic material from both parents.
55
Capacitation
- Freshly deposited sperm cells cannot fertilize the egg
- Must first capacitate (break their membranes so enzymes can be released from the acrosome.)
- Takes about 6-8 hours as they travel.
56
Implantation
- When the embryo is embedded in the wall of the uterus
- Six days after ovulation, implantation occurs. (should occur in uterus, if it occurs in uterine tube or abdomen it is ectopic pregnancy.)
- In some cases, implantation bleeding occurs.
57
Human Zygote
Result of an ovum (egg cell) and a sperm cell.
-remains a zygote until it begins to divide; at that point, the zygote then becomes an embryo.
Contains the genetic material from both parents.
58
Important Facts to Remember about when Pregnancy can Occur
- Egg is Viable for 12-24 hours after release
- Sperm is Viable 24-72 hours after ejaculation
- So, a woman can become pregnant from 3 days BEFORE ovulation to one day after ovulation (about a 5 day span.)
59
Implantation
- When the embryo is embedded in the wall of the uterus
- Six days after ovulation, implantation occurs.
- In some cases, implantation bleeding occurs.
60
Ovulation
-A mature ovarian follicle discharges and egg, day 14
61
What is the most common STD?
HPV
62
Women who have had an STD are at an increased risk for:
- Infertility
- HIV/AIDS
- Cervical cancer
63
What STD is bacterial that experts call "the silent epidemic"?
Chlamydia, because 70% of women and 50% of men with the disease experience no symptoms
64
What age group is at the greatest risk for STD's?
Women 15-19 years of age
65
Greatest obstacle people name that they say they face in trying to protect themselves against STD's is:
Embarrassment, people of all ages cite this as the biggest obstacle.
66
Experts now recommend that sexually active young people be immunized against what STD?
HPV--Gardasil vaccination
67
What STD's cannot be cured?
Herpes and Genital Warts: treatable but not curable
68
For Women the most common symptom of chlamydia and gonorrhea infection is:
It is estimated that 70% of women with chlamydia and 50% of men with gonorrhea experience no symptoms.
69
You may be at increased risk for HIV/AIDS:
You have had many sex partners in the last 10 years
70
The best form protection against contracting STD's during sex:
Condoms, used correctly every time.
| Cannot protect you from every STD-- herpes for example.
71
Sexually Transmitted Diseases:
Infectious disease that spreads by sexual contact
Also called venereal disease
The US has the highest rates of infection among developed countries
20 million people per year in US contract an STD
72
Common STD's
```
Gonorrhea
Syphilis
Chlamydia
Genital warts (HPV)
Herpes
```
73
Gonorrhea
Also known as:
Caused by:
Known as "the clap" or "the drip"
-Transmitted through sexual contact with another person, or cot with infected bodily fluids
-Easily spread and occurs most often in people who have multiple sex partners
Caused by Neisseria gonorrhoeae bacterium
Can be passed through the birth canal-- Silver Nitrate and Protargol
74
Why is Silver Nitrate and Protargol sometimes used in newborns?
Gonorrhea can be passed through the birth canal, Silver Nitrate and Protargol have both been used to prevent eye infection in newborns born to mothers with gonorrhea.
- They are also treated with IV antibiotics.
- If left untreated, can lead to blindness
75
Symptoms of Gonorrhea
Some people have no symptoms
- Symptoms should appear in 2-14 days
- often there is a discharge from the penis or vagina
- frequency of urination, burning or pain with urination
76
Complications with untreated Gonorrhea
Epididymitis- an inflammation of the testicles that can cause sterility in men
PID- a serious infection of female reproductive organs that can lead to sterility
Ectopic pregnancy- a pregnancy that occurs outside the uterus
77
itis means
"inflammation of"
78
Treatment for Gonorrhea
- Antibiotics
- drug of choice has been azithromycin but now CDC recommends dual therapy (using 2 drugs) to treat gonorrhea: 1. an injection of ceftriaxone 2. oral azithromycin
- don't quit when you feel better, take meds as prescribed
- there has been concern about the development of antimicrobial resistance in gonorrhea
79
Syphilis
Caused by
Affects on baby
Caused by bacterium Treponema Pallidum
- infected mother can pass it to a fetus, if infected fetus is usually stillborn or dies after birth
- if the fetus lives, the child may remain in the latent period until childhood or adulthood
- One characteristic of these children is saddlenose which is the result of the destruction of the vomer bone.
80
Syphilis Transmission
Transmitted by direct contact with a syphilitic red sore called a chancre; occurs on or around external genitals, mouth, in the vagina, around the anus, in the rectum
- inclubation period is 2-3 weeks
- Chancre appears, then becomes crusty and disappears
81
Secondary Signs of Syphilis (left untreated, after primary sign of red chancre)
- several weeks later secondary signs can appear:
- a pink skin rash, fever, and joint pain.
