Week Two A/P Flashcards

1
Q

Osmotic Pressure

Osmotic pressure is greater where solute concentration is ______

Water will flow to the solution with ______ solute concentration, or in other words, the solution with ______ osmotic pressure

Water flows through the cell membrane through channels called _______

A

Higher

Higher, Greater

Aquaporins

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2
Q

Osmotic Pressure

Solution with high OP is ______

Solution with low OP is ______

_______ osmotic pressure is the pressure created by plasma proteins

[equals ___ mmHg]

A

Hypertonic

Hypotonic

Colloid

28 mmHg

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3
Q

Ion Channels

______ proteins that span the membrane when open, permitting the passage of certain ___

They are ______

Two different types of ion channels: _____-gated and _____-gated

A

Integral, Ions

Selective

Voltage-gated and Ligand-gated

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4
Q

Voltage Gated Channels

Opened or closed based on changes in ______ ______

Activation gate of the Na+ channel in nerve is opened by _______

When open, the nerve membrane is permeable to ____ (during upstroke of AP)

Inactivation gate of the Na+ channel in nerve is closed by _______

When closed, the nerve membrane is impermeable to ____ (during repolarization)

A

Membrane Potential

Depolarization

Na+

Repolarization

Na+

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5
Q

Ligand Gated Channels

Opened or closed by ______, _______ messengers, or _________

Ex: _______ receptor for Acetylcholine at motor end plate is an ion channel that opens when Ach binds to it

When open, it is permeable to ___ and ___, causing the motor end plate to depolarize

A

Hormones, Second Messengers, Neurotransmitters

Nicotonic

Na+ and K+

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6
Q

Ligand Gated Channels

______ channels are ligand-gated. These channels open when GABA binds to its receptor

When chloride channels are open, inward movement of _____ ions is allowed into the cells

A

Chloride

Cl-

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7
Q

GABA/Benzodiazepines

Binding of GABA is _____ by benzodiazepines, resulting in greater entry of ____ ions into the cell, leading to _______ (a more negative charge)

The hyperpolarization makes it more difficult to _______, and reduces neuronal excitability

A

Enhanced

Cl-, Hyperpolarization

Depolarize

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8
Q

Action Potential

Cells contain a high ___ concentration

Membrane electrical potential difference is generated from diffusion of ___ through leaky channels

Typical resting membrane potentials in neurons is ____ to ____ mV

A

K+

K+

-70 to -90 mV

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9
Q

Action Potentials

___ entry into cell causes a more _____ charge to occur within the cell

Only two cells, ______ and ______ cells can achieve the action potential spike

Conclusively, the AP process is initiated from _____ K+ channels

A

Na+, Positive

Neuron, Muscle

Leaky

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10
Q

Depolarization

Makes cell membrane potential less ______, due to movement of positively charged ____ ions into the cell

This leads to increased ________

A

Negative, Na+

Excitability

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11
Q

Repolarization

Returns the membrane back to its ______ potential

Repolarization results from the movement of positively charged ___ ions out of the cells

A

Resting

K+

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12
Q

Hyperpolarization

Makes membrane potential more _____ due to movement of negatively charged ____ ions into the cell

Decreased cell _______

A

Negative, Cl-

Excitability

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13
Q

Inward current is the flow of ______ charge into the cell. Inward current ______ the membrane potential

Outward current is the flow of _____ charge out of the cell. Outward current _______ the membrane potential

A

Positive, Depolarizes

Positive, Hyperpolarizes

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14
Q

Threshold

The membrane potential at which the action potential is ______

Resulting depolarization gives rise to upstroke of _____ _____

If net inward current is ____ than net outward current, no action potential will occur

A

Inevitable

Action Potential

Less

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15
Q

Upstroke (Depolarization)

Inward ___ movement

______ blocks these voltage sensitive Na+ channels, and abolishes action potential

No ___ entry = No depolarization

A

Na+

Lidocaine

Na+

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16
Q

Downstroke (Repolarization)

Outward __ movement

Outward flow of K+ ______ the membrane potential

A

K+

Hyperpolarizes

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17
Q

Absolute Refractory Period

Period during which another action potential cannot occur, no matter how large the ______. This is due to closure (inactivation) of ____ gates

A

Stimulus

Na+

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18
Q

Relative Refractory Period

Period during which an action potential can be elicited only if a ______ than usual stimulus is provided

The refractory period protects the cell from ____-_______, allowing a ______ period between action potentials

A

Larger

Over-Excitation

Recovery

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19
Q

Local Anesthetics

Local anesthetics are weak bases present in an ______ form (LA) and ______ form (LAH+)

