1Fluid compartments
extracellular fluid, intracellular fluid
2which compartment has the most water
intracellular
3interstitial
fluid in spaces between cells
4osmosis
movement of water molecules from solution wigh a high concnetration to a lower
5what happens when you drink water?
decreased plasma osmolarity, water will travel into cells and become hypertonic while vessels are hypotonic
6what happens when youre dehydrated
vessels are hypertonic, cells are hypotonic so cells will loose water to go to vessels
7where is the thirst center
hypothalamus
8what is the hypothalamus activated by
decreased blood volume, bp, salivary secretions; increased blood osmolarity
9electrolytes
dissociate in solution to form cations and anions and conduct electrical currents when dissolved
10non-electrolytes
do not dissociate, mostly covalently bonded
11which electrolyte exerts the greatest osmotic pressure
sodium ion
12high salt diet
high hypertension and bp
13RAS system
bp regulation by modulating blood volume, sodium reabsorption, potassium secretion, water reabsorption, vascular tone
14how is the RAS system activated
los of BP (fluids or electrolytes)
15what releases renin
liver
17what does angiotension II do
vasoconstriction to rasie BP, signal adrenal glands to produce aldosterone, stimulate thirst center, signal posterior pituitary to release ADH
18what does aldosterone do
signals kidneys to increase potassium and allow for sodium reabsorption
19what does ADH do
blood vessels constrict and fluid is reabsorb by kidneys, increase blood volume and bp
20what does ANP do
causes vasodilation and inhibits ADH (too much low bp)
21when bp looses greatly what happens
ADH released, aldosterone secreted, thirst stimulated, angio II
22carbonic acid pathway
carbon dioxide +water =carbonic acid=bicarbonate +acid
23how do the kidneys maintain normal pH
reabsorb and make bicarbonate buffers, excrete H+ into filtrate
24what decreases blood H+ concentration
anatacids and vomiting
25what are the 3 buffering systems to prevent change in pH during exercise
protein, phosphate, bicarbonate
26what happens when you hold your breath
increase in carbon dioxide in blood which decreases pH and creates more free H+ IONS
273 types of hormones
steroids, biogenic amines, proteins
28what hormone is lipid soluable and have receptors inside cells
steroids
29what kind of hormones can pass through membrane
lipid soluable
30where do we get rid of hormones
liver via enzymatic degration, kidney excretion, target cell uptake
31what 3 events can happen in response to hormones
1. insert-remove receptors from membrances
2.G-coupled proteins: smooth muscle contraction, inhib transmitter release, heart muscle contraction
3. change gene activation
32what does the hypothalamus synthesize
ADH and oxytocin
33what does the posterior pituitary store and release
ADH
34what does cortisol do
mobolize glucose, suppress nonvital organs, decreases inflammation, stay on high alert, stimulates fat and carb metabolism
35how does cortisol fluctuate
circadian rhythm; peak at wake
36disease with too much cortisol
cushing syndrome
37endocrine pancrease cells
islets of langerhans, alpha cells, beta cels, delta cells, acinar cells
38what cells make insulin
Beta cella; decrease blood glucose
39alpha cells
increase blood glucose and secret glucagon
40delta cells
inhibit alpha and beta cells
41acinar cells
create digestive enzymes
42if K+ channels blocked
block positive from leaving, membranes become more positive and depolarize
43what does insulin do
decreases blood glucose by inserting more transporters into membrane to allow glucose to enter and store as glycogen
44target tissues of insulin
peripheral muscle (increases glucose metabolism, synthesis, muscle mass, mito dys) adipose tissue (increase glucose metabolism, lipogen; decreases lipolysis) brain (increase hunger), liver (decrease glucose synthesis)
45type 1 diabetes
autoimmune destruction of pancreatic beta cells, hyperglycemia, pancrease fails to produce insulin
46type 2 diabetes
insulin resistance, hyperglycemia in adulthood from too much insulin that cells aren't receptive
47what happens with excess glucagon
too much in the blood and diabetes
48what does the thyroid hormone do
regulates most important organs and metabolic rate
49what amino acid is TH from
tyrosine
50what substance from our diet is important for making TH
Iodine
51What is T3 and T4 named for