-these signs also disappear spontaneously
82
If secondary Syphilis is left untreated:
The infection will progress to the latent and possibly tertiary stage of the disease
83
Latent Phase of Syphilis
"Hidden phase" of syphilis. A time when there are no visible symptoms. Without treatment they will continue to have syphilis in their bodies. Can last for years. Only detectable by a blood test. The causative organism may be killed by the immune system, or it may go into tertiary syphilis.
84
Tertiary Syphilis
- characterized by gummas
| - gummas are soft tumor-like lesions of the central nervous system, blood vessels, bones and skin
85
Tertiary Syphilis
- characterized by gummas
- gummas are soft noncancerous tumor-like lesions of the most commonly found in the liver, also found in central nervous system- the brain, blood vessels- the heart, bones, testes and skin
- form of a granduloma
- can lead to heart valve disease and certain neurological problems.
- develops in response to the immune system's failure to kill off syphilis
86
Second most common STD in the US
Chlamydia
87
Chlamydia
| Caused by
- 2nd most common STD in the US
- Caused by the organism chlamydia trachomatis
- is a bacterium
- Inclubation period is one week
- Responsible for 25-50% of all diagnosed cases of PID
- About 20% of men and 30% of women diagnosed with gonorrhea are also infected with chlamydia
88
Two troubling facts of Chlamydia
1. About 70% of women and 50% of men do not know they are infected because they have no symptoms. Called the "Silent epidemic"
2. The prevalence of chlamydia is highest among sexually active women less than 20 years of age.
89
Complications of a late diagnosis of Chlamydia
- PID
- Ectopic pregnancy
- Infertility
- Complications during pregnancy and birth
- Inflammation of the testicles
90
Symptoms of Chlamydia
- Urethritis and painful, frequent urination
- Thick penile or vaginal discharge
- Abdominal, rectal or testicular pain
- Painful intercourse
- Irregular menses
- Sterility in women
- Newborns may have conjunctivitis and pneumonia
91
Diagnosis of Chlamydia
1. Swab: males- swab of urethra; females- swab of cervix; those who have receptive anal sex- a swab of the rectum. Staining techniques known as immunofluorescence are used for identification
2. Urine
92
Chlamydia Treatment
Because it is caused by a bacterium it is easily cured with antibiotics:
- Azithromycin: given as two or four tablets at once
- Doxycycline: given as two capsules a day for a week
-Abstain from sexual activity for 7 days after single dose antibiotics; or until completion of a 7 day course of antibiotics.
93
```
Genital Warts (HPV)
Caused by, puts you at greater risk for which cancers
```
- Viral STD
- Caused by a group of 60 viruses called the HPV (human papillomavirus)
-Increase risk for certain cancers: penile, vaginal, cervical, and anal
94
Appearance/Characteristics of Genital Warts
- May be raised or flat,
- May be single or multiple
- May have a cauliflower appearance
- usually painless
95
Genital Warts Diagnosis
- diagnosed by looking for them
- no blood tests or swabs
- if present in cervix, may show up on a pap smear
96
Genital Warts Treatment
Visible warts are removed in 3 ways:
1. cryotherapy- warts are frozen
2. podophylin paint- caustic plant extract that burns warts
3. laser treatment- used to treat warts that are difficult to reach or warts are unaffected by other methods.
97
Genital Herpes
| Caused by
- Viral STD
- Caused by Herpes Simplex 2
- Among the most difficult human pathogens to control
- Transmission is only through vaginal, anal, or oral sex. Usually get herpes from contact with open sores, but can get it without them too.
98
Symptoms of Genital herpes
- Remains silent for weeks to years
- First attack symptoms: fever, flu like symptoms, nausea, muscle aches, painful urination, tingling itching burning sensation in the area where blisters will appear.
- A burst of blister-like lesions on reproductive organs.
99
Congenital Herpes
- rare but very serious condition
- "Neo-natal herpes simplex"
- usually caused by vertical transmission of herpes simplex virus from mother to newborn during delivery
- 1 in every 3,500 babies in the US contract the virus
- Can cause severe malformations of a fetus
100
Sign of Congenital Herpes
-typical sign is vesicular eruption (appearance of small fluid filled vesicles), which may progress to disseminated disease (extended to other areas.)
101
How is congenital herpes Diagnosed?
