Chapter 14 - Autonomic Nervous System
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Questions and Answers

What is the primary function of peripheral chemoreceptors?

  • Regulate oxygen levels in the lungs
  • Control heart rate
  • Induce contraction of respiratory muscles
  • Monitor the levels of oxygen, carbon dioxide, and pH in arterial blood (correct)

Which of the following is a characteristic of restrictive lung disorders?

  • Difficulty exhaling air
  • Narrowing of the airways
  • Increased airway resistance
  • Decreased lung volume and capacity (correct)

Which organ is NOT part of the digestive tract?

  • Rectum
  • Esophagus
  • Liver (correct)
  • Stomach

What does segmentation refer to in the context of digestion?

<p>Mixing and movement of food in the small intestine (D)</p> Signup and view all the answers

Which organ follows the pharynx in the digestive tract?

<p>Esophagus (B)</p> Signup and view all the answers

Ingestion is best defined as which of the following?

<p>The process of taking in food or liquid (C)</p> Signup and view all the answers

What role do accessory organs play in digestion?

<p>Produce and release substances aiding in digestion (D)</p> Signup and view all the answers

Which process involves the breakdown of food into smaller molecules?

<p>Digestion (B)</p> Signup and view all the answers

What is the primary function of the glomerulus in urine production?

<p>Filter blood and initiate urine formation (A)</p> Signup and view all the answers

Which process primarily occurs in the renal tubule where useful substances are returned to the blood?

<p>Tubular reabsorption (A)</p> Signup and view all the answers

What is the formula for calculating Net Filtration Pressure (NFP)?

<p>Ghp - (Gcop + Chp) (A)</p> Signup and view all the answers

How does the myogenic mechanism respond to increased blood pressure?

<p>It constricts vessels to decrease GHP (C)</p> Signup and view all the answers

What role do macula densa cells play in the tubuloglomerular feedback mechanism?

<p>They sense sodium concentration in the filtrate (C)</p> Signup and view all the answers

How does the RAAS system affect blood pressure and GFR?

<p>It raises blood pressure by constricting vessels and increasing GFR (A)</p> Signup and view all the answers

What is the main effect of aldosterone on urine composition?

<p>Increases sodium and water reabsorption, decreasing urine volume (A)</p> Signup and view all the answers

What effect does ADH have on the kidneys?

<p>Promotes reabsorption of water, concentrating urine (A)</p> Signup and view all the answers

What is the primary function of the cardiac conduction system in the heart?

<p>Producing coordinated heart chamber contractions (A)</p> Signup and view all the answers

Which wave in an electrocardiogram (ECG) represents atrial depolarization?

<p>P wave (A)</p> Signup and view all the answers

What is the term for the volume of blood in the ventricles at the end of diastole?

<p>End diastolic volume (EDV) (D)</p> Signup and view all the answers

Which phase of the cardiac cycle involves the relaxation of cardiac muscle?

<p>Diastole (B)</p> Signup and view all the answers

What role does preload play in cardiac function?

<p>It determines the volume of blood filling the ventricles. (A)</p> Signup and view all the answers

How does the autonomic nervous system regulate cardiac output?

<p>By changing heart rate and stroke volume (A)</p> Signup and view all the answers

Which of the following best describes the Frank-Starling Law of the heart?

<p>Increased blood return to the heart increases stroke volume. (C)</p> Signup and view all the answers

What is cardiac output and how is it calculated?

<p>The volume of blood pumped by the heart in one minute, calculated as HR x stroke volume. (B)</p> Signup and view all the answers

What is the primary function of thyroid stimulating hormone (TSH) secreted by the anterior pituitary?

<p>To stimulate the thyroid gland to produce thyroid hormones (B)</p> Signup and view all the answers

Which hormone is produced by the hypothalamus and stored in the posterior pituitary?

<p>Oxytocin (B)</p> Signup and view all the answers

How do hypothalamic neurohormones influence the release of anterior pituitary hormones?

<p>They stimulate or inhibit the release of specific anterior pituitary hormones. (C)</p> Signup and view all the answers

Which structure is primarily responsible for protecting and anchoring the heart?

