Podcast
Questions and Answers
What initiates the activation of the fibrinolytic cascade?
What initiates the activation of the fibrinolytic cascade?
- Injury to blood vessels
- Activation of thrombin
- Washout of coagulation factors (correct)
- Platelet contraction
Which of the following statements correctly describes the function of plasmin?
Which of the following statements correctly describes the function of plasmin?
- It enhances platelet aggregation.
- It digests fibrin and cleans up clots. (correct)
- It initiates the coagulation cascade.
- It converts fibrinogen to fibrin.
Which factor is primarily involved in vitamin K deficiency?
Which factor is primarily involved in vitamin K deficiency?
- Factor II (correct)
- Factor VIII
- Factor IX
- Factor X
What is the common cause of thrombocytopenia?
What is the common cause of thrombocytopenia?
What does the International Normalized Ratio (INR) indicate?
What does the International Normalized Ratio (INR) indicate?
Which of the following best describes disseminated intravascular coagulation (DIC)?
Which of the following best describes disseminated intravascular coagulation (DIC)?
What triggers the release of heparin by basophils and mast cells?
What triggers the release of heparin by basophils and mast cells?
Which component is responsible for shielding tissues from pro-coagulant signals?
Which component is responsible for shielding tissues from pro-coagulant signals?
What is the life span of circulating granulocytes?
What is the life span of circulating granulocytes?
What is the primary function of thrombomodulin?
What is the primary function of thrombomodulin?
What is the function of dendritic cells in the immune system?
What is the function of dendritic cells in the immune system?
Which of the following accurately describes the relationship between MHC proteins and T cells?
Which of the following accurately describes the relationship between MHC proteins and T cells?
What triggers the clonal expansion of lymphocytes?
What triggers the clonal expansion of lymphocytes?
Which component of the immune system is primarily responsible for the release of histamine during an allergic reaction?
Which component of the immune system is primarily responsible for the release of histamine during an allergic reaction?
What is a primary outcome of immunological memory in the adaptive immune response?
What is a primary outcome of immunological memory in the adaptive immune response?
Which statement about B cells is correct?
Which statement about B cells is correct?
What is the role of the complement system in immune response?
What is the role of the complement system in immune response?
What mechanism is employed by natural killer (NK) cells to eliminate target cells?
What mechanism is employed by natural killer (NK) cells to eliminate target cells?
What are epitopes in the context of adaptive immunity?
What are epitopes in the context of adaptive immunity?
What role do antigen-presenting cells (APCs) play in the activation of T cells?
What role do antigen-presenting cells (APCs) play in the activation of T cells?
What role do basophils and mast cells play in the immune response?
What role do basophils and mast cells play in the immune response?
What is a characteristic of leukopenia?
What is a characteristic of leukopenia?
Which immune response is primarily activated by the presence of PAMPs on pathogens?
Which immune response is primarily activated by the presence of PAMPs on pathogens?
What is the primary function of reactive oxygen species (ROS) in phagocytes?
What is the primary function of reactive oxygen species (ROS) in phagocytes?
How do neutrophils respond when encountering pathogens too large to ingest?
How do neutrophils respond when encountering pathogens too large to ingest?
Which component of the complement system acts as an opsonin?
Which component of the complement system acts as an opsonin?
What triggers the activation of the complement system?
What triggers the activation of the complement system?
What is the primary significance of interferon-alpha and -beta in viral infections?
What is the primary significance of interferon-alpha and -beta in viral infections?
Which cells are described as typically being the first responders to infection?
Which cells are described as typically being the first responders to infection?
What is the primary role of defensins in the immune system?
What is the primary role of defensins in the immune system?
Which phase of gastric secretion is primarily initiated by the sight or smell of food?
Which phase of gastric secretion is primarily initiated by the sight or smell of food?
What mechanism is primarily responsible for the secretion of HCl by gastric parietal cells?
What mechanism is primarily responsible for the secretion of HCl by gastric parietal cells?
What type of muscle contractions are seen in the large intestine during the mixing of feces?
What type of muscle contractions are seen in the large intestine during the mixing of feces?
Which of the following factors decreases gastric emptying?
Which of the following factors decreases gastric emptying?
Which type of action potential is characterized by variable amplitude and happens at fixed frequency in GI smooth muscle?
Which type of action potential is characterized by variable amplitude and happens at fixed frequency in GI smooth muscle?
