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Anatomy lect exam 3
Nutrition, blood, cardiovascular system
| Question | Answer |
|---|---|
| total of all chemical reactions that occur in the body | metabolism |
| energy-releasing processes that break larger molecules down to smaller molecules | catabolism |
| energy-requiring processes that join small molecules together to form larger molecules | anabolism |
| energy in carbohydrates, lipids, and proteins is used to produce _____ | ATP |
| 2 types of ATP synthesis from glucose | Anaerobic respiration and aerobic respiration |
| 2 step of anaerobic respiration | Glycolysis, lactic acid fermentation |
| 3 steps of aerobic respiration | Glycolysis, Kreb's cycle, electron transport system |
| Glycolysis involves producing _______ from 1 glucose molecule | 2 ATP, 2CO2, 2NADH |
| Kreb's cycle involves producing ________ from 2 pyruvates (from glycolysis) | 2 ATP, 4CO2, 8NADH, 2FADH |
| Electron Transport chain involves producing _________ from 10NADH, 2FADH, and 6O2 | 32-34 ATP, 6H2O |
| Fatty acids undergo _______ and enter the cycle known as ________ | Beta-oxidation, acetyl-CoA |
| Breakdown of fats produces ________ | Ketone bodies |
| Ketone bodies may build up causing: | Ketoacidosis |
| If used for energy, amino acids must first undergo _______ | deamination |
| deamination is the removal of _____ group | NH2 |
| deamination produces ______ that must be converted to urea for excretion | ammonia |
| excretion occurs via ______ but excess amounts are a problem for individuals with renal disease | kidneys |
| amino acids are not stored in body, so excess are converted to _____ | fat |
| Results from a deficiency in an enzyme involved in catabolism of the amino acid phenylalanine | Phenylketonuria |
| A high level of ________ interferes with normal development of nervous system and severe mental retardation may result | Phenylalanine |
| Process in which excess glucose is converted to glycogen | glycogenesis |
| Process in which glucose and amino acids are converted to lipids when glycogen stores are full | Lipogenesis |
| Breakdown of glycogen to glucose | Glycogenolysis |
| formation of glucose from noncarbohydrate molecules | Gluconeogenesis |
| 2 metabolic states | absorptive state and postabsorptive state |
| Period immediately after eating when nutrients are absorbed and enter the circulatory and lymphatic systems (~4 hrs after meal) | Absorptive state |
| Occurs after absorptive state when blood glucose levels must be maintained by conversion of other molecules to glucose | Postabsorptive state |
| Total amount of energy produced and used by the body per minute | Metabolic rate |
| Metabolic rate correlates with amount of _____ used | O2 |
| energy used at rest | basal metabolic rate |
| basal metabolic rate makes up ~ ___% of metabolic rate | 60 |
| energy used to digest and absorb food | thermic effect of food |
| thermic effect of food makes up ~ __ % of metabolic rate | 10 |
| energy used for muscle contraction | muscular activity |
| muscular activity makes up ~ ___ % of metabolic rate | 30 |
| chemicals used by body to produce energy, to provide building blocks, or to function in other chemical reactions | Nutrients |
| two classes of nutrients | macronutrients and micronutrients |
| Required in large amounts | Macronutrients |
| Required in small amounts | Micronutrients |
| Examples of macronutrients (4) | Carbs, proteins, lipids, and water) |
| Examples of micronutrients (2) | Vitamins and minerals |
| Any nutrient that must be ingested and cannot be synthesized in adequate amounts | Essential nutrient |
| Some essential nutrients are: (6) | water, some amino acids, some fatty acids, most vitamins and minerals, a few carbohydrates |
| measure of energy supplied by food and released through cellular metabolism | Kilocalories (Calories) |
| RDA for carbohydrates | 45-65% of total daily intake |
| most carbohydrates come from | plants |
| 3 classes of carbohydrates | Monosaccharides, disaccharides, and polysaccharides |
| ______ and _______ are converted to glucose, kept as glycogen, or converted to fats | disaccharides, polysaccharides |
| RDA of lipids | 30% or less of daily intake |
| two classes of lipids | triglycerides (fats) and cholesterol |
| Lipids used for energy or stored in adipose tissue | triglycerides |
| two types of triglycerides (fats) | saturated fats and unsaturated fats |
| Examples of saturated fats | Meats, whole milk |
| Examples of unsaturated fats | Vegetable oils |
| Found in liver and egg yolks, but will be made from triglycerides | Cholesterol |
| Essential fatty acids found in seeds, nuts, legumes, grains, and green leaves | Linoleic acids |
