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1
Nervous Systems
mechanism: neural
action: fast
effect: brief
example: reflexes
2
endocrine
mechanism: hormonal
action: slow
effect: long-lasting
example: puberty
3
endocrinology
scientific styidy of hormones and endocrine organs
4
hormones control
reproduction
growth and development
body defenses
homeostasis
metabolism
5
hormones are
produced by specialized cells
screted into extracellular fluids (blood/lymph)
transported by blood / lympth to target cells
change activity of target cells
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hormones are made of
1. aa - proteins (insulin), peptides, amines
2. steroids ie estrogen .. originate from cholestrol
3. prostaglandins = very active lipids acting locally @ site of release
7
hormone action
-affects only target tissues or organs
-hormones bind to specific receptor proteins in PM of target cells
- hormone binding changes target cell activity
- hormone and target cells = like enzyme and substrate
8
hormones change target cell activity
make cells do 1 more of these
- undergo mitosis
- change PM permeabilibity or electrical state
- syntehsize proteins ie enzymes
- activate or deactivate enzymes
- secrete substances ie other hormones
9
steroid hormones activate genes directly
1. steroid hormone passes thru plasma
2. enters nucleus
3. binds to specific receptor proteins (in nucleus)
4. hormone receptor complex binds to specific site on DNA
5. switches "on" certain genes causing
6. protein synthesis
10
non-steroid hormones use 2nd messenger
1. non-steroid hormone (1st messenger) binds to PM receptor
2. activated receptor triggers series of rxns that activates an enzyme
3. enzymes causes rxn to produce 2nd messenger molecule, ie cyclic AMP
4. cAMP triggers more changes
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control of hormone release
negative feeback loops maintain hormone levels in blood
stimulus = low hormone level in blood triggers release of more hormone from endocrine gland
hormone releases stop when level returns to human
12
which of these describes the endocrine system
a. involves neurons
b. fast acting
c. reflxes are an effect
d. long-lasting effects
e. none of these is correct
d. long-lasting effects
13
endocrine glands release
1. hormonal
2. humoral
3. neuron
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hormonal stimulus of endocrine glands
most common type:
tropic hormones: from other organs elsewehere in body stimulate endocrine glands
ie 2 gonado tropins
FSH = follucle stimulating hormone
LH = luteinizing hormone
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FSH & LH from pituitary gland in brain stimualte:
ovaries and produce estrogens
testes to produce androgens
16
humoral stimulus of endocrine glands
changing levels of specific ions and nutrients in body fluids stimulate endocrine glands
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humoral
involves body fluids
ie blood and lymph