What is the primary function of the gastrocolic reflex?
What is the primary function of the gastrocolic reflex?
In which phase of swallowing does the action become involuntary?
In which phase of swallowing does the action become involuntary?
What triggers enterogastric reflex to lower gastric emptying?
What triggers enterogastric reflex to lower gastric emptying?
Which type of cells in the pancreas produce secretin?
Which type of cells in the pancreas produce secretin?
What is the effect of acetylcholine on gastrointestinal smooth muscle?
What is the effect of acetylcholine on gastrointestinal smooth muscle?
What is the major gastric secretion that activates pepsinogen into pepsin?
What is the major gastric secretion that activates pepsinogen into pepsin?
What does the term 'antral pump' refer to in gastric motility?
What does the term 'antral pump' refer to in gastric motility?
What causes the mass movements in the colon?
What causes the mass movements in the colon?
Which white blood cell type primarily functions as the first responder to an infection?
Which white blood cell type primarily functions as the first responder to an infection?
What is the role of dendritic cells in the immune response?
What is the role of dendritic cells in the immune response?
What does the Major Histocompatibility Complex (MHC) II primarily do?
What does the Major Histocompatibility Complex (MHC) II primarily do?
Which factor is primarily responsible for regulating erythrocyte production?
Which factor is primarily responsible for regulating erythrocyte production?
What type of anemia is characterized by the inability to absorb vitamin B12?
What type of anemia is characterized by the inability to absorb vitamin B12?
Which of the following factors contribute to the phenomenon of increased cardiac output in anemia?
Which of the following factors contribute to the phenomenon of increased cardiac output in anemia?
What is the final step in the clotting process during secondary hemostasis?
What is the final step in the clotting process during secondary hemostasis?
Which pathway initiates blood coagulation in response to tissue injury?
Which pathway initiates blood coagulation in response to tissue injury?
What happens to red blood cells after they reach the end of their lifecycle in approximately 120 days?
What happens to red blood cells after they reach the end of their lifecycle in approximately 120 days?
What is the primary function of basophils in the immune system?
What is the primary function of basophils in the immune system?
What might cause an increase in erythropoietin production?
What might cause an increase in erythropoietin production?
Which component primarily mediates vascular constriction during hemostasis?
Which component primarily mediates vascular constriction during hemostasis?
What is a characteristic of polycythemia vera?
What is a characteristic of polycythemia vera?
What indicates that a substance is not filtered or is filtered and reabsorbed when comparing its clearance to inulin clearance?
What indicates that a substance is not filtered or is filtered and reabsorbed when comparing its clearance to inulin clearance?
Which factor primarily influences the regulation of GFR through net filtration pressure?
Which factor primarily influences the regulation of GFR through net filtration pressure?
Which mechanism promotes vasoconstriction in response to increased renal blood flow?
Which mechanism promotes vasoconstriction in response to increased renal blood flow?
What is the primary role of aldosterone in the renal system?
What is the primary role of aldosterone in the renal system?
What happens to GFR when there is increased hydrostatic pressure in Bowman's capsule?
What happens to GFR when there is increased hydrostatic pressure in Bowman's capsule?
Which substance is known to be freely filtered and serves as an accurate marker for GFR measurement?
Which substance is known to be freely filtered and serves as an accurate marker for GFR measurement?
What physiological effect does atrial natriuretic peptide (ANP) have on renal blood flow?
What physiological effect does atrial natriuretic peptide (ANP) have on renal blood flow?
What defines the 'transport maximum' in the context of renal physiology?
What defines the 'transport maximum' in the context of renal physiology?
What mechanism allows secondary active transport of glucose and amino acids within the nephron?
What mechanism allows secondary active transport of glucose and amino acids within the nephron?
The concentrating ability of the renal medulla relies on which gradient?
The concentrating ability of the renal medulla relies on which gradient?
What is the effect of angiotensin II on renal function at low levels?
What is the effect of angiotensin II on renal function at low levels?
In situations of low blood pressure, which mechanism does the body utilize to maintain renal function?
In situations of low blood pressure, which mechanism does the body utilize to maintain renal function?
Which cells in the collecting ducts are involved in acid-base regulation?
Which cells in the collecting ducts are involved in acid-base regulation?
How does nitric oxide affect renal blood flow?
