SESSION 1 Flashcards

(45 cards)

1
Q

Explain the changes in the heart and lung function when exercising

A

Heart rate increases- pump more nutrients and oxygen to the muscles

Respiratory rate increases- increase uptake of oxygen and faster removal of carbon dioxide

A fit person has a lower pulse rate, breathing rate and lactic acid levels than an unfit person

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2
Q

Explain the advantages of using tympanic membrane thermometers

A

Tympanic thermometers are usually small hand-held devices with a probe that is inserted into the patient’s ear canal, measures the temperature of the tympanic membrane, which is a thin structure that is well perfused with blood

Advantages:
Quick and easy use so temperature can be measured more frequently
Safety- mercury spillage is not a concern

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3
Q

Describe the main cause of increased temperature associated with exercise

A

Biochemical reaction- heat produced as ATP is converted to ADP
The movement of muscle contractile proteins which would also produce heat

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4
Q

Why is it important for body temperature to be kept within operational limits?

A

Many mechanisms within the body depend on temperature, e.g. Enzymes

Hypothermia- when a person’s body temperature drops below 35C
Elderly people- can’t move to generate heat
Babies- bodies ability to regulate temperature isn’t fully developed

Hyperthermia- hyperthermia is defined as a temperature greater than 37.5–38.3 °C
The most common causes include heat stroke and adverse reactions to drugs.

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5
Q

Body temperature regulation- temperature too high

A

Hypothalamus detects change in temperature
Thermostat in the hypothalamus activates cooling mechanisms
Sweat glands activated, increasing evaporative cooling
Vasodilation: capillaries fill with blood and heat radiates from skin surface
Pilorelaxation: hairs flatten
Body temperature decreases

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6
Q

Body temperature regulation- temperature too low

A

Hypothalamus detects change
Thermostat in hypothalamus activates warming mechanisms
Shivering: rapid contraction and relaxation of skeletal muscles. Heat produced by respiration
Vasoconstriction: arteriolar get smaller to reduce blood going to the skin
Piloerection- hairs stand up
Body temperature increases

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7
Q

Clinical consequence of plasma potassium levels being too high and too low

A

Hypokalemia- too low
Symptoms: fatigue, constipation, loss of skeletal muscle, low blood pressure, excessive urination, extreme thirst
Causes: use of diuretics, kidney failure

Hyperkalemia- too high
Symptoms: slow heart rate, weakness, death
Causes: release of potassium from dying cells, kidney failure

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8
Q

Clinical consequence of plasma glucose levels being too high and too low

A

Hypoglycaemia- too low
Symptoms: sweating, hunger, nausea, confusion, seizures
Causes: liver disease, starvation, kidney failure, tumours- insulinoma
Consequence: diabetic coma, weight loss, Nerva damage, joint/ bone problems

Hyperglycaemia- too high
Symptoms: polyphasic(hunger), polydipsia(thirst), polyuria(increased urine)
Causes: diabetics, stress, beta blockers and myocardial infarction

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9
Q

Clinical consequence of plasma calcium levels being too high and too low

A

Hypocalcemia- too low
Symptoms: heart failure, muscle cramps, seizures, anxiety
Causes:hypoparathyroidism, vitamin D deficiency, kidney failure, pancreatitis, calcium channel blocker overdose

Hypercalcemia- too high
Symptoms: lack of concentration, bradycardia, muscle weakness- death
Causes: overactive parathyroid glands - lung/ breast cancer

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10
Q

Clinical consequence of plasma sodium levels being too high and too low

A

Hyponatremia- too low
Symptoms:nausea, confusion, headache, fatigue, seizures, coma
Causes:ecstasy, heart/ kidney/ liver problems, dehydration, severe vomiting/ diarrhoea

Hypernatremia- too high
Symptoms:tachycardia, mucosa, weight loss,
Hypertension- neuronal cell shrinkage (Brian injury)
Causes: decrease in total body water, same sodium levels in less water

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11
Q

Define entropy

A

Entropy means disorder

All living systems aim to minimise entropy and maximise order

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12
Q

Define endogenous signalling molecules

A

Gaseous molecules synthesised internally, in the organism

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13
Q

Define exogenous I signalling molecules

A

Natural plant based molecules

E.g. Morphine, antibiotics and aspirin

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14
Q

Define exogenous II signalling molecules

A

Synthetic man made molecules

E.g. Drugs

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15
Q

Define homeostasis

A

Maintaining the optimal internal environment for cells to function by physiological processes

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16
Q

Explain how control systems monitor and adjust the extracellular environment according to demand or disturbance to pertains conditions

A

1) stimulus produces change in variable
2) change detected by receptor
3) input information sent along afferent pathway to control centre
4) output information sent along efferent pathway to effector
5) response of effector feeds back to influence magnitude of stimulus and returns variable to homeostasis

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17
Q

Give examples of physiochemical parameters under homeostatic control

A
Temperature 
PH
O2
CO2
H2O
NA+ 
K+ 
Ca2+
Cl- 
Glucose
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18
Q

Define sensor

A

Detect physiological parameter

E.g. Core body temperature receptors and peripheral temperature receptors on the skin