<p>Fibrous pericardium (A)</p> Signup and view all the answers

What distinguishes ventricles from atria in the structure and function of the heart?

<p>Atria are thin-walled and function to receive blood; ventricles are thick-walled and pump blood. (C)</p> Signup and view all the answers

What role does the pericardial cavity serve in relation to the heart?

<p>It contains serous fluid that reduces friction during heart movements. (C)</p> Signup and view all the answers

What is the main function of atrial natriuretic peptide (ANP) secreted by the heart?

<p>To decrease blood pressure and reduce blood volume. (A)</p> Signup and view all the answers

Which endocrine organ is primarily responsible for regulating calcium levels in the blood?

<p>Parathyroid glands (D)</p> Signup and view all the answers

What is a primary method through which the body gains water each day?

<p>By drinking fluids (C)</p> Signup and view all the answers

What triggers the thirst center in the hypothalamus?

<p>High osmolarity of blood (B), Low blood volume (D)</p> Signup and view all the answers

How does aldosterone contribute to blood sodium concentration homeostasis?

<p>It promotes sodium retention in the kidney (A)</p> Signup and view all the answers

Which condition is classified as metabolic acidosis?

<p>Increased retention of carbon dioxide (C)</p> Signup and view all the answers

In response to dehydration, how do kidneys adjust urine production?

<p>They produce less, more concentrated urine (B)</p> Signup and view all the answers

What percentage of water reabsorption in the kidneys is considered obligatory?

<p>65% (C)</p> Signup and view all the answers

What is the primary purpose of renal production of erythropoietin (EPO)?

<p>Stimulate red blood cell production (D)</p> Signup and view all the answers

Why can human urine not exceed an osmolarity of 1200 mOsm?

<p>The medulla sets a maximum salt concentration (C)</p> Signup and view all the answers

In which fluid compartment is potassium (K⁺) primarily found at higher concentrations?

<p>Intracellular fluid (C)</p> Signup and view all the answers

How do the kidneys help regulate blood pH?

<p>By adjusting bicarbonate reabsorption and hydrogen ion secretion (C)</p> Signup and view all the answers

What initiates the micturition reflex when the bladder is full?

<p>Stretch receptors sending signals to the spinal cord (D)</p> Signup and view all the answers

What is contained in normal urine?

<p>95% water, metabolic wastes, ions, and small molecules (B)</p> Signup and view all the answers

What is the primary action of renin released by the kidneys?

<p>Activate the RAAS to regulate blood pressure (A)</p> Signup and view all the answers

Flashcards

Cardiac Conduction System

A system of specialized tissues that initiates and distributes electrical impulses throughout the heart, coordinating contractions of heart chambers.

Electrocardiogram (ECG)

A graphic recording of the electrical activity of the heart.

Cardiac Cycle

One complete sequence of events in the heart, including contraction and relaxation of chambers, leading to blood flow.

Cardiac Output

The volume of blood pumped by each ventricle per minute.

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Stroke Volume

The amount of blood pumped by a ventricle in one contraction.

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Ejection Fraction

Percentage of blood ejected from the ventricle with each contraction.

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End Diastolic Volume (EDV)

The volume of blood in the ventricle at the end of diastole (relaxation).

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Blood Vessel Tunics

The layers of tissue that form the walls of blood vessels (e.g., intima, media, externa).

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Anterior Pituitary Hormones

The anterior pituitary gland secretes hormones that control other endocrine glands and body functions.

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Hypothalamic Neurohormones

These hormones from the hypothalamus regulate the release of anterior pituitary hormones.

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Posterior Pituitary Hormones

Hormones ADH and Oxytocin are produced by the hypothalamus and stored in the posterior pituitary.

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Heart Location in Thoracic Cavity

The heart is located medial to the lungs and posterior to the sternum, divided into right and left sides.

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Atria vs. Ventricles

Atria receive blood, while ventricles pump blood. Atria are thin-walled, ventricles are thick-walled.

