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List and explain the clinical modes of assessment in anatomy and physiology.
Inspection- observation of surface features
Palpation- touch
Auscultation- listening to internal sounds of the body
Percussion- pocket of fluid or air
Medical imaging- interior of the body without surgery
Define anatomy and physiology, and relate them to each other
Anatomy- study of structure
Physiology- study of function
They are related because structure determines function and function can influence structure
Define a few subdivisions of human physiology
Neurophysiology- how nervous system works
Endocrinology- hormones and glands
Pathophysiology- diseases and how they affect the body
Cytology- cells
List the major historical contributions of scientists (their names and specific discoveries) to anatomy and physiology
Hippocrates- father of medicine, natural cause of disease
Aristotle- complex structures are built from simpler parts
Galen- trust observations (not dogma/books), animals for dissection
Vesalius- father of anatomy, real dissection of human
Harvey- blood circulation
Hooke- compound microscope, first to see cells
Leeuwenhoek- single-lens microscope, observed blood, lake water, sperm, bacteria and called them “little animalcules”
Distinguish the two major types of scientific methods used in anatomy and physiology.
Inductive method- numerous similar observations in making generalizations & predictions, knowledge of anatomy is obtained this way
Hypothetico-deductive method- asks questions based on observations, hypothesis, knowledge of physiology is gained this way
Describe the hierarchical organization of the human body, from atoms to the entire organism.
Molecules- composed of atoms
Organelles- composed of molecules
Cells- composed of organelles
Tissues- composed of cells
Organs- composed of tissues
Organ systems- composed of organs
Organism- composed of organ systems-collective function, complete individual
Reductionism
Large, complex system can be understood by studying its simpler components
Holism
“Emergent properties” of whole organism cannot be predicted from properties of separate parts, humans are greater than the sum of their parts
Explain important components of a sound experimental design
Sample size- # of subjects in a study increases confidence
Controls-similar to the experimental group
Psychosomatic effect (placebo)- one’s state of mind on his/her physiology
Double-blind method with placebo-reduces experimenter bias
Peer review-ensures honesty and quality in science
List the characteristics of life present within all living creatures.
Organization, cellular composition, metabolism, responsiveness and movement, homeostasis, development, reproduction, evolution
Evolution
Genetic change from one generation to the next; occurs in populations, not individuals
Adaptations
Physical features/traits that give advantages
Describe some human characteristics that can be attributed to the tree-dwelling habits of primates and upright walking
Color vision
Opposable thumbs-grasp and hold small objects
Define the following anatomical variations among humans and discuss their clinical significance
Situs solitus- normal; baseline for interpreting surgery, image, and physical exams
Situs inversus- organs of thoracic and abdominal cavities are revered between left and right; important for surgeons and radiologists to recognize
Situs perversus- an organ found in abnormal position; can cause functional problems
Define homeostasis and explain its role in the human body’s ability to function.
Maintenance of relatively stable internal conditions through detection of change and activation; important because loss of homeostatic control=death
Distinguish between positive and negative feedback systems in human physiology and know which one maintains homeostasis.
Negative feedback- keeps a variable close to its set point, ex: vasodilation and vasoconstriction, maintains homeostasis
Positive feedback- greater change in the same direction, produces more change, ex: childbirth, blood clotting
Frontal plane
Anterior and posterior
Transverse plane
Superior and inferior
Sagittal plane
Left and right
Ventral
Toward the front, ex: the aorta is ventral to the vertebral column
Dorsal
Toward the back, ex: the vertebral column is dorsal to the aorta
Anterior
Toward the ventral side, ex: the sternum is anterior to the heart
Posterior
Toward the dorsal side, ex: the esophagus is posterior to the trachea
Cephalic
Toward the head or superior end, ex: the brain develops from the cephalic end of the neural tube
Rostral
Toward the forehead or nose, ex: the forebrain is rostral to the brainstem
Caudal
Toward the tail or inferior end, ex: the spinal cord is caudal to the brain
Superior
Above, ex: the heart is superior to the diaphragm
Inferior
Below, ex: the liver is inferior to the diaphragm
Medial
Toward the median plane, ex: the heart is medial to the lungs
Lateral
Away from the median plane, ex: the eyes are lateral to the nose
Proximal
Closer to the point of attachment or origin, ex: The elbow is proximal to the wrist
Distal
Farther from the point of attachment or origin, ex: the fingers are distal to the elbow
Ipsilateral
On the same side of the body (right or left), ex: the liver is ipsilateral to the appendix
Contralateral
On opposite sides of the body (right or left), ex: the spleen is contralateral to the liver
Superficial
Closer to the body surface, ex: the skin is superficial to the muscles
Deep
Farther from the body surface, ex: the bones are deep to the muscle
List the role of the following inorganic molecules in the body.