| RDA of proteins | 10-35% of daily intake |
| All proteins are broken into ______ which are classified as essential or nonessential | Amino acids |
| Proteins that contain all of the necessary amino acids | Complete proteins |
| Examples of complete proteins | All meats, milk, cheese, and eggs |
| Organic nutrients required in small amounts to make enzymes function and maintain growth and normal metabolism | Vitamins |
| Some vitamins are _____ and some can be made | essential |
| two classes of vitamins | fat-soluble and water-soluble vitamins |
| Vitamins stored in fat tissue | Fat-soluble vitamins |
| Vitamins in which excess is excreted | Water-soluble vitamins |
| Examples of fat-soluble vitamins | A, D, E, K |
| Examples of water-soluble vitamins | B, C, etc. |
| Prevent formation of free radicals in the body | Antioxidants |
| Inorganic elements necessary for normal metabolism | Minerals |
| Minerals are obtained from | Plant and animal sources |
| Some minerals attached to _____ are difficult to absorb | Plant fibers |
| Functions of minerals in body (5) | Nerve conduction, osmotic balance, bone/teeth structure, buffering systems, hemoglobin structure |
| The cardiovascular system consists of | Heart, blood vessels, blood |
| Pumps blood through blood vessels | Heart |
| System of tubes that distribute blood throughout body | Blood vessels |
| Liquid that carries oxygen, nutrients, wastes, etc. to all body clles | Blood |
| 7 functions of blood | Transport of gases, nutrients, waste products, transport of processed molecules, transport of regulatory molecules, maintenance of body temp, regulation of pH, protection against foreign substances, clot formation |
| Regulatory molecules transported in blood | Hormones and enzymes |
| In blood, buffers maintain ____, ions and protein maintain __________ | pH, osmotic pressure |
| ______ and ________ in blood protect against foreign substances | White blood cells, antibodies |
| Blood makes up ~ __ % of total body weight | 8 |
| Blood volume in females | 4-5L |
| Blood volume in males | 5-6 L |
| Liquid extracellular matrix of blood | Plasma |
| plasma is 91% _____ and 9% _____ | water, solutes |
| 3 proteins in blood plasma | albumins, globulins, fibrinogen |
| maintain viscosity and osmotic pressure, buffers, transport fatty acids, bilirubin, and thyroid hormones | albumins |
| transport lipids, carbohydrates, hormones, ions, antibodies, and complement proteins | globulins |
| involved in clotting | fibrinogen |
| nutrients in blood plasma | glucose, amino acids, cholesterol, triacylglycerol, vitamins, and water |
| waste products created from the breakdown of protein (4) | urea, uric acid, creatinine, ammonia salts |
| waste product created from breakdown of RBC's | bilirubin |
| waste product that is a byproduct of anaerobic respiration | lactic acid |
| Ions in blood plasma (10) | Na+, K+, Ca2+, Mg2+, Fe3+, Cl2-, PO4 2-, H+, OH-, HCO3- |
| gases in blood plasma | oxygen, carbon dioxide, inert nitrogen |
| Includes cells and cell fragments found suspended in plasma | Formed elements |
| Small cellular fragments in blood | Platelets |
| Disease of the liver which results when healthy liver tissue is replaced by scar tissue | Cirrhosis |
| Causes of cirrhosis | Cancer, alcoholism, viral hepatitis |
| Cirrhosis results in progressive decrease in production of _______ which results in fluid loss to extracellular spaces producing severe edema in the abdomen | Plasma proteins |
| Cirrhosis also causes a decrease in _________ levels which leads to easy bruising and delayed clotting which may be fatal | Clotting factor |
| Typical erythrocyte is a ________ disc | Biconcave |
| Mature erythrocyte cells are ________ to create room in the cytosol for enzymes and hemoglobin proteins | anucleate |
| Iron in each heme group is oxidized when hemoglobin binds to oxygen and forms: | Oxyhemoglobin |
| When O2 levels are low, hemoglobin binds to CO2 forming: | Carbaminohemoglobin |
| Process of blood cell production that takes place in red bone marrow | Hematopoiesis |
| Hematopoiesis is produced by __________ | Hematopoietic stem cells |
| 5 types of hematopoietic stem cells | Proerythroblasts, myeloblasts, lymphoblasts, monoblasts, megakaryblasts |
| Hematopoietic stem cell that become RBC's | Proerythroblasts |
| Hematopoietic stem cell that become neutrophils, basophils, and eosinophils | Myeloblasts |
| Hematopoietic stem cell that becomes lymphocytes | Lymphoblasts |
| Hematopoietic stem cell that becomes monocytes | Monoblasts |
| Hematopoietic stem cell that becomes platelets | Megakaryblasts |