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Pericardium Layers

The fibrous pericardium protects the heart; the serous pericardium (parietal and visceral layers) reduce friction; the pericardial cavity contains lubricating fluid.

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Right vs. Left Heart

The right side (pulmonary) is a low-pressure circuit carrying deoxygenated blood. The left side (systemic) pumps oxygenated blood.

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Atrial Natriuretic Peptide

Hormone secreted by the heart; regulates sodium and water balance.

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Peripheral Chemoreceptors

Located in carotid and aortic bodies, monitor oxygen, carbon dioxide, and pH in the blood; signal respiratory centers for breathing regulation

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Restrictive Lung Disorders

Lung volume and capacity decrease due to stiff lung tissue or reduced expansion, e.g., pulmonary fibrosis.

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Obstructive Lung Disorders

Narrowing or blockage of airways making exhaling difficult, e.g., asthma, COPD.

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Digestive Tract Organs

Organs directly involved in digestion and nutrient absorption, from mouth to anus (e.g., esophagus, stomach, intestines).

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Accessory Digestive Organs

Organs that produce substances that aid digestion (e.g., liver, pancreas, gallbladder), but aren't part of the digestive tube.

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Ingestion

Taking food or liquid into the body.

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Digestion (chemical)

Breakdown of food into smaller molecules by enzymes.

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Absorption

Nutrients and water entering the bloodstream from the digestive tract.

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Glomerular Filtration

Blood is filtered in the glomerulus, allowing water, salt, glucose, and small molecules to pass into Bowman's capsule.

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Tubular Reabsorption

Useful substances (water, glucose, amino acids) are reabsorbed back into the blood capillaries which line the renal tubules.

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Tubular Secretion

Wastes and extra ions are added to the filtrate in the distal tubules and collecting ducts to form urine.

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Net Filtration Pressure (NFP)

The difference between forces pushing fluid out of the glomerulus (Glomerular Hydrostatic Pressure) and forces pulling it back in (Glomerular Colloid Osmotic Pressure + Capsular Hydrostatic Pressure).

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RAAS (Renin-Angiotensin-Aldosterone System)

A system activated when blood pressure drops, leading to the release of hormones to increase blood volume and pressure.

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Aldosterone

A hormone that promotes sodium and water reabsorption in the kidneys, making urine less salty and less abundant.

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ADH (Antidiuretic Hormone)

A hormone that promotes water reabsorption in the kidneys, concentrating urine and reducing its volume.

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GFR (Glomerular Filtration Rate)

The rate at which blood is filtered by the glomerulus in the kidneys.

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What triggers thirst?

The thirst center in the hypothalamus is activated when blood has too many solutes (high osmolarity) or blood volume drops (low blood pressure). These signals make you drink water to restore balance.

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Angiotensin-II's role in sodium balance

Angiotensin-II increases sodium reabsorption in the kidney, helping to maintain sodium levels.

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Aldosterone's role in sodium balance

Aldosterone stimulates the kidney to save more sodium and excrete potassium, keeping sodium levels balanced.

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Kidney's response to dehydration

The kidney produces less, more concentrated urine by reabsorbing water through ADH, and retains sodium and water through aldosterone and angiotensin-II.

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Metabolic Acidosis

Metabolic acidosis occurs when there is an excessive buildup of acid in the body, often due to decreased ventilation and retention of carbon dioxide.

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Obligatory Water Reabsorption

The automatic reabsorption of 65% of water in the kidney, driven by the movement of salt. This process is not under conscious control.

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Facultative Water Reabsorption

The regulated reabsorption of water in the kidney, controlled by the hormone ADH (Antidiuretic Hormone). This process varies depending on the body's hydration levels.

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Maximum Urine Osmolarity

The highest concentration of solute (like salt) that urine can reach, limited by the kidney's medulla to about 1200 mOsm.

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Normal Urine Components

Urine is mainly water (95%) and contains various waste products like urea (from protein breakdown), ions (sodium, potassium), and other small molecules the body doesn't need.