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19
Q

Define set point

A

Compare against sensor signal to detect an error

E.g. Body temperature set point is 37 degrees
Optimum temperature for homeothermic, enzymes and proteins

20
Q

Define controller

A

Bring system output back towards set point

E.g. Hypothalamus

21
Q

Define effector

A

Set of components that bring about change back to optimal set point

22
Q

Define the levels at which physiological control feedback loops interact

A

Synergistically, e.g. Temperature- skin blood supply and sweating

Antagonistically, e.g. Insulin vs glucagon

23
Q

Define negative feedback

A

Adjusts the behaviour of the system in the opposite direction of where it is currently going

E.g. Temperature regulation- the body works to lower the temperature if there is an increase in the core temperature

24
Q

Define extracellular

A

Situated or taking place outside the cell

25
Define intracellular
Located or occurring within the cell
26
Define endocrine
Relating to glands which secrete hormones directly into the blood Act over long distance Major regulation of body function via neuroendocrine system: - digestion - metabolism/ respiration - growth/ development - behaviours- sexual/ stress response
27
Define paracrine
Relating to a hormone which has effect only in the area surrounding the gland Acts on shorter distances- from cell to cell Induce changes in receptor cells E.g. Neurotransmitters- neurone to neurone across a synapse
28
Define autocrine
Relating to cell- produced substance that has an effect on the cell by which it is secreted Act over microns when released from cells Potential cancer treatment
29
Overview of signalling molecule targets Classification of drug targets:
RITE Receptors Ion channels Transporter Enzymes Exception: chemotherapy- target is structural protein/ DNA
30
Overview of signalling molecule: Receptors
KING Kinase Linked Receptors Ion channels (Ligand gated) Nuclear/ Intracellular G- Protein Coupled Receptors
31
What is the difference between endogenous and exogenous signalling molecules binding with targets ?
Endogenous signalling molecules- optimal fit for the job Exogenous signalling molecules - fit may be 'sub- optimal', possible side effects
32
Describe the major types of endocrine signalling molecules
Hydrophilic 1- amines Small charged, hydrophilic Receptors in plasma membrane Hydrophilic 2- peptides to proteins Short chain, insulin Receptors in plasma membrane Lipophilic- steroids Derivative from cholesterol Receptors are intracellular Refer to comparative table on powerpoint
33
Describe therapeutic exogenous signalling molecules
Adrenaline- used in A & E Insulin- controls blood sugar, diabetes Steroids- used as an anti- inflammatory
34
Describe the primary signalling role of paracrine signalling molecules
Exhibitory- signal increase firing rate post- synaptically Inhibitory- signal decrease firing rate post synaptically Neurones can summate both kinds Refer to comparative table for common neurotransmitter signalling functions
35
Local injury result in signalling response provided by paracrine signalling molecules Local response- rapid, focused and integrated, does not involve he whole body Define local chemical mediators
Cytokines- interleukins, chemokines, interferons and histamine Eicosanoids- prostaglandins and leukotrienes Others- platelet activating factor, nitric oxide and neuropeptides
36
Define the paracrine therapeutic exogenous signalling molecules
Hypertension- propanol antagonises adrenaline/ noradrenaline used Parkinsonism- dopamine precursor Depression- slow re- up take of serotonin Epilepsy- GABA Migrating- serotonin agonists Inflammation- steroids blockers of inflammatory signals Moderate pan- non steroidal anti- inflammatory black local mediator Respiratory inflammatory responses- adrenergic agonists Development for cancer treatment
37
Explain Kinase Linked Receptors
Mediate signals of wide variety of protein molecules | Act via phosphorylation of specific groups- resulting in a cascade effect
38
Explain ion channels ligand gate (inotropic receptors)
Many fast neurotransmitters : ACh Modulating action potential generation in neurones and contraction in muscle Coupled to Calcium ions
39
Explain nuclear/ intracellular receptors
Ligand need to be lipid soluble, e.g. Steroids Activates/ inactivates a gene Ligand receptor complex binds to gene transcription factor when at the nucleus
40
Explain G- Protein Coupled Receptors
Largest receptor group Slow neurotransmitters; serotonin and dopamine Three major types: Gs, Gi, Gq- activate different intracellular routes
41
What do ion channels do?
Selectively allow ion current to flow across the plasma membrane Four major ion currents: Na+, K+, Ca2+, Cl- Ion channels enable selective flow of ion current down its electrochemical gradient
42
Regulating ion channels
Ion channel activity can be facilitated or inhibited by phosphorylation of intracellular sites on channels via pKA, pKC and GPCR activation Binding with exogenous channel blockers
43
What do transport/ carrier proteins do?
Transport of ions/ small molecules can use channels facilitated diffusion if there is gradient into/ out of the cell Use ATP as an energy source Used to transport across GI tract Transport needed if highly polar or going against gradient
44
Give an important example of neurotransmitter re- uptake transport
Noradrenaline Glutamate Serotonin Use co- transport of sodium to drive transport
45
What do enzymes do?
Targeting enzymes Competitive inhibition at active binding sites with non- substrate Increase levels of precursor substrate