- Viral Culture
- PCR
- Immunofluorescence
- electron microscopy
102
Most frequently prescribed treatment for genital herpes:
- Acyclovir: anti-viral agent taken orally
| - in addition sometimes topical antiviral agents are used
103
Pathway of air through the body
```
Nose
Pharynx
Larynx
Trachea
Primary bronchus
Secondary bronchus
Tertiary bronchitis
Bronchiole
Terminal bronchiole
Alveolus (air sac) - where oxygen and carbon dioxide are exchanged
```
104
Vocal chords
Allow production of sounds
Are elastic and can be stretched
Are thicker in males than females
This is the reason men have deeper voices – testosterone is responsible for this
When vocal chords are relaxed, the sound is lower
When they tighten, the sound is higher
105
Functions of the respiratory system
```
– Carry air to and from the lungs
– Replenish oxygen
– Get rid of carbon dioxide
– Produce sounds
– Maintain PH
– Perceive odors
```
106
Rohypnol facts
"Roofies"
- inexpensive
- 10x as strong as Valium
- manufactured in Europe and Latin America.
107
Intended uses of rohypnol
To treat insomnia
| Used as pre surgery medication
108
What does Rohypnol do
Muscle relaxation
Lowers inhibitions
Amnesia
109
How long does it take for rohypnol to take effect?
20-30 minutes
110
Your body's responses to stress:
1. Increases heart rate
2. Increased blood pressure
3. Pupils dilate
4. Peristalsis decreases - what moves food through the body
5. Decrease in digestive juices
6. Liver releases glucose
7. Urinary and anal sphincters will close
8. Increase in sweating
9. Increase in respiration
10. Bronchi dilate
11. Blood vessels of the skin constrict
111
Two parts of the brain involved in OCD.
Orbital Frontal Cortex
| Basal Ganglia
112
What neurotransmitter does not function properly in those with OCD?
Serotonin
113
Drugs commonly used to treat OCD:
Clomipranine
Prozac
Both drugs affect the neurotransmitter serotonin
114
What are obsessions?
Unwanted thoughts or worries that run through a person's mind repeatedly.
115
What are compulsions?
Repetitive, purposeful behaviors.
(Cleaning, checking, repeating.)
Often take the form of rituals which patients are compelled to perform.
116
What are rituals?
Learned behaviors that reduce anxiety.
| Can be time consuming if someone spends more than 1 hour a day performing them.
117
Depression occurs in ?/3 of OCD patients
2/3
118
Average age of onset for OCD for men and women:
17;21
119
Individuals raised in ________ with _________ practices may be more susceptible to developing compulsive behaviors.
Religions;ritualistic
120
Trichotilomania
Uncontrollable urge to pull out ones hair
121
Two causes of depression
Endogenous- comes from within the body
Exogenous- comes from outside the body
122
Two important neurotransmitters that are correlated with depression:
Serotonin
| Norepinephrine (Adrenaline)
123
How is depression diagnosed?
Person must have four or more symptoms of depression everyday for two weeks.
124
Most common symptom of depression:
Fatigue
125
Treatments for depressive illness
- antidepressants
- psychotherapy
- combo of both
- ECT (may make you lose short term memory)
126
When do antidepressants take effect? When is the peak effect?
2-3 weeks; 6-8 weeks
127
Example of an MAOI:
Side effects?
Facts?
- oldest group of meds for depression
- Nardil - ex
- increased BP with sudafed, red wine or aged cheese.
128
Tricyclics
Example:
Side effects?
Facts?
- most important group of drugs to treat depression
- Elavil - ex
- side effects: dry mouth, constipation, difficulty urinating, and blurred vision
129
Lithium
| Used for?
To treat manic depression (bipolar disorder)
130
SSRI
Examples:
Facts?
Side effects?
- newest medication for depressive disorders
- examples: Prozac, Paxil and Zoloft
- side effects: insomnia loss of appetite
131
What are co-carcinogens? (what are in cigs?)
Do not cause cancer alone, but combine with other chemicals that stimulate growth of cancer.
In Cigs: Formaldehyde
Phenol
132
Hazardous substances/carcinogens in tobacco smoke:
- Benzopyrene
- Vinyl chloride
- Arsenic
133
Common traits of alcoholism
- Gregarious
- Impulsive
- Rebellious
134
Alcohol causes vasodilation which is:
results in heat loss
blood vessels get larger
135
What does alcohol proof mean?
Proof is 2x the % of alcohol content in a drink
136
Alcohol absorption distribution:
- Mouth (5%)
- Stomach (20%)
- Small Intestine (75-80%)
137
Where is most alcohol metabolized?
| Where does the rest go?
```
Most is metabolized in the liver.
The rest (2-10%) is given off by the lungs, kidneys and sweat glands.
```
138
.03-.05% BAC
Effects first felt, light-headed, relaxed.
139
.10-.15% BAC
6-10 hours metabolize
| sensory and motor functions are decreased
140
.2% BAC
most are unable to function
141
.35% BAC
Coma
142
.35% + BAC
Death
143
Effects of inhalant chemicals
IC increase heart's sensitivity to adrenalin > person becomes frightened by hallucination causing adrenalin to be released > sensitized heart beats widely and erratically > can lead to cardiac arrest or a heart attack
144
Effects of inhalants on the brain
- chemical solvents can damage protective fatty coating around brain cells, resulting in brain damage.
