Overview of Science for Medicine Flashcards

(416 cards)

1
Q

What is aetiology?

A

The cause of the disease

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2
Q

What is pathogenesis?

A

How the disease develops

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3
Q

What is a sign?

A

What the doctor sees

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4
Q

What is a symptom?

A

What the patient experiences and tells you

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5
Q

What is a diagnosis?

A

Determining the nature and cause of disease or injury

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6
Q

What is a prognosis?

A

A prediction of the probable outcome of the disease

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7
Q

What are the 6 classifications of disease?

A
Growth 
Inflammation
Degenerative 
Developmental 
Circulatory 
Unnatural
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8
Q

What percentage of ECF is ISF?

A

80%

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9
Q

What percentage of ECF is plasma?

A

20%

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10
Q

What is negative feedback?

A

When a change to the system is detected and the feedback works to counteract this change and restore the system back to normal

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11
Q

Why is the feed forward system more sophisticated?

A

Because the changes can be anticipated before the significant changes have happened

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12
Q

What fraction of body water is in the ECF?

A

1/3

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13
Q

What fraction of body water is in the ICF?

A

2/3

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14
Q

Can energy be destroyed?

A

No energy can be converted from one form to another but cannot be created or destroyed

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15
Q

What do all energy transformations lead to?

A

An increase in disorder in the system

An increase in entropy

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16
Q

Why is it unusual that there is an increase in entropy for cells?

A

Because cells create order

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17
Q

What do cellular processes release that creates more disorder in the system?

A

Heat

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18
Q

What is metabolism?

A

The chemical processes in a living organism that allow food to be used for tissue growth

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19
Q

What is metabolism a mix of?

A

Summative and degradative reactions

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20
Q

What is another name for degradative reaction?

A

Catabolism

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21
Q

What is another name for summative reactions?

A

Anabolism

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22
Q

Do catabolic reactions have a positive or negative ve?

A

Negative

-ve

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23
Q

Do anabolic reactions have a positive or negative ve?

A

Positive

+ve

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24
Q

What is the energy obtained from catabolic reactions used for?