ie parathyroid hormone and calcitonin and insulin and glucagon
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parathyroid hormone & calcitonin
produced in response to changing blood Ca2+ levels
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insulin and glucagon
produced in reponse to chaning blood glucose lvels
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which of these is not controlled by hormones
a. metabolism
b. reflexes
c. homeostasis
d. growth and dvmpt
e. reproduction
reflexes
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neutral stimulus of endocrine glands
mostly controlled by sympathetic division of autonomic nervous system ... fight or flight
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epinephrine and norepinephrine
released by adrenal medulla
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endocrine organs
pituitary gland
thyroid gland
pineal gland
adrenal glands
parathyroid glands
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more endocrine organs
hypothalamus
thymus
pancreas
gonads = ovaries and testes
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true endocrine glands (no ducts)
hormones released directly into blood or lymph
- anterior pituitary
thyroid
adrenals
parathyroid
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mixed endocrine and exocrine ducts glands
pancrease
gonads
27
the 2nd step of steroid hormone action:
a. hormone enters target cells
b. H binds to specific receptor protein in nuclues
c. h enters nucleus
d. protein syntehsis occurs
e. hormone receptor complex binds to specific site on DNA
C. H enters nucleus
28
these hormones are regulated by blood glucose level
e. insulin and glucagon
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blood transporters
nutrients
waste products
hormones
respiratory gases o2 and co2
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3 types of formed elements in blood
rbc, wbc, platlets
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rbc
function= transport o2 and co2
each cells has ~ 250 million Hg protein molecules that transport o2
5 million rbc / uL of blood
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hematocrit
% of blood volume that is rbc
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anemia
reduced o2 carrying ability of blood due to 1 or both of these
low # of rbc low hct
low # of functional hgb in rbc
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sickle cell anemia
abnormal-shaped hgb and rbc
lowers o2 carrying ability
hereditary disorder due to just one dna mutation
35
polycythemia
abnormally high # of RBC
thickens blood and slows blood flow
blood doping
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wbc
function = defense and immunity
high wbc = infection
37
leukemia
BM becomes cancerous
produces excess immature wbc
lowers o2 carryinng ability = anemia
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granulocytes
granules in cytoplasm, lobed nuclei
neutrophils
eos
baso
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agranulocytes
no granules , nonlobed nuclei
lymphocytes
mono
40
platlets
cells fragments
function = blood clotting
41
the sympathetic division of the autonomic nervous system regulates these hormones
epinephrine and noreprinephrine
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antigens
substances body may recognize as foreign and may be attached by immune system
43
antibodies
recognize antigens and mark them for destruction
44
blood typing
1 drop of blood mixed with anti-A 2nd drop with anti B, with anti Rh type by observing agglutination + or no rxn -
45
Rb blood group
most ppl in USA are Rh+
problem if transfusing Rh+ blood into Rh- persion
problem NOT w/ 1st tranfusion bc takes time for Rh- persion to make anti-Rh antibodies
by 2nd transfusion Rh- recipeitns anti-Rh antibodies will attack any Rh+ blood received in future
46
Rh issue during pregnancy
Rh- mother carrying Rh+ baby may be problem for unborn child
1st pregnancy = no problem
Rh- moms immune system can start makinig anti-Rh antibodies after 1st birth
solution shot of RhoGAM during 1st pregnancy
47
a pt w/ blood type B blood can receive blood from the type(s_
B & O
48
Rh factor
Rh- ---> Rh+
Rh- ------> Rh-
assuming Rh- donor has not been exposed to Rh antigen so best to donate only same Rh type
49
which of these has the function of blood clotting
platlets
50
cardiovascular system
function - transport
delivers o2 and nutrients to tissues
removes co2 and other wastes from tissues
51
4 chambers of heart
R & L atria
receive blood
R&L ventricles
- eject blood
52
pulomnary ciruit blood flow
R atrum of heart
tricuspid valve
R ventricle
pulmonary semilunar valve
pulmonary trunk
R & L pulomnary arteries
R & L Lungs

R & L pulomnary veins
L atrum
53
systemic circuit flow
L atrium
mitral valve
L ventricle
aortic semilunar valve
aorta
all body tissues

superior vena cava and inferior vena cava
R atrium
54
heart valves
keep blood flow in only 1 direction = prevent backflow
open and close due to pressure change in heart
R & L atrio ventricular AV valves b/w atria and ventricles
mitral valve
tricuspid valve
anchored in place by chordae tendineae heart strings
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2 semilunar valves
pulmonary semilunar valve
aortic semilunar valve
56
cardiac cycle
1 complete heartbeat
57
systole
2 ventricles contract
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diastole
2 ventricles relax
59
cardiac cycle part 1: mid-to-late diastole
low pressure in heart
blood fills atria and ventricles
semilunar valves closed
tricuspid / mitral valves open
atria contract to force blood into ventricles
60
cardiac cycle 2: systole
ventricles contract = high pressure in heart
tricuspid / mitral valves shit = 1st sound lub
ejected blood pushes semilunar valves open
blood ejected from ventricles thru pulomnary trunk and aorta
atria starts to refill
61
cardiac cycle 3: early diastole
low pressure in heart
semi-lunar valves shut = 2nd sound dup
stop blood backflow into ventricles
atria finish / refilling
tricuspid / mitral valves open
62
blood flow from atrium, through the ___________ to the L ventricle
mitral valve
63
intrinsic conduction system of heart
makes heart beat as 1 unit
cardiac muscle can contract by itself w/o neural stimulus
contraction rate influenced by
intrinsic factor
extrinsic factor
64
intrinsic factor
Na and K electrical gradient
65
extrinsic factors
sympathetic nervous system
66
blood flow
1. sinoatrial SA node pacemaker
2. atrioventricular AV node
3. atrioventricular AV bundle (bundle of His)
4. bundle branches
5. purkinjie fibers
67
sinoatrial SA node
heart pacemaker // starts contraction
68
atroventricular AV node
@ junction of atria and ventricles
69
atrioventricular AV bundle (bundle of His)
R & L bundle branches in interventricular septum
70
purkinjie fibers
spread w/in ventrical wall muscles
71
O2 poor blood flows through all of these except
L atrium
72
Instrinsic stimulation of heart contraction
1. Sinoatrial SA node
2. ---> AV node (atria contract)
3. ---> AV bundle / bundle of HiS
4. --> R & L bundle branches
5. Purkinje fibers (ventricles contract)
- Cardiac muscle depolarizes in 1 direction = from atria to ventricles
Ventricles contract to eject blood up and out of the heart
73
cardiac ouput
- Cardiac output (CO) = volume of blood heart pumps out /min
- Stroke volume (SV) = volume of blood pumped by 1 contraction (heartbeat)
- Heart rate (HR) = heartbeats / min
- CO = SV * HR
70 mL / beat x 70 beats / min = 4900 mL/min
74
cardiac output CO
volume of blood heart pumps out / min
75
stroke volume SV
volume of blood pumped by 1 contraction
76
heart rate HR
heartbeats / min
77
CO = SV * HR
70 mL / beat x 70 beats /min = 4900 mL/min
78
Starling's law of the heart
○ The more cardiac muscle is stretched, the greater its force of contraction
Critical factor controlling SV
79
Venous return
SV rises or falls w/ the volume of venous return
volume of blood returned to heart thru veins
○ Exercise : greater venous return --> greater SV