Water-
Sodium-
Chloride-
Potassium-
Calcium-
Iron-
Ions
Charged particles w/ unequal number of p+ & e-, have electric charge
Electrolytes
Salts that ionize in water, capable of conducting electric current
Free radicals
Chemical particles w/ odd number of electrons (unpaired electron)
Know what neutralizes free radicals in the body and where they can be found
Antioxidants; Vitamin C, Vitamin E, Carotenoid, Selenium, Lycopene, Anthocyanins
Molecules
Composed of two or more atoms joined by a chemical bond, ex: H2
Compounds
Molecules composed of two or more different elements, ex: H20
Define and explain the three main types of chemical bonds
Ionic- attraction of anion to cation
Polar covalent- electrons shared equally
Non-polar covalent- electrons shared unequally
Hydrogen- weak attraction between a slightly positive hydrogen atom in one molecule and a slightly negative oxygen or nitrogen or fluorine atom in another
Rank the 3 main types of chemical bonds in terms of bond strength in the body
Give examples of the physiological roles of polar and non-polar bonds in the body
Explain the different properties of water.
Solvency- ability to dissolve other chemicals
Adhesion- tendency of one substance to cling to another
Cohesion- tendency of like molecules to cling to each other
Chemical reactivity- ability to participate in chemical reactions
Thermal stability- helps stabilize internal temperature of body
Acid
Proton donor (releases H+ ions when it reacts with water)
Base
Proton acceptor (accepts H+ ions; releases OH- ions)
Buffer
Resists changes in pH
Relate the concentration of hydrogen ions to pH
Inversely related; if H+ increases, pH decreases (more acidic), if H+ decreases, pH increases (more basic)
Give physiological examples of pH.
Hydrochloric acid (stomach), blood, saliva, urine
Give non-physiological examples of pH.
Vinegar, bleach, ammonia, lemon juice
Predict the effect of changes in pH on biological molecules, particularly in terms of denaturation.
Name the bonds disrupted by pH changes.
Hydrogen and ionic
Know the different classes of chemical reactions and what factors affects reaction rates
Decomposition reactions
Large molecule breaks down into two or more smaller ones, energy is released
Synthesis reactions
Two or more small molecules combine to form larger one, new products are formed, energy is required
Exchange reactions
Two molecules exchange atoms or group of atoms
Reversible reactions
Can go either way, the direction is determined by the abundance of substance on each side
What factors affect reaction rates?
Concentration, Temperature, Catalysts, Enzymes
Metabolism
All chemical reactions in the body
Anabolism
Energy-storing synthesis reactions
Catabolism
Energy-releasing decomposition reactions
Oxidation reactions
Molecule gives up electrons, release energy, molecule oxidized in this process, electron acceptor molecule is oxidizing agent
Reduction reactions
Molecule gains electrons, gains energy molecule reduced in this process electron donating molecule is reducing agent
List the four major categories of biological carbon compounds, and the chemical bonding present, and provide examples for each.
Carbohydrates- covalent bond, ex: glucose
Lipids- covalent bond, ex: triglycerides
Proteins- covalent bond, ex: amylase
Nucleic acids- covalent bond, ex: DNA
Different types of lipids:
Trans fatty acids-
Cis fatty acids-
Triglycerides- three fatty acids covalently bonded to glycerol, ex: butter, olive oil
Phospholipids- one fatty acid replaced by phosphate group, ex:
Eicosanoids- hormone-like chemical signals between cells,
Steroids- four-ringed lipids, derived from cholesterol, ex: cortisol, estrogen
Cholesterol- important component of cell membranes, ex:
Different types of carbohydrates:
Monosaccharides- simplest carb, monomer, ex: glucose, fructose
Disaccharides- two monosaccharides, ex: lactose, sucrose
Polysaccharides- long chains of monosaccharides (50+), ex: glycogen, starch
Oligosaccharides- short chains of monosaccharides (3+), ex: FOS, GOS
Explain trans-fat on the nutritional value of foods
They lower the nutritional value of food and make the metabolically harmful
Know the composition and roles of each of the major biological molecules
Glycogen- storage polysaccharide found in human tissues, energy
Starch- energy storage polysaccharide in plants
Cellulose- structural polysaccharide of plant cell walls, gives strength of cell wall of plants
Describe protein structures (primary, secondary, tertiary, and quaternary) and the general function of proteins
Primary- linear chain of amino acids
Secondary- pattern caused by interaction of nearby aa, hydrogen bond, a helix, b pleated sheet
Tertiary-spatial arrangement of secondary structures proteins
Quaternary- two or more polypetide chains (subunits) folded together
Monomer
small molecule that can react with other molecules to form large/complex molecules
Polymer
molecules made of repetitive series of identical/similar subunits (monomer)
Polymerization
joining monomers to form polymer (macromolecules)
Hydrolysis
splitting polymer (lysis) by adding water molecule (hydro)
Explain the importance of a molecule’s shape to its function.
Shape determines the function, slight change in shape can lead to loss of function
Explain the role of hydrogen, covalent, and ionic bonding in protein shape.
Hydrogen- form secondary structure
Covalent- form primary structure
Ionic- stabilize tertiary and quaternary structures
Enzyme
proteins, function as biological catalysts, lowers activation energy
Denaturation
loss of conformation (structure)
Describe the structure and functions of ATP
Body’s most important energy-transfer molecule; adenine (nitrogenous base), ribose (sugar), phosphate groups (3)
Describe the two main types of nucleic acids
DNA- stores our genetic materials as genes, instructions for synthesizing all the body’s protein
RNA- contain instructions for making proteins