A

It is used up in anabolic reactions to produce more highly ordered compounds

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25
What is the general function of NADP, NAD and FAD?
They are use in redox reactions as electron carriers
26
What do ATP and ADP act as?
Free energy carriers, that couple anabolic and catabolic reactions
27
How does ATP/ADP couple anabolic and catabolic reactions together?
Using phosphate group transfers
28
What are the major elements used to construct human biomolecules?
``` Oxygen Carbon Hydrogen Nitrogen Sulphur Phosphate Sodium Potassium Chlorine Calcium ```
29
What is meant by cis?
Functional groups on the same side
30
What is meant by trans?
Functional groups on opposite sides
31
Why are functional groups on molecules so important?
They affect the interactions of that molecule with other molecules
32
What is the configuration of a molecule?
The fixed arrangement of atoms in a molecule
33
What is the conformation of a molecule?
The precise arrangement of atoms in a molecules
34
What are the 5 chemical reactions that occur in living organisms?
``` Redox Making/breaking C bonds Group transfers Condensation/Hydrolysis Internal Rearrangements ```
35
Describe redox reactions
When electrons are gained and lost in reduction and oxidation reactions
36
Usually how many electrons are gained or lost in redox reactions?
2
37
What is an internal rearrangement reaction?
When the molecule is rearranged to give it different properties and a different structure
38
What is a group transfer reaction?
When a functional group is transferred from one molecule to another
39
What is a condensation reaction?
The joining together or monomers or molecules usually yielding water
40
What is a hydrolysis reaction?
The breaking down/separation of joined together molecules sing water
41
What 2 compartments are cells divided into?
Nucleus | Cytoplasm
42
What is the cytosol?
The organelles and the fluid
43
What does the nucleus contain?
DNA, nucleoproteins and some RNA
44
What do the nucleoli serve as sites for?
Ribosomal RNA synthesis and Ribosomal assembly
45
What is the function of rough ER?
Synthesises and secretes/packages proteins
46
Why does rough ER have a studded appearance?
Due to the presence of ribosomes
47
What is smooth ER responsible for?
Lipid biosynthesis | Membrane synthesis and repair
48
What is the function of ribosomes?
They carry out protein synthesis
49
What is the function of the golgi apparatus?
To package and process secretory proteins | Also synthesis complex polysaccharides
50
What does a lysosome contain?
Powerful digestive enzymes
51
What do lysosomes act as?
Cellular stomachs
52
What is the folded inner membrane of mitochondria known as?
Cristae
53
What is mitochondria vital for?
Energy production Citric Acid cycle Electron transport chain
54
Are mitochondria mobile cells?
Yes
55
What is the role of the cytoskeleton?
Provides strength and support while also allowing for cell motility
56
What do microfilaments form that line the small intestine?
Microvilli
57
What do microtubules form that line the respiratory tract>
Cilia
58
What structure do microtubules form that are useful during cell division?
Spindle fibres
59
Why is water a polar molecule?
Due to the difference in E.N between oxygen and hydrogen | The oxygen is particularly E.N
60
Between what elements does H bonding occur?
H-F H-O H-N
61
Are molecules that form H bonds water soluble?
Yes
62
When a water soluble compound is added to water what are the water-water bonds replaced by?
Water-solute
63
Are uncharged molecules soluble?
No
64
How do uncharged molecules arrange themselves in water?
They form cages
65
Why do uncharged molecules form cages?
To minimise disruption of the surrounding water molecules
66
What is meant by the term amphipathic?
The molecules contains both hydrophobic and hydrophilic parts
67
Give an example of an amphipathic molecule
Phospholipids Have hydrophilic head Have hydrophobic tail
68
What is pH a measure of?
H+ conc.
69
What equation measures pH?
pH -log(H+)
70
What is a buffer a solution of?
A weak acid
71
What happens to strong acids in solution?
They fully dissociate
72
Why is it that weak acids can only form buffers?
Because they are only partially dissociated meaning they can dissociate more and less to compensate for the disrupted pH
73
What happens to weak acids in solution?
They do no dissociate very much
74
What is the cell membrane made up of?
A phospholipid bi-layer
75
How would you describe the permeability of the cell membrane?
Selectively permeable
76
