2WHAT FORCES WORK TO KEEP BLOOD IN THE CAPILLARY
CAPILLARY COP AND THE TISSUE HYDROSTATIC PRESSURE
3hydrostastic pressure can be thought of as a __________ pressure
pushing
4osmotic pressure can be thought as a ______________ pressure
pulling
5regulates extracellular fluid volume and osmolarity
sodium
increased levels of adh decrease urine output
7ADH prevents ______________ by causing more water to be reaborbed in the kidney tubules
diuresis ( anti - diuresis)
8mechanisms of edema formation
Increased capillary hydrostatic pressure
lymphatic obstruction
increased cappilary permeability
decreased cappilary oncotic pressure
9Hyponatremia
deficient sodium in the blood
decreased urinatioon
10Hypernatremia
increased sodium
increased thirst
11Hypocalcemia
nerves fire more easily- increaesed excitability- muscle cramps,
laryngospasm
asphyxiation
cardiac arrest
12extracellualr calcium controls ?
nerve firing
13Hypercalcemia
nerves are less able to fire
decreased NMS
muscle weakness
CNS depression
kidney stone formation
14magnesium normal level
1.3-2.1
15cofactors in enzymatic reactions - magnesium
atp generation
dna replication
mrna production and translation
16magnesium blocks
( K+) potassium exit from cardiac cells
smooth muscle relaxant
17metabolism constantly produces
acid
18lactic acid from
anaerobic fermentation
19phosphoric acid from
nucleic acid catabolism
20fatty acids and ketones
from fat catabolism
21carbonic acid from
carbon dioxide
22what is a buffer
any mechanism that resists changes in pH
convert strong acids or bases to weak ones
23chemical buffer
a substance that binds H+ and removes it from solution as its concentration begins to rise, or releases H+ into solution as its concentration falls
- restores noraml ph in fraction of a second
243 major chemical buffer
bicarbonate
phosphate
protein systems
serum levels of ph and CO2 levels are directly proportional
25true or false
false-
as blood levels of CO2 increase , ph becomes more acidic ( decreases)
26disorders of acid-base balance
acidosis, alkalosis
27state of acidosis
ecf below 7.35
28state of alkalosis
ecf above 7.45
29RAC- respiratoory acidosis
emphesema - COPD
30RAL - respiratory alkolosis
heprventilation
31MAC (metabolic acidosis)
DKA
32MAL ( metabolic alkolosis)
Nahco2
33which type of leukocytes works the hardest when you recieve a vaccination
lymphocytes - accinations introduce antigens causing your body to produce antibodies
34which type of leukocytes is created in the bone marrow
eosinophil
basophil
neutrophil
35myeloid neoplasms causes
-mutation of myeloid cell line
-overproduction of abnormal monocytes or granulocytes
-replaces normal bone marrow cells
-
36malignant neoplasms of hematopietic stem cells
creates abnormal white blood cells
Lymphocytic (ALL,CLL) lymphocytes
Myelocytic (AML, CML) myeloid
37what is the difference between acute and chronic
acute is fast and chronic slow
38lymphomas non - hodgkins and hodgkin lymphomas
non hodgkins = b and t cells
hodgkins = malignant b cells invade lymphoid organs
hodgkins lymphoma has a better prognosis than non hodgkins lymphoma
40all but which of the following are true about plateltes
an income called erythropoietin stimualtes their production
-platelet formation is stimulated by thrombopoietin
hypercoagulability states increase the risk of thrombus formation
42Disseminated Intravascular Coagulation (DIC)
A life-threatening disorder that occurs as a complication of other diseases and conditions.
- small blood clots form and over time clotting factors are used up which lead to more bleeding
-clot,clot,clot, then bleed, bleed,bleed -
43what is the effect of Von Willebrand disease on the platelets
decreased platelet adhesion
platelet disorders are bleeding disorders
45how many molecules of oxygen can be carried by one molecule of hemoglobin
four
each hemolglobin molecule has two alpha and two beta protein chains
46red blood cells (erythrocytes) are made in the _______________ and destroyed in the ________________
bone marrow, spleen
47______ is a common acquired or inherited disorder that impairs the oxygen carrying capacity of the blood
anemia
ex blood loss
hemolysis
impaired rbc production
patients with sickle cell anemia who also suffer from lung disease are more prone to sickling
48true or false
true
ex hypoxia
49from poor diet or exess bleeding
iron deficiency anemia
50cobalamin or pernicious anemia vitamin b12 , foilic acid deficincency
megaloblastic anemia
51bone marrow depression halts rbc production
aplastic anemia
52chronic inflammation and chronic renal faliure or examples of
chronic disease anemias also
hemolytic anemia - premature destruction of mature rbc
-posthemmorhagic anemia is due to acute sudden blood loss
53Which type of deficiency is caused by pernicious anemia?
vitamin b 12
54diffussion is a ________process
passive
55osmosis causes
movement from more watery to less watery
56an action potential occurs when Na+ MOVES
into the cell (depolarization)
when K+ leaves the cell it becomes less positive or more negative unit it returns to resting membrance potential repolarization
57Tay-Sachs disease
autosomal recessive genetic disorder that results in a deficiency in the enzyme hexosaminidase A; causes an accumulation of glycolipids in the lysosomes, resulting in a progressive loss of psychomotor functions
death at age 4-5
58Fragile X Syndrome (FXS)
most commonly inherited cause of intellectual disability and occurs when a DNA series makes too many copies of itself and turns off a gene on the X chromosome
x linked recessive
59Trisomy 21
condition in which an individual has three number 21 chromosomes, resulting in Down syndrome
60Marfan Syndrome
autosomal dominant; pleiotropic; tall, weak heart
61Neurofibromatosis
autosomal dominant
62Phenyiketonuria (PKU)
autosomal recessive
63Monosomy
Chromosomal abnormality consisting of the absence of one chromosome from the normal diploid number
64polysomy x
-Klinefelter's syndrome
-One or more extra X chromosomes in the presence of a Y
-Male appearance
-Often undetected
65benign tumors
contain cells that look like normal cells
perform noramal tissue functions
surrounded by fibrous capsule
do not infiltrate invade or metasisize
can damage near by oragns by compressing them
66malignant tumors
do not look like normal adult cells
do not perform normal functions
grows rapidly
lack capsule
67hypoxia causes atp to
depletion
power failure
68Osmosis
Diffusion of water through a selectively permeable membrane
69Diffusion
Movement of molecules from an area of higher concentration to an area of lower concentration.
70cell aging is
programmed into the cells
71telemeres becomes
too short and the cell can no longer divide
72cell aging accumalation damages
dna damages
free radicals
glycation
73pedigree basics
-circle-female
-square-male
-shaded-affected
-unshaded-unaffected
-half-shaded- carrier
74Thalassemia
inherited defect in ability to produce hemoglobin, leading to hypochromia
75renin angiotensin pathway
Pathway initiated by the kidneys in response to low blood pressure and/or low blood volume
77Carcinogenesis: Initiation
initial mutation occurs
78Carcinogenesis: Promotion
mutated cells are stimulated to divide
intiation of uncontrolled growth
79Carcinogenesis progression
permanent malignant changes
80Von Willebrand Disease
is the most common hereditary bleeding disorder
carries a clotting factor
81Thalassemia
blood disorder passed down through families inheriated
inadequate amount of hemoglobin
82Alpha Thalassemia
affect fetal and adult Hb
1-4 defective genes
defective gene for alpha chain synthesis
83Beta Thalassemia
100 different mutation
affects only adults
84you need _____ to make hemoglobin
b12