145
Diagnosing death from inhalants
hard to diagnose bc they leave body very quickly, coroner may assume person died from cardiac arrest
146
Klinefelter's syndrome
Affects the sex chromosomes
– The most common chromosome not variation in humans
– Usually diagnosed by doing a karyotype
– The genotype of these individuals is XXY
147
Most common traits in Klinefelter's syndrome
```
– Sterility
-fatty deposits like females, hips are enlarged
-breast development
– High-pitched voice, sparse body hair
-tall and lanky
-social or school learning problems
```
148
Treatment for klinefelters syndrome
No cure
– Testosterone injections – this will stop the production of fatty tissue in the hips and the breasts, also helps w voice and gives them a more even distribution of body hair
-surgery for gynecomastia - surgically remove fatty tissues from hips and breasts
149
On a klinefelters syndrome karyotype you can tell by:
The extra X chromosome
| -47 chromosomes
150
Turner's syndrome
- The genotype is XO (the only disorder where you can lack a whole chromosome and live)
- named after Dr. Henry Turner
- affects the sex chromosome
151
Turner's syndrome characteristics
– Short in stature (the average woman with Turner syndrome reaches a height of 4 feet 8 inches)
- sterile in most cases
- webbed neck
- hearing problems
- hormone treatment is required = growth hormone and estrogen
- no cure
152
Karyotype for turners syndrome
- 45 instead of 46
| - only one X chromosome
153
Nondisjunction
Failure of chromosomes to separate during meiosis. This air results and an abnormal number of chromosomes. The resulting karyotype for these individuals can be turner syndrome Klinefelter syndrome or trisomy 21
154
Characteristics of trisomy 21
```
– Varying degrees of mental retardation
- long forehead
– Large protruding tongue
– Low set misshapen ears
– Malformed teeth
– Eyes are wide set
– Inter– Palmar crease (Simean crease) = one line across center of hand instead of two.
-pyramidal shaped fingers
-short stature
```
155
In Trisomy 21 1/3 have ___________
Congenital heart problems
156
In trisomy 21 they have a total of___chromosomes
47; 45 autosomes and 2 sex chromosomes
157
Nondisjunction in Trisomy 21
during meiosis the 2 #21 chromosomes did not separate
158
The cell cycle is composed of 5 phases overall
```
– Interphase
– Prophase
– Metaphase
– Anaphase
– Telophase
```
159
Interphase
1st phase
The phase of the cell cycle in which the cell spends most of its life (90% of its life)
During this time the cell copies its DNA in preparation for cell division (mitosis)
Chromosomes are replicated here
160
Prophase
2nd phase
In a diagram
– you can see actual individual chromosomes (formation of chromosomes from chromatin in the nucleus)
– The nucleus and nucleolus begin to break down
– Begin the formation of the spindle apparatus (held in place by centrioles)
161
Metaphase
3rd phase
Meta = middle
Time that chromosomes line up in the middle of the cell
-the centrioles help to anchor these chromosomes and hold them in the middle of the cell
162
During metaphase chromosomes line up along ________
The center of the cell
163
Anaphase
4th phase
- chromosomes split apart and the two sister chromatids move to opposite ends of that cell
- The sister chromatids are now each a chromosome
- chromosomes move to poles
164
Telophase
5th phase and last phase
- nucleus forms, that membrane will form around those chromosomes at either end of the cell
- cytokinesis occurs - division of the cytoplasm
165
Plasma membrane: 3 impt functions
1. Protection
2. Hold in cell contents
3. Regulate what passes into and out of the cell
Thin membrane, selectively permeable. Will allow some substances to pass through and others will not.
Composed of Lipids and proteins
166
Cytoplasm
- jelly like fluid that fills the cell, made up of water and salt
- located between the cell membrane and the nucleus
- the place where cell organelles are located
* *****-the place where most cellular activities are accomplished (including the transport of substances within the cell.)
167
Mitochondrion
- powerhouse of the cell
- tiny, threadlike, sausage shaped organelles
- has a double membrane, inner membrane is folded inward and forms layers known as cristae
- they provide most of the cell's ATP (
- more active cells have more mitochondria
168
There is a _______ around the outside of the mitochondrion
Double membrane
169
Ribosome
- small, dark-staining granules composed of proteins and r-RNA
- (looks like a snowman) composed of two subunits
- are the site of protein synthesis
170
The inner membrane has invaginations (Finger like projections) called ________
Cristae
171
2 types of Ribosomes
Free- in the cytoplasm
Bound- attached to ER (endoplasmic reticulum) then becomes known as RER or rough endoplasmic reticulum
172
In between the two subunits of a ribosome are where ________ are made from _______
Protein; amino acids
173
Rough endoplasmic reticulum (RER)
- a series of membranes that have ribosomes on their surface
- proteins are assembled on RER (ribosomes are the places where proteins are made, remember?)
