Balance Wk1 bootcamp LG3

0.0(0)
Studied by 0 people
call kaiCall Kai
Locked
learnLearn
examPractice Test
spaced repetitionSpaced Repetition
heart puzzleMatch
flashcardsFlashcards
GameKnowt Play
Card Sorting

1/99

encourage image

There's no tags or description

Looks like no tags are added yet.

Last updated 2:35 AM on 9/15/26
Name
Mastery
Learn
Test
Matching
Spaced
Call with Kai
Chat

No analytics yet

Send a link to your students to track their progress

100 Terms

1
New cards

What is a signal sequence?

Answer: A string of hydrophobic amino acids on proteins destined for the endoplasmic reticulum.

Extra Information:

  • These proteins are destined for export or membrane integration.


<p>Answer: A string of hydrophobic amino acids on proteins destined for the endoplasmic reticulum.</p><p>Extra Information:</p><ul><li><p>These proteins are destined for export or membrane integration.</p></li></ul><p></p>
2
New cards

What types of proteins contain an endoplasmic reticulum signal sequence according to the slide?

Answer: Proteins destined for export or membrane integration.

Extra Information:

  • Their signal sequence consists of a string of hydrophobic amino acids.


<p>Answer: Proteins destined for export or membrane integration.</p><p>Extra Information:</p><ul><li><p>Their signal sequence consists of a string of hydrophobic amino acids.</p></li></ul><p></p>
3
New cards

What does the signal sequence attract during protein synthesis?

Answer: The signal recognition particle.

Extra Information:

  • The signal recognition particle recognizes and binds the signal sequence.


<p>Answer: The signal recognition particle.</p><p>Extra Information:</p><ul><li><p>The signal recognition particle recognizes and binds the signal sequence.</p></li></ul><p></p>
4
New cards

What happens when the signal recognition particle binds the signal sequence?

Answer: Translation stops.

Extra Information:

  • This temporary stop occurs while the nascent protein-ribosome complex is directed toward the endoplasmic reticulum.


<p>Answer: Translation stops.</p><p>Extra Information:</p><ul><li><p>This temporary stop occurs while the nascent protein-ribosome complex is directed toward the endoplasmic reticulum.</p></li></ul><p></p>
5
New cards

Trace the first steps of endoplasmic reticulum targeting by the signal recognition particle.

Answer: Signal sequence emerges → signal recognition particle binds the signal sequence → translation stops → the signal recognition particle brings the nascent protein-ribosome complex to the endoplasmic reticulum membrane.

Extra Information:

  • The complex then interacts with the signal recognition particle receptor.


<p>Answer: Signal sequence emerges → signal recognition particle binds the signal sequence → translation stops → the signal recognition particle brings the nascent protein-ribosome complex to the endoplasmic reticulum membrane.</p><p>Extra Information:</p><ul><li><p>The complex then interacts with the signal recognition particle receptor.</p></li></ul><p></p>
6
New cards

What does the signal recognition particle bind at the endoplasmic reticulum membrane?

Answer: The signal recognition particle receptor.

Extra Information:

  • This brings the nascent protein-ribosome complex to the endoplasmic reticulum membrane.


<p>Answer: The signal recognition particle receptor.</p><p>Extra Information:</p><ul><li><p>This brings the nascent protein-ribosome complex to the endoplasmic reticulum membrane.</p></li></ul><p></p>
7
New cards

What happens after the signal recognition particle binds its receptor at the endoplasmic reticulum membrane?

Answer: The ribosome is passed to the translocon and the signal recognition particle detaches.

Extra Information:

  • The translocon is a translocation channel.


<p>Answer: The ribosome is passed to the translocon and the signal recognition particle detaches.</p><p>Extra Information:</p><ul><li><p>The translocon is a translocation channel.</p></li></ul><p></p>
8
New cards

What is the translocon?

Answer: A translocation channel in the endoplasmic reticulum membrane.

Extra Information:

  • The ribosome is passed to the translocon after the signal recognition particle binds its receptor.


<p>Answer: A translocation channel in the endoplasmic reticulum membrane.</p><p>Extra Information:</p><ul><li><p>The ribosome is passed to the translocon after the signal recognition particle binds its receptor.</p></li></ul><p></p>
9
New cards

What opens the translocon?

Answer: The signal sequence.

Extra Information:

  • The signal sequence opens and binds the translocon.


<p>Answer: The signal sequence.</p><p>Extra Information:</p><ul><li><p>The signal sequence opens and binds the translocon.</p></li></ul><p></p>
10
New cards

What happens to the growing protein after the signal sequence opens the translocon?

Answer: Translocation continues and the protein threads through the translocon as a large loop.

Extra Information:

  • The slide's diagram shows translation and translocation occurring at the endoplasmic reticulum membrane.


<p>Answer: Translocation continues and the protein threads through the translocon as a large loop.</p><p>Extra Information:</p><ul><li><p>The slide's diagram shows translation and translocation occurring at the endoplasmic reticulum membrane.</p></li></ul><p></p>
11
New cards

What happens to the signal sequence after the protein is completed?

Answer: The signal sequence is degraded by signal peptidase.

Extra Information:

  • The translocon then closes.


<p>Answer: The signal sequence is degraded by signal peptidase.</p><p>Extra Information:</p><ul><li><p>The translocon then closes.</p></li></ul><p></p>
12
New cards

Which enzyme degrades the signal sequence after protein synthesis is complete?

Answer: Signal peptidase.

Extra Information:

  • Signal sequence degradation occurs before the completed protein is released into the endoplasmic reticulum lumen.


<p>Answer: Signal peptidase.</p><p>Extra Information:</p><ul><li><p>Signal sequence degradation occurs before the completed protein is released into the endoplasmic reticulum lumen.</p></li></ul><p></p>
13
New cards

What happens to a completed protein after translocation into the endoplasmic reticulum?

Answer: The protein is released into the endoplasmic reticulum lumen and escorted to the Golgi for vesicular trafficking.

Extra Information:

  • This follows completion of translocation and degradation of the signal sequence.