| Produces erythrocytes in about 5-7 days to replace cells | Erythropoiesis |
| RBC's live about ___ days | 120 |
| Progenitor cells become _________ when erythropoietin (EPO) from kidneys is present | proerythroblasts |
| Erythroblasts synthesize ________ | Hb (hemoglobin) |
| ________ in the bloodstream eject the nucleus | Reticulocytes |
| During erythrocyte death, hemoglobin is broken down into: | Globin chains and heme |
| Erythrocyte death: iron is released from the heme, which is converted to ______ then ________ | biliverdin, bilirubin |
| Iron is transported to liver or bone marrow by protein called: | transferrin |
| Common condition defined as a decrease in the oxygen-carrying capacity of blood | Anemia |
| What kind of anemia results from vitamin B12 deficiency? | Pernicious anemia |
| What kind of anemia results from infections or poisoning that destroys erythrocytes? | Hemolytic anemia |
| What kind of anemia results from radiation inhibiting erythrocyte production? | Aplastic anemia |
| 5 types of anemia | Iron deficiency anemia, pernicious anemia, hemolytic anemia, aplastic anemia, sickle cell anemia |
| Leukocytes use ______ for transportation | Bloodstream |
| Chemicals released by injured cells to attract leukocytes | Chemotaxis |
| Two types of leukocytes | Granulocytes and agranulocytes |
| Process by which leukocytes adhere to walls of blood vessels and squeeze between endothelial cells to enter surrounding tissue | Diapedesis |
| 3 types of granulocytes | Neutrophils, basophils, and eosinophils |
| Most common leukocyte, actively phagocytizes bacterial cells | Neutrophils |
| Respond to infections with parasitic worms and allergic reactions | Eosinophils |
| Least common leukocyte, secretes heparin and mediates inflammation | Basophils |
| Two types of agranulocytes | Lymphocytes and monocytes |
| 2nd most common leukocyte, makes antibodies and destroys virally infected cells or cancer cells | Lymphocytes |
| Mature into macrophages and ingest dead/dying cells, bacteria, antigens, and other debris | Monocytes |
| Cell fragments surrounded by a plasma membrane, involved in clotting | Platelets |
| The complete arrest of bleeding | Hemostasis |
| 3 parts of hemostasis | Vascular spasm, platelet plug formation, coagulation |
| Part 1 of hemostasis, begins immediately when a blood vessel is injured and blood leaks into extracellular fluid | Vascular spasm (vasoconstriction) |
| Part 2 of hemostasis, has three steps (platelet adhesion, platelet activation, platelet aggregation) | Platelet plug formation |
| Platelets become "sticky" from von Willebrand factors and adhere to each other | platelet adhesion |
| Platelets release ATP, ADP, serotonin, calcium, thromboxanes, etc. that activate other platelets | Platelet activation |
| activated platelets bind fibrinogen which forms a "platelet plug" | Platelet aggregation |
| Part 3 of hemostasis, involves clotting factors in plasma that remain inactive until tissues are injured | Coagulation |
| 3 steps of coagulation | Activation of prothrombinase, conversion of prothrombin to thrombin, conversion of fibrinogen to fibrin |
| What happens during clot retraction? | Actin and myosin fibers in platelets contract which bring the edges of wounded vessel closer together |
| Removal of the clot, which involves breaking down the fibrin glue | Thrombolysis |
| 3 steps of fibrinolysis | Activation of plasminogen by tPA from endothelial cells, conversion of plasminogen to plasmin, plasmin degrades to fibrin and clot dissolves |
| 2 anticoagulants | heparin, warfarin |
| Anticoagulant that acts rapidly but must be injected | Heparin |
| Anticoagulant that can be given by mouth but takes days to become effective | Warfarin |
| Drug that inhibits platelet aggregation | aspirin |
| ____ is used to restore blood flow rapidly to prevent tissue damage when thrombi or emboli have caused stroke or heart attack | tPA |
| transfer of blood or blood components from one individual to another | Transfusion |
| Blood grouping is determined by ______ on the surface of RBC's | antigens |
| Agglutinins in blood | Antibodies |
| Main blood groups: | ABO and Rh |
| Only A antigen is present, anti-B antibodies | Type A blood |
| Only B antigen is present, anti-A antibodies | Type B blood |
| Both A and B antigens are present, no antibodies | Type AB blood |
| Neither A nor B antigens, both anti-A and anti-B antibodies | Type O blood |
| Functions of heart (5) | Generate blood pressure, route the blood, ensure one-way blood flow, regulate blood supply, produce hormones |
| The heart produces a hormone called: | Atrial natriuretic peptide (ANP) |