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Kidney's Role in Blood pH

The kidneys help regulate blood pH by adjusting the secretion of hydrogen ions (H+) and the reabsorption of bicarbonate ions (HCO3-).

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Kidney Hormones

The kidneys produce several hormones like Erythropoietin (EPO) for red blood cell production, Renin for blood pressure regulation, and Calcitriol for calcium absorption.

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Kidney's Role in Blood Pressure

The kidneys regulate blood pressure by controlling water and salt levels. They also release renin, initiating the RAAS system (Renin-Angiotensin-Aldosterone System) when blood pressure is low.

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Micturition Reflex

The reflex that controls urination. When the bladder is full, stretch receptors send signals, triggering bladder contraction and sphincter relaxation to release urine.

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Study Notes

Chapter 14 - Autonomic Nervous System

  • Two main divisions of the ANS: sympathetic and parasympathetic
  • Sympathetic division (fight or flight): originates in the CNS, preganglionic neurons are short, postganglionic are long release acetylcholine at preganglionic and norepinephrine/epinephrine at postganglionic.
  • Parasympathetic division (rest and digest): originates in the CNS, preganglionic neurons are long, postganglionic are short, release acetylcholine at both pre and postganglionic.
  • Neurotransmitters for each division differ
  • Anatomical pathways for sympathetic and parasympathetic neurons to reach target effectors involve preganglionic and postganglionic neurons.
  • Sympathetic division increases heart rate and relaxes bowels while parasympathetic decreases heart rate and relaxes bowels.
  • Adrenal medulla is part of sympathetic division; releases epinephrine and norepinephrine into the blood when stimulated.
  • Cholinergic receptors bind to acetylcholine; subtypes are muscarinic and nicotinic.
  • Adrenergic receptors bind to epinephrine and norepinephrine; subtypes are alpha1, alpha2, beta1, beta2, and beta3.
  • Dual innervation: both sympathetic and parasympathetic divisions control many organs.

Chapter 16 - Endocrine System

  • Endocrine system secretes hormones into the bloodstream to regulate body functions.
  • Hormones are regulatory substances made of amino acids, peptides, or lipids; these are produced, stored, and transported differently depending on chemical type.
  • Endocrine organs include pancreas, anterior pituitary gland, testes, ovaries, thyroid, parathyroid, adrenal glands, and thymus. Hypothalamus and posterior pituitary are classified as secondary.
  • Nervous and endocrine systems control body functions through distinct but often interwoven mechanisms
  • Hypersecretion leads to excess hormone activity and hyposecretion to diminished hormone activity.
  • Major chemical classes of hormones are amino acid-based hormones and steroid hormones.
  • Target cell receptors for steroid and peptide hormones differ in location (embedded in the cell membrane, cytosol, nucleus)
  • Hormone receptors and mechanisms have differing effects on cells (hydrophobic versus hydrophilic hormones)
  • Hormone production and secretion are regulated through negative feedback loops.
  • Hypothalamus plays a crucial role in anterior and posterior pituitary hormone regulation.

Chapters 17 & 18 - Cardiovascular System

  • Heart is located in the thoracic cavity, divided into right and left sides.
  • Heart secretes atrial natriuretic peptide.
  • Detailed description of cardiac cycle, including heart chambers, valves, internal structures, and blood flow.
  • The major blood vessels responsible for delivering oxygenated and deoxygenated blood to and from the heart wall are described.
  • Microscopic anatomy of myocardium, including intercalated discs.
  • Detailed description of cardiac muscle action potentials, including phases.
  • Control of heart rate by autonomic innervation (sympathetic and parasympathetic).
  • Cardiac conduction system.
  • Electrocardiogram (ECG) components and their relation to electrical events.

Chapter 19 - Blood

  • Blood composition: 55% plasma and 45%formed elements (red blood cells, white blood cells, and platelets).
  • Morphological features and functions of formed elements (red blood cells, white blood cells, and platelets) are discussed.
  • Blood types are distinguished.
  • Hematopiesis descriptions, significance, and locations.
  • Hemoglobin and its breakdown products are described
  • Various types of anemia.
  • Platelet formation and hemostasis.