- plays a role in the transport of proteins once they are made
174
Smooth Endoplasmic Reticulum (SER)
| And its functions
-a continuation of RER
(No more ribosomes so appears smooth)
Functions
1. Lipid Metabolism
2. Synthesis of cholesterol and sex hormones
175
Golgi (golgi apparatus or golgi complex)
- flattened stacks of membrane
- packages proteins for transport
- located in both plant and animal cells
-identifiable from 5-8 stacks of membranes that look like pancakes
176
Lysosomes
- spherical membranous bags containing digestive enzymes
- digest old worn out cell parts and dead micro organisms
- thought to play a role in aging and arthritis
- found in most animal cells
- known to contain 60 different enzymes
177
Nucleus
- control center of the cell
- most cells only have one
- all cells of the body except mature RBC's have a nucleus
- largest organelle
- located in eukaryotic cells
178
Nuclear membrane
- surrounding the nucleus and holding in the nuclear contents is a double nuclear membrane
- contains small holes called nuclear pores which allow substances to pass between nucleus and cytoplasm
- semipermeable, allows some substances to pass through, and others cannot. Depends on their size and size of nuclear pore
179
Nucleolus
- dark staining spherical bodies in the nucleus
- usually 1 or 2 nucleoli inside of a nucleus
- produce ribosomes
180
Chromatin
- located in side the nucleus
- composed of DNA and proteins
- when the cell divides, they coil and form chromosomes
- contain hereditary info
181
RNA
| 5 facts/differences from DNA
Ribonucleic acid
1. Located in the NUCLEOLUS
2. 1 strand
3. Ribose sugar
4. Carries out protein synthesis
5. Contains the base uracil
182
DNA
Deoxyribonucleic acid
1. Located in the nucleus
2. 2 strands
3. Deoxyribose sugar
4. Directs protein synthesis
5. Contains the base thymine
183
On the pH what is neutral?
What is an acid?
What is a base?
What does the scale range to?
```
Neutral = 7
Acid = anything less than 7
Base = anything greater than 7
```
Ranges from 0 -------> 14
184
How many molecules and atoms are in; 6NaH(2)SO(4)
How many total atoms?
6 molecules 8 atoms
Total atoms: 48 atoms
185
Maximum number each electron shell can hold
K-2
L-8
M-18
N-32
186
3 groups of carbohydrates and the amount of sugars they are composed of:
1. Monosaccharides - simple sugars
2. Disaccharides - 2 simple sugars
3. Polysaccharides - many simple sugars
187
Types of Monosaccharides
Glucose, Galactose, and Fructose
188
All three monosaccharides have what formula?
The same formula; C(6)H(12)O(6)
| 1:2:1 ratio
189
Disaccharides
Composed of 2 monosaccharides
Lactose - milk sugar
Sucrose - table sugar
Maltose - malt sugar (brewing industry)
190
Most complex group of carbohydrates
Polysaccharides
191
3 polysaccharides
Starch - storage form of glucose in plants
Glycogen - storage form of glucose in animals
Cellulose - cell walls of plants for strength
192
What makes up maltose?
Glucose and Glucose
193
What is sucrose made up of
Glucose and Fructose
194
What is lactose made up of?
Glucose and Galactose
195
A blood glucose level above 120 can indicate:
Diabetes mellitus
196
What causes Type I diabetes?
Too little insulin is produced by the pancreas
It is autoimmune in nature
IDDM
197
What causes Type II diabetes?
Insulin receptors do not work as well
Usually occurs as a person ages.
NIDDM
198
3 classic early signs of diabetes:
Polyuria - frequency of urination
Polydipsia - extreme thirst
Polyphagia - extreme hunger
199
What causes gestational diabetes?
Usually too little insulin produced to accommodate mom and the baby
200
What are other early signs of diabetes?
- rapid loss of weight (10-15 lbs)
- blurred vision
- irritability
- nervousness
- sores that heal slowly or not at all
201
What are signs of advanced diabetes?
- Gangrene
- Amputations
- Heart problems
- Kidney failure
- Blindness
202
How do you treat Type I diabetes?
Diet, exercise, insulin, insulin pump, B-cell transplant
203
How do you treat Type II diabetes?
Diet, exercise, oral meds
204
How do you treat gestational diabetes?