______ form (LA) penetrates the cell membrane

pH is ____ inside the cells, causing more of the ______ form to produce

_____ form (LAH+) blocks the ____ channels from the inside, inhibiting conduction of pain impulses

A

Un-ionized, Ionized

Un-ionized

Acidic, Ionized

Ionized, Na+

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20
Q

Local Anesthetics

Slow the rate of _______ of the nerve action potential such that the ______ potential is not reached

Due to this, an _____ _____ cannot occur and a conduction blockade results

A

Depolarization, Threshold

Action Potential

21
Q

Inhaled Anesthetics

(Isoflourane, Desflurane, Sevoflurane)

______ the effect of GABA

Increase entry of ___

________ of cell (makes cell less responsive and more difficult to depolarize)

A

Enhance

Cl-

Hyperpolarization

22
Q

Hypokalemia

______ the diffusion gradient

Serum hypokalemia will cause a _____ KCL leak from the cell to the serum, creating a _______ and ______ weakness

A

Increases

Larger, Hyperpolarization, Muscle

23
Q

Hyperkalemia

______ the diffusion gradient

AP does not occur because inactivation gates of Na+ channels are closed by _______

Without action potential, there is no _____ (muscle weakness)

No ______ is allowed to occur

A

Decreases

Depolarization

Contraction

Repolarization

24
Q

Cardioplegic Solution

Causes rapid membrane _______

No ______ can occur due to high extracellular ___

Na+ channels are locked in an _____ state

Heart muscle is in a permanent ______ ______ period

________ is a drug that also causes rapid depolarization

A

Depolarization

Repolarization, K+

Inactive

Absolute Refractory

Succinylcholine

25
Ligand Gated Channels Open or close by the following ligands: \_\_\_\_\_\_, second \_\_\_\_\_\_, or \_\_\_\_\_\_\_\_ These ligand gated channels change membrane \_\_\_\_\_\_\_ Ex: _______ receptor for acteylcholine at motor end plate is an ion channel that _____ when Ach binds to it (When open, it is permeable to ___ and \_\_\_, causing the motor end plate to \_\_\_\_\_\_\_)
## Footnote Hormones, Second Messenger, Neurotransmitters Permeability Nicotinic, Opens Na+ and K+, Depolarize
26
Ligand Gated Channels \_\_\_\_\_\_ channels are also ligand gated. These channels open when _____ binds to the receptor Other examples of ligand gated channels are _______ and \_\_\_\_\_ These are not the same as voltage gate channels, which require a difference in ______ \_\_\_\_\_\_ l to elicit a response
## Footnote Chloride, GABA Glutamate, 5-HT Membrane Potential
27
cAMP Mechanism \_\_\_\_\_\_ binds to a receptor Activation of __ \_\_\_\_\_\_\_ (more than 50% of drugs act via this protein) Gs protein stimulates _______ \_\_\_\_\_\_ to convert ____ to \_\_\_\_ cAMP activates ______ \_\_\_\_\_\_, which phosphorylates specific proteins \_\_\_\_\_\_ action occurs
## Footnote Hormone G Protein Adenylate Cyclase, ATP to cAMP Protein Kinase-A Cellular
28
cAMP Mechanism cAMP is broken down to an inactive state through \_\_\_\_\_\_\_ Name some things that inhibit phosphodiesterase breakdown? In cardiac muscle, beta agonists (dobutamine) act through cAMP. Increased cAMP results in activation of _____ \_\_\_\_\_\_, which enhance entry of ___ into the myocardial cell (increasing force of contraction)
## Footnote Phosphodiesterase Caffiene, Aminophylline, Milrinone Protein Kinases, Ca++
29
IP3 (inositol triphosphate) Mechanism \_\_\_\_\_\_ binds to a receptor in the cell membrane through a __ \_\_\_\_\_\_, which activates _________ \_\_\_ Phospholipase C liberates _______ (DAG) and _____ from mebrane lipids IP3 mobilizes ______ from the ______ \_\_\_\_\_\_\_ \_\_\_\_ and ______ (DAG) activate _______ \_\_\_\_\_\_\_, which phosphorylates proteins and produces cellular \_\_\_\_\_\_\_ Ex: Ach on _______ receptor
Hormone, G Protein, Phospholipase C Diacylglycerol (DAG) and IP3 Ca++, Endoplasmic Reticulum Ca++ and Diacylglycerol (DAG); Protein Kinase C, Action Muscarinic