<p>Answer: The protein is released into the endoplasmic reticulum lumen and escorted to the Golgi for vesicular trafficking.</p><p>Extra Information:</p><ul><li><p>This follows completion of translocation and degradation of the signal sequence.</p></li></ul><p></p>
14
New cards

Trace the signal recognition particle pathway from signal sequence recognition to Golgi trafficking.

Answer: Signal sequence → signal recognition particle binds and stops translation → complex moves to the endoplasmic reticulum → signal recognition particle receptor → ribosome transfers to translocon → signal recognition particle detaches → signal sequence opens translocon → translocation continues → protein completes → signal peptidase degrades signal sequence → translocon closes → protein enters endoplasmic reticulum lumen → Golgi for vesicular trafficking.

Extra Information:

  • This integrates the complete pathway shown in the slide and diagram.


<p>Answer: Signal sequence → signal recognition particle binds and stops translation → complex moves to the endoplasmic reticulum → signal recognition particle receptor → ribosome transfers to translocon → signal recognition particle detaches → signal sequence opens translocon → translocation continues → protein completes → signal peptidase degrades signal sequence → translocon closes → protein enters endoplasmic reticulum lumen → Golgi for vesicular trafficking.</p><p>Extra Information:</p><ul><li><p>This integrates the complete pathway shown in the slide and diagram.</p></li></ul><p></p>
15
New cards

How are transmembrane proteins made according to the slide?

Answer: By changing the location of the signal recognition particle or adding stop sequences.

Extra Information:

  • These changes allow proteins to remain integrated into the membrane.


<p>Answer: By changing the location of the signal recognition particle or adding stop sequences.</p><p>Extra Information:</p><ul><li><p>These changes allow proteins to remain integrated into the membrane.</p></li></ul><p></p>
16
New cards

What happens when the signal recognition particle fails?

Answer: Proteins build up in the cytosol.

Extra Information:

  • Failure prevents normal targeting of these proteins to the endoplasmic reticulum.


<p>Answer: Proteins build up in the cytosol.</p><p>Extra Information:</p><ul><li><p>Failure prevents normal targeting of these proteins to the endoplasmic reticulum.</p></li></ul><p></p>
17
New cards

Anti-signal recognition particle antibodies are associated with which diseases?

Answer: Polymyositis and dermatomyositis.

Extra Information:

  • The slide also identifies anti-Jo as a primary diagnostic target.


<p>Answer: Polymyositis and dermatomyositis.</p><p>Extra Information:</p><ul><li><p>The slide also identifies anti-Jo as a primary diagnostic target.</p></li></ul><p></p>
18
New cards

What muscle findings are associated with polymyositis and dermatomyositis on this slide?

Answer: Increased muscle enzymes and symmetrical proximal muscle weakness.

Extra Information:

  • Anti-signal recognition particle antibodies are associated with these conditions.


<p>Answer: Increased muscle enzymes and symmetrical proximal muscle weakness.</p><p>Extra Information:</p><ul><li><p>Anti-signal recognition particle antibodies are associated with these conditions.</p></li></ul><p></p>
19
New cards

How do the cutaneous findings of polymyositis and dermatomyositis differ?

Answer: Polymyositis has no cutaneous involvement, while dermatomyositis has a heliotrope eyelid rash and Gottron papules.

Extra Information:

  • The slide includes an image demonstrating the characteristic papular skin findings.


<p>Answer: Polymyositis has no cutaneous involvement, while dermatomyositis has a heliotrope eyelid rash and Gottron papules.</p><p>Extra Information:</p><ul><li><p>The slide includes an image demonstrating the characteristic papular skin findings.</p></li></ul><p></p>
20
New cards

What are the major features and functions of the rough endoplasmic reticulum?

Answer: It contains ribosomes, is located near the nucleus, performs protein synthesis, and carries out N-linked glycosylation.

Extra Information:

  • These features distinguish rough endoplasmic reticulum from smooth endoplasmic reticulum.


<p>Answer: It contains ribosomes, is located near the nucleus, performs protein synthesis, and carries out N-linked glycosylation.</p><p>Extra Information:</p><ul><li><p>These features distinguish rough endoplasmic reticulum from smooth endoplasmic reticulum.</p></li></ul><p></p>
21
New cards

What are the major features and functions of the smooth endoplasmic reticulum?

Answer: It has no ribosomes, is located near the membrane, performs lipid synthesis, and contains glucose-6-phosphatase.

Extra Information:

  • These features distinguish smooth endoplasmic reticulum from rough endoplasmic reticulum.


<p>Answer: It has no ribosomes, is located near the membrane, performs lipid synthesis, and contains glucose-6-phosphatase.</p><p>Extra Information:</p><ul><li><p>These features distinguish smooth endoplasmic reticulum from rough endoplasmic reticulum.</p></li></ul><p></p>
22
New cards

Compare the rough and smooth endoplasmic reticulum.

Answer:

rough endoplasmic reticulum has ribosomes, is near the nucleus, performs protein synthesis, and carries out N-linked glycosylation

smooth endoplasmic reticulum lacks ribosomes, is near the membrane, performs lipid synthesis, and contains glucose-6-phosphatase.

Extra Information:

  • This card integrates the major differences shown on the slide.


<p>Answer: </p><p>rough endoplasmic reticulum has ribosomes, is near the nucleus, performs protein synthesis, and carries out N-linked glycosylation</p><p>smooth endoplasmic reticulum lacks ribosomes, is near the membrane, performs lipid synthesis, and contains glucose-6-phosphatase.</p><p>Extra Information:</p><ul><li><p>This card integrates the major differences shown on the slide.</p></li></ul><p></p>
23
New cards

What does COPII mediate?

Answer: Anterograde transport from the endoplasmic reticulum to the cis-Golgi.

Extra Information:

  • Think: COPII → toward the Golgi.

2 steps forward 1 step back

<p>Answer: Anterograde transport from the endoplasmic reticulum to the cis-Golgi.</p><p>Extra Information:</p><ul><li><p>Think: COPII → toward the Golgi.</p></li></ul><p>2 steps forward 1 step back </p>
24
New cards

What does COPI mediate?