80
Extrinsic Regulation of Heart Rate by…
1. Neural (ANS= Automatic Nervous System)
- Sympathetic nervous system
- Parasympathetic nervous system
2. Hormones
Physical factors (ie heavy exercise )
81
Blood vessels = the vascular system
- Transport blood to the tissues and back to heart
- Arteries carry blood away from heart
§ Rule = arteries away!
- Capillaries for exchange b/w tissues and blood
§ O2 and CO2
§ Nutrients and waste products
Veins returns blood to heart
82
Arteries:
- Narrower lumen = inside fluid space
- So: high pressure
§ Thicker walls to withstand pressure changes
§ Thinker smooth muscle layer to adjust pressure by changing lumen diameter
83
Veins:
Wider lumen --> so : low pressure
Thinner walls
Thinner smooth muscle layer
Valves to prevent blood backflow
84
BP Gradient
Blood pressure in vessels decreases as blood travels farther from heart, through systemic circuit
- High BP in arteries closer to heart in circuit
- Lower in capillaries
Lowest in veins farther from heart in circuit
85
Pulse
- Middle finger on soft spot at:
- R or L Radial artery
- R or L Carotid artery
- Arteries have pulse b/c they have high pressure … veins don't
86
The 1st heart sounds occurs when:
A. Ventricles contract
B. Semilunar valves close
C. Atria contract
D. Tricuspid / mitral valves close
None of these is correct
D
87
Veins: values and muscular pumps
- Low pressure in veins … so how does blood flow UP from feet back to heart, against gravity
- Solution:
- valves in veins
- Muscular pumps = leg muscles contract to force venous blood back up to heart
88
Capillaries
- Thin walls = 1 cell layer
- Lining of wall = simple squamous ET = flat cells
- Allows exchange b/w blood and tissue cells thru capillary walls
- Structure matches function!
- Form capillary beds
89
Capillary Beds
- 2 types of capillaries
1. Vascular shunt
2. True capillaries
- Entrances to true capillaries guarded by precapillary sphincters = smooth muscles
- When precapillary sphincters closed: blood bypasses that capillary bed thru vascular shunt
- Conserves heat when body is cold
90
Which of these does NOT occur during systole?
A. Tricuspid & mitral valves shut
B. Blood fills ventricles
C. Semilunar valves open
D. Ventricles contract
High pressure in heart
B
91
Blood pressure
Pressure of blood against inner walls of blood vessels
92

Measuring BP
- Use large artery ie brachial artery in arm
- Systolic pressure = during ventricular contraction
- Diastolic pressure = ventricles relaxed
- Expressed as systolic over diastolic pressure
120 / 80 mm Hg = average adult BP
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