Can permeability of the cell membrane vary?
Yes depending on the needs of that cell at that time
77
Why is the cell membrane very flexible?
Due to fatty acids
78
What does the membrane provide binding sites for?
Chemical recognition
79
What are the 2 classes of membrane proteins?
Integral membrane proteins | Peripheral proteins
80
Why are integral proteins amphipathic?
Because they span the full membrane which is also amphipathic
81
How do integral proteins act as channels?
They create a passage for which ions can cross the membrane
82
How do integral proteins act as carriers?
They transport substances across membranes acting like pumps
83
How do integral enzymes act as carriers?
They create binding sites at the surface which interact with intercellular pathways
84
How do integral enzymes act as receptors?
They act as recognition sites for chemicals and signals
85
What % protein content do mitochondria have?
Around 75%
86
What % protein content do schwann cels have?
18%
87
What % protein content do most cells have?
Around 50%
88
Are peripheral proteins amphipathic?
No
89
From what side do peripheral proteins make contact with the plasma membrane?
From the intercellular side
90
What is meant by diffusion?
When molecules spread out from an area of high concentration to an area of low concentration - when the membrane is permeable to the molecule
91
To diffuse through the lipid bilayer what do molecules need to be?
Small Uncharged Hydrophobic - lipophilic
92
What type of membrane channel does water flow through?
Aquaporin
93
What is a voltage gated channel?
One which will change conformation in response to a change in electrical potential
94
What is a ligand gated channel?
One which will change conformation in response to a ligand binding
95
What charge does the inside of the cell have in relation to the outside of the cell?
negative
96
What is facilitated diffusion?
Transports of solutes down their conc. gradient requires a change in conformation but needs no direct energy source
97
What is active transport?
When energy is require to move substance against their conc. gradient. The energy comes from ATP
98
Where does the energy for active transport come from?
ATP
99
What is osmolarity a measure of?
Solute concentration
100
What does 1M of glucose have an osmolarity of?
1 osmole/L
101
What does 1M of NaCl have an osmolarity of?
2 osmole/L
102
What determines the cell volume?
Tonicity
103
If the ECT has a higher tonicity than the ICF what happens?
The solution is hypertonic | The cell will shrink as water leaves via osmosis to compensate
104
If the ECF has a lower tonicity than the ICF what happens?
The solution is hypotonic and the cell will swell as water enters the cell via osmosis to compensate
105
What is an isosmotic solution?
One in which there is an equal number of both penetrating and non-penetrating solutes on either side of the membrane
106
What is an isotonic solution?
One which there is an equal number of non-penetrating solutes on either side of the cell membrane
107
What happens in endocytosis?
When there is an invagination of the membrane to form a vesicle around the target substance to engulf it into the cell
108
What happens in exocytosis?
When a vesicle containing the substance is released from the cell
109
What is the function of epithelial tissue?
To cover surfaces and separate compartments
110
What do tight junctions do?
Seal intracellular space | Make waterproof
111
What do gap-junctions do?
Allow passage from cytoplasm to cytoplasm | Allowing cell to cell communication
112
What is a desosome?
An adhering junction Cell to cell junction That provides firm anchorage
113
What is a hemidesmosomes?
A cell to ECM junction
114
What does the function of epithelial tissue depend on the cell or ECF?
Cell
115
What function do cilia have?
Movement
116
What function do microvilli have?
Absorption
117
What cells are found in the liver?
Hepatocytes
118
Give an example of a function of hepatocytes?
Secretion
119
How are kidney cells arranged?
Into nephrons
120
Give some examples of functions of nephrons
Filtration of blood | Partial absorption of filtrate
121
Where do endocrine glands secrete to?
The blood
122
Where do exocrine glands secrete to?
The surface
123
Give an example of a exocrine gland
Sweat glands
124
What shape does a tubular glands have?
Tube
125
What shape does a acinar gland have?
Rounder
126
What is the consequence of abnormal over production of glandular function?
Pituitary giantism
127
What is the consequence of abnormal under production of glandular function?
Pituitary dwarfism
128