Answer: Retrograde transport back to the endoplasmic reticulum.

Extra Information:

  • The slide labels this as retrograde transport.

2 steps forward 1 step back

<p>Answer: Retrograde transport back to the endoplasmic reticulum.</p><p>Extra Information:</p><ul><li><p>The slide labels this as retrograde transport.</p></li></ul><p>2 steps forward 1 step back</p>
25
New cards

Compare COPI and COPII vesicular trafficking.

Answer:

COPII = anterograde transport to the cis-Golgi

COPI = retrograde transport back to the endoplasmic reticulum.

Extra Information:

  • The slide's diagram shows these vesicles moving in opposite directions between the endoplasmic reticulum and Golgi.


<p>Answer: </p><p>COPII = anterograde transport to the cis-Golgi</p><p>COPI = retrograde transport back to the endoplasmic reticulum.</p><p>Extra Information:</p><ul><li><p>The slide's diagram shows these vesicles moving in opposite directions between the endoplasmic reticulum and Golgi.</p></li></ul><p></p>
26
New cards

What post-translational carbohydrate modifications occur in the Golgi?

Answer: Modification of N-linked oligosaccharides on asparagine and addition of O-linked oligosaccharides to serine and threonine.

Extra Information:

  • These are post-translational modifications performed by the Golgi.


<p>Answer: Modification of N-linked oligosaccharides on asparagine and addition of O-linked oligosaccharides to serine and threonine.</p><p>Extra Information:</p><ul><li><p>These are post-translational modifications performed by the Golgi.</p></li></ul><p></p>
27
New cards

Which amino acid undergoes N-linked oligosaccharide modification in the Golgi?

Answer: Asparagine.

Extra Information:

  • The Golgi modifies N-linked oligosaccharides of asparagine.


<p>Answer: Asparagine.</p><p>Extra Information:</p><ul><li><p>The Golgi modifies N-linked oligosaccharides of asparagine.</p></li></ul><p></p>
28
New cards

Which amino acids receive O-linked oligosaccharides in the Golgi?

Answer: Serine and threonine.

Extra Information:

  • The Golgi adds O-linked oligosaccharides to these amino acids.


<p>Answer: Serine and threonine.</p><p>Extra Information:</p><ul><li><p>The Golgi adds O-linked oligosaccharides to these amino acids.</p></li></ul><p></p>
29
New cards

Which amino acid undergoes sulfation in the Golgi?

Answer: Tyrosine.

Extra Information:

  • Tyrosine sulfation is one of the Golgi's post-translational modifications.


<p>Answer: Tyrosine.</p><p>Extra Information:</p><ul><li><p>Tyrosine sulfation is one of the Golgi's post-translational modifications.</p></li></ul><p></p>
30
New cards

What modification does the Golgi add to proteins destined for the lysosome?

Answer: Mannose-6-phosphate.

Extra Information:

  • Mannose-6-phosphate identifies proteins destined for the lysosome.


<p>Answer: Mannose-6-phosphate.</p><p>Extra Information:</p><ul><li><p>Mannose-6-phosphate identifies proteins destined for the lysosome.</p></li></ul><p></p>
31
New cards

What defect occurs in I-cell disease according to the slide?

Answer: Failure to phosphorylate mannose residues.

Extra Information:

  • This disrupts the normal mannose-6-phosphate modification of proteins destined for lysosomes.


<p>Answer: Failure to phosphorylate mannose residues.</p><p>Extra Information:</p><ul><li><p>This disrupts the normal mannose-6-phosphate modification of proteins destined for lysosomes.</p></li></ul><p></p>
32
New cards

What cellular finding results from I-cell disease according to the slide?

Answer: Inclusions.

Extra Information:

  • I-cell disease results from failure to phosphorylate mannose residues.


<p>Answer: Inclusions.</p><p>Extra Information:</p><ul><li><p>I-cell disease results from failure to phosphorylate mannose residues.</p></li></ul><p></p>
33
New cards

Trace the secretory pathway from the trans-Golgi to the cell membrane.

Answer: Trans-Golgi → secretory vesicle → cell membrane → exocytosis.

Extra Information:

  • This is an anterograde transport pathway from the trans-Golgi.


<p>Answer: Trans-Golgi → secretory vesicle → cell membrane → exocytosis.</p><p>Extra Information:</p><ul><li><p>This is an anterograde transport pathway from the trans-Golgi.</p></li></ul><p></p>
34
New cards

How are proteins transported from the trans-Golgi to the lysosome?

Answer: Clathrin-mediated transport → late endosome → lysosome.

Extra Information:

  • The slide's diagram shows clathrin-coated trafficking toward the endosomal and lysosomal pathway.


<p>Answer: Clathrin-mediated transport → late endosome → lysosome.</p><p>Extra Information:</p><ul><li><p>The slide's diagram shows clathrin-coated trafficking toward the endosomal and lysosomal pathway.</p></li></ul><p></p>
35
New cards

What is the pathway of clathrin-mediated endocytosis?

Answer: Clathrin-mediated endocytosis → early endosome → late endosome.

Extra Information:

  • Material entering the cell first reaches the early endosome.


<p>Answer: Clathrin-mediated endocytosis → early endosome → late endosome.</p><p>Extra Information:</p><ul><li><p>Material entering the cell first reaches the early endosome.</p></li></ul><p></p>
36
New cards

What can happen to material after it reaches the late endosome?

Answer: It can be sent toward the trans-Golgi or to the lysosome for degradation.

Extra Information:

  • These are the destinations shown on the slide.


<p>Answer: It can be sent toward the trans-Golgi or to the lysosome for degradation.</p><p>Extra Information:</p><ul><li><p>These are the destinations shown on the slide.</p></li></ul><p></p>
37
New cards

What happens to material sent from the endosomal pathway to the lysosome?

Answer: It undergoes degradation.

Extra Information:

  • The lysosome is the degradative destination shown in the trafficking pathway.


<p>Answer: It undergoes degradation.</p><p>Extra Information:</p><ul><li><p>The lysosome is the degradative destination shown in the trafficking pathway.</p></li></ul><p></p>
38
New cards

Trace the retrograde pathway from the endosomal system back to the endoplasmic reticulum.