How does nitric oxide affect renal blood flow?
Flashcards
What is the role of plasminogen in the fibrinolytic system?
What is the role of plasminogen in the fibrinolytic system?
Plasminogen is a protein that is converted to plasmin, an enzyme that breaks down fibrin clots. This process helps to dissolve blood clots and prevent them from growing too large.
What are the antithrombotic properties of the endothelium?
What are the antithrombotic properties of the endothelium?
The endothelium, the inner lining of blood vessels, actively prevents blood clots by shielding collagen, releasing nitric oxide, degrading ADP, altering thrombin, shielding tissue factor, competing with thrombomodulin, producing heparin and antithrombin III, and activating fibrinolysis by producing tissue plasminogen activator (tPA).
What causes Vitamin K deficiency?
What causes Vitamin K deficiency?
Vitamin K deficiency can be caused by a lack of bacteria in the intestine, which are responsible for producing Vitamin K. It can also be caused by an inability to absorb Vitamin K, which can occur with conditions like bile duct obstruction.
What is hemophilia?
What is hemophilia?
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What is thrombocytopenia?
What is thrombocytopenia?
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What is a pulmonary embolism?
What is a pulmonary embolism?
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What is disseminated intravascular coagulation (DIC)?
What is disseminated intravascular coagulation (DIC)?
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What is the prothrombin time (PT) test?
What is the prothrombin time (PT) test?
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What is INR?
What is INR?
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What are the three main types of white blood cells (WBCs)?
What are the three main types of white blood cells (WBCs)?
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Natural Killer Cells (NK Cells)
Natural Killer Cells (NK Cells)
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How NK cells recognize their targets
How NK cells recognize their targets
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Dendritic Cells (DCs)
Dendritic Cells (DCs)
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Adaptive Immunity
Adaptive Immunity
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Antigens
Antigens
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Clonal Selection
Clonal Selection
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Immunological Memory
Immunological Memory
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B Cells and Antibodies
B Cells and Antibodies
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T Cells
T Cells
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MHC Proteins
MHC Proteins
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IgE's role in histamine release
IgE's role in histamine release
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Mast Cells and Basophils
Mast Cells and Basophils
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Leukopenia
Leukopenia
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Leukemia
Leukemia
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Innate Immunity
Innate Immunity
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PAMPs
PAMPs
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PRRs
PRRs
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Phagocytosis
Phagocytosis
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Complement System
Complement System
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What is Clearance (Cx)?
What is Clearance (Cx)?
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How is Clearance Measured?
How is Clearance Measured?
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What is the Glomerular Filtration Rate (GFR)?
What is the Glomerular Filtration Rate (GFR)?
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What is Inulin?
What is Inulin?
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What is the Filtration Coefficient (Kf)?
What is the Filtration Coefficient (Kf)?
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What is Net Filtration Pressure?
What is Net Filtration Pressure?
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How does Increased Bowman's Capsule Hydrostatic Pressure affect GFR?
How does Increased Bowman's Capsule Hydrostatic Pressure affect GFR?
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How does Increased Glomerular Capillary Colloid Osmotic Pressure affect GFR?
How does Increased Glomerular Capillary Colloid Osmotic Pressure affect GFR?
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What is Renal Blood Flow (RBF)?
What is Renal Blood Flow (RBF)?
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What is Autoregulation of RBF and GFR?
What is Autoregulation of RBF and GFR?
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What is Myogenic Autoregulation?
What is Myogenic Autoregulation?
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What is Tubuloglomerular Feedback?
What is Tubuloglomerular Feedback?
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What is Sympathetic Nerve Activity's effect on GFR/RBF?
What is Sympathetic Nerve Activity's effect on GFR/RBF?
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What is Angiotensin II's effect on GFR/RBF?
What is Angiotensin II's effect on GFR/RBF?
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What are slow waves in GI smooth muscle?
What are slow waves in GI smooth muscle?
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What are spike potentials in GI smooth muscle?
What are spike potentials in GI smooth muscle?
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What is the relationship between electrical and mechanical activity in GI smooth muscle?
What is the relationship between electrical and mechanical activity in GI smooth muscle?
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What are the phases of swallowing?
What are the phases of swallowing?
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What is the role of the upper esophageal sphincter (UES) during swallowing?
What is the role of the upper esophageal sphincter (UES) during swallowing?