What percentage of body weight does collagen make up?
30%
129
How much can elastic fibres stretch?
1.5 times their length
130
Why is the skin an organ?
Because it contains all 4 types of tissue
131
What is the largest organ in the body?
The skin
132
What 3 layers is the skin composed of?
Epidermis Dermis Hypodermis
133
What is the epidermis composed of (tissue wise)?
Epithelium
134
What is the dermis composed of?
Connective tissue
135
What is the hypodermis composed of?
Fat
136
What is the function of the epidermis?
To form the boundary between internal and external environments
137
What is the function of the dermis?
To give structural strength
138
How many layers are there in the epidermis?
5
139
What are the 4 layers of the epidermis?
Stratum germinativum Stratum Spinosum Stratum granulosum Stratum Corneum
140
What is the stratum germinativum bound to the basement membrane by?
hemidesmosomes
141
What is the stratum germinativum bound to other cells by?
Desosome
142
What is the stratum granuosum defined by the presence of?
Keratohyalin granules
143
Which layer of the epidermis is hard to identify?
Stratum corneum
144
Does the stratum corneum have cell organelles?
No
145
Does the stratum germinativum have cell organelles?
Yes - regular assortment of cell organelles
146
What 2 layers is the dermis composed of?
Papillary layer | Reticular layer
147
What type of connective tissue is the papillary layer composed of?
Loose connective tissue
148
What type of connective tissue if the reticular layer composed of?
Dense irregular connective tissue
149
Where is the stretch reflex found?
In all muscles
150
What is the simplest reflex?
Stretch reflex
151
What is an example of a stretch reflex?
The knee jerk reflex
152
What is the stretch reflex elicited by?
A sharp tap to the tendon
153
Why do tendons not contract?
Because they are inelastic
154
Where is the force from a sharp tap to the tendon transferred to?
Muscle fibres
155
What are the functions of bones in the body?
Mechanical Protective Metabolic Haematopoies
156
What do bones provide support and attachment for?
Muscles Tendones Ligaments Joints
157
What do bones protect?
Internal organs
158
What metabolic functions do bones have?
Mineral reservoir for calcium and phosphate homeostasis
159
In endochondral ossification where do bones form?
As cartilage
160
In intramembranous ossification what do bones form as?
A fibrous plate
161
Is there a cartilaginous phase in intramembranous ossification?
No
162
What invade the cartilage framework in Endochondral ossification?
Blood vessels | Osteogenic cells
163
What % of bone is composed of water?
20%
164
What % of bone is protein?
35%
165
What are the epiphyses of long bones composed of?
Trabecular (spongy) bone
166
How is cortical (hard) bone arranged?
In haversian systems
167
What gives bone it strength?
The collagen molecules form fibrils, which then form fibres and finally sheets
168
What are osteoclasts responsible for?
For resorbing cells
169
What are osteoblasts responsible for?
For laying down more bone
170
Why are bones constantly remodelled?
To keep them at peak strength
171
What are osteocytes derived from?
The differentiation of osteoblasts
172
What do osteocytes act as?
Sensors of mechanical pressure and damage
173
What are the 4 basic categories of amino acids?
Acidic Basic Uncharged polar Non-polar
174
Give examples of functions of proteins
``` Movement Protection Transport Enzymes Receptors Structural Storage Hormones Control of gene expression ```
175
What is the primary structure of a protein?
The sequence of amino acids in a polypeptide chain
176
What is the secondary structure of a protein?
The spatial arrangement of amino acid residues - involves H bonding of the backbone
177
What are the 2 arrangements in secondary structure?
Alpha helices | Beta pleated sheets
178
What is the tertiary structure of a protein?
The interactions between the R groups of amino acids
179
What interactions can occur between the R groups in amino acids?
``` Van der Waals Ionic Interactions Hydrogen bonding Disulphide bridges Hydrophobic structures ```
180
What is the quaternary structure of a protein?
When there is the interaction of more than one protein subunit
181
What is a co-factor?
A non-protein component needed for activity
182
What is a co-enzyme?
A complex organic molecule usually formed from vitamins
183
What is a prosthetic group?
A cofactor covalently bound to the enzyme or very tightly associated with the enzyme
184
What is an apoenzyme?
The protein component of an enzyme containing the prosthetic group
185