Chapter 20 - Lymphatic System & Immunity

  • Lymphatic system consists of lymph, lymphatic vessels and associated lymphatic organs (thymus, bone marrow, lymph nodes, spleen, and tonsils).
  • Lymph is collected, purified, filtered, and return to the circulatory system. • Lymphoid organs produce and maintain lymphocytes, which are crucial to the immune response.
  • Innate versus adaptive immunity.
  • Structure and function of surface barriers (skin and mucous membranes) are described, along with their role in immunity.
  • Types of leukocytes (white blood cells) are described (neutrophils, lymphocyte, monocyte, eosinophils, basophils) including their functions in immune responses.
  • B cell and T cell activation, antibody production and other roles in immunity.

Chapter 21 - Respiratory System

  • Airway structure from nares to alveoli, including functions of each part.
  • Respiratory membrane structure and roles in gas exchange.
  • Mechanics of pulmonary ventilation, including changes in pressure and volume.
  • Lung volumes and capacities
  • Physiological significance of surfactant
  • How oxygen reaches the tissue cells
  • How carbon dioxide is transported in the blood
  • Role of breathing control centers in the brainstem, including the roles of central and peripheral chemoreceptors.
  • Restrictive and obstructive lung disorders.

Chapter 22 & 23 - Digestive System & Metabolism

  • Digestive tract organs and accessory digestive organs in order from mouth to anus.
  • Digestive tract layers (mucosa, submucosa, muscularis externa, and serosa)
  • Digestive processes: ingestion, secretion, propulsion, digestion, absorption, and defecation.
  • Processes of chewing, swallowing, and peristalsis.
  • Roles of digestive secretions and hormones in controlling digestion and absorption.
  • Processes of nutrient digestion and absorption of carbohydrates, proteins, and lipids.
  • Role of bacteria in large intestine.
  • Defecation reflex.

Chapter 24 - Urinary System

  • Kidney structure (cortex, medulla, pelvis), and nephron structure descriptions.
  • Processes of urine production and function.
  • Renal tubular reabsorption and secretion processes.
  • Forces that make up NFP and how they relate to GFR.
  • Regulation of GFR by myogenic mechanism and tubuloglomerular feedback.
  • Role of hormones in regulating GFR (RAAS).
  • Kidney function description regarding the regulation of blood pressure, blood pH, and excretion of metabolic wastes.
  • Volume and osmolarity regulation of urine.

Chapter 25 - Fluid Electrolyte and Acid-Base Homeostasis

  • Distribution of water within the body (ICF, ECF) and comparison of intracellular and extracellular solute concentrations
  • Balancing water intake and output
  • Regulation of blood pressure.
  • The micturition reflex.
  • Acid-base homeostasis
  • Regulation of body temperature
  • Regulation of sodium and potassium levels
  • Acid-base balance and disorders, including acidosis and alkalosis.
  • Importance of electrolytes in maintaining homeostasis

Chapter 26 - Reproductive System

  • Structures and functions of the male and female reproductive tracts.
  • Positions of reproductive organs in the pelvis.
  • Spermatogenesis and oogenesis.
  • Reproductive hormones and regulation of the HPG axis.
  • Ovarian and uterine cycles
  • Phases of puberty and hormonal regulation.
  • Production of semen.
  • Types of contraceptives.

Chapter 27 - Development

  • Period of intrauterine development, from pre-embryonic to fetal stages.
  • Processes during development, including fertilization, implantation, and formation of the embryo and fetus.
  • Extraembryonic membranes and their roles
  • Development of cardiovascular changes at birth.
  • Labor stages and physiological changes in the mother during pregnancy.
  • Lactation and its hormonal regulation.
  • Types of inheritance (autosomal, X-linked, and incomplete dominance).

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Description

This quiz covers the key concepts of Chapter 14 focusing on the Autonomic Nervous System (ANS). It explores the two main divisions, sympathetic and parasympathetic, their functions, neurotransmitters, and anatomical pathways. Test your knowledge on how these divisions affect the body's responses.

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