homeostasis Flashcards

(33 cards)

1
Q

why does blood enter glomerulus under high pressure

A

the afferent (arriving) arteriole is wider than the efferent (exiting) arteriole

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2
Q

what substances leave the glomerulus

A

smaller molecules - ions, glucose, water, urea

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3
Q

what substances stay in the capillaries

A

proteins and blood cells

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4
Q

what 3 layers do molecules pass through as they leave the glomerulus

A

capillary pore
basement membrane
filtration site of podocyte

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5
Q

where does selective reabsorption happen

A

proximal convoluted tubule

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6
Q

how are glucose and sodium ions reabsorbed

A

(co-transport) sodium ions actively transported out of cell to maintain concentration gradient between filtrate and PCT cells → glucose + sodium ions enter PCT cells via co-transport → glucose enters blood via facilitated diffusion

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7
Q

how is the proximal convoluted tubule adapted for reabsorption

A

microvilli increase surface area
co-transport proteins in membrane
mitochondria provide energy

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8
Q

what happens in the descending limb of the loop of henle

A
  • permeable to water; impermeable to sodium ions
  • water moves out of filtrate via osmosis into medulla
  • filtrate becomes more concentrated as it descends
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9
Q

what happens in the ascending limb of the loop of henle

A
  • impermeable to water; permeable to sodium ions
    lower part→ sodium ions diffuse into medulla via facilitated diffusion upper part → sodium ions actively transported into medulla
  • lowers the filtrate water potential → increases ion concentration in medulla → maintains water potential gradient across medulla
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10
Q

why is it called the counter current multiplier mechanism

A

fluid flows in opposite directions in the two limbs of the loop → the deeper the medulla, the more concentrated the Na+ become in interstitial fluid, the lower the water potential

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11
Q

what happens in the distal convoluted tubule and collecting duct

A
  • water moves out of the filtrate in the DCT and collecting duct via osmosis
  • remaining filtrate → renal pelvis → ureter → bladder → excreted
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12
Q

what is ADH and what does it do

A

anti-diuretic hormone produced by the pituitary gland in the hypothalamus → regulates water concentration in blood and urine

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13
Q

what happens when blood water potential too low ie when dehydrated

A

osmo-receptors in hypothalamus detect drop (osmosis out causes them to shrink)

stimulates posterior pituitary gland to release more ADH

ADH makes walls of distal convoluted tubule and collecting duct more permeable → inserts aquaporins (water channels)

more water reabsorbed into the blood by osmosis, increasing water potential

urine more concentrated (small volume, higher concentration)

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14
Q

what happens when blood water potential too high ie after drinking a lot

A

osmoreceptors in hypothalamus detect increase (osmosis causes them to swell)

reduces the release of ADH from the posterior pituitary gland

walls of the distal convoluted tubule and collecting duct less permeable → aquaporins removed

less water reabsorbed into blood by osmosis → more lost in urine

urine more dilute (larger volume, lower concentration)

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15
Q

what is homeostasis

A

maintenance of a constant internal environment

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16
Q

what is negative feedback

A

reverse change in the body

change is detected by receptors → reversal brought about to effectors

enable conditions to fluctuate within reasonable limits

17
Q

what hormone reduces blood sugar levels

18
Q

how does insulin reduce blood sugar levels once bound to receptors on liver and muscle cells

A

increases membrane permeability to glucose

stimulates glycogenesis

increases rate of respiration

19
Q

what is glycogenesis

A

conversion of glucose to glycogen

20
Q

what hormone increases blood sugar levels

21
Q

how does glucagon increase blood sugar levels once bound to receptors on liver cells

A

stimulates glycogenolysis

decreases rate of respiration

stimulates gluconeogenesis

22
Q

what is glycogenolysis

A

conversion of glycogen to glucose

23
Q

what is gluconeogenesis

A

conversion of fatty acids and amino acids to glucose

24
Q

what is adrenaline

A

hormone secreted from adrenal glands in response to stress / low blood glucose levels

25
what is the second messenger model of adrenaline
binds to receptor site on liver cell receptor activates adenylate cyclase converts ATP to cyclic AMP (cAMP) activates protein kinase A → activates series of enzyme controlled reactions
26
what does protein kinase A do
activates glycogenolysis (conversion of glycogen to glucose inactivates synthesis of glycogen
27
what is diabetes
metabolic disorder where blood glucose concentrations aren’t properly regulated due to issues with insulin production or response
28
what is type 1 diabetes
insulin dependent, juvenile onset autoimmune destruction of beta cells → no insulin production hyperglycaemia → blood glucose concentrations rise for extended period of time → fatal kidneys can’t reabsorb all glucose → excreted in urine
29
what are the symptoms of diabetes
fatigue, weight loss, excessive thirst, frequent urination
30
what are the treatments of type 1 diabetes
insulin injections / monitoring of blood glucose / management of diet and exercise to avoid hypoglycaemia
31
what is type 2 diabetes
insulin independent, late onset insulin produced but target cells less responsive → down regulation of receptors linked with obesity, poor diet, lack of exercise blood glucose concentration remain high as cell uptake of glucose ineffective
32
how can type 2 diabetes be treated
treated with lifestyle changes (diet/exercise plan) / medication / sometimes insulin therapy
33
why is type 2 diabetes a growing health issue
increased risk of CVD (build up of fatty plaques) / blindness / amputation / kidney disease / depression ⬆️ costs for NHS, ⬆️ absent from work, early retirement