What do enzymes increase?
The rate of a spontaneous reaction
186
What do enzymes lower?
The activation energy of biochemical reactions
187
What do enzymes accelerate the movement towards (but not change the position of)?
Equilibrium
188
What does a large Km tell us about the affinity of the ES complex?
A less stable ES complex | The S has a low affinity for the active site
189
What does a low Km tell us about the affinity of the ES complex?
That there is a more stable ES complex | The S has a high affinity for the active site
190
What does the Km value tell us?
The affinity of the substrate for the active site
191
Where do competitive inhibitors?
The active site
192
How do competitive inhibitors bind?
Non-covalently
193
Where do non-competitive inhibitors bind?
To a site other than the active site of the enzyme
194
How do competitive inhibitors affect the Km?
Increase the Km as the affinity for the proper substrate decreases
195
How is competitive inhibition overcome?
By increasing the substrate concentration
196
Can non-competitive inhibition be overcome?
No
197
What happens to Vmax in non-competitive inhibition?
The inhibitor cannot be displaced by increasing the conc. of the substrate so Vmax will decrease
198
What can metabolites binding to allosteric enzymes act as?
Inhibitors or activators
199
What is the concerted model of allosteric enzymes?
Each subunit exists in 2 different conformation One is open (low Km) One is closed (high Km) With no substrate the enzyme flips between comformation When 1 substrate binds it holds the enzyme in the open conformation
200
What is the sequential model of allosteric enzymes?
There is no flipping The binding to one subunit causes a conformation change to the next And so on...
201
What are the 3 major monosaccharides?
Glucose Galactose Fructose
202
What are the 3 major disaccharides?
Maltose Sucrose Lactose
203
Where is glucokinase found?
In the liver
204
Where is hexokinase found?
In all the other tissues
205
What are glucokinase and hexokinase to each other?
Isoenzymes
206
What are isoenzymes?
Enzymes that catalyse the same reaction
207
Are the Km and Vmax of hexokinase and glucokinase the same?
No they differ
208
When will glucokinase pick up glucose?
When the glucose conc. is high
209
Describe the Km and Vmax of hexokinase
Has a low Km | Low Vmas
210
Why does hexokinase have a low Km?
So that glucose will bind even at low concentrations
211
Why does hexokinase have a low Vmax?
As it means the tissues it is found in are quickly satisfied
212
Why does glucokinase have a high Vmax?
So it can trap as much glucose as possible
213
What is glycogen?
A polymer of glucose
214
What enzyme synthesises glycogen?
Glycogen Synthase
215
How is glycogen formed?
Glucogenin starts by binding to glucose from UDP-glucose to form chains of approx 8 subunits
216
Between what alpha are the branches in glycogen?
a1-a6
217
How often are the branches in glycogen?
Every 8 to 12 residues
218
What is the net gain of ATP for every 1 molecule of glucose in glycolysis?
2 ATP
219
What organelle dor RBC not have?
Mitochondria
220
What are the 2 phases of glycolysis?
Investment stage | Pay off stage
221
How many ATP are invested in the investment stage?
2ATP
222
How many ATP are gained in the pay off phase?
4ATP
223
What is the end product of glycolysis?
Pyruvate
224
How many stages are there in glycolysis?
10
225
What is the 1st stage of glycolysis?
Phosphorylation of glucose
226
What is the 2nd stage in glycolysis?
The conversion of G-6-P to F-6-P
227
What is the 3rd stage of glycolysis?
Phosphorylation of F-6-P to F-1, 6-bisP
228
What is the 4th stage in glycolysis?
The cleavage of F-1,6biP
229
What is the 5th stage of glycolysis?
The interconversion of triose sugars to give 2 of the same molecule
230
What is the 6th stage in glycolysis?
Oxidation of G-3-P to 1,3-bisPG
231
What is the 7th stage of glycolysis?
The P transfer from 1,3-bisPG to ADP
232
What is the 8th stage in glycolysis?
The conversion of 3-PG to 2-PG
233
What is the 9th stage in glycolysis?
Dehydration of 2-PG to PEP
234
What is the 10th stage of glycolysis?
The transfer of P from PEP to ADP
235
Why does NAD+ need to be regenerated?
Because it is needed for glycolysis q
236
What doe NAD+ act as?
An electron acceptor
237
What are the 3 fates of pyruvate?
Can enter the CAC to produce CO2 and water Can be converted to lactate Can be converted to ethanol (this occurs in yeast)
238
What does the fate of pyruvate depend on?
The needs of the cell at any given time
239
What is the main organism that converts pyruvate to ethanol?