Answer: Endocytosis → early endosome → late endosome → trans-Golgi → COPI-mediated retrograde transport → endoplasmic reticulum.

Extra Information:

  • COPI mediates the final retrograde transport back toward the endoplasmic reticulum.


<p>Answer: Endocytosis → early endosome → late endosome → trans-Golgi → COPI-mediated retrograde transport → endoplasmic reticulum.</p><p>Extra Information:</p><ul><li><p>COPI mediates the final retrograde transport back toward the endoplasmic reticulum.</p></li></ul><p></p>
39
New cards

Trace the major cell-trafficking pathways shown on the slide.

Answer: Endoplasmic reticulum → COPII → cis-Golgi → Golgi → COPI → endoplasmic reticulum → trans-Golgi → secretory vesicle → cell membrane → exocytosis → trans-Golgi → clathrin-mediated transport → late endosome → lysosome → endocytosis → early endosome → late endosome → lysosome or trans-Golgi.

Extra Information:

  • This card integrates the major trafficking routes shown in the diagram.


<p>Answer: Endoplasmic reticulum → COPII → cis-Golgi → Golgi → COPI → endoplasmic reticulum → trans-Golgi → secretory vesicle → cell membrane → exocytosis → trans-Golgi → clathrin-mediated transport → late endosome → lysosome → endocytosis → early endosome → late endosome → lysosome or trans-Golgi.</p><p>Extra Information:</p><ul><li><p>This card integrates the major trafficking routes shown in the diagram.</p></li></ul><p></p>
40
New cards

What is the 60-40-20 rule for body fluids?

Answer: Total body water is approximately 60% of body weight, intracellular fluid is approximately 40%, and extracellular fluid is approximately 20%.

Extra Information:

  • This is the 60-40-20 rule shown on the slide.


<p>Answer: Total body water is approximately 60% of body weight, intracellular fluid is approximately 40%, and extracellular fluid is approximately 20%.</p><p>Extra Information:</p><ul><li><p>This is the 60-40-20 rule shown on the slide.</p></li></ul><p></p>
41
New cards

What percentage of body weight is total body water in adults?

Answer: Approximately 60%.

Extra Information:

  • This is the first number in the 60-40-20 rule.


<p>Answer: Approximately 60%.</p><p>Extra Information:</p><ul><li><p>This is the first number in the 60-40-20 rule.</p></li></ul><p></p>
42
New cards

What percentage of body weight is intracellular fluid versus extracellular fluid?

Answer: Intracellular fluid is approximately 40%, while extracellular fluid is approximately 20%.

Extra Information:

  • Together with total body water at approximately 60%, this forms the 60-40-20 rule.


<p>Answer: Intracellular fluid is approximately 40%, while extracellular fluid is approximately 20%.</p><p>Extra Information:</p><ul><li><p>Together with total body water at approximately 60%, this forms the 60-40-20 rule.</p></li></ul><p></p>
43
New cards

What are the major substances found in intracellular fluid according to the slide?

Answer: Potassium, magnesium, organic phosphates, and protein.

Extra Information:

  • These substances are associated with the intracellular compartment.


<p>Answer: Potassium, magnesium, organic phosphates, and protein.</p><p>Extra Information:</p><ul><li><p>These substances are associated with the intracellular compartment.</p></li></ul><p></p>
44
New cards

What are the major substances found in extracellular fluid according to the slide?

Answer: Sodium, chloride, bicarbonate, and albumin.

Extra Information:

  • These substances are associated with the extracellular compartment.


<p>Answer: Sodium, chloride, bicarbonate, and albumin.</p><p>Extra Information:</p><ul><li><p>These substances are associated with the extracellular compartment.</p></li></ul><p></p>
45
New cards

What is osmosis?

Answer: Movement of water from an area of low solute concentration toward an area of high solute concentration.

Extra Information:

  • Osmolarity drives fluid shifts.


<p>Answer: Movement of water from an area of low solute concentration toward an area of high solute concentration.</p><p>Extra Information:</p><ul><li><p>Osmolarity drives fluid shifts.</p></li></ul><p></p>
46
New cards

What happens to intracellular and extracellular fluid volumes during hemorrhage?

Answer: Intracellular fluid does not change, while extracellular fluid decreases.

Extra Information:

  • Hemorrhage: no change in intracellular fluid and decreased extracellular fluid.


<p>Answer: Intracellular fluid does not change, while extracellular fluid decreases.</p><p>Extra Information:</p><ul><li><p>Hemorrhage: no change in intracellular fluid and decreased extracellular fluid.</p></li></ul><p></p>
47
New cards

What happens to intracellular and extracellular fluid volumes after saline infusion?

Answer: Intracellular fluid does not change, while extracellular fluid increases.

Extra Information:

  • Saline infusion: no change in intracellular fluid and increased extracellular fluid.


<p>Answer: Intracellular fluid does not change, while extracellular fluid increases.</p><p>Extra Information:</p><ul><li><p>Saline infusion: no change in intracellular fluid and increased extracellular fluid.</p></li></ul><p></p>
48
New cards

What happens to intracellular and extracellular fluid volumes after mannitol infusion?

Answer: Intracellular fluid decreases, while extracellular fluid increases.

Extra Information:

  • Osmolarity drives the fluid shift.


<p>Answer: Intracellular fluid decreases, while extracellular fluid increases.</p><p>Extra Information:</p><ul><li><p>Osmolarity drives the fluid shift.</p></li></ul><p></p>
49
New cards

What is the basic difference between hydrostatic pressure and oncotic pressure?

Answer: Hydrostatic pressure pushes fluid out, while oncotic pressure pulls fluid in.

Extra Information:

  • Think: hydrostatic = push out & oncotic = pull in.


<p>Answer: Hydrostatic pressure pushes fluid out, while oncotic pressure pulls fluid in.</p><p>Extra Information:</p><ul><li><p>Think: hydrostatic = push out &amp; oncotic = pull in.</p></li></ul><p></p>
50
New cards

What do Pc and Pi represent in the Starling forces equation?

