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Which phenomena will be observed in effect of constriction of afferent arteriole ?
effective filtration pressure in glomerular capillaries, plasma flow and GFR will decrease
In which situations the load of creatinine in ultrafiltrate (GFRcr) will
increase
increase in creatinine plasma concentration and increase of GFR volume
driving force that enables reabsorption of most substances from tubules
Na+ transport
reason of the respiratory alkalosis is
excessive CO2 loss due to hyperventilation
In respiratory alkalosis, the kidneys compensate by
excreting bicarbonate (HCO3)
possible reasons for hyperventilation are
anxiety, fever, high altitude
In respiratory alkalosis, bicarbonate levels are typically
low or normal
renal clearance of a substance is measured in
ml/min
Effects of aldosterone
Excretes K and retains Na (indirectly promoting water retention)
used to determine volume of plasma filtered in glomerulus
inulin (and also creatinine)
Tmax of glucose equals
0mg/min
Renal threshold for glucose
180mg/dl
metabolic acidosis is compensated when
pCO2 < 40mmHg
respiratory acidosis is compensated when
HCO3 >24mEq/L
metabolic alkalosis is compensated when
Pco2 > 40 mmHg
respiratory alkalosis is compensated when
HCO3 < 24mEq/L
parts of nephron tubules that are highly permeable to solutes and
water
proximal convoluted and late distal convoluted tubule
neurons of respiratory complex of brain are located in
medulla oblongata and Pons
inhibit inspiration & stimulate expiration
slowly adapting receptors
NTS receives input from chemoreceptors via sensory branches of
glossopharyngeal and Vagus
Inspiratory neurons of DRG project excitatory firing via a-motorneurons to
diaphragm and external intercostals
pressure gradient between the alveolar pressure and the
pleural pressure
trans pulmonary pressure (its about 200ml/cm H2O)
transpulmonary pressure is proportionate to
airway resistance (AWR)
represents the pressure difference that keeps the lungs inflated against their natural elastic recoil
trans pulmonary pressure
the greater the gradient of transpulmonary pressure in time of inspiration the lower is the
compliance of lung
physiological activities of thyroid peroxidase
ionisation of tyrosine residues of thyroglobulin, condensation of MIT/DIT of thyroglobulin, oxidation of iodide to iodine in the apical membrane of the follicular cell
Activity of calcium ATP-ase of the sarcoplasmic reticulum is proportionate to plasma levels of
thyroid hormone
THs upregulate number of
beta andrenergic receptors (and their ligand affinity)
gastrin stimulates
motility of stomach/intestines, mucosa growth of stomach/intestine
entero-gastric reflexes, signals from the colon and small intestine
slow emptying of stomach
slow wave-like change of the resting membrane potential approximately 15mV. It
facilitates formation of spike potentials which in turn excite smooth musculature to contract
BER
intensifies intestinal peristalsis mediated by
muscarinic receptors
parasympathetic system
musacrinic receptors are coupled to
G-protein (heterometric)
sodium channels by acetylcholine
ionotropic (nicotinic) receptor
except for M2 and M4 muscarinic receptor, all other classes are coupled to
phospholipase C
abundantly distributed in neurolemma of dendrites and bodies of neurons
ionotropic receptors
ionotropic receptors that produce ISPS by direct opening of cationic channels
GABAa, GABAc, glycine receptors
nvolve both cAMP and IP₃ pathways
adrenergic receptors
adrenergic receptors are embedded in cellular membranes of
smooth/cardiac muscle and some endocrine glands
linked to phospholipase C, its activation produces
vasoconstriction and contraction of gastrointestinal & urinary sphincters
a1 adrenergic receptor
functions of Turck solution
dilute blood, stain leukocyte organelles, hemolysis of erythrocytes,
serca pump location
sarcoplasmic reticulum
has receptor sites for binding K+ ions on the portion that protrudes to the
outside of the cell
NA/K ATPase
specific to intercalated cells of the late distal convoluted and cortical collective
ducts of the kidney
H+ pump
Ca2+ -ATPase of the cardiomyocyte pumps calcium
against concentration gradient from cytosol to interstitium
characterise with electrical synapses called gap junctions
visceral smooth muscle
Unitary (splanchnic) smooth mucles characterise with BER (slow wave) in
Cajal cells
dominant in intestine & uterus