Yeast and other micro-organisms | NOT IN HUMANS
240
What is regenerated in converting pyruvate to ethanol?
NAD+
241
When is pyruvate converted to lactate?
When the human cells are lacking O2
242
How is pyruvate reduced to lactate?
Via fermentation
243
What is regenerated in converting pyruvate to lactate?
NAD+
244
How is NAD+ regenerated in the conversion of pyruvate to lactate?
The oxidation of NADH drives the recdution of pyruvate to lactate
245
What do cells require for pyruvate to enter the CAC?
Oxygen
246
What is pyruvate oxidised to form when entering the CAC?
Acetyl coenzyme A
247
Where does the CAC occur?
Within the mitochondria
248
What is bond between sugar monomers called?
Glycosidic bond
249
Give example of tissues that rely entirely on glucose as their main energy source?
Brain NS RBC Testes
250
What is gluconeogenesis not a reverse of?
Glycolysis
251
How many of the glycolysis reactions are reversible?
7 out of 10
252
What prevents the reactions in glycolysis being reversible?
Large -ve
253
How many reactions are there that can bypass the irreversible ones in glycolysis?
4
254
How is pyruvate converted back to PEP?
Pyruvate - oxaloacetate - maltate - oxaloacetate- PEP
255
How is lactate converted back to PEP?
Lactate- pyruvate - oxaloacetate - PEP
256
What does reaction A of gluconeogenosis do?
Converts pyruvate to oxaloacetate
257
What does reaction B of gluconeogenesis do?
Converts oxaloacetate to PEP
258
What is converted to what in reaction C of gluconeogenesis?
F-1,6-BP to F-6-P
259
What is happening in reaction C of gluconeogenesis?
Their is a dephosphorylation
260
In reaction D of gluconeogenesis what is converted to what?
G-6-P is converted to glucose
261
What is happening at reaction D of gluconeogenesis?
Their is a dephosphorylation
262
Why is the conversion of F-6-P to G-6-P usually the end point for gluconeogenesis?
Because ending the pathway here allows the cells to 'trap' the glucose
263
Which two sugars can enter glycolysis at various points?
Fructose and Galactose
264
Where is most fructose metabolised?
In the liver
265
What does the pentose phosphate pathway produce?
NADPH
266
What are pentoses (5-C sugars) precursors for?
ATP, RNA and DNA
267
What is NADPH used for in the liver?
Fatty acid synthesis
268
What is NADPH used for in the mammary gland?
Fatty acid synthesis
269
What is NADPH used for in the adrenal cortex?
Steroid synthesis
270
What is NADPH used for in RBC?
As an antioxidant
271
How many phases does the pentose phosphate pathway have?
2
272
Is ATP consumed or produced in the pentose phosphate pathway?
No
273
What does the 1st phase of the pentose phosphate pathway produce?
NADPH
274
What does the 2nd phase of the pentose phosphate pathway do?
Interconverts G-6-P and pentose phosphate to form lots of different 3,4,5,6 and 7-C sugars
275
What does NADPH link?
Catabolic and anabolic pathways
276
What is NADP+ used as?
An electron carrier
277
What does drinking lead to an increased what?
Blood lactate
278
What does drinking lead to a decreased what?
Blood glc
279
What does drinking inhibit?
Gluconeogenesis
280
Why does drinking inhibit gluconeogenesis?
Because to breakdown the ethanol NAD+ is needed | But the liver needs all of this NAD+ for gluconeogenesis
281
How does galactase join glycolysis?
Through conversion to glucose-1-phosphate by UDP
282
What is the citric acid cycle also known as?
The krebs cycle
283
Where does the CAC occur?
In the mitochondrial matrix
284
What does the CAC pass onto?
The electron transport chain
285
Does the CAC yield more or less energy than glycolysis?
More
286
What is the CAC a gateway to?
Aerobic metabolism
287
What is formed in the CAC?
NADH and FADH2
288
What enters the CAC?
Acetyl CoA
289
What are oxidised to produce acetyl CoA?
Pyruvate and FA
290
What enzyme converts pyruvate to Acetyl CoA?
Pyruvate dehydrogenase
291
Where is the only site of oxidative phosphorylation in eukaryotes?
Mitochondria
292
What does the mitochondria utilise to produce ATP?
Proton gradients
293
What are the folds in the mitochondria called?
Cristae
294
Where is the majority of NADH and FADH2 produced?
In the mitochondrial matrix
295
Where is a little NADH made?
In the cytoplasm
296
Why is the glycerol phosphate shuttle necessary?
Because NADH is unable to cross the mitochondria membranes
297
How does NADH eventually cross the mitochondrial matrix?
By passing its electrons onto FADH2
298
What does complex 1 of the ETC work on?
NADH
299
What happens at complex 1 of the ETC?
NADH is oxidised and its electrons are given to ubiquinone to give ubiquinol
300