Answer: Pc is capillary hydrostatic pressure, and Pi is interstitial hydrostatic pressure.

Extra Information:

  • These are the hydrostatic pressure components of the equation.


<p>Answer: Pc is capillary hydrostatic pressure, and Pi is interstitial hydrostatic pressure.</p><p>Extra Information:</p><ul><li><p>These are the hydrostatic pressure components of the equation.</p></li></ul><p></p>
51
New cards

What do πc and πi represent in the Starling forces equation?

Answer: πc is plasma oncotic pressure, and πi is interstitial oncotic pressure.

Extra Information:

  • These are the oncotic pressure components of the equation.


<p>Answer: πc is plasma oncotic pressure, and πi is interstitial oncotic pressure.</p><p>Extra Information:</p><ul><li><p>These are the oncotic pressure components of the equation.</p></li></ul><p></p>
52
New cards

What is the Starling forces equation for net fluid flow?

Answer: Jv = Kf[(Pc − Pi) − σ(πc − πi)].

Extra Information:

  • Jv represents net fluid flow.


<p>Answer: Jv = Kf[(Pc − Pi) − σ(πc − πi)].</p><p>Extra Information:</p><ul><li><p>Jv represents net fluid flow.</p></li></ul><p></p>
53
New cards

What does Kf represent in the Starling forces equation?

Answer: Capillary permeability to fluid.

Extra Information:

  • Kf is one component determining net fluid flow.


<p>Answer: Capillary permeability to fluid.</p><p>Extra Information:</p><ul><li><p>Kf is one component determining net fluid flow.</p></li></ul><p></p>
54
New cards

What does σ represent in the Starling forces equation?

Answer: Capillary permeability to protein.

Extra Information:

  • The slide includes σ in the oncotic component of the Starling equation.


<p>Answer: Capillary permeability to protein.</p><p>Extra Information:</p><ul><li><p>The slide includes σ in the oncotic component of the Starling equation.</p></li></ul><p></p>
55
New cards

Which Starling force is increased in heart failure?

Answer: Capillary hydrostatic pressure increases.

Extra Information:

  • Heart failure → increased Pc.

  • Increased hydrostatic pressure promotes fluid movement out.


<p>Answer: Capillary hydrostatic pressure increases.</p><p>Extra Information:</p><ul><li><p>Heart failure → increased Pc.</p></li><li><p>Increased hydrostatic pressure promotes fluid movement out.</p></li></ul><p></p>
56
New cards

Which Starling force is increased in lymphedema?

Answer: Interstitial oncotic pressure increases.

Extra Information:

  • Lymphedema → increased πi.


<p>Answer: Interstitial oncotic pressure increases.</p><p>Extra Information:</p><ul><li><p>Lymphedema → increased πi.</p></li></ul><p></p>
57
New cards

How do malnutrition, liver failure, and nephrotic syndrome affect Starling forces?

Answer: They decrease plasma oncotic pressure.

Extra Information:

  • Malnutrition, liver failure, and nephrotic syndrome → decreased πc.

  • Plasma oncotic pressure normally pulls fluid in.


<p>Answer: They decrease plasma oncotic pressure.</p><p>Extra Information:</p><ul><li><p>Malnutrition, liver failure, and nephrotic syndrome → decreased πc.</p></li><li><p>Plasma oncotic pressure normally pulls fluid in.</p></li></ul><p></p>
58
New cards

What is the main function of the proteasome?

Answer: To degrade endogenous ubiquitinated proteins.

Extra Information:

  • The proteasome provides specific degradation of proteins tagged with ubiquitin.


<p>Answer: To degrade endogenous ubiquitinated proteins.</p><p>Extra Information:</p><ul><li><p>The proteasome provides specific degradation of proteins tagged with ubiquitin.</p></li></ul><p></p>
59
New cards

What types of proteins are degraded by the ubiquitin-proteasome system according to the slide?

Answer: Misfolded proteins, proteins involved in cell-cycle regulation, and anti-apoptotic molecules.

Extra Information:

  • The proteasome primarily handles endogenous ubiquitinated proteins.


<p>Answer: Misfolded proteins, proteins involved in cell-cycle regulation, and anti-apoptotic molecules.</p><p>Extra Information:</p><ul><li><p>The proteasome primarily handles endogenous ubiquitinated proteins.</p></li></ul><p></p>
60
New cards

How does proteasomal degradation differ from lysosomal degradation according to the slide?

Answer: The proteasome degrades endogenous ubiquitinated proteins, while the lysosome degrades exogenous proteins.

Extra Information:

  • Ubiquitination specifically targets proteins toward the proteasome.


<p>Answer: The proteasome degrades endogenous ubiquitinated proteins, while the lysosome degrades exogenous proteins.</p><p>Extra Information:</p><ul><li><p>Ubiquitination specifically targets proteins toward the proteasome.</p></li></ul><p></p>
61
New cards

What is ubiquitin?

Answer: A regulatory protein tag added to proteins destined for the proteasome.

Extra Information:

  • The ubiquitination process is initiated using adenosine triphosphate.


<p>Answer: A regulatory protein tag added to proteins destined for the proteasome.</p><p>Extra Information:</p><ul><li><p>The ubiquitination process is initiated using adenosine triphosphate.</p></li></ul><p></p>
62
New cards

To which amino acid residues is ubiquitin added during the conjugation cascade?

Answer: Lysine residues.

Extra Information:

  • Repeated addition of ubiquitin produces a polyubiquitin chain.


<p>Answer: Lysine residues.</p><p>Extra Information:</p><ul><li><p>Repeated addition of ubiquitin produces a polyubiquitin chain.</p></li></ul><p></p>
63
New cards

What are the three major enzymes in the ubiquitin conjugation cascade?

Answer: E1, E2, and E3.

Extra Information:

  • E1 = activation.

  • E2 = conjugation.

  • E3 = ligation.


<p>Answer: E1, E2, and E3.</p><p>Extra Information:</p><ul><li><p>E1 = activation.</p></li><li><p>E2 = conjugation.</p></li><li><p>E3 = ligation.</p></li></ul><p></p>
64
New cards

What is the function of E1 in ubiquitination?