30
Catalytic Receptor Mechanism Associated with ______ activity on receptors (No G protein involvement) \_\_\_\_\_ ______ \_\_\_\_\_ (ANP) and _____ \_\_\_\_\_ (NO) act through ______ \_\_\_\_\_\_, which converts _____ to _______ (second messenger) Insulin acts through ______ \_\_\_\_\_\_\_
## Footnote Enzymatic Atrial Natriuretic Peptide, Nitric Oxide Guanylyl Cyclase; converts GDP to cGMP Tyrosine Kinase
31
Steroid Hormones Mechanism Steroid or thyroid hormones _____ across cell membranes of target cells, binding to a ______ receptor, then a _____ receptor Binding to the ______ receptor causes a _______ change in the receptor, which exposes a \_\_\_\_-\_\_\_\_\_\_\_ \_\_\_\_\_\_\_
## Footnote Diffuse, Cytosolic, Nuclear Nuclear, Conformational DNA-Binding Domain
32
Steroid Hormones Mechanism In the \_\_\_\_\_, the DNA binding domain on the receptor interacts with hormone regulatory elements of specific DNA \_\_\_\_\_\_\_ is initiated and results in the production of new \_\_\_\_\_\_ \_\_\_\_\_\_\_ is then translated in the cytoplasm, and results in production of specific _______ that produce physiological effects
## Footnote Nucleus Transcription, mRNA mRNA, Proteins
33
Beta 2 Stimulants (Agonists) in Lungs Terbutaline, which acts on _____ receptors, which activate __ \_\_\_\_\_\_, which activate ______ \_\_\_\_\_\_, causing an increase in ______ and activation of ______ \_\_\_\_\_\_, leading to \_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_ is a PDE inhibitor that leads to maintained increase of \_\_\_\_\_, leading to \_\_\_\_\_\_
## Footnote Beta 2, G Proteins Adenyl Cyclase cAMP, Protein Kinases, Bronchodilation Aminophylline, cAMP, Bronchodilation
34
Nitric Oxide (NO) in Lungs (NO) activates \_\_\_\_\_\_, leading to \_\_\_\_\_\_\_\_ (NO) _____ the cell membrane and does not require a cell \_\_\_\_\_\_
cGMP, Bronchodilation Crosses, Receptor
35
Cholingeric Muscarinic Receptors (M3 receptors) Stimulation of cholinergic M3 receptors activates __ \_\_\_\_\_\_, leading to the formation of \_\_\_\_\_, which increases the release of ___ from intracellular storage, leading to \_\_\_\_\_\_\_\_ Anticholinergics such as ______ also known as \_\_\_\_\_\_, Inhibit the ___ receptor, leading to \_\_\_\_\_\_\_\_
Gq Protein IP3 Ca++, Bronchoconstriction Ipratropium (Atrovent), M3, Bronchodilation
36
Muscle Structure Each muscle fiber is ______ and behaves as a _____ unit. Each muscle fiber contains bundles of \_\_\_\_\_\_, surrounded by SR and invaginated by __ \_\_\_\_\_\_\_ Each myofibril contains thick and thin \_\_\_\_\_, arranged longitudinally in sarcomere \_\_\_\_\_\_\_ runs from ___ line to __ line
## Footnote Multinucleated, Single Myofibrils, T-Tubules Filaments Sarcomere, Z line to Z line
37
Muscle Structure Thick filament contains \_\_\_\_\_ Thin filament contains \_\_\_\_\_, \_\_\_\_\_\_\_\_, and \_\_\_\_\_\_\_ **Troponin T** binds with \_\_\_\_\_\_ **Troponin I** binds with \_\_\_\_\_\_ **Troponin C** binds with \_\_\_\_\_\_ Contraction results from the sliding action of interdigitating _____ and _____ filaments
## Footnote Myosin Actin, Tropomyosin, Troponin Tropomysin Actin Calcium Actin & Myosin
38
Muscle Structure T-Tubules are ______ with the cell membrane and they invaginate the cells at the __ lines T-Tubules carry ____ into the cell \_\_\_\_\_\_
## Footnote Continuous, Z-lines Action Potential, Interior
39
Muscle Structure Sarcoplasmic reticulum are small diameter tubules that lie in close proximity to ______ elements Sarcoplasmic reticulum is the site of storage and release of \_\_\_\_\_, for \_\_\_\_\_\_-\_\_\_\_\_\_ coupling
## Footnote Contractile Calcium, Excitation-Contraction
40