Diet, exercise, insulin
205
Polyunsaturated fatty acids
(Has 2 or more double bonds between carbon atoms)
| Not saturated
206
Each carbon atom has 4 bonds and each hydrogen has 1 bond so it is said to be
A saturated molecule
207
Monounsaturated fatty acids
Mono- unsaturated
| Has one double bond between carbon atoms
208
Degree of saturation - how many bonds can carbon form, and how many bonds can hydrogen form?
(for a saturated fatty acid)
Carbon forms 4 bonds
| Hydrogen forms 1 bond
209
Cholesterol values
Total cholesterol: below 200
LDL: below 100
HDL: above 45
Triglycerides: below 200
210
Bone
– Function: support and protection, stores calcium (Ca) and phosphorus (P)
– Location: skeletal system
211
Rule of Nines percentages of body surface area
```
Anterior Trunk-18%
Posterior Trunk- 18%
Each Leg-18%
Each Arm-9%
Head and Neck-9%
Perineum(genitals)-1%
```
212
Rule of nines*
- helps assess how much fluid was lost and how much is needed to replace it
- allows you to estimate amount of surface area involved
213
Basal Cell Carcinoma
- The most common type of skin cancer
- occurs most often on the sun exposed areas of the face
- are shiny dome-shaped nodules
- the basal layer is the most active mitotic layer
- layer in which melanocytes are located
- slow growing, seldom there is metastasis
214
in 99% of cases ____ is the cure for Basal Cell Carcinoma
Surgery
215
Squamous cell carcinoma
- layer is mitotic, but not as active as the basal layer.
- originates in keratinocytes of stratum spinosum
- occurs most often on scalp, ears, and lower lip
- grows rapidly and will metastasize if not removed
216
Keratinocyte
water-proofing cells in stratus spinosum
an epidermal cell that produces keratin.
217
Malignant Melanoma
- Most dangerous/deadly kind of skin cancer
- orignates in the melanocytes located in basal layer
- spreads rapidly
218
Most common procedure/surgery for Malignant Melanoma
MOHS surgery Mole is removed and they check the edges for cancerous cells, and if there are cancerous cells they go back in and cut them our
219
Carcinoma
Cancer that originates in coverings of the body such as skin or linings
220
Sarcoma
cancer that originates in the supportive tissue such as bone, cartilage or muscle
221
Leukemia
Cancer of white blood cells
222
Kaposi's Sarcoma
A Sarcoma often seen in AIDs patients because of their compromised immune system
223
Classification of Bones
1. Long bone– More long then wide (ex. most bones of the limbs)
2. Short bones – they are as long as they are wide. Their function is to provide support and stability with little to no movement. They are roughly cubed shaped.
(Ex. Bones of the wrist(carpals) and the ankles.)
3. Flat bones – principal function is either extensive protection or The provision of a broad surface For muscular attachment. Thin, flattened, have a bit of a curve.
(Ex. Sternum and most skull bones.)
4. Irregular bone – fit none of the other classes, serve purposes such as protection of the nervous tissue
(Ex. Vertebrae - protects spinal cord, and the hip bones.)
224
Osteoblasts
Bone–forming cells
225
Osteoclasts
Bone – destroying cells
226
Hematopoiesis
- The process in the body by which all blood cells are formed
- this process occurs only in the red marrow
- in adults the long bones are filled with yellow marrow so hematopoiesis does not occur
- yellow marrow can convert to red marrow if a person becomes very anemic
227
Where are spongy bones primarily located?
| impt because
The ends of bones; acts as a shock absorber
228
Osteogenesis
– The formation and development of bony tissue
| – At six weeks, the skeleton is fibrous membrane and cartilage which needs to be converted to bony tissue
229
Simple fracture
– Also called a closed fracture
– Bones break cleanly but do not penetrate the skin
230
Compound fracture
– More serious than simple
– Broken ends of the bones penetrate the skin
– Bone infections known as osteomyelitis are possible
– Antibiotics are required
231
Comminuted fracture
– Bone fragments into many pieces
| – Common in the aged where bones are brittle
232
Compression fracture
– Bone is crushed
| – Common in porous bones (those with osteoporosis)
233
Depression fracture
– Bone is pressed inward
| – Typical of skull fracture
234
Impacted fracture
-broken bone ends are forced into one another
| – Common when trying to break a fall with one's arm
235
Spiral fracture
Ragged break that occurs with a twist to the bone
– Common sports fracture
(Running and came down on their foot, leg twisted bc they had so much momentum)
236
Greenstick fracture
– Bone breaks incompletely
– Common in children with flexible bones
Even mild greenstick fracture's are usually immobilized in a cast, in addition to holding the cracked pieces of the bone together so they can heal, The cast will prevent the bone from breaking all the way through.
237
Duchenne muscular dystrophy
| What is it, cause, age onset, sexes affected, Life expectancy
– A genetic disorder characterized by progressive muscle degeneration and weakness.