Answer: E1 activates ubiquitin and transfers it to E2.

Extra Information:

  • There is one E1 according to the slide.


<p>Answer: E1 activates ubiquitin and transfers it to E2.</p><p>Extra Information:</p><ul><li><p>There is one E1 according to the slide.</p></li></ul><p></p>
65
New cards

What is the function of E2 in ubiquitination?

Answer: E2 conjugates and presents ubiquitin to E3.

Extra Information:

  • There are several E2 enzymes according to the slide.


<p>Answer: E2 conjugates and presents ubiquitin to E3.</p><p>Extra Information:</p><ul><li><p>There are several E2 enzymes according to the slide.</p></li></ul><p></p>
66
New cards

What is the function of E3 in ubiquitination?

Answer: E3 facilitates attachment of ubiquitin to the specific target protein.

Extra Information:

  • E3 performs ligation.

  • There are many E3 enzymes, allowing target specificity.


<p>Answer: E3 facilitates attachment of ubiquitin to the specific target protein.</p><p>Extra Information:</p><ul><li><p>E3 performs ligation.</p></li><li><p>There are many E3 enzymes, allowing target specificity.</p></li></ul><p></p>
67
New cards

Trace the E1-E2-E3 ubiquitination pathway.

Answer: E1 activates ubiquitin and transfers it to E2 → E2 presents ubiquitin to E3 → E3 facilitates attachment of ubiquitin to the target protein.

Extra Information:

  • The process repeats to produce a polyubiquitin chain.


<p>Answer: E1 activates ubiquitin and transfers it to E2 → E2 presents ubiquitin to E3 → E3 facilitates attachment of ubiquitin to the target protein.</p><p>Extra Information:</p><ul><li><p>The process repeats to produce a polyubiquitin chain.</p></li></ul><p></p>
68
New cards

Which ubiquitination enzyme provides specificity for the target protein?

Answer: E3.

Extra Information:

  • There are many specific E3 ligases.


<p>Answer: E3.</p><p>Extra Information:</p><ul><li><p>There are many specific E3 ligases.</p></li></ul><p></p>
69
New cards

What happens when the ubiquitination process repeats on a target protein?

Answer: A polyubiquitin chain forms.

Extra Information:

  • The polyubiquitin chain allows the protein to be recognized by the proteasome.


<p>Answer: A polyubiquitin chain forms.</p><p>Extra Information:</p><ul><li><p>The polyubiquitin chain allows the protein to be recognized by the proteasome.</p></li></ul><p></p>
70
New cards

Is monoubiquitination degradative according to the slide?

Answer: No. Monoubiquitination is non-degradative.

Extra Information:

  • Polyubiquitination is associated with proteasomal degradation on the slide.


<p>Answer: No. Monoubiquitination is non-degradative.</p><p>Extra Information:</p><ul><li><p>Polyubiquitination is associated with proteasomal degradation on the slide.</p></li></ul><p></p>
71
New cards

How does the proteasome cleave proteins?

Answer: It cleaves peptide bonds using adenosine triphosphate hydrolysis.

Extra Information:

  • Proteasomal degradation is an energy-dependent process.


<p>Answer: It cleaves peptide bonds using adenosine triphosphate hydrolysis.</p><p>Extra Information:</p><ul><li><p>Proteasomal degradation is an energy-dependent process.</p></li></ul><p></p>
72
New cards

Is ubiquitination reversible?

Answer: Yes. Ubiquitination can be reversed by deubiquitylating enzymes.

Extra Information:

  • Deubiquitylating enzymes are abbreviated DUBs.


<p>Answer: Yes. Ubiquitination can be reversed by deubiquitylating enzymes.</p><p>Extra Information:</p><ul><li><p>Deubiquitylating enzymes are abbreviated DUBs.</p></li></ul><p></p>
73
New cards

What is the 26S proteasome?

Answer: A barrel-shaped catalytic enzyme complex located in the nucleus and cytoplasm.

Extra Information:

  • It contains regulatory particles and a proteolytic core.


<p>Answer: A barrel-shaped catalytic enzyme complex located in the nucleus and cytoplasm.</p><p>Extra Information:</p><ul><li><p>It contains regulatory particles and a proteolytic core.</p></li></ul><p></p>
74
New cards

What do the regulatory particles of the proteasome do?

Answer: They bind the target, cleave the polyubiquitin chain, denature the target protein, and feed it into the proteolytic core.

Extra Information:

  • The proteolytic core then degrades the protein.


<p>Answer: They bind the target, cleave the polyubiquitin chain, denature the target protein, and feed it into the proteolytic core.</p><p>Extra Information:</p><ul><li><p>The proteolytic core then degrades the protein.</p></li></ul><p></p>
75
New cards

How is decreased ubiquitin-proteasome activity related to Lewy body disorders?

Answer: Decreased ubiquitin-proteasome activity leads to neurodegeneration.

Extra Information:

  • The slide associates this with Parkinson disease and Lewy body dementia.


<p>Answer: Decreased ubiquitin-proteasome activity leads to neurodegeneration.</p><p>Extra Information:</p><ul><li><p>The slide associates this with Parkinson disease and Lewy body dementia.</p></li></ul><p></p>
76
New cards

How can Parkin or deubiquitylating enzyme activity contribute to Lewy body formation?

Answer: Decreased Parkin activity or increased deubiquitylating enzyme activity → increased alpha-synuclein protein → Lewy bodies.

Extra Information:

  • Parkin is an E3 enzyme.

  • This pathway is marked as high yield on the slide.


<p>Answer: Decreased Parkin activity or increased deubiquitylating enzyme activity → increased alpha-synuclein protein → Lewy bodies.</p><p>Extra Information:</p><ul><li><p>Parkin is an E3 enzyme.</p></li><li><p>This pathway is marked as high yield on the slide.</p></li></ul><p></p>
77
New cards

What clinical findings are associated with Lewy body involvement of the brainstem, substantia nigra, and cortex?