Excitation-Contraction Coupling The AP spreads from the cell membrane into the __ \_\_\_\_\_\_ \_\_\_ enters the cell from the ECF ( inward ___ current ), through ___ \_\_\_\_\_ Ca++ channels ( ________ receptors) This Ca++ entry triggers the release of even more Ca++ from the sarcoplasmic reticulum (Ca++ induced Ca++ release), nicknamed the ___ \_\_\_\_\_ through Ca+ release channels ( ______ receptors) As a result of this ___ release, inctracellular Ca+ \_\_\_\_\_\_
## Footnote T-Tubules Ca++, Inward Ca++, L-Type, Dihydropyridine Ca++ Spark, Ryanodine Ca++, Increases
41
Excitation-Contraction Coupling Ca++ binds to ______ and ______ is moved out of the way, removing inhibition of actin and myosin binding Actin and myosin bind; the thick and thin filaments slide past each other and the muscle \_\_\_\_\_. This mechanism is also known as the _____ \_\_\_\_\_ The magnitude of the tension that develops is proportional to the ________ \_\_\_
## Footnote Troponin C, Tropomyosin Contracts, Power Stroke Intracellular Ca++
42
Excitation-Contraction Coupling \_\_\_\_\_\_\_ occurs when Ca++ is re-accumulated by the SR by an active ______ pump Ca++ is also removed from the cell via the ______ exchanger
## Footnote Relaxation, Ca++ ATPase Na+/Ca++ Exchanger
43
Excitation-Contraction Coupling Calcium channel blockers block _____ Ca++ channels ( ______ receptors) Dantrolene (Dantrium) blocks ___ \_\_\_\_\_\_ channels ( ______ receptors) on the _______ \_\_\_\_\_\_\_
## Footnote L-Type, Dihydropyridine Ca++ Release, Ryanodine, Sarcoplasmic Reticulum
44
Excitation-Contraction Coupling \_\_\_\_\_\_\_\_ acts on Beta-1 receptors on the heart and causes increased \_\_\_\_, which increases ___ influx through the ______ channels, therefore, _______ the force of contraction ( ________ does the opposite ) What will happen if the beating heart and skeletal muscle are placed in a calcium free solution?
## Footnote Norepinephrine, cAMP, Ca++, L-Type Increasing Acetylcholine Heart will stop, Muscles won't contract
45
Excitation-Contraction Coupling A single AP causes the release of a standard amount of Ca++ from the SR and produces a _____ \_\_\_\_\_ If the muscle is stimulated \_\_\_\_\_\_\_, then more ____ is released from the SR, and there is a cumulative ______ in intracellular \_\_\_, extending the time for the cross-bridge cycling. The muscle does not have the chance to \_\_\_\_\_. This is what occurs with \_\_\_\_\_\_
## Footnote Single Twitch Repeatedly, Ca++, Increase, Ca++ Relax, Tetanus
46
Coupling (Cardiac Muscle) AP moves along __ \_\_\_\_\_\_ \_\_\_\_\_\_\_ receptors are activated (voltage sensors that release small amount of calcium into the fiber) Ca++ binds to the _______ receptor, which then opens, releasing a large amount of \_\_\_ Ca++ is pumped back into the SR and back into T-Tubule \_\_\_\_\_\_\_ is terminated
## Footnote T-Tubules Dihydropyridine Ryanodine, Ca++ Contraction
47
Malignant Hyperthermia Characterized by ______ combustion, ______ \_\_\_\_\_\_ rigidity, and ______ \_\_\_\_\_\_ (hypermetabolism) Can be triggered by _______ (halothane), _______ tendency (can be tested via muscle bx) MOA: Constant leak of SR ___ through defective ______ receptor
## Footnote Spontaneous, Skeletal Muscle, Metabolic Acidosis Anesthetics, Familial tendency Ca++, Ryanodine
48
Muscle Contraction (summary) Myosin head attaches to \_\_\_\_\_ Through \_\_\_\_, myosin head releases and undergoes \_\_\_\_\_\_\_ Myosin head is "\_\_\_\_\_\_," and is ___ and ___ bound Through action of \_\_\_, myosin head attaches to new site and _____ \_\_\_\_\_ is initiated. After this action, ____ is released
## Footnote Actin ATP, Hydrolysis Cocked, ADP and Pi Pi, Power Stroke, ADP
49
Coupling (Skeletal Muscle) AP moves along __ \_\_\_\_\_\_ Voltage change sensed by _______ receptor, which is the communicated to the ______ receptor, which then opens, allowing _______ to occur \_\_\_\_\_\_\_ is pumped back into the SR Calcium binds to ______ to facilitate storage \_\_\_\_\_\_\_ is then terminated
## Footnote T-Tubules Dihydropyridine Ryanodine, Contraction Calcium Calsequestrin Contraction