– Cause: caused by the absence of dystrophin-protein that helps keep muscles intact. Also carried on the X chromosome
– Onset is in early childhood usually between ages three and five
– Disease primarily affects boys, but in rare cases it can affect girls
– Rarely live beyond adolescence
238
Genetics for Duchenne muscular dystrophy/inheritance pattern
-mother is a carrier but not affected and the father is normal
– There is a One in four chance of having an effective child, there's a One in two chance that if it is a boy he will have it
239
Symptoms of Duchenne muscular dystrophy
– Calf muscles appearance well-developed(hypertrophy) but are actually wasted away (atrophy); muscle was replace by fat so they're weak instead of muscular
– Other muscles are actually wasted (atrophy) and appear so: 1. Walk later and fall frequently 2. Walk in a waddling manor with a scissors gait
– lordosis (swayback)
240
Struggles with Duchenne muscular dystrophy
– trouble getting up after sitting on the floor
– Typically they will use their arms to climb up their legs to standing
– Difficulty with resistance using shoulder girdle, muscles in the shoulder have atrophied
241
Prognosis for Duchenne muscular dystrophy
– Progresses slowly
– Eventually involves all voluntary muscles
– Wheelchair bound by 10
– Survival rare beyond 20
– That is usually due to heart or respiratory failure (asphyxiation)
242
Two groups of organs of digestion and their functions
Primary – the organs through which food passes
Accessory – the organs that contribute to digestion but food does not pass through them
243
Primary organs of digestion: and the pathway of food through the body from top to bottom
```
Mouth
Pharynx
Esophagus
Stomach
Duodenum (small intestine)
Ileum (small intestine)
Jejunum (small intestine)
Ascending colon (large intestine)
Transverse colon (large intestine)
Descending colon (large intestine)
Sigmoid colon (large intestine) - named for its S shape
Rectum
Anus
```
244
Accessory organs of digestion, and their function
Liver - makes bile
Gallbladder - stores bile
Pancreas - makes digestive enzymes
245
Mouth
- digestion begins in the mouth, and is both mechanical and chemical in nature
- mechanical because you chew your food (teeth)
- Chemical because there is an enzyme called *salivary amylase* that is released and creates carbohydrate digestion
246
Functions of saliva in the mouth
– make food softer
– Begin chemical digestion
– Kill bacteria
247
Types of teeth
1. Incisors – located at the front of the mouth, with a sharp biting surface. Used for cutting or shearing food into small chewable pieces
There are 8 incisors in both primary and permanent dentitions.
2. Canines – located at the corners of the dental arches, have a sharp, pointed biting surface. Their function is to grip and tear food.
There are four canine teeth in both primary and permanent dentitions.
3. Premolars – unlike incisors and canines have a flat biting surface, their function is to tear in crush food. (Grinding.) they are unique to the permanent dentition, which has 8 premolars
4. Molars – largest of the teeth, have a large flat biting surface. The function of the molars are to crush chew and grind food. There are 8 molars in the primary dentition, and 12 in the permanent dentition.
248
Dental formula for children and adults (and example numbers.)
In the example what is the total number of deciduous teeth and permanent teeth in the mouth?
Children: 2 (incisors) - 1 (canine) - 0 (premolars) - 2 (molars)
Adults: 2 (incisors) - 1 (canine) - 2 (premolars) - 3 (molars)
This dental formula tells you how many of each of these are in 1/4 of your mouth.
So to get the total number of teeth in a persons mouth you have to multiply each number by four.
So multiplying by four, the number of deciduous teeth in this dental formula would be 20. The number of permanent teeth in this formula would be 32.
249
The esophagus
The esophagus is a muscular tube about 10 inches in length
Connects the throat(pharynx) to the stomach
– It takes 4-8 seconds to move food (known as a bolus) through the esophagus.
250
The stomach
– The stomach is the part of the digestive tract in which most digestion of food occurs
It is a pear-shaped enlargement of the alimentary canal(or the digestive tract) that links the esophagus to the small intestine
-in the stomach you'll find both mechanical and chemical digestion. Mechanical is the churning of food. Chemical digestion is when enzymes are secreted and help digest the food.
251
Where is most food absorbed?
| Why?
- in the small intestine
| - because it is about 21 feet long and is adapted to absorption
252
Where do we produce the digestive juices that empty into the small intestine?
In the pancreas in the liver (accessory organs)
253
What are the functions of the large intestine?
– Absorb water
| – Produce vitamins like B12 and vitamin K
254
Why are there bacteria in the large intestine?
To break down wastes and to produce vitamins
255
Two classes of vitamins
– Fat soluble: A, D, E, K
| – water soluble: all the others
256
Factors that contribute to anorexia and bulimia
– A family that is tightly enmeshed
– Overprotective parents
– Rigid family values
– A family that avoids conflict at all costs
– Genetic, biochemical, psychological, cultural and environmental.