What does ubiquinol do at complex 1 of the ETC?
Pumps H+ ions into the inter membrane space
301
What does the 2nd complex of the ETC work on?
FADH2
302
What happens at complex 2 of the ETC?
Ubiquinone becomes ubiquonol
303
What is another name for ubiquinone?
Q10 | Co-enzymeQ10
304
What happens at complex 3 of the ETC?
E- taken from ubiquinol and passed onto cytochrome C
305
What does the cytochrome C do at complex 3 of the ETC?
Pumps protons into the intermembrane space
306
What does complex 4 of the ETC do?
Takes the e- from cytochrome C and passes them to molecular O2
307
Does complex 4 of the ETC pump protons across the intermmebrane space?
Yes
308
What complexes of the ETC pump protons across the intermembrane space?
1,3,4
309
What is overall created at the ETC by the pumping of electrons?
A proton gradient
310
What eventually happens to the protons in the intermembrane space?
They eventually flow down their concentration gradient back into the matrix of the mitochondria
311
How does H+ flow back down its conc. gradient?
By ATP synthase
312
What reaction is the energy stored in the proton gradient used to convert?
ADP + Pi to ATP
313
What is the final step in metabolising the food we eat?
The ETC
314
Where doe ADP and Pi enter in ATP synthase?
The beta subunit
315
What does the rotation of the Fo cyclinder cause?
Conformational change in the Beta subunits of F1 | Causes to catalyse ADP to ATP
316
What are the 3 conformational changes in the beta subunit of ATP synthase?
B subunit that binds ADP and Pi B subunit that binds ATP B subunit that doesn't bind ATP
317
What generates less ATP;NADH or FADH2
FADH2
318
To which complex of the ETC does NADH feed into?
Complex 1
319
To which complex of the ETC does FADH2 feed into?
Complex 2
320
Ultimately what are food molecules broken down to?
CO2 and H2O
321
What is the ETC coupled to?
ATP synthesis
322
What is malignant hyperthermia caused by?
Cause by leaky mitochondrial membranes that uncouple the ETC and ATP synthase
323
What is the thickness of the epidermis?
It varies around the body depending on its function
324
What do melanocytes form?
Skin pigment
325
What do merkel cells do?
Touch receptors
326
What do keratinocytes contain?
Keratin
327
What do keratinocytes extrude?
Lipids
328
What do the arrector pili muscles do?
Attach to hair follicle root | The hair straightens when the muscle contracts
329
What does the sebaceous gland secrete?
Sebum
330
Where does sebaceous secrete to?
Into the hair follicle
331
What is a good sign of overall health (a body part)?
The condition of nails
332
What contributes to thermoregulation?
Sweat glands Blood vessel dilation Hair
333
What is the repair tissue of skin?
Granulation tissue
334
Why do we get scars?
Because after damage the skin is not as composed and nicely put together as it was originally
335
Does one receptor always have one response?
No can have several responses
336
What are the range of receptor types?
Receptors that are also ion channels That are enzymes That directly regulate enzymes That work via G-proteins
337
Does one cell have one type of receptor?
No it can have several receptors for different chemical signals
338
Are receptors needed for lipophobic or lipophilic transmitters?
Lipophobic
339
What is an ionotropic receptor?
Where the receptor is also an ion channel
340
What is the intracellular domain of enzyme receptors?
Kinase domains
341
What do kinase domains do?
Phosphorylate downstream cytoplasmic molecules
342
When receptors are coupled directly to ion channels what responses are generated?
Slow EPSPs | Slow IPSPs
343
What do receptors enable?
Specificity
344
What is an agonist?
Something that mimics the normal effect of the receptor
345
What is an antagonist?
Something that blocks the normal action of a receptor
346
What is the relationship between agonist concentration and effect?
As conc. of agonist is increases more receptors are occupied and therefore effect increases
347
What is the affinity for a drug?
The strength of chemical attraction between the drug and receptor
348
What is the efficacy of an agonist?
How good the agonist is at activating that particular receptor
349
Where are Ca2+ stores held?
Endoplasmic reticulum
350
What ion is a really good messenger?
Ca2+
351
What are some of the effects of Ca2+ as a messenger?
Directly affects target protein | I.e works on troponin
352
What is the effect of G protein being coupled to adenyly cyclase?
Increases or decreases cAMP | Activates or inhibits PKA
353
What is the effect of G protein being coupled to phospholipase C?