number of iodines
52which thyroid hormone is active and what does it do
T3; increases breathing rate, HR, contraction, lipolysis, releases glucose from liver for enegery , reproduction, heat production, protein synthesis
53how is T3 activated
low blood levels, cold weather, pregnancy, high altitude, hypoglycemia
54too much TH
Hperthyroidism, increased metabolic rate, weight loss, hyperactivity
55too little TH
hypothyroidism, decreased metabolic rat, lethargy, weight gain
56what is the relationship between blood volume and blood pressure
more volume, more pressure
57what 3 hormones work when there is a drop in bp
ang 2 to vasoconstrict, ADH increases water retention, aldosterone increases salt reabsorb
58how is the hydrostatic pressure in peritubular capillaries different than bowmans capsule
lower pressure, influences nephron substances to enter capillaries for absorption
593 phases of gastric function
1. cephalic- i see food- make gastric juice
2. gastric- food stretches stomach- gastrin and histimine
3. intestinal- food enters intestines-secretin and cck inhibit gastrin to release bile
60what is different in capillaries with an arteriole and venous side vs arterioles in bowmans capsule
hydrostatic bp drops below osmotic pressure but doesn't happen in bowmans capsule
61how would TSH and TRH be affected by a thyroid tumor
levels would fall because of negative feedback
62what are the 3 mechanisms that control GFR
1. myogenic response
2. tubuloglomerular feedback
3. neural/hormonal
63glucosuria
when tm of glucose is exceeded and glucose beigns to appear in the urine, causing more urine production because osmosis increases
64ascending limb of loop of henle
impermeable to water; salts pumped out
65descending limb of loop of henle
permeable to water, impermeable to salts
662 types of epithelial cell transport
paracellular and transcellular
67what does throid peroxide do
adds iodine into tyrosine
68releasing hormones come from the
hypothalamus
69tropic hormones come from the
anterior pituitary
70carbohydrate digestion
starts in oral cavity by salivary amylase
small intestine by pancreatic amylase
71fats digestion
babies starts in mouth by lingual lipase
adults starts in stomach by gastric lipase
intestine by pancreatic lipase
72proetin digestion
starts in stomach by pepsin
intestine by trypsin
73wa=hat gland secretes the most saliva
submandibular
74swallowing reflex muscles
1/3 skeletal, 2/3 smooth
75mucous cells
create layer of mucus that protects stomach from acid
76parietal cells
secrete HCL and intrinsic factor
77chief cells
secrete pepsinogen and gastric lipase
79H. Pylori
eats away at mucus layer and creates stomach ulcers
80how do parietal cells work
water +co2 combine to produce carbonic acid which dissociates into H+ and bicarbonate ion
813 regulatory events for parietal cells
1. gastrin
2.Histimine
3. Vagus nerve
82Bile
liver makes bile, stored in gallbladder, released by CCK, enters duodenum to bind and emulsify fat for absorption
83is DNA absorbed?
no it is broken down into bases
84bowmans capsule
helps glomerus to filter blood
85PCT
reabsorbs most of filtered Na+ ions
86DCT
regulates extracellular fluid and electrolyte homeostasis
87glomerulus
houses arterioles and accepts plasma; fenestrated
88nephron structure
bowmans capsule, PCT, DCT, CT
89cortical nephron
85%, short loop close to peripheral cortex
90juxtamedullary
15%, long loop extends deep itno medulla, salt balance
91afferent arterioles
arrive at renal corpuscle to form glomerus
92efferent arterioles
exit blood from glomerus and branches into peritubular capillaries
93peritubular capillaries
interwinned around PCT and DCT
94hydrostatic pressure
forces fluid out
95osmotic pressure
draws fluid in
96GFR
rate at which volume of filtrate is formed; indicates how well kidneys are working
97filtration pathway
blood flows through glomerus-water and solutes diffuse into nephron-GFR makes filtrate-PCT- Loop Henle-DCT-collecting dcut-papillary duct-ureter-bladder-urethrea
98transport maximum
max rate substance can be absorbed across epithelium per minute; has a limit
99Na+ reabsorption
entire nephron tube by Aldosterone
100Water absorption
CT by ADH
101Ca2+ absorption
60% free in blood, rest bound to proteins by PTH
102when blood pH is too low
type A cells pump HCO3- into blood
103when blood pH is too high
type B cells pump H+ into blood
104renal clearance
measure of kidney transport