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What is the role of the lower esophageal sphincter (LES) during swallowing?
What is the role of the lower esophageal sphincter (LES) during swallowing?
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What is receptive relaxation of the stomach?
What is receptive relaxation of the stomach?
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What are the functions of the caudad (lower) part of the stomach?
What are the functions of the caudad (lower) part of the stomach?
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What factors increase gastric emptying?
What factors increase gastric emptying?
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What factors decrease gastric emptying?
What factors decrease gastric emptying?
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What are enterogastric reflexes?
What are enterogastric reflexes?
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What is the role of cholecystokinin (CCK) in gastric emptying?
What is the role of cholecystokinin (CCK) in gastric emptying?
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What is the main function of the small intestine in terms of motility?
What is the main function of the small intestine in terms of motility?
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What are haustral contractions?
What are haustral contractions?
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What is the gastrocolic reflex?
What is the gastrocolic reflex?
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Neutrophils
Neutrophils
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Macrophages
Macrophages
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Basophils
Basophils
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Eosinophils
Eosinophils
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Innate Immune Response
Innate Immune Response
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Adaptive Immune Response
Adaptive Immune Response
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T-Helper Cells
T-Helper Cells
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MHC-II
MHC-II
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Common Pathway
Common Pathway
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Erythrocytes (RBCs)
Erythrocytes (RBCs)
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Hemoglobin
Hemoglobin
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Hemostasis
Hemostasis
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Study Notes
Blood and Immunity
- Neutrophils are the main phagocytes, basophils are involved in allergic reactions, and eosinophils play a role in defense against parasites.
- Differences in size and function exist between neutrophils and macrophages.
- The innate immune response is the first line of defense. If it is not effective, it stimulates the adaptive response.
- Pathogens have molecular patterns (PAMPs); cells (macrophages) have pattern recognition receptors (PRRs). The interaction leads to phagocytosis (engulfing and destruction of pathogens).
- Microbe remnants are presented on MHC-II molecules to T-helper cells, which activate cells to eliminate the microbes.
- Dendritic cells bridge the innate and adaptive immune systems.
- All nucleated cells have MHC-I, and dendritic cells, macrophages, and B lymphocytes have MHC-II.
- The complement system, including extrinsic and intrinsic pathways, is part of the immune response.
Blood Cell Types
- Blood is composed of various blood cell types originating from the bone marrow.
- Granulocytes include neutrophils, basophils, and eosinophils.
- Monocytes and lymphocytes (B and T cells, NK cells) are also white blood cells (WBCs).
- Erythrocytes (red blood cells, RBCs) are responsible for oxygen transport.
RBCs
- No organelles, destroyed by macrophages after 120 days.
- Shape and size allow RBCs to move through capillaries.
- Hold hemoglobin and carbonic anhydrase.
- At 100% saturation, men hold 20mlO2, and women 19ml.
- RBC production regulated by erythropoietin (EPO), produced by the kidneys.
- Low oxygen levels stimulate EPO production.
- Nutritional needs include vitamin B12/folic acid for maturation and DNA synthesis.
- Pernicious anemia results from a lack of intrinsic factor, needed to absorb vitamin B12.
- Defective iron metabolism causes microcytic-hypochromic anemia.
- Macrocytic anemia relates to larger RBCs and normal coloring.
Hemostasis
- Hemostasis is the process of stopping blood loss, including vascular constriction, plateletaggregation and coagulation.
- Damaged tissue activates the coagulation cascade.
- Extrinsic and intrinsic pathways meet at the common pathway which activates prothrombin to thrombin, converting fibrinogen to fibrin.
- Thrombin initiates clot retraction and fibrinolysis with plasminogen activation.
- Endothelial factors regulate clot formation and dissolution..
- Disorders include hemophilia, thrombocytopenia and DIC.
Innate and Adaptive Immunity
- The body has mechanisms, including innate and adaptive mechanisms (immune responses, to combat pathogens).
- Pathogens and damaged cells trigger a cascade of events to initiate an inflammatory response.
- Leukocytes (white blood cells, WBCs) are important in the immune response.
- Cytokines and chemokines, prostaglandins and leukotrienes mediate a variety of inflammatory and immune responses.
- Phagocytosis, including macrophages and neutrophils help destroy pathogens,
- Complement system- A complex system of proteins that enhances the inflammatory response and directly attacks pathogens.
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