Produces diacylglycerol and inositol triphosphate | Activate PKC and releases Ca2+ from internal stores
354
What is a drug?
Any chemical agent that affects a biological system
355
What is the saturated response?
Maximum response | All receptors are saturated
356
What does the size of drug response depend on?
Affinity | Efficacy
357
Give an example of when antagonists are useful?
When they block pain receptors
358
What do selective agonists do?
Enhance a good effect
359
What do selective antagonists do?
Block a bad effect
360
What does the AP in the axon open at the pre-synaptic terminal?
Ca2+ channels
361
What does the opening of Ca2+ channels at the presynaptic terminal trigger?
The fusion of vesicles | Ach is released into the synaptic cleft
362
Where does Ach go in the synaptic cleft?
Diffuses across and binds to the receptors on post synaptic
363
What is the effect of Ach binding at the postsynaptic neuron (NMJ)?
Ligand gates Na+ and K+ channels are opened
364
What is the end plate potential?
The potential at the NMJ
365
What happens at the end plate potential?
It always reaches threshold so fires an AP
366
What is excess Ach in the synaptic cleft removed by?
Actycholinesterase
367
What is the first phase of the pentose phosphate pathway?
Oxidation of G-6-P to form lactone | NADPH is produced
368
What is the 2nd phase of the pentose phosphate pathway?
The interconversion to form lots of different 3,4,5,6 and 7 sugars
369
What is the golgi reflex the opposite of?
The stretch reflex
370
What does the golgi tendon reflex prevent?
Muscles contracting so hard that the tendon is torn from the bone
371
What is the golgi tendon reflex stiulated by?
Muscle contraction
372
What happens in the golgi tendon reflex?
There is an inhibition of the agonist (contracting muscle) | There is an excitatory of the antagonist (relaxing muscle)
373
Is the golgi tenodn reflex monosynaptic?
No | Polysynaptic
374
Are flexor reflexes polysynaptic
Yes
375
What can glutamate donate ammonia to?
Pyruvate to make alanine
376
Is a peptide bond planar?
Yes
377
What causes denaturation of proteins?
Heat, acids, solvents
378
What does denaturation cause?
Loss of biological activity
379
How is a prothetic group bonded?
Covalently
380
What is the holoenzyme?
The whole enzyme
381
What is specific for the active site?
The transition state
382
Is E+S = ES reversible?
Yes
383
What is the rte limiting step in enzymes?
Formation of product
384
What is Vmax?
Maximum velocity
385
What are ribozymes?
Enzymes made of RNA
386
What do enzymes in the wrong place generally indicate?
Disease
387
What is the combinations of CK?
BB MM BM
388
What is CK2 isoform a diagnostic marker for?
Myocardial infarction
389
What is random binding (enzymes)?
When the binding and release is random
390
What is sequential binding?
When the binding and release has to be in a specific order
391
What normally builds up and blocks in feedback inhibition?
End product | Blocks an enzyme in the pathway
392
What does GAG form (muco)?
Mucous | Synovial fluid
393
How is glucose absorbed in the villi?
Facilitated diffusion | Moves down with Na+ conc
394
What does glucose absorption indirectly require?
ATP to pump Na+ back out | Maintaining Na+ gradient
395
How is fructose absorbed?
GLUT 5
396
Why is Glc changed to G-6-P?
So cells can trap it
397
How is G-6-P trapped?
GLUT channels don't recognise it
398
Is glycogen osmotically active?
No | Osmotically inactive
399
Do eosinophils contain granules?
Yes
400
On first exposure to an allergen what happens?
Makes lot of IgE antibodies | Receptors bind to mast cells
401
What is the most abundant complement protein?
C3
402
Are NK cells in innate or adaptive immunity?
Both | It is in both camps
403
What makes up the basement membrane?
Basal Lamina | Reticular Lamina
404
What are 2 examples of secondary functions of epithelium?
Movement | Absorption
405
Is simple epithelium one cell type?
No one layer but not one cell type
406
What is myoepithelial?
Epithelium that turns into muscle
407
What is an example of a steroid gland?
Adrenal cortex
408
What is the cell that forms collagen?
Fibroblasts
409
Why is glutamine transported in the blood not glutamate?
Because glutamine has no charge | And glutamate has a negative charge
410
What do desosomes link?
Keratin
411
What do adheren junction link?
Actin
412
Why is carbon so central in the human body?
Because of its versatility
413
What is the effect of a C=C bond?
Fixed arrangement
414
Can C-C rotate freely?
Yes
415
Where does digestion of Carbs start?
In the mouth
416
Does the stomach have any carb digestion?
No