Answer: Brainstem → constipation, depression, and fluctuating blood pressure → substantia nigra → resting tremor and bradykinesia → cortex → decreased memory and executive function.

Extra Information:

  • These findings are associated with Lewy body disorders on the slide.


<p>Answer: Brainstem → constipation, depression, and fluctuating blood pressure → substantia nigra → resting tremor and bradykinesia → cortex → decreased memory and executive function.</p><p>Extra Information:</p><ul><li><p>These findings are associated with Lewy body disorders on the slide.</p></li></ul><p></p>
78
New cards

How does the ubiquitin-proteasome system regulate progression through M phase?

Answer: Cyclin B plus cyclin-dependent kinase 1 causes entry into M phase, while ubiquitin-mediated proteolysis of Cyclin B causes exit from M phase.

Extra Information:

  • Proteasomal degradation therefore contributes to cell-cycle regulation.


<p>Answer: Cyclin B plus cyclin-dependent kinase 1 causes entry into M phase, while ubiquitin-mediated proteolysis of Cyclin B causes exit from M phase.</p><p>Extra Information:</p><ul><li><p>Proteasomal degradation therefore contributes to cell-cycle regulation.</p></li></ul><p></p>
79
New cards

What cell-cycle effect results from proteasome inhibition?

Answer: G2-M phase cell-cycle arrest followed by induction of apoptosis.

Extra Information:

  • Proteasome inhibition also causes accumulation of misfolded proteins.


<p>Answer: G2-M phase cell-cycle arrest followed by induction of apoptosis.</p><p>Extra Information:</p><ul><li><p>Proteasome inhibition also causes accumulation of misfolded proteins.</p></li></ul><p></p>
80
New cards

How are proteasome inhibitors used clinically according to the slide?

Answer: They are used in the management of multiple myeloma and mantle cell lymphoma.

Extra Information:

  • They inhibit the proteolytic subunit.

  • This causes G2-M cell-cycle arrest, induction of apoptosis, and accumulation of misfolded proteins.

  • Misfolded protein accumulation is more frequent in cancer cells.


<p>Answer: They are used in the management of multiple myeloma and mantle cell lymphoma.</p><p>Extra Information:</p><ul><li><p>They inhibit the proteolytic subunit.</p></li><li><p>This causes G2-M cell-cycle arrest, induction of apoptosis, and accumulation of misfolded proteins.</p></li><li><p>Misfolded protein accumulation is more frequent in cancer cells.</p></li></ul><p></p>
81
New cards

What are the three components of the glomerular filtration barrier?

Answer: Podocytes, basement membrane, and endothelium.

Extra Information:

  • These structures form the filtration barrier shown in the slide's glomerular capillary diagram.


<p>Answer: Podocytes, basement membrane, and endothelium.</p><p>Extra Information:</p><ul><li><p>These structures form the filtration barrier shown in the slide's glomerular capillary diagram.</p></li></ul><p></p>
82
New cards

What is the pathophysiology of nephrotic syndrome according to the slide?

Answer: Increased cytokines → podocyte effacement → loss of the negative charge barrier.

Extra Information:

  • Loss of the filtration barrier allows increased protein loss in the urine.
<p>Answer: Increased cytokines → podocyte effacement → loss of the negative charge barrier.</p>
<p>Extra Information:</p>
<ul>
<li>Loss of the filtration barrier allows increased protein loss in the urine.</li>
</ul>
83
New cards

What happens to albumin in nephrotic syndrome?

Answer: Albumin decreases.

Extra Information:

  • Loss of albumin is associated with edema, proteinuria, and dyslipidemia.
<p>Answer: Albumin decreases.</p>
<p>Extra Information:</p>
<ul>
<li>Loss of albumin is associated with edema, proteinuria, and dyslipidemia.</li>
</ul>
84
New cards

How does decreased albumin contribute to the findings of nephrotic syndrome?

Answer: Decreased albumin is associated with edema, proteinuria, and dyslipidemia.

Extra Information:

  • Albumin loss is one of the major protein abnormalities shown on the slide.


<p>Answer: Decreased albumin is associated with edema, proteinuria, and dyslipidemia.</p><p>Extra Information:</p><ul><li><p>Albumin loss is one of the major protein abnormalities shown on the slide.</p></li></ul><p></p>
85
New cards

What happens to antithrombin III in nephrotic syndrome, and what is the consequence?

Answer: Antithrombin III decreases → hypercoagulable state.

Extra Information:

  • Loss of antithrombin III is one of the consequences of nephrotic syndrome.
<p>Answer: Antithrombin III decreases → hypercoagulable state.</p>
<p>Extra Information:</p>
<ul>
<li>Loss of antithrombin III is one of the consequences of nephrotic syndrome.</li>
</ul>
86
New cards

Why does nephrotic syndrome cause a hypercoagulable state?

Answer: Decreased antithrombin III.

Extra Information:

  • This is one of the important consequences of urinary protein loss shown on the slide.
<p>Answer: Decreased antithrombin III.</p>
<p>Extra Information:</p>
<ul>
<li>This is one of the important consequences of urinary protein loss shown on the slide.</li>
</ul>
87
New cards

What happens to immunoglobulins in nephrotic syndrome, and what is the consequence?

Answer: Immunoglobulins decrease → increased risk for infection.

Extra Information:

  • Loss of immunoglobulins increases susceptibility to infection.
<p>Answer: Immunoglobulins decrease → increased risk for infection.</p>
<p>Extra Information:</p>
<ul>
<li>Loss of immunoglobulins increases susceptibility to infection.</li>
</ul>
88
New cards

What are the classic findings of nephrotic syndrome?

Answer: Frothy urine, edema, and proteinuria greater than 3.5 g/24 hours.

Extra Information:

  • Heavy proteinuria is a defining finding on the slide.
<p>Answer: Frothy urine, edema, and proteinuria greater than 3.5 g/24 hours.</p>
<p>Extra Information:</p>
<ul>
<li>Heavy proteinuria is a defining finding on the slide.</li>
</ul>
89
New cards

How much proteinuria is associated with nephrotic syndrome?