– There is a greater emphasis on a female's appearance then a males appearance
257
Symptoms of anorexia
```
– Claiming to feel fat when they're not
– Preoccupation with food and calories
– Denial of hunger
– Excessive exercising
– Frequent weighing
– Loss of menstrual period
– Strange food related behavior
– Weight loss of 25% below normal***
– Hair loss
– Rigid
– Perfectionists
– Low self-esteem
```
258
What is bulimia?
```
– Normal weight
– Constant concern with weight and body image
– Low self-esteem
– Poor impulse control
– use of laxatives and diuretics
– High carbohydrate intake
– 5-10,000 calories/binge
– Binging and purging
– Sore throat
– Dehydration
– Irregular heart rhythms
– Depression
– anemia
– G.I. disorders
– Tooth damage
```
259
What is syrup of ipecac?
What does that have to do with bulimia?
Is it dangerous, and why?
A chemical used to induce vomiting
It is often used to induce vomiting after binging
Yes it is dangerous, because it can accumulate in the heart and cause a lethal arrhythmia
260
Pathway of blood:
```
O= oxygenated blood
D= deoxygenated blood
```
```
Superior and inferior vena cava (D) >
Right atrium (D) >
Right ventricle (D) >
Pulmonary arteries (D) >
Lungs (oxygen will be picked up and carried back into the left side of the heart) >
Pulmonary veins (O) >
Left atrium (O) >
Left ventricle (O) >
Aorta (O) >
Body
```
After blood goes out to the body the cycle is complete and begins again in the superior and inferior vena cava
261
Treatments for a heart attack
– Clot busters
– Angioplasty
– Bypass surgery
262
Clot busters; types; when to be given; who not to be given to
– 2 clot blusters: TPA, streptokinase
– Must be given within 90 minutes, because the heart muscle will die by then
– Never give to a person who may need surgery, because they may bleed to death
263
Angioplasty; also known as; failure rate
– **An inflated balloon is pressed against the wall of the artery to compress the obstruction/plaque
– Also called balloon surgery
– ***About 2/3 fail within one year
264
Bypass surgery
– The most dangerous, chest wall is cracked open – a vein is used to replace the blockage.
– Usually a vein from the leg is used
– ***Only good for about 10 years
265
Transmission of the HIV virus
– The HIV virus cannot live without a host cell
| – The host cell is a white blood cell called the T-4
266
HIV positive symptoms
– Night sweats, fever, unexplained weight loss 10 pounds or more, diarrhea, fatigue, vaginal infection
267
Diagnosing full-blown AIDS
1. You must test HIV-positive plus one of the following:
a. Have a T cell count of 200 or less – normal T-cell count: 1000-1200 mL
b. Have an opportunistic infection
268
Timeline for aids
Infection: flu like symptoms for 2 to 4 weeks
Window period**: The time from infection to testing positive for the virus 3 to 6 months
HIV positive asymptomatic: test positive for HIV, but show no symptoms 7 to 15 years
HIV positive symptomatic colon test positive for HIV, begin to show symptoms for 3 to 7 years
Aids: full-blown symptoms for 3 to 5 years
269
"Fight or Flight" response
Stress>Brain(hypothalamus)>Pituitary Gland>ACTH>Blood>Adrenal Glands>Adrenalin, Cortisol, and other stress hormones>Blood>Body responds to stress
270
Why is tobacco smoke more dangerous to infants and children than adults?
They weigh less, so pollutants are more concentrated in their bodies
Their lungs are still growing so they are more easily damaged
271
Pathway of air through the body
```
Nose
Pharynx
Larynx
Trachea
Primary bronchus
Secondary bronchus
Tertiary bronchitis
Bronchiole
Terminal bronchiole
Alveolus (air sac) - where oxygen and carbon dioxide are exchanged
```
272
Cystic fibrosis
The most common lethal genetic disease in the United States, every day two children die of it
Passed on by two parents who are carriers, affects one of every 2400 white children
An autosomal recessive
273
Sx of cystic fibrosis
```
Sweat tastes very salty
Frequent respiratory infections
Difficulty breathing
Difficulty keeping weight
Clubbed fingers and toes
Barrel shaped chest
Ascites
```
274
Cystic fibrosis treatments
Mucomyst - The brand name for acetylcysteine. A chemical most often in hailed by patience to thin their thick mucus and make it easier to expel
Postural drainage or vest - The patient is turned in different directions to help dislodge the thick mucus some use a vest to vibrate the mucus loose
Antibiotics
Viokase - A tablet or a pill taken orally by patience, contains pancreatic enzymes like lipase, protease, and Amylase to help these patients digest their food more readily