| Situated to the left side in the thoracic cavity in the mediastinum and on the diaphragm | Heart |
| The heart is approximately the size of a fist and weighs: | 250-350 g |
| 2 layers of pericardium | fibrous pericardium, serous pericardium |
| Outer collagen layer of pericardium | Fibrous pericardium |
| Inner membrane of pericardium that produces serous fluid | Serous pericardium |
| Encases heart like a sac | parietal pericardium |
| Innermost layer of pericardium aka epicardium | Visceral pericardium |
| 3 layers of heart wall | epicardium, myocardium, endocardium |
| Outer surface of heart wall with connective tissue and epithelium | Epicardium |
| Cardiac muscle tissue layer of heart wall | Myocardium |
| Inner surface of epithelium that lines the chambers and continues into blood vessels | Endocardium |
| Right side of heart pumps blood to lungs through pulmonary arteries | Pulmonary circuit |
| Left side of heart pumps blood to rest of body through aorta | Systemic circuit |
| circulation that supplies the heart muscle | coronary circulation |
| deliver blood to heart muscle (branch from aorta) | coronary arteries |
| drain blood from heart muscle | coronary veins |
| systems of channels formed between blood vessels | anastomoses |
| results from buildup of fatty materials/plaques in coronary arteries | coronary artery disease (CAD) |
| occurs when plaques rupture and a clot obstructs blood flow to myocardium | Myocardial infarction/heart attack |
| Branched cells with large nucleus and striations made of actin and myosin myofilaments | Cardiac muscle cells |
| cytoplasm has a very high concentration of: | mitochondria and myoglobin |
| Permit communication between cardiac muscle cells | gap junctions |
| hold cardiac muscle cells together | desmosomes |
| heart does not require stimulation from nervous system to generate action potentials | autorhythmicity |
| cardiac electrical activity is coordinated by a small, unique population of cardiac muscle cells called: | pacemaker cells |
| conducted from cell to cell, not along a single fiber as in skeletal muscle | action potentials |
| Slower in cardiac muscle than skeletal muscle because of gap junctions | Action potential propagation |
| calcium moves into cell and stimulates release of calcium from sarcoplasmic reticulum | calcium-induced calcium release (CICR) |
| 3 types of gated ion channels in cardiac muscle | voltage gated sodium ion channels, potassium ion channels, calcium ion channels |
| open in response to voltage changes but not found in certain pacemaker cells | voltage-gated sodium ion channels |
| some are voltage gated and some are ligand gated | potassium ion channels |
| Not found in skeletal muscle, demonstrate voltage-gated opening but time-gated closing | calcium ion channels |
| 4 phases of electrophysiology | rapid depolarization phase, initial repolarization phase, plateau phase, repolarization phase |
| voltage-gated Na+ channels are activated and Na+ enters | Rapid depolarization phase |
| Na+ channels are inactivated and some K+ channels open | Initial repolarization phase |
| Ca2+ channels open and Ca2+ enters as K+ exits (causes refractory period) | Plateau phase |
| Na+ and Ca2+ channels close as K+ continues to exit | Repolarization phase |
| pacemaker that generates action potentials and passes them to AV node | sinoatrial (SA) node |
| passes action potentials to ventricles | AV node |
| passes AP's to the interventricular septum | AV bundle |
| Passes AP's to the ends of the R and L ventricles | R and L bundle branches |
| Pass AP's to ventricles | Purkinje fibers |
| record of electrical events in the myocardium that can be correlated with mechanical events | electrocardiogram |
| depolarization of atrial myocardium that signals the onset of atrial contraction | P wave |
| ventricular depolarization that signals the onset of ventricular contraction (repolarization of atria occurs simultaneously) | QRS complex |
| repolarization of ventricles that signals ventricular relaxation | T wave |
| Results from fluid vibrations and closure of AV valves at the beginning of ventricular systole | Heart sound 1 or "lub" |
| Results from closure of semilunar valves at the beginning of ventricular diastole | Heart sound 2 or "dub" |
| sequence of events that take place in the heart from one heartbeat to the next | cardiac cycle |
| the cardiac cycle includes: | contraction periods and relaxation periods |
| Measured as the systolic blood pressure | contraction periods |
| measured as the diastolic blood pressure | relaxation periods |
| 4 phases of cardiac cycle | ventricular filling phase, isovolumetric contraction, ventricular ejection phase, isovolumetric relaxation |