unitary smooth muscle
proteins of muscles that are able to bind calcium ion
troponin and calmodulin
It is generated in time of depolarization of the interventricular septum
Q wave
Q wave should not be seen in
V1 and V2
when after P wave Q wave should start
not less than 0,1s
Q wave shouldn't exceed
0,04 sec
Depth of the Q wave should not exceed 25% of the amplitude of
R wave of chest leads over ventricle
QT interval represents
ventricle de and repolarization (about 0,4sec)
Q wave should not be longer than
1mm (in 25mm/s) or 2mm (in 50mm/s)
order of dorsal column pathway
1. dorsal root ganglion 2. neurons in nucleus gracilis/cutaneous 3. Neurons in ventral posterolateral nuclei of the thalamus 4. neurons in postcentral gyrus of the cerebral cortex
medial lemniscal system is found in dorsal column and carries
sensation, touch and pressure
pain/temperature sensation is conducted through
lateral spinothalamic tract
pain sensation can be modulated (inhibited) by SG neurons of
posterior horn
Slow pain is carried by
unmyelinated type C fibers
fast pain is carried by
A-delta fibers
IC + ERV equals
VC
IRV+TV equals
IC
Peripheral tissue edema can develop in effect of
increased permeability of capillary endothelium and venous pressure; decreased plasma proteins and lymph flow,
it is proportionate to BSA (body surface area)
basal metabolic rate
BMR is higher in
men
Voltage gated ionic channels of the neuron are usually densely distributed in cellular membrane of:
axon hillock, neural axons, axon terminal, ranvier nodes
produces Increased pumping of protons from parietal cells of the gastric glands and pupil constriction
parasympathetic system
parasympathetic
system does NOT use adrenergic receptors, all responses are mediated by
musacrinic receptors
Stiffness of muscles (such as observed after exhausting exercise or after death - rigor mortis) are observed in some in skeletal muscles due to:
ATP, phosphocreatine depletion; release of calcium ions (form cross bridges between filaments shortening muscle)
farsightedness is
hyperopia which is corrected with convex lens (increased focal length, eye ball to short)
nearsightedness is
myopia which is corrected with biconcave lens (decreased focal length, eye ball to long)
Resting potential of standard neuron
-70 mV (
resting potential is primarily determined by
K+ leakage and Na+/K pump
only immunoglobulin that can pass through placenta
IgG
binding site numbers of IgG and IgM
IgG: 10; IgG: 2
more soluable than IgM
IgG
produced by organic solvents and detergents (soaps, etc.) and also occurs in distilled water
hemolysis
hemolysis starts at which saline concentration
0,48%
All preganglionic sympathetic AND parasympathetic fibers
are
choligernic
Autonomic synapses in para/prevertebral gangli is only characteristic to
sympathetic nervous system
glucose is reabsorbed in PCT mostly via
secondary active transport by SGLT (sodium dependent glucose transporter)
distributes forces of contractions and skeletal muscle tone, controls balance and body posture, helps plan and control voluntary movement
cerebellum
cerebellum receives input via
dorsal spinocerebellar tract
intrinsic ability of the tubules to increase their reabsorption rate in responce to increased tubular load
glomerulotubular balance (helps to prevent overloading of the distal tubular segments when GFR increases)
phenomenon maintained by the macula densa of the juxtagolmerular apperatus
tubuloglomerular feedback
begins after mitral valve closes
Isovolumetric ventricular contraction
begins after semilunar valves open
ejection phase
cardiac output equals
SV x HR
strength of ventricular contraction is proportionate to
end diastolic volume
antagonists of the beta-adrenergic receptor (beta-blockers)
decrease strength of ventricular contraction
strength of ventricular ejection is proportionate to the cardiac rate
treppe phenomenon
S2 frequency
50Hz
S2 is best heard in
2 ICS
S1 is best heard in
5 and 4 ICS
shorter and higher in pitch than the sound generated by atrioventricular valves
S2
right LGN (lateral geniculate nucleus) is specific thalamic nucleus entered by visual input from
nasal half of left retina and temporal half of right retina
function of functional residual capacity is to stabilise
composition, temperature and humidity of air
in lungs during even quite intensive breathing
FRC cannot be asseses by spirometry due to the fact that it is composed o
ERV and RV