Answer: Greater than 3.5 g/24 hours.

Extra Information:

  • The slide also lists a urine protein-to-creatinine ratio of 3.5:1.
<p>Answer: Greater than 3.5 g/24 hours.</p>
<p>Extra Information:</p>
<ul>
<li>The slide also lists a urine protein-to-creatinine ratio of 3.5:1.</li>
</ul>
90
New cards

What is the best initial test in the workup of nephrotic syndrome?

Answer: Urinalysis.

Extra Information:

  • Additional evaluation includes quantification of urinary protein and renal biopsy.
<p>Answer: Urinalysis.</p>
<p>Extra Information:</p>
<ul>
<li>Additional evaluation includes quantification of urinary protein and renal biopsy.</li>
</ul>
91
New cards

What urine protein findings support nephrotic syndrome?

Answer: Greater than 3.5 g of protein in a 24-hour urine collection or a urine protein-to-creatinine ratio of 3.5:1.

Extra Information:

  • These values reflect heavy proteinuria.
<p>Answer: Greater than 3.5 g of protein in a 24-hour urine collection or a urine protein-to-creatinine ratio of 3.5:1.</p>
<p>Extra Information:</p>
<ul>
<li>These values reflect heavy proteinuria.</li>
</ul>
92
New cards

What tests are included in the workup of nephrotic syndrome?

Answer: Urinalysis, urinary protein measurement, and renal biopsy.

Extra Information:

  • Urinalysis is the best initial test according to the slide.
<p>Answer: Urinalysis, urinary protein measurement, and renal biopsy.</p>
<p>Extra Information:</p>
<ul>
<li>Urinalysis is the best initial test according to the slide.</li>
</ul>
93
New cards

What is the pathophysiology of nephritic syndrome?

Answer: Inflammation → glomerular basement membrane damage → dysmorphic red blood cells.

Extra Information:

  • The inflammatory damage allows abnormal red blood cells to appear in the urine.
<p>Answer: Inflammation → glomerular basement membrane damage → dysmorphic red blood cells.</p>
<p>Extra Information:</p>
<ul>
<li>The inflammatory damage allows abnormal red blood cells to appear in the urine.</li>
</ul>
94
New cards

Why are dysmorphic red blood cells seen in nephritic syndrome?

Answer: Inflammation damages the glomerular basement membrane.

Extra Information:

  • Dysmorphic red blood cells are a consequence of glomerular injury.


<p>Answer: Inflammation damages the glomerular basement membrane.</p><p>Extra Information:</p><ul><li><p>Dysmorphic red blood cells are a consequence of glomerular injury.</p></li></ul><p></p>
95
New cards

How does glomerular filtration rate change in nephritic syndrome?

Answer: Glomerular filtration rate decreases.

Extra Information:

  • The decrease occurs due to inflammation.
  • Creatinine increases and the renin-angiotensin-aldosterone system is activated.
<p>Answer: Glomerular filtration rate decreases.</p>
<p>Extra Information:</p>
<ul>
<li>The decrease occurs due to inflammation.</li>
<li>Creatinine increases and the renin-angiotensin-aldosterone system is activated.</li>
</ul>
96
New cards

Trace the effect of inflammation on kidney function in nephritic syndrome.

Answer: Inflammation → decreased glomerular filtration rate → increased creatinine → renin-angiotensin-aldosterone system activation.

Extra Information:

  • This pathway is specifically shown on the slide.
<p>Answer: Inflammation → decreased glomerular filtration rate → increased creatinine → renin-angiotensin-aldosterone system activation.</p>
<p>Extra Information:</p>
<ul>
<li>This pathway is specifically shown on the slide.</li>
</ul>
97
New cards

What are the classic findings of nephritic syndrome?

Answer: Hypertension, red blood cell casts, hematuria, acanthocytes, edema, and proteinuria less than 3.5 g/24 hours.

Extra Information:

  • Nephritic syndrome has less proteinuria than nephrotic syndrome.
<p>Answer: Hypertension, red blood cell casts, hematuria, acanthocytes, edema, and proteinuria less than 3.5 g/24 hours.</p>
<p>Extra Information:</p>
<ul>
<li>Nephritic syndrome has less proteinuria than nephrotic syndrome.</li>
</ul>
98
New cards

How much proteinuria is associated with nephritic syndrome?

Answer: Less than 3.5 g/24 hours.

Extra Information:

  • Compare with nephrotic syndrome, which has proteinuria greater than 3.5 g/24 hours.
<p>Answer: Less than 3.5 g/24 hours.</p>
<p>Extra Information:</p>
<ul>
<li>Compare with nephrotic syndrome, which has proteinuria greater than 3.5 g/24 hours.</li>
</ul>
99
New cards

What tests are included in the workup of nephritic syndrome?

Answer: Urinalysis and renal biopsy.

Extra Information:

  • These are the two tests listed on the slide.
<p>Answer: Urinalysis and renal biopsy.</p>
<p>Extra Information:</p>
<ul>
<li>These are the two tests listed on the slide.</li>
</ul>
100
New cards

Compare the classic findings of nephrotic and nephritic syndromes.

Answer:

Nephrotic syndrome = frothy urine, edema, and proteinuria greater than 3.5 g/24 hours

nephritic syndrome = hypertension, red blood cell casts, hematuria, acanthocytes, edema, and proteinuria less than 3.5 g/24 hours.

Extra Information:

  • Nephrotic syndrome centers on podocyte effacement and loss of the negative charge barrier.

  • Nephritic syndrome centers on inflammation and glomerular basement membrane damage.


<p>Answer: </p><p>Nephrotic syndrome = frothy urine, edema, and proteinuria greater than 3.5 g/24 hours</p><p>nephritic syndrome = hypertension, red blood cell casts, hematuria, acanthocytes, edema, and proteinuria less than 3.5 g/24 hours.</p><p>Extra Information:</p><ul><li><p>Nephrotic syndrome centers on podocyte effacement and loss of the negative charge barrier.</p></li><li><p>Nephritic syndrome centers on inflammation and glomerular basement membrane damage.</p></li></ul><p></p>